ophthalmology Flashcards

1
Q

extra-ocular muscles and their innervations

A
superior rectus = oculomotor
inferior rectus = oculomotor
lateral rectus = abducens
medial rectus = oculomotor
superior oblique = trochlear
inferior oblique = oculomotor
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2
Q

what muscle closes the eyelid and whats its innervation

A

orbicularis oculi

  • innervated by facial nerve
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3
Q

what muscle opens the eyelid and whats its innervation

A

levator palpebrae superioris

- innervated by oculomotor nerve

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4
Q

keratoconus

A
  • cornea thins and moves forward
  • rugby ball shape
  • may be associated with eye rubbing
  • responsible for half of corneal transplants
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5
Q

tear film

A

10 uL

oil from tarsal glands = prevents evaporation

aqueous from lacrimal gland

mucins from goblet cells of conjuctiva

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6
Q

cornea

A

2/3 refraction of eye
- determined by curvature & refractive indices

examined using slit lamp
avascular
endothelial pump moves water out of cornea stroma

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7
Q

crystalline lens

A

1/3 refraction of eye - can alter focusing properties

  • fine focusing
  • most common disease = cataracts
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8
Q

ciliary body

A
  • holds lens in place (connected by zonules)
  • within body = ciliary muscle

ciliary epithelium produces aqueous humour
(through pupil -> ant. chamber -> angle of ant. chamber -> trabecular meshwork

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9
Q

when the ciliary muscles relax

A

biggest diameter

lens pulled outwards = thinner

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10
Q

when the ciliary muscles contract

A

smaller diameter

= lens anterior/posterior pole distance increases

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11
Q

cells of the retina

A
ganglion cells
-->
bipolar cells
-->
photoreceptor cells
   (rods & cones)
-->
retinal pigment epithelium
   (nutrient/waste exchange)
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12
Q

function of retina

A
  • absorb photons of light
  • traslate light into a biochemical message
  • translate biochemical message into electrical impulse
  • transmit electrical impulse to the brain via ganglion cells
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13
Q

fovea

A

centre of visual acuity

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14
Q

what are cones responsible for

A

visual acuity and colour vision

= central vision

absorb different wavelengths of light
- blue, green and red cones

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15
Q

what are rods responsible for

A

detecting movement and night vision

= peripheral vision

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16
Q

glaucoma

A
  • optic neuropathy
  • pattern of axonal loss
  • associated with intra-ocular pressure
  • common in old age
  • sight loss in peripheral first
  • optic nerve “cups” = gets bigger, deeper