The Eye And Vision Flashcards

1
Q

Why do we have 2 eyes?

A

Widens our visual field

Allows us to see in 3D

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

3 layers of the eye

A

Outer layer: Sclera and cornea

Middle layer: Uvea- choroid, ciliary body and iris

Inner layer: Retina

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

The outer layer- sclera

A

Tough fibrous outer coat, made up of collagen

Provides protection and maintenance of shape

Collagen results in the sclera to have a white colour

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Outer layer- cornea

A

Made up of collagen
1/6th of the sclera
The point at which the sclera and the cornea meet is the limbus- the place where the stem cells of the cornea are made
Must be tough to act as a barrier to trauma and infection

Extension of sclera

Transparent to allow light to pass through
Fibres of cornea lie parallel to allow transparency

Responsible for approx 2/3rd of refractive (focusing) power of the eye
Other 1/3rd of refracting power comes from the intro ocular lens
The lens continuously grows throughout a persons lifestyle leading to cataract

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How many layers does the outer layer contain?

A

5

Epithelium- which can be regenerated

Bowman’s layer

Stroma- the fibres of the stroma are parallel which allows the cornea to be transparent

Descemets layer

Endothelium- can’t be regenerated, one layer of cells thick. Responsible for keeping the cornea dehydrated and transparent. Actively pumps water out of the stroma and keeps cornea transparent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

The Middle layer contains

A

Iris

Ciliary body continues anteriorly to become the iris
Ciliary process produces aqueous humour

Choroid

3 layers provide: nuitrition, vision and protection

This system maintains the homeostasis of the eye

Slide 11

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Middle layer- iris

A

Extension of choroid

Coloured part at front of eye

Contains dilator and sphincter papillae muscles
Pupillary reflexes

Changes diameter of aperture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Middle layer- ciliary body

A

Glandular epithelium of ciliary process produces aqueous humour
-Aqueous humour travels from ciliary body to pupil to
-Aqueous humour provides nutrition to eye and maintains pressure

Reponsible for holding the lens in place by the suspensory ligaments
Ciliary (smooth) muscle controls accommodation (changing focus from distant to near)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Middle layer- choroid

A

Blood supply to outer third of retina

Provides nutrition to the retina

Coloured (contains melanocytes) to absorb light and prevent scatter

Uveal tract will be composed of the choroid posteriorly and as it approaches anteriorly it becomes a layer off muscles called the ciliary body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

The inner layer

A

Retina

Specialised organ of phototransduction- cells convert light energy into a electrochemical gradient so that it turns light into an impulse to be sent to the back of the brain to be perceived as an image

Many layers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Retina

A

Macula lutea- sharp detailed central vision (slide 14)
Clarity, colour vision

Fovea centralis- where visual acuity is the highest

Cones- higher resolution and colour

Rods- lower resolution and black & white

The ora serrata is the junction between the retina and the ciliary body- after this point there are no more photoreceptors so you can’t receive light upon that area

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Inner layer- Retina

A

Light signals
—> photo receptors
—> tear film (transmission)
—> cornea (transmission and refraction)
—> Aqueous humour (transmission)
—> lens (transmission and refraction)
—> vitreous humour (transmission)
—> ganglion cell (transmission)
—> Amacrine cell (transmission) for support
—> Bipolar cell (transmission)
—> horizontal cell (transmission) for support
—> cone (transduction)
—> rods (transduction)
—> pigmented epithelium (absorption of excess photons)

All of axons of ganglion merge to become optic nerve leaving the back of the eye

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Phototransduction

A

11 cis-retinal, which is a derivative of vitamin A.

When the photons come in they will cause 11 cis-retinal to become an 11-transretinal

This is then recycled back through an enzyme

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Anterior segment

A

Aqueous humour

Nutrition to lens and cornea

Maintains intraocular pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Lens

A

Biconvex

Responsible ~1/3 refractive power of the eye (~20D)

Accommodation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Emmetropia

A

6 6 Vision

17
Q

Hypermetropia

A

Underpowered to focus near objects on retina

May be due to:- corneal curvature too shallow- lens not flexible enough- axial length of eyeball too short

18
Q

Myopia

A

Overpowered so can’t focus far objects on retina

May be due to:- corneal curvature too steep- axial length of eyeball too long

19
Q

Posterior segment

A

Vitreous humour- jelly like substance made of

Avascular viscoestalic gel

Hyaluronic acid (GAG)

Collagen

20
Q

Adnexea (near by structures of the eye)

A

Lids- protection, tear film distribution, maintains ocular surface

Conjunctiva- covering on front of sclera

Tear film

21
Q

Adnexae- eye lids

A

Lids – protect the globe and consist of

Anterior skin

Eye lashes

Meibomian glands- contribute to tear film by producing anterior lipid oils

Orbicularis oculi- allow you to close eye

Tarsal plate- separates eyes to 2 layers and muscles attach to it

Tarsal conjunctiva

Levator palpebrae superioris & sympathetic muscle

22
Q

Adnexea- conjunctiva

A

Conjunctiva palpebral (tarsal- innerevated beneath eye lid) vs. bulbar (ocular and covers the eyes)

Conjunctival fornix

Limbal stem cells

Mucous membrane (Goblet cells)

Lymphoid cells (protective)

23
Q

Adnexea- tear film

A

Tear film

3 layers
-anterior lipid- prevent evaporation- Meibomian glands produce anterior lipid oils -middle aqueous- provides fluidity and nutrition -posterior mucous- maintains rest of tear film and allows for even distribution of tear film

Protective

Nutrition for cornea

24
Q

Arterial supply

A

Internal carotid a. → ophthalmic a.
Internal carotid artery does nit give a single branch until it reaches the cranium

Branches of ophthalmic a. (ocular group)central retinal a.posterior ciliary a. → long and short posterior ciliary a.muscular a. → anterior ciliary a.

Branches of ophthalmic artery (orbital group)lacrimal a.several other branches supply face and lids

External carotid a. → facial a. → angular a.

25
Q

Blood supply- inner retina

A

Inner 2/3 retina supplied by central retinal a

Branches into superior/inferior/temporal/nasal branches

Drained by branch retinal veins→ central retinal v. → ophthalmic v. → cavernous sinus→ internal jugular v.

26
Q

Blood supply- outer retina

A

Outer 1/3 supplied by choroid

Posterior ciliary a. → choroidal a. → choriocapillaris

Blood-retinal barrier at RPE regulates movement of nutrition and solutes from choroid into subretinal space

27
Q

Venous drainage

A

Vortex veins drain the choroid

Usually one for each quadrant

Superior drain to SOV, inferior drain to IOV

Superior ophthalmic veins drain directly into the cavernous sinus

Inferior ophthalmic veins drain into pterygoid
venous plexus

Valveless system – orbital cellulitis/facial infection can precipitate cavernous sinus thrombosis
Infection can travel backwards

28
Q

Lymphatics

A

No lymphatic drainage from the globe

Conjunctiva and lids do have lymphatic drainage to submandibular and pre-auricular nodes