Anatomy - Sharma Flashcards
What are the average horizontal and vertical measurements of the anterior cornea?
12mm H x 11mm V
What are the average horizontal and vertical measurements of the posterior cornea?
11.7mm H/V
What is the average radius of curvature of the anterior cornea?
7.8mm
What is the average radius of the posterior cornea?
6.5mm
What is the average CCT?
530 microns
What is the average peripheral corneal thickness?
710 microns
Why might WTR astigmatism change to ATR astigmatism in old age?
Lens changes
Loss of lid tension
What is the refractive power of the cornea?
43D
What is the refractive index of the tear film?
1.336
What is the refractive index of the cornea?
1.376
What are the 5 layers of the cornea, from anterior to posterior?
Epithelium Bowman's layer Stroma Descemet's membrane Endothelium
How many cell layers thick is the epithelium?
5-7
What are the 3 cell types of the corneal epithelium?
Apical cells
Wing cells
Basal cells
Which corneal epithelial layer is the only layer to undergo mitosis?
Basal cells
How many layers of wing cells are there in the cornea epithelium?
2-3 layers
How many layers of apical cells are there in the corneal epithelium?
2
How are wing cells of the corneal epithelium adjoined?
Desmosomes
Gap junctions
Apical cells of the corneal epithelium secrete what substance? What is its purpose?
Glycocalyx
Attaches mucin layer of the tear film
What is the only cell layer in the cornea that is adhered with zonula occludens (tight junctions)?
Apical cells of the epithelium
What are the potential causes of Recurrent Corneal Erosions?
Poor attachment of epithelium to basement membrane (BM)
Poor attachment of BM to underlying tissue
Hemidesmosome malfunction
EBMD
How thick is Bowman’s layer?
8-14 microns
When is Bowman’s layer produced?
Prenatally
What produces Bowman’s layer?
Epithelium
What type of collagen makes up Bowman’s layer?
Type 1
What is the purpose of Bowman’s layer?
Provides shape and rigidity, resisting penetrating injury
If injured, what replaces Bowman’s layer?
Scar tissue
Epithelium (PRK)
In keratoconus, what layer of the cornea suffers the initial damage?
Bowman’s layer
What is broken when corneal hydrops occurs?
Descemet’s membrane
As a pterygium progresses onto the cornea, what cell layer is destroyed?
Bowman’s layer
Band keratopathy involves what type of deposits, in what layer of the cornea?
Calcium deposits
Bowman’s layer
What is the average thickness of the stroma?
500 microns
What 3 main things compose the corneal stroma?
Collagen fibrils
Keratocytes
Extracelular matrix
What is the function of keratocytes in the cornea?
Maintain the stroma by synthesizing collagen and ECM
Where in the stroma is a higher density of keratocytes present?
Anterior stroma
Fibril bundles in the cornea run in what directions?
Limbus to limbus, parallel to the corneal surface
What fills in the space between fibril bundles of the cornea?
GAGs
GAGs attract and bind what?
Water
What is the main purpose of GAGs in the cornea?
Maintiain precise spacing between fibrils
How thick is Descemet’s membrane?
5-15 microns (thickens with age)
What type of collagen makes up Descemet’s membrane?
Type IV collagen
What layer of the cornea terminates at the limbus and forms Schwalbe’s line?
Descemet’s membrane
Descemet’s membrane has weak attachments with what neighboring structures?
Stroma
Endothelium
What are Hassall-Henle bodies?
Bulges of thickening Descemet’s membrane bulging into the anterior chamber in the corneal periphery
How thick is the endothelium?
5 microns (1 cell)
What shape are corneal endothelial cells?
Hexagonal
If there is an injury to the corneal endothelium, how is the defect covered?
The endothelial cells stretch to cover the defect
Endothelial cells have what type of junctions, creating what kind of barrier?
Macula occludens
Slightly leaky barrier
What is the most metabolically active layer of the cornea?
Endothelium (NaK pump)
What is pleomorphism?
Change in cell shape
What is polymegathism?
Change in cell size