Anterior Segment Anatomy Flashcards
1
Q
THE CORNEA
What does it do?
A
- Responsible for 70% of focusing power.
- Reduces optical aberrations.
- Protects against physical, chemical and infective agents.
2
Q
THE CORNEA
How does it work?
A
- Very sensitive to touch & foreign bodies.
- Needs effective & constant tear film.
- There is no Corneal blood supply - nutrition is supplied from tear film (anteriorly) and aqueous fluid (posteriorly).
3
Q
THE CORNEA
What does it look like?
A
- Optically clear.
- Multi-layered.
4
Q
THE CORNEA
What are the corneal layers?
A
- Anterior Corneal Epithelium
- Bowmans Membrane
- Corneal Stroma
- Dua’s layer
- Descemet’s membrane
- Endothelium
5
Q
THE ANTERIOR CHAMBER
Where is it?
A
- Between the Cornea and Iris.
6
Q
THE POSTERIOR CHAMBER
Where is it?
A
- Between the Iris and Lens/Suspensory Ligaments.
7
Q
AQUEOUS FLUID
Where is it produced and where does it go?
A
- Produced by the Ciliary body in the Posterior Chamber.
- Flows anteriorly through the Pupil.
- Flows out via the Anterior Chamber/Iris Angle.
8
Q
THE IRIS
What is it?
Where is it?
A
- A thin pigmented diaphragm.
- In the Anterior Chamber that is visible through the clear Cornea.
9
Q
THE IRIS
What does it do?
A
- Iris pigmentation determines the “colour” of the eye.
- The centre of the iris forms the Pupil, which dilates and constricts to regulate light reaching the Retina.
10
Q
THE IRIS
What are it’s regions?
A
- The Pupillary zone is the inner region, the edge of which forms the boundary to the Pupil.
- The Ciliary zone is the rest of the iris that extends to it’s origin at the Ciliary body.
11
Q
THE IRIS ANGLE
What is it?
Where is it?
A
- The Iris Angle is the relationship between the Cornea and Iris.
- The Angle is formed at the insertion of the Iris into the Corneo-Scleral junction.
12
Q
THE IRIS ANGLE
What does it do?
A
- The Iris angle is critically important for the normal outflow of Aqueous fluid out of the eye.
13
Q
THE IRIS ANGLE
What is the difference between a normal & abnormal Iris Angle?
A
- A normal open angle allows Aqueous fluid to drain from the Anterior Chamber into the Trabecular Meshwork.
- A narrowed or “closed Angle” can be caused by a shallow Anterior Chamber, Iris crowding with a dilated pupil or an abnormally forward lens position.
- A closed angle prevents outflow of Aqueous fluid, increasing Intraocular Pressure.
14
Q
MYDRIASIS (DILATING THE PUPIL)
What muscles control pupil dilation?
A
- Radial dilator.
- Circular sphincter.
15
Q
MYDRIASIS (DILATING THE PUPIL)
What do Sympathomimetics do?
A
- Sympathomimetics (e.g. Phenylephrine).
- Stimulate the radial dilator muscles.
- to “pull” the Iris open.