Anatomy & Physiology of the Eye Flashcards

1
Q

Draw and label a picture of the eye?

A

Find one on google images

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2
Q

What are the contents of the orbit?

A
The eye
Extra-ocular muscles 
Cranial nerves II - VI
Arteries and veins
Orbital fat
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3
Q

There are 3 layers to the eye, what are they?

A

Fibrous: outermost layer, cornea and sclera

Vascular layer: choroid, ciliary body, iris

Inner layer: innermost layer, retina

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4
Q

Describe the fibrous layer of the eye?

What are the functions of this layer?

A

Cornea and sclera

Cornea is the transparent bit that covers the front of the eye (iris, pupil).
It refracts light onto lens.

Sclera is the fibrous white layer that covers the rest of the eye. It provides attachments for the extra-ocular muscles

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5
Q

Describe the vascular layer of the eye? What are the functions of this layer?

A

Choroid: a layer of connective tissue and blood vessels which provides nourishment to retina

Ciliary body: smooth muscle fibres which surround the posterior chamber (which surrounds the iris) and are attached to the lens. They control shape of lens and contribute to formation of aqueous humor.

Iris: ring shaped, containing smooth muscle fibres which alter diameter of pupil. It sits in front of the lens

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6
Q

Describe the inner layer of the eye?

What are its functions?

A

The retina

Which has two layers:

  1. Pigmented layer
    - outer layer
    - attached to choroid
    - supports neural layer
  2. Neural layer
    - inner layer
    - contains photoreceptors
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7
Q

What is meant by the ‘non-visual retina’?

A

Anteriorly, the pigmented layer extends further than the neural layer does.

So this part is non-visual because there’s no neural layer, so there are no photoreceptors

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8
Q

What are important structures of the retina?

A

Macula: the centre of the retina, which is yellow-ish

Fovea: a depression in the macula, which contains only cones and is for high acuity vision

The optic disc: where the optic nerve enters retina, no photoreceptors are here

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9
Q

There are two ‘chambers’ in the eye. What are they where are they located?

A

Anterior and posterior chambers

Fluid filled areas

Anterior chamber: between cornea and iris

Posterior chamber: between iris and ciliary processes

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10
Q

What fluid fills the anterior chamber of the eye?

Where is this fluid produced and drained?

What’s the significance of this?

A

Aqueous humor: a clear plasma like fluid which nourishes and protects the eye

It’s produced constantly by the ciliary body and drained via trabecular meshwork

If drainage is obstructed, glaucoma can result

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11
Q

What is the difference between aqueous and vitreous humor?

A

Aqueous: in the anterior and posterior chambers

Vitreous: clear gel which fills up space between lens and retina

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12
Q

What’s the blood supply and venous drainage of the eye?

A

Internal carotid artery > Ophthalmic artery > many branches

Most important branch is the retinal artery

Drainage: superior and inferior ophthalmic veins, which drain into cavernous sinus

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13
Q

What are the two types of photoreceptors? Describe them and their function?

A

Rods and cones

Rods:

  • vision at low light
  • peripheral retina and so peripheral vision
  • little-no colour vision

Cones:

  • vision in good light
  • densely packed in fovea (no rods)
  • colour vision
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14
Q

Describe what happens to allow you to see something?

A

Light reflects from the source onto the object

These light waves then enter the eye.

The cornea refracts the light onto the lens

The lens refracts the light onto the retina

The retina contains rods and cons which absorb photons (light) triggering a change in membrane potential of rod or cone.

This then sends an action potential to the optic nerve and then to the brain for it to be processed.

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15
Q

What’s the innervation of all the extra-ocular muscles?

A

LR - 6 (abducens)
SO - 4 (trochlear)

The rest are 3 (oculomotor)

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16
Q

What do these muscles do to the eye?

SR
IR
LR
MR

SO
IO

A

SR: elevate eye

IR: depress eye

LR: abduct eye (away from midline)

MR: adduct eye (toward midline)

SO: depress + abducts eye (down and out)

IO: elevate and abducts eye (up and out)

17
Q

Which extra-ocular muscle elevates the eyelid? Which nerve supplies it?

A

Levator palpebrae superioris

Oculomotor

18
Q

Describe the pathway of a nerve impulse from the eye to the brain to be processed?

A

Passes down optic nerve

Gets to optic chiasm: where it either decussates or doesn’t

Goes down optic tract

To the lateral geniculate nucleus

Which splits into optic radiations

The nerve impulse passes down one of these to the visual cortex in the occipital lobe where it’s processed
Then

19
Q

Draw out a diagram showing how some nerve impulses decussate at the optic chiasm and some don’t.

A

Light/vision in periphery of visual field lands on the nasal retina

Impulses from the nasal retina decussate at optic chiasm

Light/vision in centre of visual field lands on the temporal retina

Impulses from temporal retina do not decussate.

20
Q

Explain why a tumour pressing on the optic chiasm causes bitemporal hemianopia?

A

Bitemporal hemianopia is loss of vision in the outer half of the right and left visual field

Light waves from peripheral vision land on the nasal retina

Impulses from the nasal retina decussate at the optic chiasm.

If a tumour is pressing on the optic chiasm, this will affect ability of nerve impulses that are decussating to pass.

If they can’t pass, no impulses will be able to go from nasal retina to the visual cortex

So no peripheral vision.

21
Q

Which nerves control the pupils.

What is the posh name for constriction and dilation of pupil?

A

The autonomic nervous system

Constriction (miosis) is controlled by parasympathetic nervous system

Dilation (mydriasis) is controlled by sympathetic nervous system

22
Q

What is miosis and myadriasis?

A

Miosis: pupil constriction (parasympathetic)

Myadriasis: dilation (sympathetic)