8.4. Physiology of vision. Flashcards

1
Q

I. Structure of the eye
3A. Where can you find aqueous humor?

A

The anterior and posterior chambers of the eye maintain a circulation of aqueous humor fluid that is produced by the ciliary body and drained
through Schlemm’s canal at the corneo-scleral junction

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2
Q

I. Structure of the eye
3B. What is the role of aqueous humor?

A

Aqueous humor is necessary to give nutrients to the lens and cornea, as well as to create refractive power for the eye

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3
Q

I. Structure of the eye
3C. What happen if there is a problem in the draining of the aqueous humor

A

Any problem that occur in the draining of the aqueous humor can result in glaucoma
-> in which the intraocular pressure increases and eventually presses on the optic nerve, causing blindness

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4
Q

I. Structure of the eye
4A. What does the middle vascular layer include?

A

The vascular coat of the eye includes the ciliary body, choroid and iris

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5
Q

I. Structure of the eye
4B. What are the features of the choroid (Middle vascular layer)?

A

The choroid is the most vascular part of the body, and proportionally has a higher
blood + oxygen supply than even the kidneys

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6
Q

I. Structure of the eye
4C. Describe the oxygen saturation of the vascular coat?

A

The oxygen saturation of the vascular coat is 90%, while the retinal artery is only 45%
-> but even then, the eye is always on the verge of partial hypoxia (as indicated by the amount of lactate found in the aqueous humor)

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7
Q

II. Image formation of the eyes
1. What is the image formation based on?

A

The image formation is based on the combined refractive power of the cornea, aqueous humor, lens and vitreous body (refractive power – D = 1/focal length)

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8
Q

II. Image formation of the eyes
2. Where does refractive power come from?

A

The majority of the refractive power comes from the cornea, but the lens provides a refractive power that can be adjusted

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9
Q

II. Image formation of the eyes
3. Explain the properties of convex lens

A

The refractive power of all these layers combined acts as a convex lens that produces an inverted image on the retina for visualization

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10
Q

II. Image formation of the eyes
4. What is the role of lens and ciliary muscles in image formation?

A
  • Since the majority of the refractive power of the eye is given by the cornea, the lens is meant to tune the eye so that ideally, the inverted image is projected perfectly on the retina.
  • The ciliary muscles contract or relax to adjust the lens according to what the eye is looking at and how far away it is => accommodation (compensation for the distance of the object).
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11
Q

II. Image formation of the eyes - Accommodation
5A. Describe the accommodation when viewing at a distant object

A

When viewing at a distant object => lens must be flat (↑ focal length)
- The ciliary muscles are relaxed
- Zonular fibers are tightened
- Lens is flattened

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12
Q

II. Image formation of the eyes
5B. Describe the accommodation when viewing at a close object

A

When viewing at a close object -> lens must be more round (↓ focal length = ↑D)
- Ciliary muscles are contracted
- Zonular fibers are relaxed
- Lens is contracted -> reduced focal length -> clear view of close object

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13
Q

III. The retina
1. What is retina?

A

The retina is a multi-cellular layered part of the eye that detects light and sends this message through the optic nerve to the CNS to process these signals into the actual image that you are looking at.

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14
Q

III. The retina
2. What is retina made up?

A

The retina is made up of multiple neurons in a circuit as well as glial cells and a pigmented epithelium.

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15
Q

III. The retina
3A. What are Müller cells?

A

Long glial cells that stretch almost the entire length of the retina

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16
Q

III. The retina
3B. What are the 6 functions of Müller cells?

A
  1. Function to maintain the EC environment by regulating K+-levels
  2. Uptake of neurotransmitters
  3. Remove debris
  4. Store glycogen for energy
  5. Form an electrical insulation
  6. Provide protection of the neurons
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17
Q

III. The retina
4A. What are the 5 functions of pigmented epithelium?

A
  1. Absorbs excess light
  2. Allows transport of vitamin A, chloride and water
  3. Helps the retinal visual cycle by converting all trans-retinal to 11-cis-retinal for delivery to the photoreceptors
  4. Phagocytoses the apical membrane disks of the rod cells
  5. Acts similarly to glial cells in the absorption and secretion of K+
18
Q

III. The retina
4B. What does it mean when Pigmented epithelium absorb excess light?

A

A rod can absorb a single photon of light, so it is important to absorb any excess light to avoid overstimulation
- People with albinism lack this layer and thus light refraction within the eye leads to difficulty in vision

19
Q

III. The retina
5. What are the 8 layers of the retinal neurons?

A
  1. Pigmented cell layer
  2. Rods + cones
  3. Outer nuclear layer – cell bodies of rods + cones
  4. Outer plexiform layer – axons of rods + cones, horizontal + bipolar cells
  5. Inner nuclear layer – cell bodies of horizontal cells + bipolar cells
  6. Inner plexiform layer – axons of bipolar, amacrine and ganglion cell dendrites
  7. Ganglionic cell layer – cell bodies of ganglion cells
  8. Optic nerve fibers – long axons of ganglion cells which all verge to form the optic N
    => Light goes from layer 8 and upwards (opposite in picture)
20
Q

III. The retina
6. What happen when light hit retina?

A

When light hits the retina, it passes all layers until it reaches the rods + cones (photoreceptors).
=> Rods + cones both function differently and are located in different parts of the retina.

21
Q

III. The retina - RODS
7. What are rods?

A

Rods are photoreceptor cells that function to detect light

22
Q

III. The retina - RODS
8. What are features of rods?

A
  • They are extremely sensitive to light due to the high amount of rhodopsin in the cell, and thus are useful for vision in darkness
  • Rods have low acuity, because many rods synapse on a single bipolar cell -> light hitting any part of the retina will activate the rods but the visual acuity (clarity of vision) will not be very good
23
Q

III. The retina - RODS
8. What is the location of rods?

A

Rods are primarily in the peripheral part of the retina, while the macula contains mostly cones

24
Q

III. The retina - RODS
9. Describe the physical shape of rods

A
  • Rods are long with the outer segment being rod-like in shape and stacks of free-floating membrane discs that
    contain large amounts of rhodopsin (light-sensitive pigment) in the membrane
  • Outer segment is connected to inner segment (lots of mitochondria here) by a single cilium
  • Cell body follows with the axon and synaptic terminal
25
Q

III. The retina - CONES
10. What are cones?

A

Cones are photoreceptor cells responsible for color vision

26
Q

III. The retina - CONES
11. What are the characteristics of CONES?

A
  • They are not as sensitive to light as rods, but have
    much higher visual acuity since only a few cones synapse on a bipolar cell
  • Cones are located in the macula, with the fovea having the highest density of cones and thus the highest visual acuity
27
Q

III. The retina - cones
12. Describe the physical shape of cones

A
  • The outer segment is cone-shaped, with an infolded membrane containing rhodopsin
  • Structure of the cone is similar to rods when it comes to the inner segment and cell body
28
Q

III. The retina - cones
13. Why are cones less sensitive to light?

A

Since there is less rhodopsin here, it is not very sensitive to light
-> several hundred photons are needed to activate one cone

29
Q

III. The retina - cones
14. List different kinds of cones?

A

There are different kinds of cones: red, green or blue cones -> absorb colored light as described

30
Q

III. The retina - cones
15. What is Rhodopsin (light-sensitive pigment)?

A

Rhodopsin (light-sensitive pigment) is a molecule consisting of opsin + retinal

31
Q

IV. Photoreception
1. What is the general mechanism of photoreception?

A
  • This process takes light and turns it into electrical energy in rods + cones – using rhodopsin (visual pigment - GPCR) composed of opsin (7TM protein) + retinal
  • When light hits the rhodopsin molecule  retinal chemically transformed to begin photoreception process
  • When light hits a photoreceptor cell, it hyperpolarizes the cell due to the closure of Na+-channels
  • This hyperpolarization will lead to activation + deactivation of bipolar and horizontal cells to create a signal
  • In the dark, there is a depolarization of the photoreceptor cells and a strong inward Na+-current = dark current
32
Q

IV. Photoreception
2A. What are the 8-step process of photoreception?

A

1) Light hits rhodopsin, causing conformational change: 11-cis retinal -> all-trans retinal -> meta-rhodopsin II
2) Meta-rhodopsin II activates transducin (Gt = heterotrimeric G- protein)
3) Transducin activates cGMP-PDE (phosphodiesterase)
4) PDE degrades cGMP into 5’-GMP -> ↓[cGMP]
5) Decrease in cGMP -> closure of CNG (cyclic-nucleotide gated) channels = Na+-influx↓
6) Closure of Na+-channels = hyperpolarization + less glutamate release
7) Hyperpolarization affect bipolar + horizontal cells
8) This inhibition and activation produces an on- off pattern which is necessary to form visual receptive fields

33
Q

IV. Photoreception
2B. When light hits rhodopsin, causing conformational change.
=> What is this change?

A

11-cis retinal -> all-trans retinal -> meta-rhodopsin II

34
Q

IV. Photoreception
2C1. Hyperpolarization affect bipolar + horizontal cells in 2 ways. What are they?

A
  1. Cells with inotropic receptors respond to decreased Glu with a decreased excitatory Glu response
  2. Cells with metabotropic receptors respond to decreased Glu release with a decreased inhibitory Glu response.
35
Q

IV. Photoreception
2C2. Cells with inotropic receptors respond to decreased Glu with a decreased excitatory Glu response. How?

A

Cells with inotropic receptors respond to decreased Glu with a decreased excitatory Glu response.
=> ionotropic receptors will be inhibited by photoreceptor hyperpolarization
=> hyperpolarization of bipolar + horizontal cells = inhibition

36
Q

IV. Photoreception
2C3. Cells with metabotropic receptors respond to decreased Glu release with a decreased inhibitory Glu response. How?

A

Cells with metabotropic receptors respond to decreased Glu release with a decreased inhibitory Glu response.
=> metabotropic receptor cells will be activated by photoreceptor hyperpolarization
=> depolarization of bipolar + horizontal cells = excitation

37
Q

V. Visual receptive fields
1. What is lateral inhibition?

A
  1. Lateral inhibition is seen in the visual receptive field via the on-off patterns of bipolar cells in order to increase the visual clarity of the image. This process deals with a ‘’center’’ and a ‘’surrounding’’ region of bipolar cells that is represented by:
    - Photoreceptor cells that are directly in contact with the bipolar cell = central part
    - Cells that are indirectly touching bipolar cells via horizontal cell = surrounding part
  2. Based on the idea that ionotropic receptors cause inhibition and metabotropic receptors cause activation, this is what decides if something ‘’on’’ or ‘’off’’
    - ‘’on’’ = excitation, ‘’off’’ = inhibition
    - If the center of a cell is ‘’on’’, then the
    inhibitory horizonal cells will always reverse the surrounding area to be opposite => ‘’off’
38
Q

VI. Color vision
1. What is color determined?

A

Color is determined by the relative absorption by the three cone photopigments
1. ‘’blue’’ cone S
2. ‘’green’’ cone M
3. ‘’red’’ cone L

39
Q

VI. Color vision
2. State Trichromacy theory

A

Trichromacy theory: suitable mixture of 3 colors can produce all colors (explained by the 3 different cone photopigments: S, M, L)

40
Q

VII. Explain Visual pathways

A
  • 120 million rods and 6 million cones
  • 1 million fibers in the optic nerve (convergence)
  • LGN (lateral geniculate nucleus – thalamus) -> optic radiation -> primary visual cortex (pathway for visual perception)
  • Colliculus superior: controls eye movements
  • Pretectal area: pupillary reflexes
  • Suprachiasmatic nucleus (hypothalamus):
    circadian rhythm
41
Q

VIII. Optic pathways and lesions
1. Explain optic pathways

A
  • The nasal (purple) and temporal (green) retina are represented contralateral and ipsilateral
  • The primary visual cortex is at the occipital lobe (Br. 17)
42
Q

VIII. Optic pathways and lesions
2. Describe the lesion on the optic radiation

A

A lesion on the optic radiation (geniculocalcarine tract on picture) will cause vision on the contralateral side, but the macule will remain functional (number 4)
- Number 2: bitemporal hemianopia (heteronymous)
- Number 3: right homonymous hemianopia