Central Nervous System Flashcards
How does the position of the orbit vary in carnivores and herbivores?
Carnivores- positioned rostrally
Herbivores- laterally
How does orbit construction vary between carnivores and herbivores and why?
Herbivores orbit is enclosed
Domestic carnivores it is open to allow wider jaw opening
What bones make up a dogs orbit?
Frontal Lacrimal Zygomatic Sphenoid Palatine bones Completed by orbital ligament
How does enclosed orbits structure vary?
The frontal process of the zygomatic bone and zygomatic process of the frontal bone meet and complete orbit
What are the foramina in a dogs eye for?
Ophthalmic artery/vein
Cranial nerves- II, III, IV, VI
What lines the orbit?
Orbital fascia, three layers
What are the three layers of orbital fascia?
Outer periorbita (encloses eyeball and associated muscles, nerves and vessels) Fascia bulbi (surrounds globe itself) Fascial sheaths (continuous bulbi)
What are all the extra ocular muscles?
Dorsal rectus Dorsal oblique Ventral rectus Ventral oblique Lateral rectus Medial rectus Retractor bulbi
What is the innervation and action of the dorsal rectus?
Rotate eye upwards
Innervated by III
What is the innervation and action of the dorsal oblique?
Rotate dorsal globe medially and ventrally
Innervated by IV Trochlear
What is the innervation and action of the ventral rectus?
Rotate eye downwards
Innervated by III
What is the innervation and action of the ventral oblique?
Rotate globe medially and ventrally
Innervated by III- oculomotor
What is the innervation and action of the medial rectus?
Rotate globe medially
Innervated by III
What is the innervation and action of the lateral rectus?
Rotates globe laterally
Innervated by VI abducens
What is the innervation and action of the retractor bulbi?
Retracts globe into orbit
Innervated by VI- abducens
What species do not possess a retractor bulbi?
Birds and snakes
What is the name for the dysfunction of one or more extra ocular muscle?
Strabismus
What is the name for a strabismus when eyes are pointing to the side, rotated, cross eyed?
Ventrolateral strabisimus- pointing to side
Extorsional strabismus- rotated
Medial strabismus- cross eyes
What are the functions of the eyelids?
Protect the eyeball
Spread the tear film
Help to remove foreign material
Close to exclude light
What is the name for when they eyelid opens after being born?
Palpebral fissure
What are the eyelids made up of?
Thin folded skin
Haired skin on the outside and mucous membrane on the inside
What is the lid margin of the eyelid?
Transition between skin and conjunctiva
Hairless, upper part posses cilia
What support the lid margins?
Tarsal plate
Where do the upper and lower eyelids meet?
Medial and lateral canthus
How are the medial and lateral canthus secured to the bone?
Canthal/palpebral ligaments
In dogs retractor angli oculi replaces lateral ligament
What muscle causes the closure of the eyelids?
Circular orbicularis oculi muscle - facial nerve
What muscles lifts the upper eye lid?
Medial levator anguli oculi
Levator palpebrae superiosis- occulomotor
What is the sclera?
Whites of the eyes
What sensory innervates the eyelids?
Trigeminal
Opthalmic- upper and medial lower
Maxillary lower
Why are brachycephalic breeds prone to exposure keratitis?
Unable to close eyes properly
What is entropion and ectropion?
Entropion- inward rolling of the eyelids
Ectropion- outward rolling making tear spreading ineffective
What is the conjunctiva of the eye?
Thin highly vascular translucent muscled membrane which lines the inside of the eyelids
What are the different regions of the conjunctiva and what do they form?
Palpebral conjunctiva
Nicitating conjunctiva
Bulbar conjunctiva
Forms conjunctival sac
What part of the tear film does the conjunctiva produces and with what cells?
Contains lots of goblet cells which produce mucus portion of tear film
What is underneath the stratified squamous of conjunctiva?
CALT
Conjunctiva associated lymphoid tissue
What is the nicitating membrane?
Relfection of the conjunctiva containing T shaped cartilage
What part of the tear film does the nicitating membrane produce?
Produces a lot of the aqueous portion of the tear film
Where do tears empty on the bulbar aspect?
Conjunctival sac
What lines the conjunctival sac?
The preocular tear film
What are the three portions of the tear film?
Lipid, mucin and aqueous
What produces the lipid portion of the tear film?
Meiobomian glands- reduces evaporation
What produces the mucin portion of the tear film?
Goblet cells- stabilises
What produces the aqueous portion of the tear film?
Lacrimal gland and third eyelid- lube protection and nutrition
What controls tear secretion?
Autonomic control of lacrimal nerve (ophthalmic)
How is the tear film distributed?
Blinking
How do tears drain?
most drain into nasolacrimal system
Excess collect in lower conjunctival sac and blinking pumps them towards lacrimal punctate
Where are lacrimal punctate present?
Upper and lower eyelids
How d the lacrimal punctate pump tears into lacrimal sac?
Muscle encircles them which constrict the canaliculi during blinking- pumping into lacrimal canaliculi and lacrimal sac, empties into nasolacrimal duct
What are the three layers of the globe itself?
fibrous layer
Uvea
Neural
What is the function of the fibrous layer?
Supports the eyeball shape
What is the function of the Uvea?
Provides nutrition to the structures of the eye and acts to alter light transmission
How is the globe internally divided?
Anterior and posterior segments by position of the lens
How is the anterior segment divided?
Anterior/posterior by the iris
What is at the back of the anterior segment of the anterior segment?
The lens
What is the cornea?
Curved rostral surface of the eyeball which transmits and refracts light
What makes up the cornea?
Anterior epithelium which is squamous at the outside and columnar at base, linked to middle stroma by fine fibrils
What is the stroma and what is it made up of?
Main body of the cornea- consists of carefully arranged collagen fibrils with some keratocytes and a a ground substance of proteoglycans and GAGs
How is the cornea clear?
The arrangements of fibrils with the lack of corneal blood vessels give the cornea its clarity
What underlies the stroma?
The descemets membrane produced by the endothelium
What is the name for where the sclera meets the cornea?
Corneoscleral limbus
What is the name of the perforated zone where the optic nerve exits the eyeball?
Lamina cribosa
Why can the sclera sometimes appear blue and yellow?
Blue- where the sclera is thin
Yellow- hyperbillirubinaemia
How does the sclera receive blood?
The sclera has a superficial vascular plexus which anatomises with the anterior ciliary arteries and drains through the venous plexus in the mid sclera
What us the outer layer of the sclera called?
The episclera is a highly vascular fibroelastic tissue
What is on top of the episclera?
The bulbar conjunctiva
How is corneal injury repaired?
Stem cells in the limbus are recruited
What does the uvea consist of?
The iris the ciliary body forming the anterior urea and the choroid forming the posterior uvea
What is the most rostral part of the uvea?
The iris which forms a ring (the pupil)
What is the iris and what does it do?
A sphincter which constricts and dilates to vary the amount of light
What are the two zones of the iris?
The centrally papillary zone and the peripheral ciliary zone separated by the collarette
What kind of muscle constricts the iris and what innervates it?
The constrictor muscle is smooth muscle sphincter- oculomotor nerve
What kind of muscle dilates the iris?
Single smooth muscle layer extending from the sphincter to the periphery of the iris
What is posterior to the iris?
The ciliary body
What is the ciliary body made up of?
The ciliary process, the ciliary body angle, and forms part of the iridocorneal angle
What is the function of the ciliary body?
Produces aqueous humour, involved in its drainage, anchors the zonnular fibres which anchor the lens
What covers the ciliary body?
Two layers of epithelium, inner non-pigmented and outer pigmented
What forms the blood: aqueous barrier and how?
The non-pigmented epithelium via tight junctions between the cells
How is the ciliary body divided?
Pars plicate and posterior pars plana
What is the pars plicata made up of?
Consists of many ciliary processes which increase the SA for aqueous production
What suspends the lens?
The zonular fibres
What is the most anterior part of the ciliary body?
Iridocorneal angle
What is the iridocorneal angle made up of?
Where the root of the iris, the anterior ciliary body and the corneoscleral junction meet
What happens at the iridocorneal angle
Main site of aqueous humour
What is the choroid?
The uveal layer between the sclera and retina
Heavily vascular and pigmented and consists of several layers
What are the layers of the choroid?
Suprachoroidea, large vessel layer, medium vessel later, choriocapillaris
What are the functions of the different layers of the choroid?
Suprachoroidea- transition between sclera and choroid
Large vessel layer- contains venous plexus, mainly consisting of veins, cools the eye
Medium vessel layer- contains tapetum lucidum (cats eye) increases night vision
Choriocapillaris- innermost later, supply the retina
What is the corneal response to injury and the end result?
The keratocytes are capable of transforming fibroblasts to replace collagen in an injury, the resulting scar tissue lacks the organisation and hence the clarity
What does the anterior segment contain?
Aqueous humour
What is aqueous humour?
An ultra filtrate of plasma which is produced by the ciliary body
What is the function of the aqueous humour?
Provides nutritional needs of the lens and cornea
How does the contents of aqueous humour vary?
Varies on the needs and substances in the blood
Why is the aqueous humour so important?
For the lens and cornea and necessary for intraocular pressure
What happens is production of aqueous humour is in excess of drainage?
Glaucoma
What are the three processes aqueous humour is produced?
Diffusion
Ultrafiltration- hydrostatic pressure
Active secretion- active transport by non-pigmented ciliary epithelium
How does bicarbonate enter the aqueous humour?
Via carbonic anhydrase reaction in the ciliary body
How can bicarbonate provide a treatment of glaucoma?
Affects Na movement and therefore water transport