Function and Blood Supply of the Lens Flashcards

1
Q

The lens transmits visible light, which is in the range of?

A

400-700 nm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Three types of light entering the earth and what absorbs each type

A

UVC- completely absorbed by ozone. None reaches earth.
UVB- Absorbed by the cornea
UVA- Most is absorbed by the lens, except 3% that still reaches the retina. It is the least harmful type.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Refractive properties of the eye depends on

A
  1. Refractive index (refractive index is higher in the nucleus and lower in the cortex bc there are more crystallines in the nucleus than the cortex)
  2. Change in refractive index between the lens and surrounding environment
  3. Length of optical path
  4. Surface curvature. During accommodation, the surface curvature of the lens changes.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How does the lens and ciliary body change shape to accommodate at near/ view distant objects.

A
  1. Ciliary body contracts (stands up), zonules relax, lens becomes more rounded for accommodation.
  2. Ciliary body relaxes (sits down, thin), zonules are pulled tight and lens becomes more elongated for distance vision.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

With age, why is the ability for the lens to change its curvature impaired?

A
  1. Ciliary body moves progressively inward towards the lens.
  2. Lens thickens, which means that when the ciliary body contracts for accommodation, it won’t have much effect on the lens since the lens is already thick and rounded as is.
  3. Lens becomes more rigid due to the nucleus stiffening.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Axial length vs equatorial length of the lens

A

Axial length is from anterior to posterior. 4mm.

Diameter is across the equator (side to side). Adult is about 10mm, and infants is 6.5mm.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Does axial length increase or decrease with accommodation?

A

Increases. Becomes fatter.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Does the diameter increase or decrease with accommodation?

A

Decreases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Does the radius of curvature increase or decrease with accommodation?

A

Decreases, which means the lens steepens and the power increases.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What 6 things contribute to lens transparency?

A
  1. Lack of blood vessels.
  2. Orderly arrangement of lens fibers with uniform spacing
  3. Few cellular organelles in the visual axis, which prevents scattering of light.
  4. High concentration of crystallins, which keep other proteins orderly so the lens stays transparent.
  5. ATPase pumps remove excess water by pumping Na+ into the anterior chamber.
  6. Presence of antioxidants- Vitamin C (Ascorbic acid) and glutathione.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are crystallins?

A

Water soluble proteins that comprise over 90% of the total cellular protein of the lens.
Types alpha, beta, and gamma. Beta and gamma are not well understood. But alpha crystallins function as molecule chaperones- they keep other proteins orderly, especially when they become unfolds, to prevent aggregation and keep the lens orderly.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the two antioxidants present in the lens?

A
Glutathione- tripeptide
Ascorbic acid (Vitamin C)

Can neutralize free radicals that will affect DNA and result in protein denaturation and aggregation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Chromophore

A

Yellow pigment of the lens that increases with age to cause opacification

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

With age, the lens looses transparency. Which two factors increase and which two factors decrease, resulting in cataracts?

A

Increases

  1. Chromophore concentration increases- yellow pigment that causes DNA damage and aggregation.
  2. Epithelial cell membrane permeability increases. Allows more solutes and water to enter epithelial cells, resulting in the swelling of lens fibers and disruptment of orderly arrangement.

Decreases

  1. Glutathione concentration decreases. Gutathione is an antioxidant. With lower concentrations, more free radicals are able to disrupt DNA and cause protein aggregation.
  2. Alpha crystallin concentrations decrease. By age 45, no Alpha crystallins are left. This results in protein aggregation.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

The lens is avascular. Where does it receive its nutrients from?

A

From the aqueous humor in the posterior chamber. Simple diffusion of hydrophobic and small or uncharged polar molecules can enter the cell. Larger polar molecules and ions must be transported by facilitated diffusion.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How is glucose metabolized in the lens and in what percentages? 3 ways

A

80% is metabolized by fermentation since there is a low oxygen supply.

10% is metabolized by cellular respiration. Limited because not many cells still have organelles, specifically mitochondria.

10% is metabolized by the pentose phosphate pathway, which produces NADPH, ribose-5-phosphate and glycolysis intermediates.