EMBRYOLOGY Flashcards

1
Q

Which structures derive from neuro-ectoderm? (3)

A

NEURO-ECTODERM –> NERVOUS STRUCTURES –> ROMES.

  1. Retina (Neurosensory and RPE)
  2. Optic nerves
  3. Muscles (smooth) of iris (sphincter and dilator)
  4. Epithelial lining of iris and ciliary body.
  5. Secondary and tertiary vitreous
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2
Q

Which structures derive from surface ectoderm?

A

SURFACE ECTODERM –>
LEVEL surface.

Lens
Epithelium (cornea, conjunctiva, caruncle, skin)
Vitreous
Eyelid skin, eyelashes and gland.
Lacrimal gland / NLD system.

PAX6 is critical for surface ectoderm development.

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3
Q

Which structures derive from Neural Crest?

A

NEURAL CREST –> Supportive framework and FLOW.

“Some irritated cats and mice took sharp claws everywhere”

Sclera
Iris Stroma
Corneal Stroma and Endothelium
Melanocytes.
Trabecular meshwork
Schwann’s cells / meningeal cells.
Connective tissue of orbit
Extraocular muscle (partially derived)
Ciliary Ganglion
Choroid

Anterior segment dysgenesis occurs with abnormalities relating to neural crest.

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4
Q

What structures are derived from mesoderm?

A

Mesoderm:

“MESO”

Muscles
Endothelial lining of blood vessels
Sclera (temporal) Schlemm’s canal
Others: Vitreous, suspensory fibres.

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5
Q

Whats the difference between mittendorf’s dot and Bergmeister’s papilla?

A

Mittendof marks the lens - anterior attachment of hyaloid artery

Bergmeister papilla - posterior attachment of hyaloid artery.

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6
Q

When is the maximal number of axons in the optic nerve achieved?

A

15 weeks.

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7
Q

Whats the difference between anophthalmia, nanophthalmia and microphthalmia? What mutations are associated?

A

Anophthalmia: Failure of optic vesicle formation - only extrocular muscle (mesoderm) and lacrimal gland (ectoderm)

Mutations of anophthalmia: RAX and SOX2 and PAX6 (in homozygous)

Nanophthalmia: small eye but basic structures present.

Microphthalmia: Small eye with defects, recognisable elements

Mutations in microphthalmia) : PAX6 (heterozygeous), SOX2

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8
Q

What mutations are involved in cyclopia?

A

Mutations: SHH and SIX3

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9
Q

What is synophthalmia? What mutation?

A

Fusion of two eyes due to malformation of mesenchymal tissue of optic vesicles.

Mutation: Chromosome 18

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10
Q

Which week do the three waves of neural crest migration (for form cornea and iris stroma)?

What happens if this is failed?

A

Week 7.

Pathology: anteiror segment dysgenesis, albinism.

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11
Q

At how many weeks gestation does hyaloid artery enter optic nerve head?

A

4 weeks.

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12
Q

What order is the extraocular muscle formation (When primordium forms)

A

Day 26-Day 29: All muscles, then lateral rectus, then superior oblique.

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13
Q

What events happen between weeks 3 and 4? (6)

A

22nd to 29th day - Optic groove prepares rectus and fissuRes

O: Optic Groove (22nd day)
P: Optic Pit becomes optic vesicle (25th day)
R: Rectus muscles from primordium (26th day), Superior oblique forms last.
F: Embryonic fissure forms (day 27)
R: RPE pigmentation forms (day 28)

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14
Q

What happens in week 5 of embryologic development (3)

A

Lens Has Very Vital Orbit
1. Lens pit forms from lens vesicle
2. Hyaloid vessels form
3. Vitreous develops
4. Orbital bones begin development

Double V because week 5 (V)

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15
Q

What happens in week 6 embyologically? (6)

A

Fissures close, Cells, Layers and Vessels Evolve - 6 words

  1. F - embryonic fissure closes
  2. C - corneal epithelium connections
  3. C - Ciliary Ganglion appears
  4. L - Lens Fibres form
  5. L - Layers of retina
  6. V - Vitreous (secondary forms)
  7. V - vasculature around eye
  8. E - Eyelid folds and nasolacrimal duct
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16
Q

What happens in week 7 embryologically?

A

*Some Ganglions Create New Choroidal Tissue
*
1. S - Sclera forms
2. G - Ganglion cells migrate to optic disc
3. C - Choroidal fissure closes which forms pupil
4. N - Nucleus - lens nucleus matures
5. C - Crest Migration (neural crest) Wave 1 - TM, wave 2 - Corneal/scleral stroma, Wave 3 - Iris stroma)
6. T - Tunica vasculosa lentis forms

17
Q

What happens in month 3 embryologically? (8-12 weeks)

A

Rods and Chambers Grow SlowLEE
R: Rod/Cone precursors form
A: Anterior chamber appears
C: Ciliary body develops
G: Growth of sclera
S: Sclera condenses
L: Limbus forms

18
Q

What happens in month 4 embryologically?

A

Veins, Cup, Muscles and Membrane, Drain, Eyelids

V: Retinal vasculature,
C: Physiological cup forms
M: Iris muscles and Ciliary body and muscles
M: Bowman’s membrane
D: Drain - canal of schlemm
E: Eyelid glands form.

19
Q

What happens in month 5 and month 6 embryologically?

A

*Photoreceptors create functional layers *
P - Photoreceptors differentiate
C - cones differentiate further
F - Folds of eyelids seperate
L - layers thicken in macula (ganglion cell layer)

Also: Dilator pupillae muscle differentiates and nasolacrimal system becomes patent

20
Q

What happens in month 7 embryologically?

A

Orderly Choroids Make Nerves Develop Smoothly
O: Ora serrata and orbicularis muscle forms
C: Choroid becomes pigmented
M: Migration of ganglion cells to form nerve fibre layer –> Forms foveal depression.
N: Nerve myelination in optic nerve
D: Differentiatation of circular muscle fibres and orbicularis oculi
S: Shifting position of anterior chamber angle structures, finalising their placement

21
Q

What happens in months 8-9?

A

**Finish By Clearing Pupils

F: Final touches to chamber angle
B: Blood vessels form in retina at periphery, Hyaloid vessels disappear
C: Choroid and Pupillary membrane disappear.

22
Q

What lens structure fills the optic cup?

A

Lens vesicle

23
Q

What is the weight of the lens at birth? How much does it increase per year?

A

90mg at birth, increases 2mg per year.

24
Q

What is the main embryological development of the cornea?

A

Cornea: Surface ectoderm (epithelium)
Cornea: Stroma/endothelium (neural crest)

First wave: forms epithelium and lens, forms double layer of cornea endothelium
Second wave: Epithelium and endothelium - contains hyaluronic acid and collagen fibrils

Descemets: 4 months
Bowman’s: 5 months
Corneal nerves: 5 months.

25
Q

What do the first pharyngeal arches give rise to?

What do the second pharyngeal arches give rise to?

A

First pharyngeal arch: Muscles of mastication.

second pharyngeal arch (hyoid arch): Cranial nerve 7 –> muscles of facial expression.

26
Q

Anterior segment dysgenesis reflects embryonic abnormalities relating to which cell line?

A

Neural crest.

(

27
Q

Which retinal cells are formed from the outer neuroblastic layer?

Which retinal cells are formed from the inner neuroblastic layer?

A

Outer: Bipolar cells, Horizontal cells, nuclei of rods and cones

Inner: Ganglion cells, amacrine cells, nuclei of Muller cells.

28
Q

What is the difference between primary vitreous, secondary virreous and tertiary vitreous development?

A

Primary: Hyaloid system
Secondary vitreous ; vitreous body
Tertiary: Anterior/peripheral involved in development of zonules

29
Q

Diagram of telencepharlon

A
30
Q

At what age does the eyeball stop growing in size?

A

8 years.

31
Q

Which corneal layer is the last layer to form?

A

Bowman’s layer.

32
Q

Which location does myelination start and finish? WHen is myelination complete?

A

Starts: Optic chiasm
Finishes: Lamina cribrosa

Retinal nerve fibre layer is not myelinated.

Completed at 1 month after birth.

33
Q

At what week does the primitive streak appear?

A

Week 3.

34
Q

What pharyngeal arches are associated with what structures?

A

1 - Trigeminal (V2 and V3)
2 - Facial
3- Glossopharyngeal
4- Vagus - superior laryngeal branch
5 - Vagus - recurent laryngeal branch

35
Q

When does ciliary body formation begin?

What is the last structure of the ciliary body to be made?

A

Begins at 3 months

Circular ciliary muscle - at 7th month.

36
Q

Drainage angle embryology
Schlemm’s canal
Trabecular meshwork

A
  1. 7 weeks - neural crest cells from peripheral cornea differentiates into chamber angle –> TM pathology is associated with corneal pathology
  2. 4 months - Schlemm’s canal
  3. 8 months - Drainage angle complete
  4. Just before birth - TM formation.
37
Q

Ciliary Body Embryology.

A

Ciliary body formation: 3 months

4 months: zonules, longitudinal muscle, ciliary process,

5 months: pars plana, ciliary muscle

7 months: circular ciliary muscle.