Physiology of the Eye Flashcards

1
Q

What are the three main functions of cerebrospinal fluid?

A

Mechanical protection - shock-absorbing medium that protects brain tissue

Homeostatic function - transports hormones

Circulation - medium for minor exchange of nutrients and waste products between blood and brain tissue

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2
Q

How is a clinical CSF analysis carried out?

A

Via lumbar puncture

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3
Q

Describe features of normal CSF.

A

Clear and colourless

Contains little protein

Contains little immunoglobulins

Only has 1-5 cells/ml

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4
Q

Which cells produce CSF?

A

Choroidal cells

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5
Q

Which ions need to be transported across the epithelium from the blood to the CSF in order for CSF to be secreted?

A

Sodium ions

Chloride ions

Bicarbonate ions

Hydrogen ions

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6
Q

Which ions are transported from the basolateral side to the apical side?

A

Sodium

Chloride

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7
Q

Is the production of CSF in the choroid plexus an active or passive process?

A

Active

is not directly dependent on the arterial BP

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8
Q

Which ventricles are connected by the Foramen of Munroe?

A

Lateral ventricles to third ventricle

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9
Q

Which ventricles are connected by the Cerebral Aqueduct of Sylvius?

A

Third ventricle to fourth ventricle

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10
Q

Which ventricles are connected by the Foramen of Magendie (median aperture) ?

A

Fourth ventricle to subarachnoid space

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11
Q

Which ventricles are connected by the Foramen of Luschka (lateral aperture) ?

A

Fourth ventricle to subarachnoid space

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12
Q

How does CSF flow to the third ventricle?

A

Through 2 narrow openings called the inter ventricular foramina

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13
Q

Which embryological structure gives rise to the adult brain’s ventricles?

A

Neural canal

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14
Q

What is the choroid plexus?

A

Networks of capillaries in the walls of ventricles

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15
Q

What is the role of the BBB?

A

Ensures that material between the blood and the cirulatroy system cannot exchage freely.

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16
Q

What is the role of the Blood-CSF-Barrier (BCSFB)?

A

Ensures that there is no free exchange between the blood and and the CSF.

17
Q

What does the BBB consist of?

A

Capillary endothelium

Basal membrane

Perivascular astrocytes

18
Q

Which parts of the brain do not have a BBB?

A

Circumventricular organs

Pineal gland

19
Q

What is papilloedema?

A

Optic disc swelling due to increased intracranial pressure transmitted to the subarachnoid space surrounding the optic nerve.

20
Q

Which structures in brain capillaries are the site of the BBB?

A

Endothelial cells

21
Q

How can papilloedema present?

A

Enlarged blind spot

Blurring of vision

Visual obscurations

Loss of vision

22
Q

What is the aqueous humor of the eye?

A

A specialised fluid that bathes the structures within the eye.

Provides oxygen and metabolites and contains bicarbonate.

23
Q

What is the role of bicarbonate in the aqueous humor?

A

Buffers the Hydrogen ions produced in the cornea and lens by anaerobic glycolysis.

24
Q

Where is aqueous humour produced?

A

In the endothelial layer of the ciliary body