Immunology Flashcards

1
Q

are commensal bacteria presetn in the eye?

A

yes but not many

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2
Q

are there cheminal agents in the eye?

A

yes

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3
Q

what does the eye use for innate immunity? (3)

A

blnk reflex

physical/chemical properties of eye surface

limit exposure/size

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4
Q

the mucous layer of the eye is an anti-______?

A

anti- adhesive

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5
Q

what is present in tears that help with immunity of the eye?

A

lysozyme

lactoferrin and transferrin

tear lipids

angiogenin

secretory IgA

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6
Q

what are some immune cells in the eye?

A

neutrophils

macrophages

conjuctival mast cells

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7
Q

what is the principle APC for the external eye?

A

langerhans cells

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8
Q

langerhans are rich in which class of MHC molecules?

A

class II MHC

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9
Q

where are langerhans predominantly found in the eye?

A

corne-scleral limbus

less so in peripheral cornea

absent from central 1/3rd of cornea

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10
Q

what is the only part of the eye with lymphatic drainage?

A

conjuctiva- has specialised endothelial venules

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11
Q

which cells act as APCs in the conjuctiva?

A

dendritic cells

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12
Q

what is MALT? (found in conjuctiva aswell as gut)

A

Mucosa associated lymphoid tissue

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13
Q

the cornea and sclera are knwon as the ____ _______ ___

A

tough collagen coat

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14
Q

do the cornea and sclera contains lymphatics/lymphoid tissue?

A

NO- avascular also

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15
Q

the lacrimal gland contains more of which cells in comparison to the conjuctiva?

A

plasma cells (IgA) and CD8+T cells

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16
Q

the eye is described a _________ immune environment

A

downregulated

17
Q

which sites in the eye are immune privileged?

A

cornea

anterior chamber

lens

vitreous cavity

subretinal space

18
Q

what is ACAID?

A

Anterior Chamber Associated Immune Deviation

19
Q

ACAID is an active process true/false?

A

true

20
Q

what is sympathetic opthalmia?

A

bilateral granulomatous uveitis due to trauma/surgery in one eye

21
Q

what are the priamry mediators thought to be in sympathetic opthalmia?

A

T cells

22
Q

what is released in the eye after trauma/surgery that is then carried to lymphnodes activating T cells?

A

Intracolular Protein Antigens

23
Q

what are the two waves of infiltrative cells in sympathetic opthalmia?

A

intial wave- CD4+ helper T cells

later wave- CD8+ cytotoxic T cells

24
Q

the injured eye is known as the ‘______’ eye, and the fellow eye is known as the ‘__________’ eye

A

injured= exciting eye

fellow= sympathetic eye

25
Q

describe dalen-fuchs nodule

A

epithelial cell clusters in retinal layers

26
Q

keratoconjunctivitis sicca is known as what?

A

dry eyes

27
Q

what are the 4 types of hypersensitivy reaction?

A

Type I- immediate hypersensitivity

Type II- direct cell killing

Type III- immune complex mediated

Type IV- delayed hypersensitivity

28
Q

define chemosis

A

oedema of the conjuctiva

29
Q

ocular cicatrical pemphigoid is an example of which type of hypersensitivity?

A

Type II

30
Q

corneal melt is a type III/IV hypersensitivty reaction?

A

type III