L7 & L8 - Vision I and II Flashcards
The three layers of the eyeball
Outer tunic - contains cornea/sclera, is fibrous
Middle tunic - consists of choroid, ciliary body, and iris, and is vascular and pigmented, also called (uveal tract)
Inner tunic - consists of the retina, is neurosensory
Outer tunic: what amount do the cornea and sclera take up, and what are its key characteristics?
Cornea - anterior/superficial 1/6th
Sclera - posterior/deep 5/6ths
- Transparent
- Avascular
Cornea: what does it do, what features help it do these purposes, what key features does it have, and what can incorrect shaping lead to?
Refract light - curvature of the anterior corneal surface, tear film (moist), and corneal thickness
Transmit light - regularly arranged epithelium
Avascular (oxygen is supplied from the tear film by dissolving and the aqueous humor supplies it with nutrients)
Incorrect shaping - astigmatism
Sclera: what is it made from, what does it do, and what features help it do its function?
Tough collagen fibres
Provides rigidity - allows insertion of extraocular muscles which help maintain eyeball shape
It is also opaque - the whites of the eye
What is the name of the place where the cornea meets the sclera?
The limbus
Cornea histology anteriorly-posteriorly/superificial-deep
Epithelium - stratified squamous, cells always getting damaged so must be replaced quickly
Bowman’s layer - acellular, composed of collagen fibres, function is debatable (removal doesn’t lead to functional issues, maybe rigidity?)
Stroma - thickest layer, parallel collagen fibre layers allow transparency
Descemet’s membrane - acellular, composed of collagen fibres, function is debatable (removal doesn’t lead to functional issues, maybe rigidity?)
Endothelium - simple cuboidal epithelia, in contact with the aqueous humour
Sclera histology anteriorly to posteriorly
Fascial sheath - the hammock of the eyeball, connective tissue that the eyeball sits in
Episclera - tough connective tissue layer
Stroma - same as cornea except fibres are randomly arranged, meaning it’s opaque
Lamina fusca - thin pigmented tissue layer
Choroid - Large part of the middle tunic, not part of the sclera really
What is another word for stroma?
Connective tissue
Aqueous humor
Transparent liquid lying anteriorly to the pupil and posterior to the cornea
It gives nutrients to the cornea
Scleral perforations
Anterior - anterior ciliary vessels, recti muscles
Posterior - optic nerve, central retinal vessels, ciliary nerves and vessels
Central - vortex veins
Lamina Cribrosa - the weakest part of the sclera, surrounds the optic nerve (sieve type beat, allows things to leave the eye)
Recti muscles
extraocular muscles
Middle tunic
Choroid - ciliary body - iris
Choroid - vascular pigmented layer, allows the passage of blood vessels and nerves to the anterior part of the eye, and prevents unwanted reflection of light
Ciliary body - accommodation, produces and secretes aqueous humor, and suspends the lens
Iris - controls pupil diameter
Choroid histology anteriorly to posteriorly
Passes from the back of the eye to the ciliary body, a large part of the middle tunic and immediately deep to the sclera
Suprachoroid - transition zone
Stroma - contains blood vessels, connective tissue, and melanocytes
Choriocapillaris - the deepest layer of vessels, supply blood to the retina
Bruch’s membrane - multi-layered sheet with an elastic core
Accommodation: what is it, how does the lens differ in different scenarios, and what allows accommodation to happen?
Changing the lens to change the view target (close object vs far object)
When looking at close objects - the lens is globular
When looking at far objects - the lens is thin
Lens accommodation occurs by the ciliary body
Melanocytes: what are they and what do they do?
Melanin pigment that absorbs excess light, and prevents unwanted reflection
Ciliary body histology
Ciliary muscle - three sets of smooth muscle fibres (these allow accommodation to occur)
Ciliary stroma - vascular connective tissue, enters into finger-like processes - ciliary processes (this region where ciliary processes are called pars plicata)
Ciliary epithelium - double layer, the outer is pigmented, the inner is non-pigmented, and it produces and secretes aqueous humour (outer-faces retina, inner faces ciliary stroma)
In accommodation for a close object, the ciliary body moves forward (contracts towards the lens) - suspensory ligaments become slack, allowing the lens to go globular and focus on something closer to the face
Pars plicata
The part of the ciliary body where you have all the ciliary processes
Iris histology
Stroma - contains sphincter pupillae muscle (innervated by parasympathetic NS)
Double epithelium layer - anterior myoepithelial layer containing the dilator pupillae muscle (innervated by sympathetic NS)