23 - Retina Flashcards

1
Q

Level of visions required for a driver’s licence

A

6/12

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2
Q

Fundamental limits to visual acuity
1
2

A

1) Neural factors

2) Optical factors

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3
Q

How is visual acuity expressed?

A

D’/D, where D’= test distance, D=the distance where each letter subtends a 5 minute arc.

EG: 6/12 = What a normal person sees at 12 meters, a person with 6/12 vision will see at 6 meters.

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4
Q

Optical factors affecting visual acuity

A

Pupil size
Clarity of optical media (cataracts, corneal opacities)
Refractive errors (myopia, hypermetropia, astigmatism, presbyopia)

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5
Q

Best part of visual field for scotopic vision

A

Between 5-15 degrees from centre of vision (where most rods in the eye are located).

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6
Q

Arc of good, central vision (from fovea)

A

~5 minutes of arc away from fovea

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7
Q

How does light travel through the retina?

A

Through all the cell layers, before hitting the photoreceptors, which are furthest from the light

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8
Q

Six types of neurons in the retina

A

Rods, cones, HCs, BCs, ACs, GCs

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9
Q

Two synaptic layers of the retina

A

Outer plexiform layer

Inner plexiform layer

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10
Q
Rods
1
2
3
4
5
6
A

1) Scotopic (night vision)
2) Very sensitive
3) Only one type
4) No colour viion
5) ~100 million in retina
6) Absent from fovea

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11
Q
Cones
1
2
3
4
5
6
A

1) Photopic (day vision)
2) Less sensitive
3) Three types
4) Allow colour vision
5) ~5 million
6) Densest in fovea

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12
Q

Retinal ‘through’ pathway
1
2
3

A

1) Photoreceptors detect light
2) Synapse with bipolar cells
3) Bipolar cells synapse with ganglion cells

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13
Q

How is the through pathway modified?

A

Lateral cells (horizontal and amacrine cells).
Horizontal cells in outer retina.
Amacrine cells in inner retina.

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14
Q

Number of types of bipolar cells

A

Ten.
Nine are rod bipolar cells.
One is cone bipolar cell.

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15
Q

What are bipolar cells important for?

A

Spatial vision, colour vision

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16
Q

Retinal layer where bipolar cells are located

A

Inner nuclear layer

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17
Q

On bipolar cells

A

Depolarise when light falls on retina

18
Q

Off bipolar cells

A

Hyperpolarise when light falls on the retina

19
Q

Role of horizontal cells

A

Receive input from, and provide output to photoreceptors
Respond to light by hyperpolarising.
Use inhibitory neurotransmitter GABA
In outer retina

20
Q

Amacrine cells

A

Many different cell types.
Axonless cells
Important for lateral inhibition
For the most part, inhibit bipolar cells, amacrine cells (release glycine, GABA).

21
Q
Ganglion cell layer
1
2
3
4
5
A

1) Cell bodies of ganglion cells and some displaced amacrine cells.
2) Ganglion cells are the main output neuron of the retina.
3) Many different types: ON, OFF, M and P
4) Release Glutamate
5) Fire action potentials

22
Q

Part of retina that send action potentials to brain

A

Ganglion cells

23
Q

Only cells in the retina that fire action potentials

A

Ganglion cells.

All other cells release neurotransmitters in response to charge of cell membrane.

24
Q

How do ganglion cells respond to light?

A

Increase or decrease rate of action potential firing to brain.

25
Q

Receptive field of a ganglion or bipolar cell

A

Area of retina that, when stimulated by light, changes the cell’s membrane potential

26
Q

Receptive field of a ganglion cell

A

Ganglion cells send a baseline level of action potentials to brain.

For on-centre, off-surround ganglion cells:
If stimulated in centre of receptive field, will increase rate of firing.
If stimulated in periphery of receptive field, will decrease firing.

For off-centre, on-surround ganglion cells:
If stimulated in centre of receptive field, will decrease rate of firing.
If stimulated in periphery of receptive field, will increase firing.
‘Concentric-surround’ receptive field

27
Q

Photopigments

A

Rhodopsin in rods, cone-opsins in cones.

28
Q

What do opsins bind to?

A

Bind to vitamin A (all-trans retinal)

29
Q

Role of vitamin A in opsin function

A

Detecting light

30
Q

Effect of light on photoreceptors

A

Hyperpolarise.

Respond to light with graded changes in membrane potential (NOT action potentials)

31
Q

Neurotransmitter used by photoreceptors

A

Glutamate

32
Q

Dark current
1
2
3

A

Occurs in the dark in photoreceptors.
cGMP gates a sodium channel, causing continuous influx of sodium ions.
Causes depolarisation of cell.

33
Q
Effect on dark current of stimulation by light
1
2
3
4
A

Conformational change of opsin/vitamin A,leading to activation of a G-protein cascade.
cGMP breaks down to GMP.
cGMP no longer gates Na+ channels
Flow of Na+ is stopped, leading to hyperpolarisation.

34
Q

Function of on and off bipolar cells

A

Either hyperpolarised or depolarised by light stimulation of bipolar cell.
Begin parallel pathway of vision.

35
Q

How do bipolar cells respond differently to light?
1
2

A

Different receptors for glutamate:

1) Ionotropic (ion channel, binds glutamate, lets Na+ into cell, leads to depolarisation of cell).
2) Metabotropic (mGluR6). No ion channel. Elicit action by a secondary messenger system.

36
Q

Restrictions in cell types that off or on bipolar cells can synapse with
1
2
3

A

1) Photoreceptors communicate with both ON and OFF bipolar cells.
2) All ON Bipolar cells synapse with ON Ganglion cells.
3) All OFF bipolar cells synapse with OFF ganglion cells.

37
Q

What determines central response?

A

Through pathway

38
Q

What determines surround response?

A

Inputs from horizontal cells

39
Q

How does the receptive field of a ganglion cell give different messages to the brain depending on where on the receptive field light was shone?

A

Centre of light will lead to through pathway (central response) (photoreceptor -> BP -> ganglion cell).

Periphery will lead to surround response, mediated by horizontal cells. Horizontal cells stimulated, inhibit surrounding cells.

40
Q

Melanoma-associated retinopathy

A

Rare complication of melanoma.
Antibodies are produced against ON bipolar cells.
Have to treat with oral prednisolone.

Don’t go blind, as have OFF pathway present.