Applied Anatomy and Physiology of the Orbit and Eye Flashcards

1
Q

What is the three layers of the eye ball

A

Fibrous
Vascular
Sensory

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2
Q

What is the fibrous layer composed of

A

Cornea 1/6 = anterior

Sclera 5/6 = posterior

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3
Q

What is the layer of the cornea that faces the air

A

Stratified squamous non keratinised epithelium

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4
Q

What is the name of the basement membrane for the top layer seen of the corneal

A

Bowmans membrane

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5
Q

What is the layer of the cornea that faces the aqueous humour

A

Simple squamous endothelium

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6
Q

What is the name of the basement layer of the second surface of the corneal

A

Descemets layer

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7
Q

What is found between the two surfaces of the corneal

A

Stroma - regular arranged collagen

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8
Q

What is not present in the stroma of the corneal

A

Blood vessels

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9
Q

What three features of the corneal allow it to keep its transparency

A

The regularly arranged collagen

No blood vessels
- could leak and would rearrange collagen

endothelium cell layer having pump

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10
Q

How does the regular arranged collagen help with the corneas transparency

A

The uniformity allows light to pass through

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11
Q

What layer of the cornea if damaged/ pierced would scar tissue form

A

Below Bowmans membrane would affect your vision as scar tissue forms

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12
Q

How many cells are normally person tin the endothelium of the cornea and why is this important

A

2500cells/mm2

Important as cant have cell loss as may cause aqueous humour to move into stroma

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13
Q

Where does the cornea receive its nutrition due to the absence of blood vessels

A

via diffusion

The tear fluid at the outside

The aqueous humour at the inside

The blood vessels in the sclera all around

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14
Q

What is the constant pressure in the cornea

A

There is a constant intraocular pressure pushing aq humour into stroma

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15
Q

What is the benefit of the endothelial pump

A

Pushes aq humour out of cornea stroma as needs to be removed to retain transparency

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16
Q

What is the clinical benefit of corneal avascularity

A

In the procedure of corneal graft there is a lesser chance of rejection
giving its an immune privilege

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17
Q

What is the function of the sclera

A

gives attachment to muscles moving eye balls

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18
Q

What is the vascular layer of the eyeball composed of

A

Choroid
Ciliary body
Iris

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19
Q

What is the function of the choroid (orange part)

A

supplies blood to outer layer of retina

20
Q

What is the positioning of the iris

A

Hangs infront of lens, and is incomplete anteriorly due to pupil

21
Q

What is the function of the iris

A

Controls the diameter of the pupil

dictating how much light is allowed in

22
Q

What muscles control the iris functions

A

Pupil dilator -
Radial muscle

Pupil constrictor - Spinchter muscle

23
Q

What is the two functions of the Cilliary body

A

Contains muscles that help change the shape of the lens

Produces aqueous humour

24
Q

What is the pathway of aqueous production to drainage

A

Aqueous humour is produced by cilia body in the posterior chamber

Flows out into anterior segment
Until angle of anterior chamber (=junction of cornea and scelra)

It then drains out through trabecular mesh work

Aqueous humor then drains out into schlemms canal which drains into veins above the sclera

25
What is contained in the sensory layer of the eye ball
Retina
26
What is blood supply to the retina
Dual blood supply Inner layer - central retina artery Outer layer - diffusion of fenestrated blood vessels from choroid
27
What is the histology and function of the fovea centraliss
Histologically packed with cones, with all outer layers pushed away to expose cones Has maximum visual activity so where is you focus your image
28
What forms an image in the retina
Light sensitive rods
29
What is the anatomical positioning of the lens
Sits behind the pupil | suspended from ciliary body by sensory ligaments in a 360 degree fashion
30
What is the structure of the lens
Crystaline biconvex structure Transparent with regular collagen and protein filaments
31
What is the blood vessel innervation to the lens
No blood vessels near
32
Whats present on the outside of the lens and what does this produce
Basement membrane forms new fibres
33
How does old age cataract occur
New fibres compact old fibre s of the lens, lens cant shed old fibres therefore over time the eye becomes quite opaque
34
Where is the posterior segment of the eye located and what is contained inside
Behind the lens | Filled with virtuous humour to cushion retina
35
What is contained in the anterior segment and what is its further division
Aqueous humour Divided into anterior chamber - infront of iris Posterior chamber -behind iris
36
What all the components contained in the anatomy of the eye socket
``` Bony orbit Fat adipose eye ball eyelids lacrimal duct muscles ```
37
What is the eye lid composed of
Thin skin with hair follicles and sebaceous gland
38
What shapes the eye lid
The hard plate/tarsal plate
39
What is present in the tarsal plate
Meibomian glands
40
What is the two muscles of the eye lid and there functions
Levator palpebrae superioiris - elevates eye lid Obicularis oculi - closes eye lid
41
What is the conjuctivia
Membrane that lines the inside of the eye lid and the sclera infront - doesn't extend over cornea
42
What bones compose the bony orbit
``` Frontal (oribital rim) ethmoid Lacrimal Nasal Sphenoid Zygomatic Palatine Maxila ```
43
What is the 3 formans of the bony orbit where neuromuscular structure arise through from the apex
Optic foramen Superior orbital fissure Inferior orbital fissure
44
What fills the remainder or pace in the orbit after the eyeball
adipose tissue - there fore support
45
What is the clinical important of adipose tissue in the eye orbit
Is the last reserve of fat lose Sunken eyes = extreme weight loss Increase in fat content in the eye in thyroid eye disease