Biochemistry and Metabolism- Cornea Flashcards

1
Q

How is corneal avascularity maintained

A

soluble vascular endothelial growth factor receptor 1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Where do corneal stem cells exist

A

Corneal stem cells repopulate the desquamating epithelium. Recent research suggests that corneal stem cells exist in the central cornea as well as at the limbus.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How does cornea get its oxygen supply

A

Because of the lack of blood vessels in the cornea, oxygen is provided to the cornea via the precorneal tear film, or tear film (which obtains oxygen from the air and eyelid vasculature), and aqueous humor. The stroma receives glucose primarily from the aqueous humor by carrier-mediated transport through the endothelium; the epithelium receives glucose by passive diffusion through the stroma and from the tear film.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How is glucose metabolised in the cornea

A
  • hexose monophosphate (HMP) shunt
  • tricarboxylic acid (TCA) cycle
  • glycolysis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Components contributing to optical properties of cornea

A

Similar to enzyme crystallins of the lens, both aldehyde dehydrogenase and transketolase are thought to contribute to the optical properties of the cornea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What percentage of the corneal thickness does the epithelium contribute?

A

5-10%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are palisades of Vogt

A

The limbus is characterized by stromal invaginations known in humans as the palisades of Vogt

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Function of Palisades of Vogt

A
  • protects stem cells from traumatic and environmental insults
  • allows epithelial–mesenchymal interactions
  • provides access to chemical signals that diffuse from the rich underlying vascular
    network
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Which type of molecule poorly penetrates cornea

A

Hydrophilic molecules penetrate the epithelium poorly, but they may pass through tight junctions if the polar molecule has a mass lower than 500 Da

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What collagen fibres are in Bowman layer

A

randomly packed type I and type V collagen fibers that are 30 nm in diameter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Can bowman layer regenerate

A

It is acellular and does not regenerate when damaged

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What percentage of the corneal thickness does the stroma contribute?

A

approximately 90% of the total corneal thickness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What collagen fibres are in stroma

A

Type I is the major collagen component of the corneal stroma. normal adult corneal stroma also contains collagen types V, VI, VII, XII, and XIV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Which collagen type is associated uniquely with stromal wound healing

A

type III collagen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

After collage, what are the second most abundant biological constituents of the cornea

A

proteoglycans constitute approximately 10% of the dry weight of the cornea and confer hydrophilic properties to the stroma.They are glycosylated proteins with at least 1 glycosaminoglycan (GAG) chain covalently bound to the protein core. GAGs are composed of repeating disaccharides.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Which GAG’s are found in corneal stroma

A
  • keratan sulfate
  • chondroitin sulfate
  • dermatan sulfate
17
Q

Which MMP is found in cornea

A

only MMP-2 proenzyme has been found in the normal healthy cornea. However, after corneal injury, additional MMPs (including MMP-1, MMP-3, and MMP-9) are synthesized

18
Q

Parts of the Descemet membrane

A

comprises an anterior banded layer and a posterior nonbanded layer. The latter is secreted throughout life

19
Q

What is the most abundant collagen in Descemet membrane

A

Type IV collagen

20
Q

Normal endothelial cell count

A

In young adult eyes, the normal endothelial cell count is approximately 3000/mm2 centrally

21
Q

Corneal Endothelial Cell Density during first decade of life

A

4000 cells/mm3

22
Q

Corneal Endothelial Cell Density at age 40 years

A

2600 cells/mm3

23
Q

Corneal Endothelial Cell Density rate of cell loss

A

0.6% per year

24
Q

Minimum Corneal Endothelial Cell Density required for adequate function

A

400–700 cells/mm3

25
Q

What is RCFM

A

retrocorneal fibrous membrane (RCFM)

26
Q

Where does RCFM form

A

RCFM forms between the Descemet membrane and the corneal endothelium and causes a significant decrease in visual acuity. the fibro- blastic cells isolated from the RCFM predominantly express type I collagen.