Retinal Anatomy & Physiology Flashcards

1
Q

What is phototransduction?

A

when light energy is turned into an electrical signal

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2
Q

What is created when phototransduction occurs?

A

Energy and Heat

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3
Q

How do we cool down the retina when phototransduction is occurring?

A

Place it next to the choroid (heat sink)

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4
Q

What’s the #1 reason for choroidal detachment?

A

Hypotony

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5
Q

What’s the main neurotransmitter for vision?

A

Glutamate

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6
Q

What are the 4 functions of the mueller cell?

A

i. Forming the ILM and ELM
ii. Structural Support – found vertically in the retina
iii. Glucose support (energy into the cells)
iv. Picks up excess glutamate

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7
Q

What are the 2 types of glial cells?

A

Astrocytes and Microglial cells

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8
Q

Where are astrocytes found?

A

found in nerve fiber layer and ILM

Goes horizontally to support the retina

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9
Q

Where are microglial cells found? What are they activated to become?

A
  1. Found in the inner retina, latent

2. Activated to become macrophages when pathogens come into play

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10
Q

What are the 2 neurotransmitters?

A

Glutamate and acetylcholine

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11
Q

When it comes to blood supply, what supplies the retina?

A

Central Retinal Artery – supplies inner 2/3 of the retina

Choriocapillaris - outer 1/3 of retina

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12
Q

How is the retina blood supply controlled?

A

By Autoregulation - receptors tell BVs to constrict or dilate based on oxygen need

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13
Q

What is the choroid supplied by? What part of the nervous system controls it?

A

Short posterior ciliary arteries

- Controlled by sympathetic nervous system

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14
Q

Why does the retina live on starvation mode and have a very low blood supply?

A
  • we want it to stay transparent

- decrease amount of free radicals (oxygen + blue light = FR)

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15
Q

What pigments are there to block the blue light and fight free radicals

A

Xanthophylls
Lipofuscin
Melanin - in RPE

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16
Q

WIT: Pigment that has the highest blue light filtering mechanism

17
Q

WIT: Pigment that blocks the oxygen

A

Zeaxanthin

18
Q

In glaucoma, what cell is destroyed?

A

Ganglion Cell

19
Q

What keeps the 9th layer semi-attached to the 10th layer?

A

i. IOP
ii. Thick vitreous (weight of the vitreous)
iii. Sodium Pumps
iv. Inner PR matrix

20
Q

What part of the retina is the thickest?

A

Macula area

21
Q

What are the 2 avascular portons of the retina?

A
  1. Ora Serrata

2. Foveola Region

22
Q

How many capillary networks are found in the retina?

A
  1. Radial Peripapillary CN
  2. Superficial CN
  3. Deep CN
23
Q

Where is the radial peripapillary CN found? What retinal changes are found there?

A

Found underneath the internal limiting (IL)

  • CWS and flame hemorrhages from HTN are found here
24
Q

Where is the superficial CN found? What retinal changes are found there?

A

Found in NFL and ganglion cell area

Possible flame hemorrhages found here

25
Where is the Deep CN found?
Found in inner plexiform and nuclear layer
26
When pericytes are destroyed in diabetics, what happens?
Forms microanuerysms
27
What drains the retina?
CRV
28
What drains the choroid?
Vortex Veins
29
What cell body process makes up ILM?
Mueller cells
30
How many ganglion cells do we have?
1.1 million
31
How many ganglion cells act as photoreceptors?
3,000
32
What type of detachment? Neurosensory layer detaches from RPE
Retinal detachment (9th layer detaches from 10th)
33
What type of detachment? RPE detaches from Bruch's membrane.
RPE detachment Soft drusen = another name for RPE detachment
34
What type of detachment? When the choroid detaches from the sclera.
Choroid Detachment
35
What are the 3 main receptors on RPE cells?
1. Vitamin A 2. Glucose 3. Omega-3 FAs