# A nurse is assessing a patient's eye anatomy. Which structure is responsible for controlling the amount of light entering the eye?

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## 문제

A nurse is assessing a patient's eye anatomy. Which structure is responsible for controlling the amount of light entering the eye?

## 보기

1. Cornea
2. Lens
3. Iris **✔ 정답**
4. Retina

**정답: 3**

## 해설

The iris controls light entry by adjusting pupil size via muscle contractions. Other structures (cornea, lens, retina) are involved in refraction, focusing, or light detection, not light regulation.

## 심화 해설

Anatomy & Physiology Focus

The question asks which structure controls the amount of light entering the eye. The correct answer is the Iris.

Detailed Rationale

The iris is the pigmented, annular structure located behind the cornea and anterior to the lens. Its primary function is to regulate the diameter of the pupil, the central aperture through which light passes. This is achieved through the antagonistic action of two smooth muscles within the iris stroma: the sphincter pupillae, which constricts the pupil in bright light (miosis), and the dilator pupillae, which enlarges the pupil in dim light (mydriasis). This dynamic mechanism functions much like the aperture of a camera, precisely controlling retinal illumination [4].

This regulatory role is clinically significant in conditions affecting iris pigmentation. For instance, research on vitiligo describes how a loss of melanocytes, the pigment-producing cells, can affect the eyes. A reduction or absence of pigmentation in the iris and other protective pigmentary layers of the eye can increase susceptibility to phototoxicity from light exposure, underscoring the iris's role as a critical barrier and light modulator [1].

Incorrect Options Analysis

- Cornea: The transparent, avascular tissue at the front of the eye. Its primary function is to refract (bend) light rays as they enter the eye, providing the majority of the eye's focusing power. It does not have a mechanism to actively control the amount of light passing through .

- Lens: A transparent, biconvex structure suspended behind the iris by zonular fibers. Its function is accommodation—changing shape to fine-tune the focus of light onto the retina for clear vision at varying distances. It plays no role in the active regulation of light quantity .

- Retina: The innermost, light-sensitive neural layer lining the posterior segment of the eye. It contains photoreceptors (rods and cones) that transduce light energy into electrical signals, initiating the visual pathway. It is the recipient of the light that has been controlled by the iris, not the controller itself .References (research sources)

- [1]Retinal Vulnerability to Light Pollution in Vitiligo: A Narrative Review of the Role of Melanin Loss in Ocular Phototoxicity.Research articleContin MA, Bruera MG, Mat Nor MN, Acosta ML. (2026) · DOI: 10.1159/000549698

- [4]Neuroectoderm-derived iris muscle characterization at the single-cell resolution in native human iris and a pluripotent stem cell eye model.Research articleMakovoz B, Eriksen AZ, Warrington RE, Williams D, Blenkinsop TA. (2025) · DOI: 10.1038/s41467-025-65653-8

## 임상 시나리오

Pupil Assessment & Light ControlIris Function in Light Regulation
The iris acts as a diaphragm, adjusting the pupil to control retinal illumination. In bright light, the sphincter pupillae constricts the pupil (miosis). In dim light, the dilator pupillae enlarges it (mydriasis).

Clinical AlertAssess pupil size and reactivity (PERRLA) during neurological exams. Fixed, dilated, or unequal pupils may indicate increased intracranial pressure or oculomotor nerve damage.

## 핵심 개념

- **Iris** — Pigmented eye structure with sphincter and dilator muscles that controls pupil size and light entry.
- **Miosis** — Pupil constriction in bright light, mediated by the sphincter pupillae muscle.
- **Mydriasis** — Pupil dilation in dim light, mediated by the dilator pupillae muscle.

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