The Eye Flashcards
What are the three chambers of the eye?
Anterior, posterior, and vitreous chambers
What are the three tunics of the eye and what are their major parts?
Fibrous: Sclera, cornea
Vascular: Choroid, ciliary body, and iris
Sensory: Pigment epithelium, neural retina
What does the anterior chamber contain?
Aqueous humor, similar in composition to CSF or blood plasma (high Na+ and low K+), but very few proteins (i.e. platelets or immunoglobulins)
What is the posterior chamber? What are its boundaries?
It is the annular (donut-shaped) space bounded by the epithelium of the iris, ciliary process, zonular fibers, and anterior lens
What is the function of the ciliary body?
Produces aqueous humor (~3 mL/day), helps nourish the lens and other structures bordering anterior/posterior chambers.
Fluid from here flows from posterior to anterior chamber between iris and lens
What is the blood-aqueous barrier?
A blood-ocular barrier isolating the aqueous humor from the blood and cornea. Formed by occluding zonules of the blood vessels of the iris, ciliary body, and corneal endothelial cells.
What are the boundaries of the vitreous cavity?
Space bounded by the retina, posterior ciliary body, zonular fibers, and posterior lens
What produces the vitreous humor and what is it made of?
Produced by hyalocytes, it is gelatinous, containing hyaluronic acid and cross-linked collagen fibers of collagens which do not produce gritty fibers (i.e. mostly Type II collagen).
What are the functions of the vitreous humor?
Supports the shape of the eye, maintains the position of the retina to prevent detachment
What is the cornea and what cannot be found in it?
It is the transparent chief refractive component of the eye. It is avascular and normally free of white blood cells (to prevent occluding the visual axis
What are the five layers of the cornea from top to bottom?
- Anterior corneal epithelium
- Bowman’s layer
- Corneal stroma
- Descemet’s membrane
- Corneal endothelium
What are the properties of the anterior corneal epithelium and what does it contain?
Consists of stratified squamous nonkeratinized epithelium. It is renewed about once a week and is capable of repair. It contains many sensory free nerve endings (you can feel when your cornea is cut)
What is Bowman’s layer? Does it regenerate?
2nd layer of cornea, it is an acellular condensation of the underlying collagenous (T1 collagen) layer that resists penetration and slows bacterial invasion. Though it is below the corneal epithelium, it is NOT a basement membrane, and is NOT regenerated.
What is the corneal stroma and its organization? Does it regenerate?
It is dense irregular connective tissue, the thickest layer of the cornea. Made of Type 1 collagen fibrils sheets which are oriented perpendicularly with eachother. The fibrils have uniform diameter and interfibrillar spacing. Allows penetration of light, and damage results in scarring as it does not regenerate
What are the cells + ground substance of the stroma?
Cells: specialized fibroblasts called a corneal keratocyte
Ground substance: a corneal proteoglycan rich in keratan and chondroitin sulfates
What is Descemet’s membrane? Does it regenerate?
It is the thickened basal lamina of the adjacent corneal endothelium (unlike Bowman’s layer)
It does regenerate
What is the corneal endothelium? What does it make? What does it do?
A simple cuboidal epithelium which becomes more squamous overtime, because when damaged, current cuboidal cells spread out to fill the gaps (does not regenerate). Cells have occluding zonules to make part of the blood-aqueous barrier.
Helps regulate ion balance of corneal stroma to keep it hydrated. Damage to this layer can lead to permanent damage of corneal stroma.
What causes corneal opacity?
Caused by damage to endothelium, disrupting ion balance in the stroma. Also could be due to invasion of WBCs due to infection
Why do corneal transplants have good success?
The cornea is avascular, thus decreasing the likelihood of graft rejection
Why might you surgically remodel the cornea?
Permanent refractive changes can be produced by reshaping it, as in radial keratotomy (LASIK)
What is the bulbar conjunctiva?
Part of the fibrous layer, it is a mucous membrane on the anterior surface of the eyeball around the cornea. It reflects onto the inner surface of the eyelids as the palpebral conjunctiva
What makes up the bulbar conjunctiva?
A layer of stratified epithelium that is continuous with the anterior corneal epithelium. It contains goblet cells which will produce the mucus portion of the tear film. It is highly vascularized and can turn red (as in conjunctivitis)
What is the sclera? What are the principle cells, fibrous component, and ground substance?
A dense irregular connective tissue which is opaque and vascularized.
Cells: Fibroblasts
Ground substance: Keratan sulfate and chondroitin sulfate, but different from corneal proteoglycan
Fibrous component: Type 1 collagen fibers that vary in both diameter and interfibril spacing
What is a cause of myopia via sclera?
Scleral thinning can lead to axial elongation of the vitreous chamber, focusing the image in front of the retina