DeLahunta Chapter 14 - Visual system Flashcards
From which embryological later to the following structures originate?
a) Sclera and uvea
b) Lens and cornea
c) Retina
Sclera and uvea – mesoderm
Lens and cornea – ectoderm
Retina – neuroectoderm
What toxin can cause cycloptic malformation in ewes, and at what time point? And in cats?
cyclopamin, Veratrum calliifornicum, 14-15d of gestation
gene PAX6
cat: griseofulvin in queen
Name the 10 layers of the retina, from starting from the scleral surface
from out to in:
Retinal pigmented epithelium
Photosensitive later
External limiting membrane
External nuclear layer
External plexiform layer
Internal nuclear layer
Internal plexiform layer
Ganglion layer
Nerve fibre layer
Internal limiting membrane
Through which bone does the optic canal run through?
presphenoid bone
What is the percentage of decussation at the optic chiasm in dogs, cats, horses, primates?
bird-fish 100%
LA - 80-90%
d - 75%
c - 65%
primates -50%
What is the reported cause for congenital pendular nystagmus in Siamese cats?
Increased decussation at the optic chiasm
Name the following steps of the menace pathway
1) retina
2) optic nerve
3) optich chiasm
4) optict tract
5) LGN
6) optic radiation
7)occipital visual cortex
8) internal capsule associateiion fibers
9) motor cortex
10) internal capsule projection fibers
11) crus cerebri
12) longitudinal fibers of pons
13) pontine nucleus
14) (cross) transverse fibers of pons
15) cerebellar cortex
16) efferent cerebellar pathway
17) facial nucleus
18) facial muscles and orbicularis oculi muscle (blink)
Name the PLR pathaway
1) retina
2) optic nerve
3) optich chiasm
4) optict tract
5) bypass LGN
6) Pretectal nucleis
7) decussate to caudal commisure
6) parasymp nucleus of oculomotor
7) oculomotor nerve
8) ciliary ganglion
9) short shiliary nerves
10) ciliary muscle and constrictor pupillae muscle (sphincter)
Name the sympathetic innervation to the eye?
1) Hypothalamus
2) ARAS
3) lateral tegtotegmental tract
4) T1-3 SCS of lateral grey horn (preganglionic neurons)
5) nerve roots -spinal nerve until foramen
6) by pass at ramus communicans
7) thoracic sympathetic trunk
8) vagosympatehtic trunk
9) cranial cervical ganglion
10) via bullae or via internal carotid arteries - join ophthalmic nerve
11)exit calvarium - orbital fissure
12) long ciliary nerves
13) dilator puppilae muscle, ciliary muscle, and orbiatlis muscle
Regarding Horner syndrome, which branches are responsible for ptosis and miosis?
T1 – miosis
T2 and T3 – ptosis
What structures can be found in the middle cranial fossa? Why may internal ophthalmoplegia be the first initial sign?
CN III GSE and GVE, IV, VI, V ophthalmic, sympathetic supply to the eye
Sympathetic supply
all of them exiting through ORBITAL FISSURE
The oculomoor is located on the medial surface of CN III so vulnerable to compression
REGARDING ONUA:
a) What were the most common low field MRI features seen with presumed optic neuritis? (Low-Field Magnetic Resonance Imaging Findings in 18 Dogs With Presumed Optic Neuritis, Moris 2021, frontiers)
b) What percentage of animals with presumed optic neuritis had changes on CSF, and how many animals regained vision following treatment? (Presumed optic neuritis of non-infectious origin in dogs treated with immunosuppressive medication: 28 dogs (2000-2015), Bedos 2020, JSAP)
c) What were the prognostic factors associated with recovery of vision in optic neuritis? What was the recovery rate? (Prognostic Factors for Recovery of Vision in Canine Optic Neuritis of Unknown Etiology: 26 Dogs (2003-2018), Posporis 2019, Frontiers)
a) What were the most common low field MRI features seen with presumed optic neuritis? (Low-Field Magnetic Resonance Imaging Findings in 18 Dogs With Presumed Optic Neuritis, Moris 2021, frontiers)
Contrast enhancement of the optic nerve 11/18 and chiasm 6/18, changes in CSF volume around the optic nerves, changes to optic disc, changes to size of the chiasm (all 10/18) and concurrent brain lesions 13/18
b) What percentage of animals with presumed optic neuritis had changes on CSF, and how many animals regained vision following treatment? (Presumed optic neuritis of non-infectious origin in dogs treated with immunosuppressive medication: 28 dogs (2000-2015), Bedos 2020, JSAP)
44% of animals had CSF changes (either pleocytosis or increased TP). 50% of animals recovered vision
c) What were the prognostic factors associated with recovery of vision in optic neuritis? What was the recovery rate? (Prognostic Factors for Recovery of Vision in Canine Optic Neuritis of Unknown Etiology: 26 Dogs (2003-2018), Posporis 2019, Frontiers)
23% had complete recovery, 77% had incomplete or no recovery
Presence of reactive PLR and absence of fundoscopic lesions, younger age, lower CSF TNCC were associated with recovery of vision
Dogs with isolated optic neuritis were significantly younger and had lower TNCC compared with MUA.
Give some differentials for the following clinical signs
- Size of the palpebral fissure
-Protrusion of third eyelid
-Mydriasis
-Miosis
Size of the palpebral fissure – oculomotor paralysis, sympathetic paralysis, facial nerve paralysis, hemifacial tetany
Protrusion of third eyelid – sympathetic paralysis, tetanus, facial paralysis, severe depression in cats, hyperplasia of the TLR gland, secondary to enophthalmos, retrobulbar mass
Mydriasis – oculomotor GVE paralysis, iris atrophy, glaucoma, spastic pupil, sympathetic stimulation (pourfour du petit), cerebellar disease drugs
Miosis – sympathetic paralysis, uveitis, acute prosencephalic disease, drugs
In which period of gestation is the optic nerve formed?
33 d
When is the first ERG detectable in kittens?
35d
Which cells from the photosensitive retina are responsibel for the night and day
vision?
rods - night
cones - day