Eye Parts Flashcards

1
Q

Sclera

A

White dense connective tissue that covers the globe posterior to the cornea. It provided attachment for extraocular muscles and the ciliary muscle

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2
Q

Cornea

A

mechanically strong and transparent connective tissue. The most powerful focusing element of the eye, twice as powerful as the lense.

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3
Q

Lens

A

Transparent epithelial tissue that fine tunes the image projected on the retina

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4
Q

Choroid

A

Capillary bed nourishing the photoreceptors and outer retina

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5
Q

Ciliary muscle

A

controls the refractive power of the lens

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6
Q

Ciliary Epithelium

A

produces the aqueous humor filling the anterior chamber

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7
Q

Iris

A

controls size of the pupil

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8
Q

Vitreous humor

A

Thick gelatinous substance filling the space btw the back of the lens and the surface of the retina

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9
Q

Retina

A

contains neurons that absorb light and process visual information

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10
Q

Macula

A

oval spot containing a yellowish pigment. Supports high acuity

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11
Q

fovea

A

small depression at the center of the macula

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12
Q

optic disk

A

where retinal axons leave the eye, and where blood vessels supplying the inner retina enter the eye

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13
Q

Retinal supply

A

Delivery of metabolic substrates and oxygen by the inner retinal vascular system and choroidal vascular system.

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14
Q

Myopia

A

nearsightedness
eyeball is too long (cornea is too curved)
can focus clearly on objects closer to the eye
fixed with concave lens

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15
Q

Hyperopia

A

farsightedness
eyeball is too short (cornea is not curved enough)
can focus clearly on objects far from the eye
fixed with convex lens

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16
Q

Positive lens

A

convex

moves the focal point foward

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17
Q

Negative lens

A

concave

moves the focal point further from the lens

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18
Q

Presbyopia

A

lens enlarges and becomes denser and more rigid. Losses ability to accommodate.

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19
Q

Scotoma

A

a portion of the Visual Field that is missing

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20
Q

Arcuate

A

arc-like shape defect produced by retinal nerve fiber bundle damage

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21
Q

Altitudinal

A

superior or inferior defect that splits horizontally

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22
Q

Hemianopia

A

nasal or temporal defect that splits vertically

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23
Q

Quadrantopia

A

defect that affects one quarter

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24
Q

Cataracts

A
  • clouding of the lens due to disruption of the organization of the lens cell fibers or aggregation of the proteins.
  • leading cause of blindness
  • need surgical removal of the cloudy lens and replacement with an artificial one
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25
Q

Accommodation

A
  • contraction of the ciliary muscle cause reduced tension of the zonule fibers which allows the lens to thicken.
  • increased lens curvature decreases the focal length
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26
Q

Open- Angle Glaucoma

A
  • slow development of pathology

- obstruction of drainage canals causes pressure to build in the anterior chamber

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27
Q

Closed -Angle Glaucoma

A
  • Sudden increase in intraocular pressure (IOP)

- Closed or narrow angle btw the iris and the cornea

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28
Q

Glaucoma General Symptoms and Treatment

A

Symptoms: Non until its too late, decreased peripheral vision

Treatment: Eye drops to decrease aqueous production and/or increase drainage, or surgery

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29
Q

Layers of the retina

A
light comes through the: 
1) nerve fiber layer
2) Ganglion Cell Layer
3) Inner plexiform layer
4) Inner nuclear layer
5) Outer plexiform layer
6) Outer nuclear layer
and then reaches the Photoreceptor outer segment
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30
Q

lateral information flow in the retina

A

mediated by horizontal and amacrine cells (release GABA or Glycine)

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31
Q

vertical information flow in the retina

A

photoreceptors to bipolar cells to ganglion cells (release Glutamate)

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32
Q

pigmented epithelium

A

melanin containing cells behind the photoreceptors that maintain phototransduction machinery.

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33
Q

Photoreceptor structure

A

Outer segment - phototransduction machinery
Cillium- connects the outer to inner segment
Inner segment- housekeeping machinery
Synaptic terminal- contacts bipolar and horizontal cells and uses glutamate

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34
Q

Photoreceptors in the dark vs light

A

Photoreceptor in depolarized in the dark and continually releasing glutamate

When light contacts the photoreceptor it causes a graded hyperpolarization and it decreases the release of glutamate.

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35
Q

Photoreceptors in the Dark

A

1) constant current with Na+ & Ca+ flowing in to depolarize the cell (occurs in the outer segment)
2) K+ current flowing out to hyperpolarize the cell (occurs in the inner segment)

the two actions combine to create a steady sight depolarized membrane potential around -40 mV

36
Q

Photoreceptors in the Light

A

1) light absorption decreases cGMP levels in the (outer segment)
2) Na+ and Ca2+ channels are cGMP gated so they shut down
3) the K + channels are fine so the K+ keeps flowing out and hyperpolarizes the cell
4) Since the cell is hyperpolarized the release of glutamate decreases.

37
Q

Phototransduction steps

A

1) Absorption of a photon changes the conformation of retinal 11-cis (inside the opsin molecule) to 11-trans
2) this is then able to activate rhodopsin (R to R)
3) R
catalyzes the activation of heterotrimeric G-protein known as transducin
4) this decreases cGMP

38
Q

Dark Adaptation

A

1) Once 11-cis retinal has absorbed the photon and transformed into 11-trans it dissociates from the opsin
2) 11- trans retinal is transported to the pigment epithelium where it is converted back to 11- cis retinal
3) 11-cis is transportd back to recombine with opsin

39
Q

fovea

A

small depression at the center of the macula which is mainly populated by cones.

Has 0.01% of the retinal area and uses 10 to 50% of the optic nerve

40
Q

Scotopic

A

rod only vision

41
Q

Photopic

A

cone only vision

42
Q

mesopic

A

normal vision

43
Q

Retinitis Pigmentosa (RP)

A
  • Genetic, leads to incurable blindness
  • Caused by mutations of genes for rhodopsin & other rod protein, leading to degeneration of rods and eventually cones

Symptoms:
night blindness, tunnel vision, legally blind by 40

Diagnosis:
loss of ERG

Treatment:
None

44
Q

ERG

A

Electroretinogram - record electrical activity of the eye after a large field flash of light

45
Q

AMD, symptoms and risk factors

A

Age-related Macular Degeneration
leading cause of vision loss

Symptoms:
Loss of central vision and acuity

Risk Factors:
ageing, smoking, inheritance

46
Q

Wet form AMD

A

Abnormal blood vessels behind the retina grow under the macula, leaking and rapidly damaging the retina

Treatment:
lazer coagulation of vessels and intravitreal injection of anti-neovascular agents

47
Q

Dry form AMD

A
  • accounts for 85% of cases
  • RPE & photoreceptors of the macula degenerate
  • Accumulation of drusen (yellow deposits)

Treatment:
Antioxidants

48
Q

Non-proliferative Diabetic Retinopathy

A

Hyperglycemia-inducted pericyte death leads to incompetence of vascular walls, micro-aneurysms & “dot and blot” hemorrhages

49
Q

Proliferative Diabetic Reintopathy

A

New fragile vessels grow, which leak blood

50
Q

Diabetic Retinopathy, risk, symptoms, and treatment

A

Risk:
Up to 80% in people who have had diabetes for 10+ yrs

Symptoms:
Early stage has no symptoms, late stage has blurry vision with macular edema.

Treatment:
Lazer surgery to reduce edema and injections with anti-neovascular factors

51
Q

sign invert synapse

A

for on-center bipolar cells

- have metabotropic receptors that hyperpolarize (cation channels close) in response to glutamate

52
Q

sign conserving synapse

A

for off-center bipolar cells

-have ionotropic receptors, cells depolarize (cation channels open) in response to glutamate

53
Q

cone opsins

A

member of the G-protein coupled receptor family

-the opsin sequence tunes the absorption of light to a particular region of the spectrum

54
Q

protanope

A

No L cones

55
Q

deuteranope

A

No M cones

56
Q

Tritanopia

A

No S cones

57
Q

M cells

A
  • large receptive fields
  • good light, motion, and contrast sensitivity
  • Origin of the magnocellular pathway
58
Q

P cells

A
  • also called midget cells
  • small receptive fields
  • high acuity and color sensitivity
  • origin of parvocellular pathway
59
Q

K cells

A
  • bi-stratified ganglion cells

- carry short wavelength info

60
Q

Intrinsically photosensitive retinal ganglion cells

A
  • contain the primitive opsin
  • autonomous response to bright lights

Roles:

1) Inform ambient light intensity
2) Synchronize circadian rhythms
3) Control Pupil resonse

61
Q

Tangent Screen

A

an instrument for determining the integrity of the central field of vision

62
Q

Goldman Perimeter

A
  • hollow white sphere a set distance from the pt

- Examiner moves a test light of variable size and intensity

63
Q

Humphrey Perimeter

A

-Goldman perimeter but done by a computer

64
Q

Complete/ incomplete VFD

A

extension of type of defect

65
Q

relative/ absolute

A

to the type of stimuli

66
Q

Homonymous

A

the defect is the same side for both eyes

67
Q

Heteronymous

A

the defect is in different sides

68
Q

Congruous

A

the defect is similar in both eyes

69
Q

incongruous

A

the defect is different in both eyes

70
Q

retina VFD

A

general defects, arcuate in glaucoma, central scotoma in foveal lesion

71
Q

Optic Nerve VFD

A

can product any type of defect

including alititudinal field defect

72
Q

Optic Chiasm VFD

A
  • usually caused by tumors, or carotid aneurysms

- usually bitemporal field defect

73
Q

Optic tract VFD

A

Homonymous and incongruous ( the more posterior the more congruous it becomes)

74
Q

Lateral Geniculate VFD

A

usually congruous sectoranopia, or incongruous hemianopia

75
Q

Temporal VFD

A

superior homonymous quadrantanopia

76
Q

Parietal VFD

A

inferior homonymous quadrantanopia

77
Q

Calcarine cortex VFD

A

macular sparring

78
Q

cortical magnification

A

mapping in the visual cortex is proportional to the density of photoreceptors, not the area of the visual field.

79
Q

cone opponency

A

any single cone type cannot inform about both intensity and wavelength by itself

80
Q

Neocortex

A

2&3- output to high level cortical targets (Ex. V1 toV2)
4- input from lower layers
5- output to subcortical targets (Ex. Superior Colliculus)
6- input from higher levels (Ex. cortex)

81
Q

lateralized lesion in parietal cortex

A

hemispatial neglect

82
Q

prosopagnosia

A

inability to recognize faces, from lesions in certain parts of the temporal cortex

83
Q

amblyopia

A

one eye is weaker in the brain

use patching of the strong eye to fix

84
Q

Strabismus

A

improper alignment of the eyes

if you have alternation strabismus, your brain has two strong eyes and has to switch btw them

85
Q

Hebbian Mechanisms

A

Cells that fire together, wire together

- explains how in amblyopia one eye can take over the brain