Anatomy Flashcards
Inferior Orbital floor
Zygoma,Palatine,Maxillary
Optic canal contents
ON, meningeal coverings, ophthalmic artery
Anterior,posterior ethmoidal foramen location
Along frontoethmoidal suture
NLD lining
Stratified columnar ciliated epithelium
Blood supply of eyelid
Medial and lateral palpebral arteries-branch of ICA
Layers of basal lamina of corneal epithelium
Lamina lucida(superficial)
Lamina densa(deeper)
Von Willebrand’s knee
Inferonasal retinal fibres
Junctional scotoma
Unilateral lesion of anterior portion of ipsilateral ON/chiasm-gives I/L central scotoma,C/L superotemporal field defect-due to von willebrands knee
Strongest and weakest orbital wall
Lateral and anterior portion of medial
Areas of firm vitreous attachments
Vitreous base (strongest), ON,retinal vessels, edges of scars
Average AC depth
3.1 mm
Number of cell layers/laminae of Lateral Geniculate Nucleus
6
Maximum adherence of vitreous
Vitreous Base
Collagen present in vitreous
Collagen II, IX
Epithelial type of RPE
Monolayer of cuboidal/columnar cells
Main collagen of Sclera
Type 1 collagen
Higher concentration of which constituents in aqueous as compared to plasma
Lactate,ascorbate,chloride
Suspensory ligament of Lockwood formed by?
Sheath of inferior rectus,medial check ligament,lateral check ligament, sheath of inferior oblique
Number of laminae of LGB and crossed and uncrossed fibres end in which laminae?
6 laminae: crossed ending in 1,4,6 and uncrossed ending in 2,3,5
Ophthalmic artery relation to optic nerve
Infero-lateral
Main pathway for glucose utilisation by corneal epithelium
For ATP production anaerobically by conversion to lactate
Which ions are higher in CSF as compared to blood
Chloride,Magnesium,Hydrogen
Thickness of tear film
3-5 micrometre
Posterior communicating artery aneurysm causes which CN palsy?
CN 3- in basilar part runs between posterior cerebral and superior cerebellar artery, lateral to posterior communicating artery
What are zonula adherens
Belt desmosomes-specialized adherens junctions between cells. Their main role is in mechanical adhesion.
Axial length of eye at birth
16-17mm
Increases rapidly upto 4 years of age then slowly upto 10-12 years of age
Largest extraocular rectus muscle
Medial Rectus
Least common cones type, most common colour defect?
Least common-Blue cones
Most common-Deuteranomaly
Anterior and posterior ethmoidal nerve are branches of ?
Nasociliary nerve
Length of rods and cones?
Rods-100-120
Cones-60-75 microm
Ratio of rods:cones
20:1
Retinal crystals associated with which drugs ?
Meth CrysTals
Methoxyflurane
Canthaxanthine
Talc
Tamoxifen
Blood aqueous barrier
Tight junctions(zonulae occludes) between inner non pigmented ciliary epithelium
Great cerebral vein of Galen drains into?
Straight sinus
Tight junction prevents passage of?
Water,ions,peptides,proteins between the cells
Sensory innervation of entire face given by trigeminal nerve
True/Flase
False
Sensory innervation of face given by trigeminal nerve except angle of mandible-given by C2,C3 in form of great auricular nerve
Contents of petrous part of temporal bone
Internal acoustic meatus (Facial nerve,vestibulocochlear nerve, vestibular ganglion, labyrinthine artery)
Volume of globe
6.5ml
Core proteins of gap junctions
Connexins
Constituent proteins of tight junctions?
Occludin, claudins and junctional adhesion molecules (JAM) are constituent proteins of tight junctions.
Ig not found in human tears?
IgD
Ratio of cones: bipolar cells: ganglion cells at fovea
1:1:1
but in periphery 1 bipolar cell receives input from 50-100 rods
Collagen in vitreous?
2 and 9
In order to truly isolate cone function, it is necessary to present a light stimulus as a flicker-flash at what minimum frequency?
> 25Hz
Rods can respond to flickering stimuli with rates up to 20 Hz. Only cones can respond at higher frequencies, with a maximum of approximately 70 Hz.
Where does corneal epithelium receive its glucose and oxygen from?
Oxygen-pre corneal tear film
Glucose-from stroma via aqueous and limbal vessels
Lacrimal sac fossa formed by?
Lacrimal bone and frontal process of maxilla
Thickest wall of globe
Lateral wall
-also most exposed and prone to trauma
Newborn lacrimation starts at?
Birth
But NLD maturation continues in the first year
Largest cranial nerve
Trigeminal
Accommodation mediated by which nerve?
Short ciliary nerve of CN3
Which orbital walls in the globe closer to?
Globe is closer to roof>floor and lateral>medial wall
Is the globe longer vertically or anteroposteriorly?
Anteroposteriorly -24mm
(vs Vertically-23mm)
Uvea is firmly attached to the sclera at which parts ?
Scleral spur, vortex veins, optic disc
Number of meibomian glands in upper lid?
30,slightly lower in lower lid
RPE is continuous anteriorly with which part of ciliary body?
Pigmented epithelium
Which EOM are supplied by ipsilateral nuclei?
SR and SO-supplied by contralateral nuclei
Rest all-Ipsilateral nuclei
Bilateral LPS supplied by single unpaired nucleus
Main GAG of corneal stroma?
Keratan sulphate and dermatan sulphate.
The corneal stroma is unusual in that it contains no hyaluronate.
Uveal tissue most strongly attached to sclera at which point ?
Optic disc
Field defect in posterior chiasma lesions?
Bi temporal hemianopic central scotoma due to involvement of nasal macular fibres
Which quadrant of the globe does superior oblique and IO insert into?
SO-Posterosuperior quadrant of globe
IO-Postero-lateral
Synergists and antagonists of medial rectus muscle?
Synergists-SR and IR
Antagonists-LR,SO and IO
Volume of aqueous humour in AC?
250 microL (2.5ml)
Which human tissue has the highest oxygen consumption per weight?
Retina-highly active metabolic tissue in human body
Primary muscle of lip closure?
Orbicularis oculi
Origin of inferior oblique muscle
Maxillary bone, posterior to inferiomedial orbital rim, lateral to NLD canal
Inserts 17mm behind limbus in posterolateral quadrant
First cell in the eye to produce melanin?
RPE
Fibrillins are an important part of which structures of the eye?
Zonules, lens capsule, vitreous
Zonules produced by?
Non pigmented ciliary epithelium
Midget ganglion and midget bipolar cells found in which part of retina?
Fovea
Synapse with cones in 1:1:1 ratio-explains high resolution of foveal region
Afferent pupillary fibres exit optic tract at ?
Exit from optic tract prior to LGB at pretectal olivary nuclei.
Composition of aqueous vs plasma?
Aqueous is hypertonic and acidic
Marked excess of ascorbate and deficit of protein
Only structure of cartilage in the orbit found on which bone?
Trochlea for passage of tendon of superior oblique-found on frontal bone
Anterior and posterior scleral coverings?
Anterior-conjunctiva
Posterior-Fascia bulbi (Tenon’s fascia)
Ocular lymphatic drainage?
Laterally into pre auricular and intraparotid lymph nodes, medially into submandibular and submental lymph nodes
All ultimately drain into cervial chain
no LN in deep orbit
Lacrimal fossa made of ?
Frontal process of maxilla and lacrimal bone
Sub retinal space ?
Between RPE and neurosensory retina
Cranial nerve with longest intracranial ,longest intradural course?
Intracranial-Trochlear
Intradural-Abducens
Maximum axons in optic nerve attained at which point of life?
14-15 weeks gestation-6 million
steadily decreases to 1.3 million by birth
Blood aqueous barrier maintained by?
Tight junctions (zonula occludens) between inner non pigmented ciliary epithelium
Human tissue having highest oxygen consumption per weight ?
Retina
Average anterior chamber volume and depth?
Depth-3.11mm
Vol-220 microL
Average posterior chamber volume and depth?
Depth-0.52mm
Vol-60 microL
Average vitreous chamber volume and depth ?
Depth-16.5mm
Vol-5.5ml
Longest to shortest recti muscles?
Superior>Medial>Lateral>Inferior (SMLI)
Primary interstitial space of retina?
Outer plexiform layer and Henle’s layer-
In oedema, cystoid spaces accumulate here
Retinal haemorrhages and exudates deposited here radially
Tear film thickness?
Lipid layer 0.1 μm
Aqueous layer 8 μm
Mucin Layer 0.02-0.05 μm
Anterior most structure of middle cranial fossa?
Sulcus Chiasmatis
What does dorsal(posterior) root of spinal column transmit?
Sensory nerves whose cell bodies reside in dorsal root ganglion
Motor neurones transmitted via ventral (anterior) roots, including somatic (skeletal motor) and visceral (sympathetic and parasympathetic) components-cell bodies in ventral root ganglia
Endothelial pumps at aqueous and stratal interface?
Aqueous-Na/HCO3 co-transporter and HCO3/Cl exchanger
Stromal-Na/K ATPase and Na/H antiporter