Sunteți pe pagina 1din 38

What are the layers of wall of

the eye?

What is the corneoscleral coat?

What is the uvea?

What is the retina?

What is the inner neural retina


continuous with?

Corneoscleral coat
Uvea
Retina

outer fibrous layer that includes


the
Sclera which continues as the
Cornea

middle layer that includes the


Choroid and stroma of ciliary
body and iris

innermost layer and includes a


outerpigment epithelium
inner neural retina

- the CNS through the OPTIC


NERVE
- epithelium of the CILIARY
BODY and IRIS

What does the neural retina


consists of?

RODS and CONES

What make up of the retinal


pigment epithelium?

simple cuboidal melanincontaining cells

What does the retina sit on?

choroid layer - layer of


vascularized connective tissue

What are the layers of the


cornea?

What kind of cells are the


surface cells of the corneal
epithelium?

Corneal Epithelium
Bowman's Membrane
Corneal Stroma
Descemet's Membrane
Corneal Epithelium

nonkeratinized cells with nuclei

How are the surface cells on the


corneal epithelium adherent to
each other?

cells are slightly interdigitated


and fastened together by
interdigitation and desmosomes

What is the corneal epithelium


continuous with?

conjunctiva epithelium

How long does it take for the


corneal epithelium to
regenerate?

about 7 days

What happens to cells as they


migrate to the surface?

they lose their organelles

What does the loss of


organelles indicate?

loss of metabolic activity - they


don't do anything anymore they
just sit on the surface

What kind of nerves does the


corneal epithelium have?

free nerve endings

What do small bodies on the


corneal epithelium elicit?

blinking of eyelids
flow of tears
pain

What do the microvilli on the


surface of the corneal epithelia
do?

How does the epithelium on the


corneal surface regenerate after
minor injuries?

What is Bowman's membrane?

help retain thin film over the


corneal surface - trap and
contain moisture by providing
increased surface area which
keeps cornea moist

migration of cells to surface to


fill defect

a homogenous layer of
randomly oriented collagen
fibrils

Where does Bowman's


membrane end?

LIMBUS

What is the limbus?

junction of cornea and sclera

What does Bowman's


membrane provide?

strength to cornea
barrier to spread of infections

What layer of the cornea does


not regenerate?

Bowman's membrane

What happens if Bowman's


membrane is damaged?

opaque scar that would impair


vision because it interferes with
the transparency of the cornea

What is another name for the


corneal stroma?

What is the corneal stroma


composed of?

substantia propria

60 thin lamellae that are made


of parallel bundles of collagen
fibrils
layers of connective tissue

How are the collagen fibrils of


each layer arranged to the next
layer in the corneal stroma?

What is the purpose of having


flattened fibroblasts in between
the layers of collagen?

What does it mean to say that


the lamellae of the corneal
stroma are arranged in
orthogonal array?

at 90 degrees to the next layerorthogonal array

maintain health

alternating layers at right angles

What is responsible for the


transparency of the cornea?

uniform spacing of collagen


fibrils and lamellae
arrangement at orthogonal
array

What regulates the diameter of


collagen fibrils?

proteoglycans and Type V


collagen

What type of collagen is typical


of loose connective tissue that
make up matrix?

type V

What happens when the cornea


swells due to injury of the
epithelium or endothelium?

What does the ground


substance of the corneal stroma
contain?

arrangement is disrupted which


leads to transluncency or
disrupted opacity - cant see as
well

corneal proteoglycans

How do neutrophils and


lymphocytes responde to
inflammation of the corneal
since the corneal is
avasuclarized?

What is Descemet's membrane?

neutrophils and lymphocytes


migrate to blood vessels of the
limbus and penetrate between
lamellae of the stroma

basal lamina of corneal


ENDOTHELIAL cells that
seperates corneal endothelium
for adjacent corneal stroma

What does descemet's


membrane seperate?

corneal endothelium from


adjacent corneal stroma

What happens to Descemet's


membrane with age?

increases in thickness

What does Descemet's


membrane extend to become?

it extends beneath the scleara


as meshwork called PECTINATE
LIGAMENT

Where do the strands from the


pectinate ligament insert?

into ciliary muscles and sclera

What does the pectinate


ligament do?

helps maintain normal


curvature of cornea
exerts tension on Descemet's
membrane

What does the single layer of


flat endothelial cells of the
corneal ENDOTHELIUM cover?

surface of cornea that faces


anterior chamber

What are the corneal


endothelial cells joined by?

leaky tight junctions (zonulae


occludentes)
well-developed zonulae
adherentes
desmosomes

Where does metabolic


exchange of the cornea occur?

across corneal endothelium

What do the cells of the corneal


endothelium contain?

many mitochondria and vesicles


extensive RER and Gogli
demonstrate endocytosis
active transport Na+ and K+
ATPases

What is required for


transparency of the corneal
endothelium?

precise regulation of stromal


water content

What does physical or


metabolic damage to the
corneal endothelium lead to?

rapid corneal swelling and possibly


opacity
---> restoration of endothelial
integrity followed by reduced
turgitiy

Can the corneal endothelium


repair itself?

it can be restored in minor injuries


but with reduced turgitity of the
cornea BUT it can sweel beyond
self-repair which results in
permanent focal opacities

What is the opaque layer of the


sclera made up of?

dense irregular connective


tissue with fibroblasts and
elastic fibers

How would you describe the


sclera layers?

ill defined - graduate into each


very slowly

What are the layers of the


sclera?

episclera
sclera proper
lamina fascia

What is the episclera made of?

external layer of loose


connective tissue next to
periorobital fat

What is another name for the


sclera proper?

Tenon's Capsule

What is the sclera proper?

investing fascia of the eye

What is the sclera proper made


of?

dense network of thick collagen


fibers

Where is the lamina fascia?

inner part of sclera located


adjacent to choroid

What does the lamina fascia


contain?

Where is the limbus?

What does the limbus contain?

thinner collagen fibers


pigment cells
elastic fibers

transitional zone between


avascularized cornea and wellvascularized sclera

apparatus (canal of schlemm)


for drainage of aqueous humor
in stromal layer

What forms Canal of Schlemm?

endothelium lined channels


called Spaces of Fontana merge
to form the canal of schlemm

Where is the canal of schlemm?

it encircles the eye

What produces aqueous


humor?

CILIARY PROCESSES that border


the lens in posterior chamber of
eye

How does aqueous humor


reach the canal of schlemm?

What else can you call the canal


of schelmm ?

aqueous humor produced in ciliary


processes on the lens in posterior
chamber and pass to anterior chamber
through valve like opening between iris
and lens through spaces of fontana
(meshwork) to enter the canal of
schlemm

aqueous veins

Where does the aqueous humor


go after canal of schlemm?

What is glaucoma?

What causes glaucoma?

What is the purpose of the


Canal of Schlemm?

What forms the iris?

blood veins in sclera

increase in intraocular pressure


which interferes in nutrition of
eye and damage of retina due to
excess pressure

excessive secretion of aqueous


humor or impedance of
drainage of aqueous humor
from anterior chamber

conducts aqueous humor


through the anterior chamber to
venous circulation

anterior portion of choroid


extends as ciliary body which
extends as the iris

Where is the iris located?

it is a contractile diaphragm that


is ANTERIOR to the lens

what is the opening (central


aperture) of the iris known as?

pupil

How does the iris respond to


light intensity?

pushes forward as it changes in


size

What are the layers of the iris?

Where can you find the


contractor pupillae (sphincter)
smooth muscles of the iris?

(anterior to posterior)
- fibroblasts and melanocytes
- anterior stromal sheet
- loose connective tissue layer
- anterior pigment myoepithelium
- double layer of posterior pigmented
epithelial cells

loose connective tissue

What constitutes the main mass


of iris?

loose connective tissue layer

What makes up the dilator


pupillae muscles?

pigment myoepithelial layer in


the iris

What controls the size of


opening of pupil?

dilator pupillae

What innervates the dilator


pupillae?

sympathetic nerves from


superior cervical ganglion

What innervates the sphincter


muscle of the iris?

cranial nerve III - oculomotor

What does it indicate if the pupil


does not respond to light and
remains fixed and dilated?

What is the function of


pigmented epithelial cells?

What is responsible for eye


color?

lack of nerve or brain function

absorb light rays

the double layer of posterior


pigmented epithelial cells in the
iris

number of melanocytes in stroma

What is responsible for


variation in eye color?

What if there are few


melanocytes in the stroma?

eye color is derived from light


reflected from pigment present in
cells of posterior surface of eye

blue eye color

Where is the ciliary body


located?

between iris and choroid

Where does the iris extend


from?

root of iris posterorlaterall to


ORA SERRATA

What kind of cells are in the


ciliary body?

double layer of columnar


epithelial cells

What are the 3 main functions


of the ciliary body epithelium?

What forms the suspensory


ligament of lens?

1. source of aqueous humor


(similar to plasma)
2. secretion and anchoring of
zonular fibers
3. blood-aqueous barrier ***

zounular fibers from the ciliary


body

What is the blood-aqueous


barrier a part of?

blood-ocular barrier

Where does the choroid lie?

between sclera and retina

What are the 2 layers of the


choroid?

choriocapillary layer
inner vascular layer

What does the inner vascular


layer do?

provide nutrients to retina

What part of the choroid can


you see with an
opthalmoscope?

inner vascular layer with its


large and irregular capillaries

What is the inner most layer of


the eye?

retina

What is the retina derived from?

inner and outer layers of optic


cup

What exits between the two


layers of the retina?

potential space between neural


retina and retinal pigment
epithelium (outer)

What happens if the potential


space in the retina expands?

neural retina separates from the


pigmented epithelium
= retinal detachment

What is retinal detachment

separation of neural retina from


pigemented epithelium due to
the expansion of the potential
space

What happens if retinal


detachment is not corrected?

blindness

What are the regions of the


neural retina?

non-photosensitve region
photosensitive region

Where is the non-photosensitve


region of the retina located?

anterior to ora serrata and lines


inner aspect of cliary body and
posterior surface of iris

Where is the photosensitve


region of the retina?

lines inner surface of eye


posterior or ora serrata except
where its pierced by optic nerve

What is the optic papilla or disc?

site where optic nerve joins


retina

Where are there no


photoreceptors in the retina?

What kind of cells does the


retina contain?

optic papilla

- photoreceptors(rods and cones)


- conducting neurons (bipolar and
ganglion)
- associating cells (amacrine and
horizontal)
- supporting cells (Mueller's cells and
neuroglial cells)

Where can you find bipolar


cells?

retina
olfactory epithelium
internal ear

What is the function of


association cells?

help interaction between bipolar


and ganglion cells

What is the function of


conducting neurons?

high speed pathways through


layers of retina

What photoreceptor celsl are in


the retina?

rods and cones

What conducting cells are in the


retina?

bipolar
ganglion

What association neurons are in


the retina?

horizontal
centrifugal
amacrine

What supporting cells are in the


retina?

Mueller's cells
neuroglial cells

How do the retinal cells


interact?

ganglions are attached to bipolar cells


which are attached to photoreceptor
cells
amacrine cells join ganglion and bipolar
cells
horizontal cells join bipolar and
photoreceptor cells

What are the ten layers of the


retina outside to inside?

1. pigment epithelium
2. layer of Rods and Cones
3. external (outer) limiting membrane
4. outer nuclear layer
5. outer plexiform layer
6. inner nuclear layer
7. inner plexiform layer
8. ganglion cell layer
9. layer of optic nerve fibers
10. internal (inner) limiting membrane

What layer is constituted by the


associations of tight junctions
and desmosomes?

outer/external limiting
membrane

Where do the cell bodies of the


the rods and cones lie?

outer nuclear layer (landmark)

What does the plexiform layer


contain?

processes of retinal rods and


cones
processes of horizontal,
amacrine, and bipolar cells that
connect to them

What does the inner nuclear


layer contain?

cell bodies of horizontal,


amacrine, bipolar and Muller's
cells

What does the inner plexiform


layer contain?

processes of horizontal,
amacrine, and bipolar cells
processes of ganglion cells that
connect to each other

What does the ganglion cell


layer contain?

cell bodies of ganglion cells

What does the layer of optic


nerve fibers contain?

processes of ganglion cells that


lead from retina to brain

What layer of the retina gives


rise to the optic nerve?

ganglion layer

What layers does incident light


have to pass through before it
reaches photoreceptors?

cornea
lens
all neural retinal layers

What does the internal (inner)


limiting membrane contain?

basal lamina of Muller's cells

What layer of the retina is the


site of the blood-retinal barrier?

retinal pigment epithelium

Which layer prevents reflection


and glare?

pigment epithelium

Which layer participates in


phagocytosis and disposal of
membranous discs of rods and
cones?

Which photoreceptor is more


sensitive to light?

pigment epithelium

rods

What kind of visual images do


rods provide?

black and white

Which receptors are more active


in low light intensity?

rods

Which photoreceptors are more


abundant?

rods

What colors are the cones most


sensitve to?

green
red
blue

What is missing in color


blindness?

red cones
green cones
blue cones

What are the 3 parts of the


photoreceptor cell?

outer segment
connective stalk
inner segment

What part of the photoreceptor


is the site of photosensitivity?

outer segment

Which part of the photoreceptor


is considred to be a highly
modified cilium?

Are rods or cones replaced on a


regular basis?

What are the nuclei of rods and


cones surrounded by?

outer segment

rods

rod- thin rim of cytoplasm


cone - thich investment of
cytoplasm

Where are the nuclei of rods


and cones located?

outer nuclear layer

What occurs in the outer


plexiform layer?

photoreceptor cells are coupled


electrically to specialized
interneurons by synapses

What are the lateral processes


in rods called?

spherule

What are the lateral processes


cones called?

pedicle

What are the 3 types of


conducting cells in the inner
nuclear layer?

horizontal
amacrine
bipolar
Muller's cells

How far back do the capillaries


from retinal vessels extend?

What do Muller's cells do?

inner nuclear layer

form scaffolding for retina


- cell processes invest other
cells of retina and fill in the
extracellular space

What form the internal end


external limiting membranes?

basal and apical ends of


Muller's cells

How do rods and cones carry


out metabolism?

exchanges with extraceullar


fluids transported across the
blood retinal barrier of the
retinal pigment epithelium

What lies in the ganglion cell


alyer?

cell bodies of large multipolar


nerve cells
Nissl bodies

Where can you find Nissl bodies


in the retina?

ganglion cell layer

Where can you find midget


bipolar cells?

macular region around fovea

What can you find among


ganglion cells?

smaller nuclei of glial cells

Where are the axons of the


ganglion cells located?

nerve fiber layer

Are the axons of the ganglion


cells myelinated in the nerve
fiber layer?

no

What is the internal limiting


membrane?

basal lamina of Muller's cells

What does the basal lamina of


Muller's cells also make up?

internal limiting membrane

What is the FOVEA?

shallow depression at posterior


pole of optical axis

Where is the area of greatest


visual acuity?

fovea centralis

Where can you find a lot of


cones in the retina?

fovea centralis

What is the most sensitive area


of the retina?

macula lutea

What is the lens suspended


from?

suspensory ligament between


ciliary body

What allows for the lens to


accommodate?

release of tension allow lens to


flatten

What is accommodation of
lens?

bend light rays close to eye so


they focus on retina

What are special features of the


lens?

transparent
avascular

What are the components of the


lens?

lens capsule
subcapsular epithelium
lens fibers

What is the lens capsule


composed of?

thick basal lamina made by


anterior lens cells
composed mainly of TYPE IV
collagen and preteoglycans

Where is the subcapuslar


epithelium located?

CUBOIDAL epithelium on
anterior surface of lens
connected by GAP junctions

Where do new lens fibers


develop from?

subcapuslar epithelium celsl

What are lens fibers filled with


after they lose their nuclei and
organelles?

crystallins

What happens to lens with


aging?

lose elasticity and ability to


accomadate

What is Presbyopia?

lost of lens elasticity and ability


to accommodate
happens in 40s

How is Presbyopia corrected?

reading glasses

What is the lost of transparency


of the lens called?

cataracts

What causes cataracts?

lost of transparency of lens due


to conformational changes/
cross linking of proteins

What causes cross linking of


proteins?

metabolic/hereditary
trauma
UV light

How are cataracts corrected?

surgery- implant plastic lens

What is the conjunctiva?

thin, transparent mucous


membrane that covers inner
surface of eyelids

What kind of cells are in the


conjunctiva?

stratified columnar epithelium


+
goblet cells- lubricant

What glands are found in


eyelids?

Meibomian glands
Zeis glands
lacrimal gland

What are Meibomian glands?

long sebaceous glands in dense


connective tissue
TARSAL PLATES

What are glands of Zeis

small modified sebaceous


glands

What are glands of Zeis


connected with and empty
secretion into?

follicles of eyelashes

What are glands of Moll?

apocrine sweat glands

Where are tears produced?

lacrimal gland

Where are lacrimal glands


located?

beneath conjunctiva on upper


lateral side of eye

What kind of cells can you find


beneath the epithelium of
lacrimal glands?

myoepithelial cells

S-ar putea să vă placă și