Embryology of the Eyes Flashcards

1
Q

Main points to note

A

The retina in the back is a cup shaped structure and extending back is the optic nerve

Focusing apparatus: is another piece of tissue

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2
Q

Review: Development of the Brain and Spinal Cord

A

Walls of cells with fluid on the inside

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3
Q

Neural Component (initial formation of the eyes)

A
  • eyes develop as an outgrowth of neural tube
  • forms fluid filled optic vesicles
  • the tissue will bulge out on either side to form a vesicle shaped structure that’s still connected to the neural tube
  • the retina is actually a projection of the neural tube, the eyes are really an extension of the brain
  • these go out laterally and forward a bit
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4
Q

Formation of Optic Cup and Optic Stalk

A
  • optic vessel invaginates on itself to form optic cup
  • when it gets close to the surface ectoderm, invaginates on itself to form a cup (optic cup) and there’s CSF between 2 layers of the cup. Mesoderm is around the outside of the cup and fills inside of cup as it invaginates on itself
  • lumen between the 2 layers of the cup is still continuous with the ventricular system
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5
Q

Lens (initial formation of the eyes)

A
  • presence of optic cup influences adjacent surface ectoderm to form lens vesicle
  • surface ectoderm invaginates to form a little pin. Once it invaginates completely, it pinches off from the surface and forms the lens vesicle
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6
Q

Lens Initial Properties

A
  • lens vesicle is fluid-filled but cells elongate to obliterate the lumen
  • There’s really no issues with this process, it happens early

BIG THING: lens has to allow light to pass thru, there are cells that are alive but it’s mostly cytoplasm and crystalline

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7
Q

Vascularization of the lens and retina (initial formation of the eyes)

A
  • optic cup deficient inferiorly (choroid fissure) to allow mesenchyme and hyaloid Artery to access inner retina and lens vesicle
  • hyaloid artery becomes central artery of retina, mature lens not vascularized
  • inferior edges of optic cup fuse

(If deficiency doesn’t fuse, you have superior visual field defects)

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8
Q

Development of the Retina

A

Optic cup: you have 2 layers
-it’s separated by a space and it’s continuous with the ventricular system

(Pigmented retina is the outer layer and neural retina and the inner layer)
-intraretinal space in the middle

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9
Q

Neural Retina Divisions

A

It has an outer neuroblastic layer that forms your rods and cones

-inner neuroblastic layer that forms ganglion and supporting cells: send axons to LGN, transforming optic stalk to optic nerve

Ultimately they connect to each other

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10
Q

Detached Retina

A
  • neural and pigmented layers of the retina are adherent but they aren’t fused
  • can be separated (recreating intraretinal space)—-hence detached retina

-The 2 layers are mostly held together by intraocular pressure

  • if they separate, the posterior ciliary arteries (feed rods and cones) will get sheered and blood supply will be lost in this situation
  • corrective procedures: need to get the 2 layers back quickly. IF NOT, rods and cones will degenerate
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11
Q

Development of Choroid and Sclera

A
  • Retina is continuous with the neural tube/brain’
  • choroid continuous with pia and arachnoid mater
  • sclera is continuous with the dura mater

The mesoderm outside the retina condenses and forms the choroid and the sclera (choroid and retina actually become fused with the meningeal layers on the retina)

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12
Q

Development of the rest of the eye: anterior and posterior chambers

A

Anterior chamber-forms between stromal layer and pupillary membrane

  • mesenchyme between the lens vesicles and surface ectoderm break down to form anterior chamber
  • mesenchyme, the pupillary membrane, remains

Posterior chamber-forms from breakdown of posterior part of pupillary membrane
-more breakdown of mesenchyme forms posterior chamber, pupillary membrane is now thin

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13
Q

Pupillary Membrane

A

Breaks down in center to form pupil

Could be a potential problem

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14
Q

Development of the cornea

A

Ectoderm+stromal layer=cornea

Stromal layer: is a mesenchyme and mesothelium
-is continuous with sclera

  • you have this invagination of surface ectoderm adjacent to lens vesicle that forms a small cup-shaped structure (opposite orientation from neural cup)
  • epithelium plus mesenchyme forms cornea
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15
Q

Development of The Conjunctiva, Lacrimal glands, eyelids

A

Remainder of invaginating ectoderm (i.e. Not in contact with the stromal layer) forms lining of conjunctival sac

  • lacrimal glands develop as buds of ectoderm of the conjunctival sac
  • eyelids are core of mesenchyme with outer ectoderm, fuse during development, open just before birth
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16
Q

Development of the Iris and Ciliary Body

A

Three tissues form iris and ciliary body:

  • anterior portion of neural retina (neuroectoderm)
  • anterior portion of pigmented retina (neuroectoderm)
  • anterior portion of choroid (mesenchyme and neural crest)
  • —-these grow anteriorly to cover the outer portion of the lens

-anterior part of optic cup plus surrounding mesenchyme (including neural crest) forms iris and ciliary a body

“Take anterior lip of Optic cup, add a bit of mesenchyme and you get these tissues”

17
Q

Abducens Nucleus

A

CN VI, GSE

18
Q

Trochlear nucleus

A

CN IV, GSE

19
Q

Occulomotor nucleus

A

CN III

GSE and GVE

20
Q

Microphthalmia

A

Small eye

21
Q

Anophthalmia

A

Absence of eyeball

22
Q

Aphakia

A

Absences of lens, rarely congenital, post-op from removal of lens for cataracts

23
Q

Aniridia

A

Absence of iris, most commonly partial

24
Q

Congenital Cataracts

A

Opaque lens

Some people are born with them (rubella can cause this)

Can be caused by many different things

25
Q

Congenital Glaucoma

A

Increased intraocular pressure

26
Q

Persistent Pupillary Membrane

A

Incomplete breakdown of iridopupillary membrane

27
Q

Atresia of the Pupil

A

Persistent of the iridopupillary membrane

28
Q

Cryptophthalmos

A

No eyelids, skin covers eyes

If anterior level of cornea doesn’t form you get skin covering the eyes

  • a lot of time the invagination fails to form
  • may or may not be surgically corrected depending on what’s below
29
Q

Holoprosencephaly

A

Syndrome resulting fro improper development of the forebrain

often leads to: synophthalmus: fusion of eyes
Cyclopia: one eye

30
Q

Coloboma

A

Incomplete fusion causes ventral cleft of optic nerve and/or retina (coloboma retinae)

-normally, optic cup fuses around hyaloid artery and vein to form retina and optic nerve

31
Q

Colomba iridis

A

Cleft in iris

-seems to be just fine

32
Q

Palpebral Coloboma

A

Cleft in eyelid

-develop from a different process of the retina. These deficiencies are usually superior