Lecture 1/12 Flashcards

1
Q

2 main veins involved in the eye

A
  • superior ophthalmic vein

- inferior ophthalmic vein

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2
Q

which is the larger of the 2 orbital veins?

A

superior ophthalmic vein

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3
Q

route of the superior ophthalmic vein

A

starts with an anastomosis on face, then flows posteriorly out of orbit through superior orbital fissure, then enters into cavernous sinus

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4
Q

contributors to the superior ophthalmic vein

A
  • anterior and posterior ethmoidal
  • lacrimal
  • muscular branches (SR, SO, levator, MR)
  • vortex veins
  • central retinal vein (CRV)
  • anterior ciliary veins
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5
Q

what do the vortex veins drain?

A

the choroid

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6
Q

where is the central retinal vein found and what is the variation in the SOV?

A

found on the lateral site and exits through optic nerve head
-it may or may not join the SOV to the cavernous sinus

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7
Q

drainage of the anterior ciliary veins

A

drain the ciliary body

-receive branches and blood from the conjunctiva and the episcleral venous plexus

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8
Q

route of the inferior ophthalmic vein

A

begins with anastomosis on face near the inferior margin of the orbit, then passes posteriorly on the floor of the orbit and goes to the cavernous sinus

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9
Q

inferior ophthalmic vein receives from:

A
  • muscular branches (IR, IO, LR)

- vortex veins (lateral, medial)

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10
Q

what is the unique small branch from the inferior ophthalmic vein?

A

small branch that goes down from inferior orbital fissure to pterygoid plexus

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11
Q

direction of flow posteriorly from SOV

A

SOV -> cavernous sinus -> jugular foramen -> internal jugular

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12
Q

direction of flow posteriorly from IOV

A

IOV -> cavernous sinus -> jugular foramen -> internal jugular

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13
Q

direction of flow inferiorly from IOV

A

IOV -> pterygoid plexus -> external jugular

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14
Q

what is the shape of the lens?

A

biconvex

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15
Q

which is flatter: the anterior or posterior surface of the lens?

A

the anterior surface is flatter

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16
Q

radius of curvature of the anterior surface of the lens

A

10 mm

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17
Q

radius of curvature of the posterior surface of the lens

A

6 mm

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18
Q

what is the area of the largest diameter of the lens called?

A

the lenticular equator

along the edge

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19
Q

what is the lenticular axis

A

the theoretical line from anterior pole to posterior pole through the lens

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20
Q

what is the lens diameter of an unaccommodated lens viewing distant object

A

9-10 mm

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21
Q

unaccommodated lens thickness is:

A

4-5 mm

22
Q

describe the placement of the lens in the eye

A

suspended posterior to the iris from the circular ciliary body and in the center of it

23
Q

what is the space between the lens and the ciliary body called?

A

circumlental space (0.5 mm)

24
Q

2 spaces of the lens

A
  • between lens and ciliary body

- behind the lens and vitreous

25
Q

describe the attachment at the capillary space of Berger

A

firm attachment in a circle around this potential space
-diameter is 8-9 mm
(on the posterior side of the lens)

26
Q

how is the lens attached to the ciliary body?

A

at zonules

27
Q

composition of the lens

A

66% water

33% protein (water soluble and water insoluble)

28
Q

list the 3 parts of the lens

A
  1. capsule
  2. anterior epithelium
  3. lens substance
29
Q

where is the thinnest part of the lens capsule?

A

at the posterior pole

the anterior pole is about 4x as thick

30
Q

where are the thickest parts of the lens?

A

circular zones (one anterior, one posterior)

31
Q

what is the diameter difference between the circular zone on the anterior and posterior sides of the lens?

A

anterior: 3 mm in diameter
posterior: 4 mm in diameter

32
Q

what are the two lens capsule zones on a cross section?

A
  • outer zonular

- inner cuticular

33
Q

what is the origin of the lens capsule?

A

formed during embryonic development (not added to in life after birth)

34
Q

outer zonular section of the lens capsule is where:

A

zonules attach, made of dense fibers

35
Q

describe the inner cuticular zone of the lens capsule:

A

(capsule proper)

about 30-40 lamellae

36
Q

describe lens elasticity and age changes

A

capsule has low amounts of lens tissue (it is mostly collagen) the lens assumes spherical shape on its own but as a person ages, the lens loses elasticity and is less likely to assume that spherical shape

37
Q

what is unique about the cell types in anterior epithelium of the lens?

A

describe as cuboidal epithelium, but not cuboidal throughout the whole length (cuboidal at the pole)

38
Q

what is the “lenticular shagreen”

A

the dimpled appearance of the anterior surface of the lens (obvious with slit lamp)

39
Q

what are the 3 regions of the anterior epithelium?

A
  1. central zone
  2. intermediate zone
  3. equatorial zone
40
Q

describe the central zone of the lens anterior epithelium

A
  • cells look flattened

- low metabolic activity

41
Q

describe the intermediate zone of the lens anterior epithelium

A
  • cells are square (cuboidal)

- metabolism picking up

42
Q

describe the equatorial zone of the lens anterior epithelium

A
  • cells elongate
  • high metabolism
  • area of mitosis (forming new lenticular fibers throughout life)
43
Q

lens thickness changes with age

A

lens tends to thicken as you age

causes more pressure against the iris, leading to aqueous flow problems

44
Q

what is the lens substance made up of

A

lenticular fibers

45
Q

describe fibrillar projections

A

anterior to posterior, form new lenticular ones and earlier ones get pushed towards center and lose nuclei

46
Q

how many sides does a lenticular cell have and what lines them up?

A

6 sided cell with interdigitations to keep the cells lines up but to allow some movement

47
Q

what are the 2 main lens zones ?

A
  • inner zone (nucleus)- older cells

- outer zone (cortex) -newer cells

48
Q

what lens gradient changes occur with age?

A

the cortex to nucleus gradient is smoother in a younger lens

49
Q

development of the lens at 1-2 months

A

embryonic nucleus: round structure right in the center of the nucleus

50
Q

development of lens at 3-8 months:

A

fetal nucleus- forms around the other

51
Q

development of the lens at birth and on

A

adult nucleus- always adding throughout life

52
Q

what are lens sutures?

A

all fibers that meet in close proximity along these sutures (at the poles) instead of all meeting in one spot