introduction to the uvea and structure of the lens Flashcards
what is the adnexa of eye ?
- eyelid( muscles and glands )
- lacrimal gland
- tear film
what forms the outer coat of the eye ?
sclera and cornea
what does uvea consist of ?
- choroid - middle coat of eye sandwiched between sclera and retina
- ciliary body
- iris
what is the lens attached to ?
lens is attached to ciliary body by thin fibres called suspensory ligaments/zonules fibres
what two surfaces does lens have ?
anterior and posterior surfaces which meet at equator
what is centre of anterior surface of lens known as ?
anterior pole- 3mm behind cornea
less convex than posterior
what is centre of posterior surface of lens known as ?
posterior pole
what is anterior chamber ?
vitreous filled cavity between cornea and front surface of lens
what does anterior of iris touch ?
anterior chamber
what is posterior to iris but anterior to lens ?
posterior chamber
what is posterior chamber ?
filled with aqueous humour
what is behind lens ?
vitreous chamber
what is axial diameter of lens ?
3.5 to 4mm at birth increase to 5mm in old age
describe the equator of lens ?
- not smooth
how many layers does lens have ?
the lens consists of 3 concentric layers
- thin elastic capsule on the outside
- simple epithelium
- stroma ( made of lens fibres)
what is the lens capsule ?
- surrounds the lens
- basement membrane of the cells epithelial cells which lie inside of it
- produced by epithelial cells
explain the structure of lens capsule ?
- appears to lack structure
- made up of lamellae ( 40 layers ) of superhelical collagen
- very elastic ( no elastic tissue gets its elasticity from collagen )
- thickness varies
depending on location within the lens - thicker anteriorly
- 16um at anterior pole
- less than 3um at posterior pole
- at age 22 capsule is thickest at equator
- as we age maximal thickness is between pole and equator
explain Fincham lens capsule structure ?
- at age 22 capsule is thickest at equator
- as we age maximal thickness is between pole and equator
what is lens capsule function ?
- it’s elasticity plays an important role in accommodation
- the capsule also forms a barrier stopping large particulate matter such as inflammatory cells entering the lens, while allowing smaller necessary metabolites through
- plays an important role in cataract surgery
what happens in cataract surgery ?
- the lens stroma is liquefied by an ultrasound probe and sucked out leaving the capsule empty
- empty capsule is filled by an artificial lens
what is layer inside lens capsule ?
lens epithelium
how does the shape of lens epithelium vary ?
- the shape of lens epithelium varies depending on where you are in lens
- anterior pole - epithelial cells are squamous
- between equator and pole - epithelial cells are cuboidal
- at equator - cells are columnar