Anatomy of the Accommodative Apparatus Flashcards

1
Q

what structures are involved in accommodation

A

ciliary body, ciliary muscle, choroid, zonules, lens capsule, and lens

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2
Q

what division of neural innervation dominates accommodation, parasympathetic or sympathetic

A

parasympathetic, causes contraction of the ciliary muscles

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3
Q

what does the sympathetic innervation involve in accommodation

A

it relaxes the ciliary muscle

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4
Q

why are there both parasympathetic and sympathetic innervation involved in accommodation

A

to allow for smooth accommodative tracking

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5
Q

does contraction of the ciliary muscle result in contraction of all 3 muscle fibers: longitudinal, radial, and circular

A

yes

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6
Q

which muscle, longitudinal, radial or circular have the greatest influence on changing the lens shape

A

the circular (annular)

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7
Q

where are the zonules produced and anchored

A

in the valleys of the ciliary processes

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8
Q

what is the purpose of the posterior zonules

A

to aid in pulling the ciliary muscle back to its unaccommodated position after the need for accommodation has ceased

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9
Q

how many types of anterior zonules are there

A

3: anterior, equatorial, and posterior fiber groups

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10
Q

what is the current theory of accommodation based on

A

the work of Helmholtz

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11
Q

is there tension on the anterior zonules when the eye is at rest (unaccommodative state- distance vision)

A

yes- they pull the capsule of the lens at the equator

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12
Q

is the lens flat or round in the unaccommodatative state

A

it is pulled flat

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13
Q

what happens to the anterior zonules when the ciliary muscle contracts and the eye is accommodating

A

the tension releases on the anterior zonules but tension is placed on the posterior zonules

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14
Q

what shape is the lens during accommodation

A

is it spherical

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15
Q

what does the lens capsule do during accommodation

A

it molds the shape of the lens into the spherical shape when the anterior zonules are released

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16
Q

what happens to the anterior chamber during accommodation

A

the depth decreases due to the forward movement of the lens

17
Q

once the lens is done accommodating, what happens to the zonules

A

the posterior zonules pull the ciliary muscle back towards its unaccommodative state and the tension to the anterior zonules is restored (flattening the lens)

18
Q

what is the major force for the lens to change shape

A

the lens capsule

19
Q

what physiological responses happen during accommodation process

A

pupillary constriction, convergence, and accommodation

20
Q

what are the physiological responses refered to as

A

the accommodative triad or near reflex

21
Q

what neurological responses regulate accommodation

A

parasympathetics that travel in the oculomotor nerve from the Edinger-Westphal nucleus in the brain

22
Q

after the parasympathetics synapse in the ciliary ganglion, where do the continue to travel

A

via the short posterior ciliary nerves as postganglionic parasympathetics to innervate the ciliary muscles and the iris sphincter