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"lead": "Зрачковый рефлекс заключается в содружественном и равном сужении зрачков при освещении одного из глаз, обеспечивая при этом уменьшение светового потока, падающего на сетчатку. Сужение зрачка выявляется при исключительно низкой интенсивности освещения и пропорционально интенсивности и продолжительности стимула.\r\nПричинами нарушений зрачковых реакций являются:\r\nПоражения зрительного нерва. Слепой глаз не отвечает на прямой свет при его изолированном освещении и при этом нет содружественного сокращения сфинктера другого глаза, но слепой глаз отвечает содружественной реакцией, если его III нерв интактен и если другой глаз и его зрительный нерв не повреждены.\r\nПоражения глазодвигательного нерва. При повреждении III нерва прямая и содружественная реакция на свет отсутствует на поражённой стороне из-за паралича сфинктера зрачка, но прямая и содружественная реакция остаются сохранными на противоположной стороне.\r\nДругими причинами являются:\r\nСиндром Эди.\r\nНеобходимо отметить особый тип зрачковых нарушений, когда имеется паралич зрачковых рефлексов с отсутствием реакций на свет, но сохраненной реакцией на конвергенцию. Эта патология описана при различных состояниях: нейросифилис, синдром Эди, сахарный диабет, пинеалома, патологическая регенерация после поражения глазодвигательного нерва, энцефалиты, рассеянный склероз, офтальмический герпес, травма глаза, дистрофическая миотония, пандизавтономия (семейная вегетативная дисфункциия синдром Райли-Дея), синдром Фишера, I тип НМСН (болезнь Шарко-Мари-Тута).",
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