Exam Two Flashcards
What is accommodation?
increasing lens strength from 20-34D.
Parasympathetic causes what in accommodation?
-contraction of ciliary muscle allowing relaxation of suspensory ligaments attached radially around lens, which becomes more convex, thus increasing refractive power.
What is presbyopia?
- loss of elasticity of the lens with age
- this decreases accommodation.
Types of errors of refraction?
- Emmetropia
- Hyperopia
- Myopia
- astigmatism
What is emmetropia?
- normal vision
- ciliary muscle is relaxed in distant vision
What is hyperopia?
- “far-sighted”
- focal point is behind the retina.
What is myopia?
- “near-sighted”
- focal point in front of retina.
What is astigmatism?
irregularly shaped
- cornea(more common), or
- lens(less common).
Information the Snellen Eye Chart gives you
ratio of what that person can see compared to a person with normal vision.
What is the fovea centralis?
area of greatest visual acuity.
Outside the fovea centralis, visual acuity increases or decreases by how much and where?
decreases by more than 10 fold near periphery.
What is Stereopsis?
binocular vision
What happens in stereopsis?
- eyes are separated by 2 inches-slight difference in position of visual image on both retinas
- closer objects are more laterally placed.
What is glaucoma?
- increased intraocular pressure by compression of optic nerve
- can lead to blindness.
What is the function of the retina and what does it contain?
- Peripheral extension of CNS
- Processing of visual signal.
- Contains photoreceptors(rods, cones) and other cells(amacrine, ganglion, horizontal, bipolar)
Examples of photoreceptors?
Rods and cones
Light breaks down what?
Rhodopsin(rods) and cone pigments(cones)
When stimulated by light, photoreceptors release less of?
glutamate
What are bipolar cells?
cells that connect photoreceptors to either ganglion cells or amacrine cells.
Two types of bipolar cells?
-“ON” or invaginating bipolars-hyperpolarized by glutamate -“OFF” or flat bipolars-depolarized by glutamate.
What are ganglion cells?
- can be “ON” or “OFF” bipolar
- generate action potentials carried by optic nerve.
Three types of ganglion cells
- x(p)
- y(m)
- w cells
P(x) ganglion cells
- most numerous(55%)
- slower conduction velocity
- small receptive field
- responsible for color vision
- project to Parvocellular layer of lateral geniculate nucleus.
M(y) ganglion cells
- receive input from amacrine cells
- 5% of ganglion cells
- larger receptive field
- fast conduction velocity
- more sensitive to brightness
- black and white images
- project to magnocellular lateral geniculate nucleus.
W ganglion cells
- smallest
- slowest conduction velocity
- 40% of all ganglion cells
- act as light intensity detectors
- broad receptive fields
- receive most of input from rods
- important for crude vision in dim light
Horizontal cells
- non-spiking inhibitory interneurons
- When depolarized, they inhibit photoreceptors.
- they make complex synaptic connections with photoreceptors.
What are amacrine cells?
cells that receive input from bipolar cells and project to ganglion cells. They release different neurotransmitters such as GABA, dopamine.
Center-Surround fields
receptive fields of bipolar and ganglion cells.
What is a Center Field?
Field mediated by all photoreceptors, synapsing directly onto the bipolar cell.
What is a Surround Field?
Field mediated by photoreceptors which gain indirect access to bipolar cells via horizontal cells.
Photoreceptor contribution to fields
photoreceptors contributing to center field of one bipolar cell contributes to surround field of other bipolar cells.
Simultaneous stimulation of light of both fields gives what?
no net response of either field.
If center field is on, surround is?
off
In the Fovea, what is the ratio of cone:bipolar cell:ganglion cell?
(Can be as low as) 1 cone:1 bipolar cell: 1 ganglion cell
in peripheral retina, what’s the ratio of rods:bipolar cell: ganglion cell
hundreds of rods can supply a single bipolar cell and many bipolar cells connected to 1 ganglion cell.
In dark adaptation, what adapts first?
cones then rods but rods adapt to a greater extent.
what happens in dark adaptation?
dilation of pupil, neural adaption, cone adaptation increases less than 100 fold, rod adaption increases more than 100 fold, and increase of retinal sensitivity 10,000 fold
3 types of cones
blue, green, and red sensitive
What is color blindness?
sex-linked trait carried on x chromosomes. Transmitted by the female, but occurs exclusively in males.
Most common color blindness
red-green. missing either red or green cones.
Loss of red cones is called what?
Protanope-decrease in overall visual spectrum.
Loss of green cones is called what?
Deuteranope-normal overall visual spectrum.
Ishihara chart
helps to distinguish between green, yellow, orange, and red problems.
Loss of blue cones
- rare
- may be under-represented
- “Blue Weakness”
List the visual pathway.
- optic nerve to optic chiasm
- optic chiasm to optic tract
- optic tract to lateral geniculate
- lateral geniculate to primary visual cortex (geniculocalcarine radiation)
Lesion at optic nerve?
blind in ipsilateral eye
Lesion at optic chiasm?
bitemporal hemianopia
Lesion in optic tract?
contralateral homonymous hemianopia
Additional visual pathways?
from optic tracts to:
- suprachiasmatic nucleus (biologic clock function)
- pretectal nuclei (reflex movement of eyes - focus on objects of importance)
- superior colliculus (rapid directional movement of both eyes – orienting reactions)
Primary visual cortex
Brodman area 17 (VI) - two times neuronal density
BM 17 simple cells?
- respond to bar of light/dark
- above and below layer IV
BM 17 complex cells?
- motion dependent
- same orientation sensitivity as simple cells
BM 17 color blobs?
- rich in cytochrome oxidase in center of each occular dominance band
- starting point of cortical color processing
BM 17 vertical columns?
- input into layer IV
- hypercolumn - functional unit, block through all cortical layers about 1mm squared
Visual association cortex
-visual signal is broken down and sent over parallel pathways
Visual analysis
- process along many paths in parallel
- at least 30 cortical areas processing vision
Parvo-interblob
high resolution static form perception (black and white)
Blob
- color (V4)
- Achromatopsia
Magno-interblob
- movement (MT)
- Stereoscopic Depth
Old visual system
- old pathway projects to the superior colliculus
- locating objects in visual field, so you can orient to it (rotate head and eyes)
- subconscious
- blindsight
New visual system
- new pathway projects to the cortex
- consciously recognizing objects
Blindsight
- patients who are effectively blind because of brain damage can carry out tasks which appear to be impossible unless they can see the object
- ie. reach out and grasp objects, post a letter through a narrow slot
Why can effectively blind people carry out tasks which appear to be impossible unless they can see the object?
- visual information travels along two pathways in the brain
- if the cortical pathway is damaged, a patient may lose the ability to consciously see an object but still be aware of its location and orientation via projections to the superior colliculus at a subconscious level
Cortical fixation areas - Voluntary fixation mechanism (anterior)
- person moves eyes voluntarily to fix on an object
- controlled by cortical field bilaterally in premotor cortex
Cortical fixation areas - involuntary fixation mechanism (posterior)
- holds eyes firmly on object once it has been located
- controlled by secondary visual areas in occipital cortex located just in front of primary visual cortex
- works in conjunction with the superior colliculus (involuntary fixation is mostly lost when superior colliculus is destroyed)
Parasympathetic control of pupillary diameter?
causes decrease size of pupil - MIOSIS
Sympathetic control of pupillary diameter?
causes increase in size of pupil - MYDRIASIS
Pupillary light reflex pathway:
- optic nerve to
- pretectal nuclei to
- Edinger Westphal to
- ciliary ganglion to
- pupillary sphincter to
- cause constriction (parasympathetic)
What is Horner’s Syndrome?
- interruption of SNS supply to an eye
- from cervical sympathetic chain
What are symptoms of Horner’s syndrome?
- constricted pupil compared to unaffected eye
- drooping of eyelid normally held open in part by SNS innervated by smooth muscle
- dilated blood vessels
- lack of sweating on that side of face
What are the functions of the medial and lateral recti (extraoccular muscles)?
-medial rectus of one eye works with the lateral rectus of the other eye as a yoked pair to produce lateral eye movements
What are the functions of the superior and inferior recti (extraoccular muscles)?
- elevate and depress the eye respectively
- most effective when the eye is abducted
What is the function of the superior oblique muscles?
-lowers the eye when it is adducted
What is the function of the inferior oblique muscles?
-elevates the eye when it is adducted
What is the innervation of the extraoccular muscles?
- CN III: rest of the muscles
- CN IV: superior oblique only
- CN VI: lateral rectus only
Summary of extraoccular muscles
See page 7 of notes for chart
What is the unit of sound?
decibel (dB)