Ocular Physiology (Done) Flashcards
Which muscles control spontaneous blinking?
Palpebral portion of orbicularis oculi
Reflex blinking caused by touch is mediated by which CN?
CN V
Reflex blinking caused by loud noises is mediated by which CN?
CN VIII
How many blinks/minute on average?
12-15
Which muscle is associated with reflex blinking?
Palpebral portion of orbicularis oculi
When winking, which muscles are controlling this?
palpebral and orbital portions of orbicularis oculi
Which muscles are involved with Blepharospasm?
Procerus, corrugator, and orbicularis
How many meibomian glands located on upper and lower lids, respectively?
30-40 and 20-30
Blinking stimulates lipid release from meibomian glands via which type of secretion?
Holocrine secretion
Where are glands of Krause located?
Fornices
Where are glands of Wolfring located?
Tarsal conjunctiva
What happens to the canaliculi during a blink?
Muscle of Horner contracts, causing canaliculi to SHORTEN as they move medially towards the lacrimal sac
Where is the muscle of Horner located?
It is part of the palpebral portion of the orbicularis and surrounds the canaliculi
What happens to the lacrimal sac during a blink?
as orbicularis contracts, lacrimal sac is pulled away from the nose, which creates a negative pressure that helps draw tears into the lacrimal sac
How many eyelashes on upper and lower lid, respectively?
150 and 75
Which components of the aqueous layer of the tears help in anti-bacterial measures?
IgA, lactoferrin, and lysozyme
What is the anterior lipid layer composed of?
fatty acids, cholesterol, and waxy esters
List as many things as you can think about what is found in the aqueous layer of the tear film…GO!
Na, K+, Cl-, IgA, lactoferrin, lysozymes, Vitamin A (all-trans retinol), enzyme co-factors, HCO3-, glucose, urea, lactate, citrate, Vitamin C, albumin, growth factors, and VEGF
Under closed eye conditions, is IgA higher or lower in concentrations?
HIGHER
As age increases, what happens to lactoferrin and levels of lysozyme within the tears?
THEY DECREASE!
What innervates the main lacrimal gland?
Parasympathetic fibers from CN VII, sympathetic fibers, and sensory nerves of V1
What makes the mucin layer of the tear film unique?
It is capable of mixing with lipid AND water»therefore, able to spread tears evenly over hydrophobic corneal surface
What produces the mucous layer of the tear film?
goblet cells, as well as squamous cells of the cornea & conjunctiva
Where are the greatest concentrations of goblet cells found?
Inferonasal fornix & bulbar conjunctiva (mostly temporally)