MA7 - The Eye Flashcards

1
Q

What is the limbus?

A

the site where the sclera and cornea merge

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

Loss of rods and cones leads to

A

loss of rods = night blindness

loss of cones = legal blindness

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

In which layer(s) are amacrine cells found?

A

cell body in inner nuclear layer

extends into inner plexiform layer

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

What structures are found in the ganglion cell layer?

A

cell bodies of ganglion cell neurons

specialized photosensitive cells (not rods and cones) that mediate circadian rhythms

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

Where does light enter the eye?

A

cornea

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

The corneoslcera is comprised of

A

cornea

sclera

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

What are the four functions of the cornea?

A

protection

structural support

filtration of undesirable wavelengths

focus image on retina

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

What structures are found in the nerve fiber layer?

A

axons of ganglion cells

majority of retinal microvasculature

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

Describe the constrictor pupillae.

A

arrayed circumferentially

causes pupil to become smaller when it contracts

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

What are bipolar cells?

A

interneurons that transmit signals from outer plexiform to inner plexiform layer

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

What is the significance of the tight junctions found in the outer limiting membrane?

A

contribute to the blood-retinal barrier

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

What are the three functions of the retina?

A

photoreception of images

transmission of images to optic lobe of brain

prevent backscatter of light

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

What structure connects the anterior and posterior chambers?

A

pupil

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

What is the function of ciliary processes?

A

provide attachment for zonules (inner epithelial cells)

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

What is the function of the lens capsule?

A

isolates lens from aqueous humor of posterior chamber

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

What kind of eptihelium is the corneal endothelium?

A

simple squamous

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Describe the innervation and vasculature associated with the fovea. (2)

A

nerves servicing photoreceptors in fovea are distributed radially to fovea, so no nerves directly inside

no retinal blood vessels, so all support comes from choroid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Describe lens fibers.

A

post-mitotic and anuclear long, thin cells that span entire width of lens

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Define photorefractive keratectomy (PRK). (3)

A

laser to correct mild-moderate myopia, hyperopia, and astigmatism

removal of corneal epithelium and then usage of lasers to reshape corneal stroma

replacement epithelium grows out from limbus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Differentiate between rods (3) and cones.

A

rods = more numerous than cones; absent in fovea; use rhodopsin

cones = 3 types, each of which produces a different iodopsin (blue, green, or red); concentrated in macula; only photoreceptor found in fovea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Ciliary muscle forms a ring around

A

the posterior chamber

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Describe the appearance of endothelial cells of capillaries in the choroid, and why this appearance is important.

A

endothelial cells of capillaries in choroid are fenestrated and provide nutrients to RPE cells, which transport nutrients to rods and cones of retina

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Ganglion cells have their cell bodies in the ganglion cell layer. Where are its dendrites and axons located?

A

dendrites = inner plexiform layer

axons = nerve fiber layer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

From out to in, what are the components of the cornea?

A

stratified squamous epithelium

Bowman’s membrane (basement membrane)

stroma

Descemet’s membrane (endothelial basement membrane)

corneal endothelium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Describe the composition of the lens capsule.

A

capsule itself made of collagen and proteoglycans

its basal lamina is made of Type IV collagen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Which structure of the eye contains most of its vasculature?

A

uvea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What are the two primary functions of ciliary bodies?

A

control lens shape by changing tension on zonules via circularly oriented ciliary muscle

produce aqueous humor via inner epithelial cells on ciliary processes.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

What is the function of the pigmentation in the outer epithelial cells of ciliary bodies?

A

blocks stray light

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

What is the relationship of the retina to the uvea/choroid?

A

RPE cells are attached to the choroid

rest of retina is plastered by hydrostatic pressure of vitreous body to RPE layer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

What specific features demark the appearance of the limbus?

A

disappearance of Bowman’s membrane from cornea

appearance of vasculature from sclera

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Describe the role of ciliary muscle in the eye’s focusing on objects. (5)

A

contractions constrict this ring → releases tension on zonules → lens adopts rounder shape → increases refraction → allows eye to better focus on close objects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Define myopia.

A

nearsightedness = impaired ability to focus on distant objects caused by cornea being too far away from retina

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Describe the outer epithelial cell layer of ciliary bodies. (2)

A

pigmented

continuous w/ pigmented epithelial cells of iris and RPE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

What is the function of the iris?

A

regulates amount of light that reaches retina

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Where is the trabecular meshwork found in the eye?

A

junction of iris and limbus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

What are horizontal cells?

A

interneurons that integrate signals from photoreceptor cells and influence signals between photoreceptor cells and bipolar cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

What is the most refractile part of the eye?

A

cornea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

What structures are found in the inner plexiform layer?

A

dendrites of ganglion cells

axons/dendrites of bipolar cells

axons/dendrites of amacrine cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

Define and describe the optic disc.

A

site where optic nerve exits eye

no photoreceptors → “blind spot”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

Neurologically speaking, why is the nerve fiber layer critical to eye function?

A

axons of ganglion cells in nerve fiber layer exit eye through opitc nerve and carry signals to thalamus → visual cortex o brain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

What is the function of retinal pigmented epithelium (RPE) cells? (3)

A

maintain functionality of photoreceptor cells

melanin pigment prevents backscattering of light

phagocytose photoreceptor debris

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

What structure is responsible for the shape of the orbit?

A

sclera

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

(T/F) The iris has an anterior epithelium.

A

False. The iris only has a (highly pigmented) posterior epithelium.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

What is a major structural difference between bipolar and horizontal cells?

A

bipolar cells extend into both inner and outer plexiform layers, but horizontal cells only extend into outer plexiform layer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

Describe the epithelium of the conjunctiva.

A

continuous with skin and corneal epithelium

non-keratinized stratified w/ surface squamous, cuboidal, or low columnar

goblet cells in columnar areas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

What structures are found in the myoepithelial layer of the iris? (2)

A

melanin

forms the dilator pupillae muscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

What is glaucoma?

A

loss of visual field, most commonly resulting from loss of ganglion cell neuron

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

What is the conjunctiva?

A

mucous membrane that lines inner surface of eyelids (palpebral conjunctiva) and eye surface (bulbar conjunctiva) of sclera

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

What is the macula lutea?

A

region of the retina with the highest density of cones (this region contains the fovea centralis)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

What are canals of Schlemm?

A

open-ended circular vessels that carry aqueous humor from trabecular meshwork to venous system (via episcleral veins)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

What is the function of the blood-aqueous barrier?

A

restricts movement of material from blood/interstitium to aqueous humor and vitreous body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

What is the function of the corneal endothelium?

A

regulates and maintains stromal water content

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

When does onset of presbyopia occur?

A

40-50 years old

54
Q

Describe the properties of the cornea. (4)

A

located centrally

where light enters

most refractile part of eye

most important for focusing images on retina

55
Q

The uvea is composed of

A

iris

ciliary body

choroid

56
Q

The iris determines eye color. Describe how melanosomes in the iris influence eye color.

A

lots of melanosomes = brown eyes

few = blue eyes

intermediate = green eyes

57
Q

Define astigmatism.

A

aspherical cornea that leads to light rays not sharply focused onto retina

58
Q

What is the sclera?

A

opaque, dense irregular connective tissue that forms white of eyes

59
Q

Describe how the photoreceptor layer, containing rods and cones, is associated to the RPE layer. (2)

A

there is no physical linkage between the photoreceptor layer and the RPE layer

association is purely hydrostatic

60
Q

Where do the photoreceptor cells synapse?

A

synapse with bipolar cells and horizontal cells in outer plexiform layer

61
Q

Describe how ciliary bodies contribute to the blood-ocular barrier.

A

continuous capillaries in the ciliary body’s highly vascularized stroma have tight junctions that contribute to blood-ocular barrier

62
Q

What instrument is used to view the retina?

A

opthalmoscope

63
Q

Which structures contribute to the blood-ocular barrier? (2)

A

tight junctions in:

continuous capillaries of ciliary body stroma

inner epithelial cell layer of ciliary body

64
Q

What is aqueous humor?

A

plasma-derived fluid that has less protein but more pyruvate/lactate than plasma

65
Q

What is the function of the blood-retinal barrier?

A

restricts movement of materials from blood of retinal and choroidal capillaries to retina

66
Q

Define laser-assisted in-situ keratomileusis (LASIK).

A

similar to PRK except that corneal epithelium is cut and peeled back to form flap prior to laser reshaping of corneal stroma

67
Q

Define hyperopia.

A

farsightedness = impaired ability to focus on nearby objects caused by cornea being too close to retina

68
Q

The retina belongs to which nervous system?

A

the retina is part of the central nervous system

69
Q

What structures are found in the outer plexiform layer?

A

axons of photoreceptor cells

axons/dendrites of bipolar cells

axons/dendrites of horizontal cells

70
Q

What are the two components of the blood-ocular barrier?

A

blood-retinal barrier

blood-aqueous barrier

71
Q

What is the trabecular meshwork?

A

series of baffles that conveys aqueous humor from the anterior chamber to the canal of Schlemm

72
Q

Define radial keratotomy (RK).

A

incisions near center of cornea to correct mild myopia

73
Q

What are amacrine cells?

A

interneurons that regulate bipolar neuron transmission from photoreceptor cells to ganglion cells

74
Q

(T/F) The sclera is contiguous with the corneal stroma.

A

True.

75
Q

What are zonules?

A

elastic ligaments that connect basal lamina of inner epithelial cells of ciliary processes to the capsule of the lens

76
Q

Differentiate between retinal and retinol use in the eye.

A

retinal = used by rhodopsin

retinol = used by iodopsin

77
Q

What is the function of the lens?

A

aids focusing of nearby objects onto retina

78
Q

What is the composition of the dilator pupillae?

A

myoepithelial cells

79
Q

What is the outer limiting membrane?

A

membrane that separates outer nuclear layer (photoreceptor nuclei) from photoreceptor layer (rods and cones)

80
Q

What are the three specialized regions of the retina?

A

macula lutea = area with cones

fovea centralis = center of macula

optic disc = site where optic nerve exits on orb

81
Q

Where in ciliary bodies is melanin found?

A

outer epithelial cells

82
Q

How are RPE cells connected to each other?

A

tight junctions

83
Q

Which retinal layers contribute to the blood-retinal barrier?

A

RPE

outer limiting membrane

nerve fiber layer

84
Q

Which structure of the eye is most important for focusing images on the retina?

A

cornea

85
Q

The inner epithelial cells of ciliary bodies are connected by

A

tight junctions, which prevent leakage of fluid/macromolecules from posterior chamber into ciliary processes

86
Q

Describe the properties of Descemet’s membrane. (2)

A

thick basal lamina of corneal endothelium

densely packed collagen fibrils to block diffusion of macromolecules b/w stroma and anterior chamber

87
Q

What forms the blood-aqueous barrier?

A

inner epithelial cells of ciliary processes

endothelial cells of capillaries in contact w/ aqueous humor, mostly in iris

pigmend epithelial cells of uvea

Muller cells in inner limiting membrane

88
Q

Define astigmatic keratotomy (AK).

A

incisions on steepest part of cornea to correct astigmatism

89
Q

Aqueous humor is pumped into

A

the posterior chamber

90
Q

What structures are found in the inner nuclear layer?

A

cell bodies of bipolar cells

cell bodies of horizontal cells

cell bodies of amacrine cells

cell bodies of Muller glial cells

91
Q

Describe the structure of ciliary bodies.

A

disk-shaped with large, hollow core

lumen lined with ciliary processes

2 layers (inner and outer) of epithelial cells

92
Q

What are the four primary components of the lens?

A

capsule

epithelium

lens fibers

zonules

93
Q

Describe the epithelium of the lens.

A

simple cuboidal (only one cell thick) epithelium on anterior surface

94
Q

Where are the nuclei of the photoreceptor cells located?

A

in outer nuclear layer (a layer of the retina)

95
Q

Describe the dilator pupillae.

A

arrayed radially

causes pupil to enlarge when it contracts

96
Q

What are the components of the iris?

A

pupil

posterior epithelium

myoepithelial layer

vascularized stroma

97
Q

What are rods and cones?

A

the photoreceptor cells in the retina

98
Q

Describe the inner epithelial cell layer of ciliary bodies. (2)

A

not pigmented

produces zonules (which are ligaments) anchored to its basal lamina that attach to the lends

99
Q

What is presbyopia?

A

loss of lens elasticity

100
Q

What is the inner limiting membrane?

A

innermost layer w/ basement membrane-like structure made by Muller cells that separates retina from vitreous body

101
Q

Describe the properties of the uvea.

A

middle layer

102
Q

What are cataracts?

A

loss of lens transparency

103
Q

Inflammation of the cornea originates from

A

the limbus

104
Q

What region of the retina has the highest acuity?

A

fovea

105
Q

What is found in the outer nuclear layer?

A

cell bodies and nuclei of photoreceptor cells (rods and cones)

106
Q

How are lens fibers connected to each other?

A

via gap junctions, which in essence forms a giant syncytium

107
Q

What structure gives RPE cells their color?

A

melanocytes

108
Q

What are the 10 layers of the retina, going from outside to in?

A

RPE cell layer

photoreceptor layer

outer limiting membrane

outer nuclear layer

outer plexiform layer

inner nuclear layer

inner plexiform layer

ganglion cell layer

nerve fiber layer

inner limiting membrane

109
Q

What maintains the stroma of the cornea?

A

keratocytes, a type of fibroblast

110
Q

List the properties of cones. (2)

A

color vision (RGB iodopsins)

most abundant in fovea

111
Q

What are the effects of presbyopia?

A

loss of lens elasticity → lens can’t deform and focus → hard to see objects up close

112
Q

Why do ciliary processes have to pump aqueous humor?

A

because hydrostatic pressure within ciliary processes is less than that in posterior/anterior chambers

113
Q

The cornea is rich in what structures and lacks what structures?

A

rich in free nerve fibers

lacks blood vessels or pigments

114
Q

What relays tension to the lens?

A

zonules

115
Q

What structure produces aqueous humor?

A

ciliary processes of ciliary bodies

116
Q

What causes glaucoma?

A

caused by excessive intraocular pressure (IOP) as result of excessive aqueous humor production or impaired aqueous humor outflow

117
Q

Describe the relationship between the conjunctiva and vasculature.

A

conjunctiva has abundant vasculature in areolar connective tissue under epithelium

118
Q

What is the sclera?

A

“whites of the eyes”

119
Q

What is the significance of the tight junctions between RPE cells?

A

control passage of material between choroid and rest of retina (i.e. forms part of blood-retinal barrier)

120
Q

What two muscles control the aperture of the pupil?

A

dilator pupillae muscle

constrictor pupillae muscle

121
Q

What creates the outer limiting membrane?

A

Muller glial cells

122
Q

Describe the properties of the corneal stroma. (3)

A

avascular, transparent connective tissue

alternating layers of keratocytes orthogonally arrayed with collagen fibrils

continuous with sclera

123
Q

What are the three layers of the wall of the eye?

A

corneosclera - outermost

uvea

retina - innermost

124
Q

Describe the characteristics of Bowman’s membrane. (4)

A

acellular

randomly arranged collagen fibrils

barrier to infection

does not regenerate if damaged

125
Q

What is the composition of the sclera?

A

mucosa (conjuctiva)

stroma of dense irregular connective tissue

126
Q

List the properties of rods. (4)

A

low-light vision

cannot discriminate colors

absent from fovea

use rhodopsin (GPCR)

127
Q

What is the composition of the constrictor pupillae?

A

smooth muscle cells

128
Q

What is the posterior epithelium of the iris?

A

layer of pigmented cells that blocks light and is rich in melanin

129
Q

What controls the shape of the lens?

A

ciliary body, via relative constriction of ciliary muscle

130
Q

Describe the highly vascularized stroma of the iris.

A

contains:

fibroblasts

macrophages

melanocytes

131
Q

Which retinal layer contains the majority of the retina’s microvasculature?

A

nerve fiber layer