Conditions - CORNEA Flashcards
Corneal haze:
spacing of stromal fibrils is altered due
to edema or due to activated fibroblast, myofibroblast
cells (especially after PRK)
Corneal layers
Cornea has 5 distinguished layers
- Epithelium
- Bowman’s layer
- Stroma
- Descemet’s membrane
- Endothelium
PTK (Phototherapeutic keratectomy )
the removal of superficial corneal opacities and surface irregularities
Keratoconus
corneal dystrophy due to localized disruptions of Bowman’s layer, stroma thins and weakens and intraocular pressure causes cornea to bulge and take shape of a cone
Corneal edema
Over-hydration of cornea results in corneal edema loss of
transparency corneal haze
DSEK:
• Descemet’s Stripping Endothelial
Keratoplast
corneal transplant
that replaces only the damaged cell cornea heals much
faster and stronger
“penetrating keratoplasty”
or “PKP”,
cornea–all five layers– is removed
and replaced with healthy donor tissue. for the
treatment of damaged corneas
for many years.
Hassall-Henle bodies:
thickening of Descemet’s membrane (DM) bulging
into anterior chamber near corneal periphery (common finding increases
with age)
Guttata:
thickening of DM in central cornea is called guttata (indicative of
endothelial dysfunction)
Contact lens effect:
pleomorphism and polymegathism was documented
after 6-years of GP lens or soft lens wear (cell density remain normal).
Photorefractive keratectomy (PRK)
laser eye surgery procedures intended to correct a person’s vision, reducing dependency on glasses or contact lenses.
Paradise of Vogt
Radial projections of fibrovascular tissue in spoke like fashion around corneal periphery • The interpalisade region contain thickened epithelium, limbal stem cells reside here
• Limbal stem cell deficiency
• Loss of stem cells leading to
corneal neovascularization and
corneal opacity
Pinguecula
:
• Slightly elevated mass of
modified conjunctival tissue
• Usually at 3 and 9 o’ clock • Change in submucosal layer • Epithelium unchanged
Pterygium
:
• Fibrovascular, triangular over - growth of bulbar conjunctiva • onto cornea usually progressive • Induces astigmatism and vision change (drop in UCVA, BCVA) • As it progress onto cornea, It damages the corneal epithelium as well as bowman’s layer is compromised