Immunology Flashcards

1
Q

Name 5 things in place to protect the eye from infection

A
Blink reflex
Tears
Mucous layer
Chemicals
Presence of immune cells
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Blink reflex - immunological function

A

Pathogen clearing system

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

Tears - immunological function

A

Allows flushing of the eye

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

Mucous layer - function

A

Prevents things from sticking to the eye

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

Chemicals - function

A

Lysozyme

Lactoferrin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Immune cells in the eye - name 3

A

Neutrophil
Macrophage
Conjunctival mast cell

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

What is the principle APC in the eye? and where are most found?

A

Langerhans cells

Most found at corneo-scleral limbus

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

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

A

Conjunctiva

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

The cornea is vascular / avascular ?

A

Avascular

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

What is the function of the blood-ocular barrier?

A

Prevents the spread of systemic infection into the eye

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Foreign organisms that come into the eye replicate slowly / quickly?

A

Quickly

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

Immune privilege - definition

A

Ability to tolerate the introduction of antigens without eliciting an inflammatory immune response

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

Immune privilege and tissue grafts

A

Tissue grafts are normally attacked by the immune system as they are recognised by the body as foreign.
Tissue grades can survive for extended periods without transplant rejection in immune privilege sites.

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

Anterior chamber associated immune deviation (ACAID)

A

Placing foreign antigen into the ocular microenvironment.
Aims to down-regulate the immune response within the eye
Protects the eye from damage of an immune response

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Disadvantages of immune privilege

A

Immune privilege breaks down if there is significant infection or injury

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

Sympathetic opthalmia - definition

A

Physical trauma to one eye which results in granulomatous uveitis in both eyes

17
Q

Sympathetic opthalmia - cause

A

Trauma

Surgery

18
Q

Sympathetic opthalmia - clinical features

A

Injured in one eye (exciting eye) initially but then there is inflammation in both eyes (exciting eye + sympathetic eye)

19
Q

Sympathetic opthalmia - complications

A

Can lead to bilateral blindness (from a unilateral injury)

20
Q

Keratoconjunctivitis sicca - clinical feature

A

Dry eyes

21
Q

Hypersensitivity reaction - definition

A

Immune response that results in bystander damage to self

22
Q

Type 1 hypersensitivity - eg

A

Allergic reaction

Acute allergic conjunctivitis

23
Q

Type 1 hypersensitivity - mechanism

A

When body encounters allergen, B cells produce specific IgE
Specific IgE antibodies attach to mast cell receptors
Immediate release of vasoactive mediators (histamine etc)

24
Q

type 2 hypersensitivity - eg

A

Ocular cicarical pemphigoid

25
Q

Type 2 hypersensitivity - definition

A

Direct cell killing aka antibody mediated cytotoxicity

26
Q

Type 3 hypersensitivity - definition

A

Immune complex mediated

27
Q

Type 3 hypersensitivity - eg

A

Autoimmune corneal melting

28
Q

Type 3 hypersensitivity - mechanism

A

Combo of antigens and antibodies which form complexes when they join together

29
Q

Type 4 hypersensitivity - definition

A

Delayed type hypersensitivity (cell mediated)

30
Q

Type 4 hypersensitivity - eg

A

corneal graft rejection

31
Q

Type 4 hypersensitivity - mechanism

A

Exaggerated immune response