The eye Flashcards

1
Q

what is the space between the eyeball and eyelid ?

A

the space between eyeball and eyelid is called the conjunctival sac

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2
Q

What are the three main layers of the eye ?

A

1) sclera , cornea
2) Uvea ( choroid ,Cilliary body, iris )
3) Retina ( inner layer )

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3
Q

outline the anatomy of the sclera and cornea

A

1) Sclera and cornea are covering of the eye
2) Cornea is colourless and transparent , sclera is white and tough dense CT
3) Limbus = boundary between cornea and sclera = zone of transition of epithelium of the conjunctiva with that of the cornea

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4
Q

UVEA anatomy (4)

A

1) vascular layer of the eye
2) contains the choroid, cilliary body and iris
3) anterior portion contains smooth muscle to constrict and dilate the iris
4) cilliary body = tension for the suspensory ligaments of the lense

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5
Q

Retina eyeball

A

1) 2 layers - outer pigmented layer and inner retinal layer
2) Anterior 1/3 of retina is not light sensitive , separated by ORA errata
3) Posterior = 2/3 is light sensitive and contains photoreceptors and neurones (rod and cones)

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6
Q

Cornea anatomy outline

A

5 layers

1) anterior surface = epithelium is stratified squamous non keratinising
2) Bownan’s layer = Bowman’s layer ) basement layer
3) Stroma
4) Descemet’s Membrane =basement membrane to endothelial cells
5) Corneal Endothelium = at the bottom , has aqueous humour beneath it

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7
Q

Iris anatomy

A

1) Anterior limiting layer
- fibroblast and melanocytes
2) Stroma which contains the blood vessels and melanocytes
3) Pupil dilator muscles and pigmented

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8
Q

Cilliary body in the UVEA

A

1) aqueous humour is produced by epithelium lining the cilliary processes
2) Aqu passes from posterior to anterior ->drains through the canal Schlemm –>contraction of the cilliary muscle
3) Smooth muscles

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9
Q

outline the lens anatomy

A

1) Capsule = basement membrane of lens epithelium
2)Older cells pushed to the middle = differentiate, nuclei lost cells = filled with crystalise proteins
lense fibres = Accumalation of debris => cataracts can be caused by this

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10
Q

what is the blood supply to the eye ?

A

internal carotid branches include the ophthalmic artery which branches into the the:

  • central retinal artery ( end artery so if its damaged that’s it !)
  • it supplied the inner 2/3 of the Retina
  • Choroid and ciliary bodies + IRIS = UVEA is supplied by the branches of the ophthalmic artery :
  • long , short posterior cilliary
  • anterior cilliary artery
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11
Q

how can we see papilloedema ( due to raised ICP in the eye )?

A

1) the Optic nerve is surrounded by Dura matter and arachnoid sheaths
2) Raised ICP—> subarachnoid space so it squashes the thin central retinal vein –> papilloedema .

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12
Q

What is the retinal pigmented epithelium?

A

RPE is a single layer of post-mitotic cells, which functions both as a selective barrier to and a vegetative regulator of the overlying photoreceptor layer, thereby playing a key role in its maintenance.

  • Hexagonally packed, Tight junction connected , single sheets of cells

1) melanin granules which absorb scattered light
2) organelles for digestion of photoreceptor outer segment ( phagosomes )
3) nourish the photoreceptors
4) contains retinal isomerase = recycles 11-cis retina
5) secretes growth factors ( maintains capillaries)

  • forms the blood retinal barrier
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13
Q

what are the layers of the Retina

A

1) Choroid
2) Branch membrane which is a basement membrane
3) RPE
4) microvilli and sub retinal space

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14
Q

what is the function of the RPE ?

what about the oxygen extraction ?

A

1) They renew the photoreceptors outer segment –> free radicals
2) Relatively little oxygen is extracted here
3) absorbs light
4) phagocytose outer tips of photoreceptors
5) remakes the 11-cis retinal

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15
Q

What’s the visual cycle for rods ?
what does opsin do ?
What is the involvement of the RPE ?

A

1) photons are absorbed in the photoreceptors by 11-cis retinal
2) this causes a conformational change called bleaching
3) 11 cis retinal attaches to Opsin and changes into ALL-Trans retinal and Free opsin

opsin closes NA+ channels = less negative cells hyperpolarisation —> transmitted through the visual pathway .

so to absorb the light , rods need a supply of 11 -cis Retinal !
but they can’t remake 11 -cis retinal
so this is done in the Retinal Pigmental Epithelium !

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16
Q

what’s is the basic visual pathway ?

A

1)Optic nerve
2)Orbital potion
3)Optic canal
4)Intercranial portion
5)Optic chiasm
6)Optic tracts —> LGB
10% go to pretectal nucleas -> Edinger - Westphal nucleas on both sides ( why both pupils constrict )
7) Optic radiation
8) Primary visual cortex

17
Q

what can —– cause ?

a) right optic nerve transaction
2) pituitary tumour
3) occlusion behind the right optic chiasm ?

A

a= total right eye visual loss
b- bitemporal hemianopia
c= Right homonymous Hemianopia

18
Q

what do cones sense?

A
  • low sensitivity to light
  • high resolution
  • colour vision
  • fovea
19
Q

assessment of visual function

A

1) letter get smaller = Snellen’s chart ( test refracting power of lens in visual system )
6m away => read accurately

20
Q

sympathetic effects on the eye

A

Sympathetic = dilates pupils

1) T1 exit - superior cervical ganglion
2) Dilator pupillae= dilate eye

21
Q

parasympathetic nerve effect on the eye

A

1) constricts eye = ciliary nerves = sphincter papillae = circular muscles constrict eye

22
Q

light reflex

A

1) optic nerve–> LGB–> pretectal nuclei –> dinger estphal nucleus, 3rd nerve –> ciliary ganglion –> sphincter

23
Q

accommodation reflex

A

1- Extra ocular spindles + optic nerves—> lGB –> CONVERGENCE centre –> Edinger Westphal nerve (3rd nerve ) –> ciliary Ganglion —-> short ciliary nerve –>SPHINCTER papillae

When you focus on something close by:
(1- convergence of the eyes
2-pupillary constriction
3- lens changes shape (convergence)

24
Q

what’s Horner’s syndrome ?

A

Sympathetic lesion : Horner’s syndrome

1) ipsilateral defects
- pupillary constriction
- Ptosis ( eye lids droop)
- sweating loss

25
Q

1) Dilation of 1 pupil fixed to light ?
2) Bilateral pupillary dilation fixed to light
3) prostitutes pupil / Argyll Robertson pupil?

A

1) 3rd nerve compression ( parasympathetic loss )
neurological surgery
2) deep coma and brain death
3) lesion in dorsal EDW centre ( no light response , but accommodation is intact)