Optic Nerves And Visual Pathways Flashcards

1
Q

Which is the outermost layer of the tear film?

A

Lipid

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2
Q

What purpose does the lipid serve?

A

Prevent evaporation of the aqueous layer

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3
Q

What is the innermost layer of the tear film?

A

Mucus layer

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4
Q

Which layers are most commonly implicated in dry eye ?

A

Lipid and aqueous

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5
Q

What is the innermost layer of the tear film?

A

Mucus (aqueous is middle)

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6
Q

Which gland is is responsible for baseline tear formation?

A

Accessory lacrimal gland

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7
Q

How does light ravel through the eye? Label diagram

A
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8
Q

Retina

A

Light will go in
Stimulates light sensitive material such as rhodopsin
This creates a chemical change
Sends nerve impulse to retina

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9
Q

Rods and cones

A

Outer segment contains discs containing light sensitive photopigment

Inner segment made up of cell body, axon and synaptic terminals

Phototransduction – absorb light, send electrical signal

Different cones respond to different wavelengths of light

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10
Q

Phototransduction

A

Photopigment lies in discs of outer segments

In rods called rhodopsin, in cones called cone opsin

Opsins are transmembrane proteins which contain the light sensitive molecule retinal

Different opsin structures mean retinal absorbs different wavelengths of light

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11
Q

Phototransduction- effect of a photon on a rhodopsin molecule

A

Triggers conformation change to all-trans form

This change triggers changes in the opsin structure

This in turn triggers a cascade within the cell

Can have a graded response

https://www.youtube.com/watch?v=dhd2fja0LZ4

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12
Q

Signals in the retina

A

Horizontal and apocrine cells modulate signal

Retinal ganglion cells not graded response – action potential

But for the eye, there must be a mechanism to allow the eye to tell the difference between an intense light and a less intense light (can not just have all or nothing principle)
Photoreceptors allow this graded response
The horizontal and apocrine cells modulate the signal

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13
Q

Pupillary light reflex

A

Light is shone on the right eye only

Action potentials from right eye reach both the right and left pretectal nuclei

The pretectal nuclei stimulate both sides of the eddigner-westphal nucleus even though the light was perceived only in the right eye

The right and left sides of the eddinger westphal nuclei generate action potentials through the right and left occulomotor nerves, causes both pupils to constrict

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14
Q

Visual pathway: nerve —> chiasma —> optic tract —> LGN —> optic radiations

SLIDE 14

A

Nasal retina is responsible for temporal field
Temporal retina is responsible for nasal field
Superior retina is responsible for inferior field

Macula (central vision) is always temporal to the nerve
Nerve is always nasal
This gives you a blind spot

Nasal retina will cross over from both sides at the optic chiasma
Temporal retina do not cross over, stay on same side

After the optic chiasma, the optic nerves with the nasal retina are referred to as optic tracts
Difference between tracts and nerve is that, fibre is coming from one eye, tract is a mix up of fibres from both eyes (still retinal ganglion in both cases- same nerve fibres )

Optic tract travels to lateral geniculate nucleus in the thalamus
This is the first point of synapse for these neurones and nerves terminate

Second order neurones
2 major radiations from the LGN:
From each LGN theres a loop of fibres that will cross over the temporal lobe, going slowly anterior and then back to occipital lobe
There’s also fibres going superiorly through the parietal lobe

Optic radiations now reach occipital cortex, Romans area 17, The primary visual cortex, then Romans area 18 and 19 (secondary visual cortex)

As the fibres terminate in the primary visual cortex, the image is interpreted, colour and shape are then interpreted (all primary)
Secondary interpretation: depth
Tertiary interpretation: facial recognition

Fusion of image gives you stereopsis, 3D vision

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15
Q

Lesions to optic pathway

A

Meters loop lesion contains fibres from inferior left retina and inferior right nasal retina- Causes right homonymous superior quadronopiea

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16
Q

Retinal blood supply

A

Choroid (posterior ciliary arteries) supplies outer 1/3rd of retina

Inner 2/3rds via central retinal artery