Cornea Flashcards
What is the anterior horizontal diameter of the cornea?
- 12mm
What is the anterior vertical diameter of the cornea?
11mm
How does the curvature of the cornea vary?
- curvature steeper in the centre
- flatter at periphery
What is the radius of curvature of the cornea a the posterior surface?
6.5mm
What is the radius of curvature of the central cornea at the anterior surface?
7.8mm
What is the central corneal thickness?
0.53mm
What is the corneal periphery thickness?
0.71mm
How is the cornea optimum for light transmittance?
- transparency and avascularity
What covers the anterior surface of the cornea?
- tear film
What posteriorly borders the cornea?
anterior chamber
What is the cornea continuous with at the periphery?
- conjunctiva and sclera
What are the five layers of the cornea?
- epithelium
- Bowmans layer
- stroma
- Descemets membrane
- endothelium
What is the outermost layer of the cornea epithelium?
- stratified corneal epithelium
What’s the amount of cells and thickness of the stratified corneal epithlium?
- five to seven cells thick
- 50um
Where is the corneal epithelium thickest?
- periphery
What is the corneal epithelium continuous with at the limbus?
conjunctival epithelium
What’s the thickness of the surface layer epithelium?
- two cells thick
What does the surface layer of corneal epithelium consist of?
- nonkeratinized squamous cells
What are the features of nonkeratinized squamous cells?
- contain flattened nucleus
- fewer organelles than deeper cells
What the cell size of the superficial cells of the surface layer corneal epithelium?
-50um diameter
- 5um height
What does the plasma membrane of the surface epithelial cells secrete?
- glycocalyx
What is the function of glycocalyx?
- adjoins the mucin layer of the tear film
What are the many projections on the apical surface on the outermost cells of the corneal epithelium?
- microvilli
- microplicae
What’s the functions of the microvilli and microplicae on the corneal epithelium?
- increases surface area
- enhances tear film stability
What’s the function of the Zonula occludens?
- barrier to intercellular movement of substances from the tear layer
- prevent excess fluid uptake from the tear film
- semipermeable membrane allows passage of fluid and molecules through the cells, but not between them
What joins the surface layer corneal epithelium cells?
- zonula occludens
- tight junctions
- additional adhesion between cells from desmosomes
What happens as the corneal surface epithelium cells age?
- they degenerate
- cytoskeleton disassembles
- cytoplasm condenses
- cells lose attachments, sloughed off
- constantly replaced by cells below
What does the corneal surface look like when viewed through an electron microscope?
- variously sized cells
- lighter cells are newly replaced
- darker cells those that are degenerating
What’s the middle layer of the corneal epithelium made up of?
- two to three layers of wing cells
What’s the structure of the corneal epithelium wing cells?
- wing like lateral processes
- polyhedral
- convex anterior surface
- concave posterior surface
- 20um in diameter
What joins wing cells together?
- desmosomes
- gap junctions
What joins wing cells to surface and basal cells?
- desmosomes
What is the innermost layer of corneal epithelium?
- basal cell layer
- single layer of columnar cells
What’s the diameter of the cells of the basal cell layer?
8 to 10um
What do the basal cells contain?
- oval shaped nuclei displaced towards the apex
Where do basal cells lie?
- rounded apical surface of each cell lies adjacent to the wing cells
- basal surface attaches to underlying basement membrane
What do the basal cells secrete?
- basement membrane to attach the cells to the underlying tissue through hemidesmosomes
Where does epithelial cell proliferation take place?
- basal layer
How do new cells reach the epithelial cell surface?
- basal cells move up to become wing cells
- wing cells move up to become surface cells
What are the only epithelial cells that are able to divide?
- cells in contact with the basement membrane(basal cells)
What is the source for renewal of the corneal basal cell layer?
- stem cells
Where are the stem cells that renew the basal layer located?
- a 0.5 to 1mm band around the cornea periphery