Cornea Flashcards

1
Q

Function of the Cornea ?

A

To allow light into the eye

To refract the light

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2
Q

Which part of the eye offers majority of the refractive power

A

Cornea

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3
Q

How do you calculate Surface power ( F )

A

F= (n’-n)/r

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4
Q

Where can the cornea be found

A

Sandwiched between the tear film anteriorly and the aqueous humour posteriorly

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5
Q

Explain the CCT (central corneal thickness)

A

It’s thicker at the periphery (sides) than it is at the centre

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6
Q

Why is CCT (central corneal thickness important)

A

When undergoing laser treatment to correct a patient’s refractive error, you’re required to remove some corneal thickness.

Therefore it’s important that you know how thick it is so you know if there’s a sufficient amount of corneal left to maintain stability in the eye

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7
Q

Explain the corneal shape

A

It is steepest at the centre and flattens peripherally

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8
Q

What is keratoscopy

A

The measurement of the corneal curvature at all points on the cornea

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9
Q

What is keratoconus

A

Pathological steepening and thinning of cornea

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10
Q

What is the cornea

A

A transparent window that protects the iris and pupil

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11
Q

How many corneal layers are there ?

Name them in order

A

There are 5 layers

Corneal epithelium 
Bowman’s membrane / layer
Substantia propria / stroma
Descemet’s membrane 
Corneal endothelium
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12
Q

The corneal epithelium is made up of what?

A

It is made up of 5/6 layers of cells that are completely replaced every seven days

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13
Q

The corneal epithelium is made up of three types of cells. What are they

A

Basal cells

Wing or Umbrella cells

Superficial or Squamous cells

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14
Q

How many days does it take for cells to move from the basal cells to the squamous cells

A

5-7 days

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15
Q

How does the corneal epithelium under for repair ( 3 steps)

A
  1. The basal cells stop mitosis
  2. There’s a centripetal slide of basal cells (moves to centre)
  3. There is cell growth at the centre of damage
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16
Q

What is the bowmans membrane made up of

A

Collagen fibres, there are no cells

17
Q

What is the bowmans membrane

A

A barrier to trauma as it is resistant to injury

18
Q

What happens if bowmans membrane is damaged heavily due to significant corneal damage

A

It can not regenerate when damaged so it is replaced by scar tissue

19
Q

Which structure makes up 90% of the corneal thickness

A

The stroma / substantia propria