Ciliary Body Flashcards

1
Q

what is the main function of the ciliary body

A

to form and secrete aqueous humor and enhance the outflow

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2
Q

what functions of the ciliary body have been suggested

A

it may be involved in synthesizing lens zonules and hyaluronic acid of the vitreous humor

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3
Q

where in the uvea is the ciliary body

A

intermediate portion

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4
Q

which side of the eye (temporal or nasal) is the ciliary body longer

A

temporally by 1mm

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5
Q

what is the supraciliary lamina

A

where there are loose attachments from the outer surface of the ciliary body and the lamina fusca (sclera)

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6
Q

where is the supraciliary space

A

between the supraciliary lamina and the lamina fusca

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7
Q

what is the pas plicata

A

begins at the iris root and has fin-like projections/ridges that go into the posterior chamber

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8
Q

what is a ciliary process

A

the fin-like projection from the pars plicata

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9
Q

where is the aqueous humor secreted

A

from the ciliary processes

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10
Q

how many ciliary processes are there per eye

A

about 70-80

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11
Q

what travels between the ciliary processes

A

the lens zonules from the lens

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12
Q

what is the pars plana

A

the posterior continuation of the ciliary body from the pars plicata

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13
Q

what is at the nasal edge of the pars plana

A

the scallopes of the ora serrata (the temporal side is straight)

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14
Q

what is the central bay/ora bay

A

the scallopes of the ora serrata

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15
Q

what are dentate processes

A

retinal teeth in between the ora bays

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16
Q

where is the ciliary sulcus

A

posterior to the root of the iris

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17
Q

what is the ciliary sulcus used for

A

placement of haptics from IOL’s when they cannot be placed in the capsular bag

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18
Q

does the ciliary body have a bilayered epithelium

A

yes- nonpigmented and pigmented ciliary epithelium

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19
Q

which direction does the base of the nonpigmented epithelium face

A

the posterior chamber

20
Q

what connects the PE and NPE

A

junctional complexes that keep the potential space between them from separating and gap junctions

21
Q

why do the apices of the PE and NPE face each other

A

they were derived from a single layer during embryological development

22
Q

what does the base of the PE face

A

the ciliary stroma

23
Q

the NPE is a continuous layer with which layers

A

the posterior pigmented iris epithelium turns into the NPE and that turns into the retina

24
Q

how are the NPE cells joined

A

tight junctions at the apex and desmosomes at the base

25
Q

why do the NPE cells have tight junctions

A

to form the blood-aqueous barrier for the ciliary body

26
Q

what is the primary component of the blood aqueous barrier

A

the zonula occudens (tight junctions)

27
Q

why do the NPE and PE have gap junctions

A

to work in metabolic concert and work in tandem to create the aqueous humor

28
Q

what shape or the PE cells

A

cuboidal

29
Q

what is the PE layer continuous with

A

the anterior pigmented iris epithelium turns into the PE and then it is the RPE

30
Q

do the PE cells have tight junctions

A

no, they are not part of the blood aqueous barrier

31
Q

how is the ciliary stroma classified

A

it is loose areolar connective tissue and continuous with the iris stroma

32
Q

why does the ciliary stroma continue into each ciliary process in the pars plicata

A

to carry the vascular supply that gives rise to the fenestrated capillaries that leak source material to make/secrete aqueous humor

33
Q

what does the major arterial circle (MAC) supply to each ciliary process

A

an anterior and posterior arteriole

34
Q

is the anterior arteriole fenestrated

A

yes, it is larger than the posterior and supplies the tip of the process (fenestrated for the formation of aqueous humor)

35
Q

is the posterior arteriole fenestrated

A

no, it is the vascular supply to the ciliary muscle

36
Q

what forms the major arterial circle of the iris

A

branches of the anterior ciliary and long posterior ciliary arteries

37
Q

what is the bulk of the ciliary body

A

the ciliary muscle

38
Q

what type of muscle is found in the ciliary body

A

smooth muscle (3 types)

39
Q

what is the outer most muscle of the ciliary muscles

A

the longitudinal or Brucke’s fibers

40
Q

where is the apex of the longitudinal muscle located/where does it originate

A

from stellate structures called epichoroidal stars that are located in the anterior 1/3 of the choroid

41
Q

where does the longitudinal muscle insert (the base)

A

in the scleral spur and the trabecular meshwork

42
Q

what happens to the longitudinal muscles during accommodation

A

contraction pulls on the trabecular meshwork and increases the size of the openings so the aqueous humor can exit the eye more readily (decreasing IOP)

43
Q

where do the radial muscle fibers originate

A

in the scleral spur

44
Q

where do the radial muscles insert

A

into connective tissue near the base of the ciliary processes of the pars plicata

45
Q

what are the inner most muscle fibers

A

the annular or circular muscle fibers

46
Q

where is the circular muscle located

A

close to the peripheral edge of the lens

47
Q

what is the action of the annular or circular muscles

A

sphincter like action during accommodation, mostly involved in accommodation