Histology Of The Eye Flashcards
What are the layers of the eye?
3 layers or coats
- Corneoscleral coat
- Outer fibrous layer
- Cornea (transparent layer)
- Sclera (white portion)
- Outer fibrous layer
- Vascular coat (uvea)
- Middle layer or uvea
- Iris
- Ciliary body
- Choroid
- Middle layer or uvea
- Retina
- Inner layer
- Inner neural retina
- Outer pigment epithelium
- Inner layer
Describe the cornea
Cornea
• Anterior surface of the eye
• Transparent – pigmented iris is visible behind it
• Diameter of the cornea is ~11 mm
• Thickness ranges from ~0.5 mm centrally to ~1mm along the margins of the cornea.
• Richest sensory nerve supply
• Function
• Refraction of light • Avascular
• Blood vessels are not normally found in the cornea
What are the layers of the cornea?
5 layers
- Corneal epithelium
- Bowman’s membrane
- Corneal stroma
- Descemet’s membrane
- Corneal endothelium
Describe the corneal epithelium
Corneal epithelium
• Stratified squamous epithelium (~5 layers)
• Continuous with conjunctival epithelium
• Basal cells have mitotic activity
• Stem cells reside at corneoscleral limbus
• Regeneration ~7 days
• Numerous free nerve endings
Describe the Bowman’s membrane
Bowman’s membrane
• Homogenous layer on which epithelium sits
• Random orientation of collagen fibers
• Provides strength and acts as barrier to infection
• Does not regenerate
Describe the corneal stroma
Corneal stroma
• 90% corneal thickness
• 60 lamellae, each made of collagen fibrils
• Oriented at right angles to each other
• Corneal fibroblasts (keratocytes) – flattened between the
lamellae
• Corneal proteoglycans
• Keratan sulfate (lumican)
• Regulates fibril assembly & spacing
• Chondroitin sulphate
• Uniform spacing of fibrils, lamellae and orthogonal array of
lamellae responsible for transparency
Describe the Descemet’s membrane
Descemet’s membrane
• Thick basal lamina of the corneal endothelial cells
• Interwoven meshwork of collagen fibers and pores
• Can regenerate
• Thickens with age
Describe the corneal endothelium
Corneal endothelium
• Metabolic exchange between cornea & aqueous humor
• Regulates water content (& transparency) of the stroma
• Numerous Na+ / K+ ATPase pumps
• Simple squamous epithelium
• Limited proliferation
Whhat are the clinical correlations of the cornea
Clinical correlation: Corneal dystrophy & corneal transplant
What are the indications of corneal transplant?
Indications • Keratitis • Trauma • Keratoconus • Corneal degeneration
What are the types of corneal transplant?
Types of transplant
• Penetrating keratoplasty
• Lamellar keratoplasty
• Endothelial keratoplasty
What are the advantages of corneal transplant?
Advantages
• Cornea is avascular
• Minimal immunological response or graft rejection
Describe the sclera
Thick fibrous lauer
-Dense connective tissue
Flat collagen bundles interspersed with fine networks of elastic fibers
Lamina cribosa (LC)
- Posterior openings of the sclera (black arrows)
- Allows for entry/exit of nerves and vessels
- fibers of optic nerve
- central artery and vein
What are the 3 ill-defined layers of Sclera?
ill-defined layers
1. External Episcleral layer
• Loose CT next to periorbital fat
- Middle layer Substantia propria (Tenon’s capsule)
• Investing fascia of the eye
• Dense network of collagen fibers
• Tendons of extraocular muscles attach here - Inner Suprachoroidal lamina
• Inner layer adjacent to the choroid
• Thinner collagen fibers and elastic fiber
What are the components of the vascular coat (uvea)?
Features: CT, blood vessels and pigmented cells
Components:
A. Iris
• Anterior part of the vascular coat
• Formsacontractilediaphragmin front of lens
• Pupil
B. Ciliary body
• Thickened anterior portion between the iris & choroid
• Ciliary processes
• Ciliary muscle
C. Choroid
• Posteriorportion
• Lies between sclera and retin
What’s the function of choroid?
- Pigmented, dark brown vascular layer
- Functions:
- Bloodsupply
- Absorption of scattered light
What are the 2 layers of the choroid?
- Choriocapillary layer
• Inner vascular layer
• Fenestrated capillaries - Bruch’s membrane (lamina vitrea)
• Amorphoushyalinemembrane between the choriocapillary layer and retinal pigment epithelium (RPE)
• AttachesRPEtochoriocapillarylayer
• Sheet containing 5 layers: