The Eye & Ear Flashcards
Where is the eye situated?
How is it protected?
What nerve is it supplied by?
- Situated in the anterior part of the orbital cavity of the skull
- Embedded in a pad of fat
- Well protected from injury – only the anterior aspect is not surrounded by bone
- Supplied by the 2nd cranial (optic) nerve
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Label this eye
What are the 3 layers of the eye?
Outer fibrous coat
- Sclera
- Cornea
Middle vascular coat
- Choroid
- Ciliary body
- Iris
Inner nervous coat
•Retina
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Describe the sclera?
The sclera:
- Opaque – ‘the white of the eye’
- Posterior 5/6th of the outer coat
- Continuous with the cornea anteriorly
- Strong white fibrous tissue with a few scattered yellow elastic fibres
- Poor blood supply
- Smooth except where muscles attach
- The optic nerve pierces the sclera posteriorly which extends along the nerve and is continuous with the dura mater of the skull
Describe the cornea?
The cornea:
- Clear, transparent circular structure
- Covers the anterior 1/6th of the eye
- Slightly more convex than the sclera
- Outer epithelial layer, the conjunctiva
- Inner layer of modified connective tissue
- Continuous at it’s margins with the sclera
- Avascular
What is the choroid?
The choroid:
- Thin pigmented vascular membrane
- Dark brown in colour
- Loosely attached to the sclera except where pierced by the optic nerve where the choroid is firmly attached to the sclera
- Dense capillary network
What is the ciliary body?
The ciliary body
- The choroid is continuous anteriorly with the ciliary body
- Circular structure
- Lies posterior to the junction of the cornea and sclera
- Large numbers of smooth muscle fibres
- The suspensory ligament of the lens is attached to its inner surface
- The ciliary body is an intrinsic muscle – alters the convexity of the lens to focus light on the retina
What is the iris?
The iris
- Thin pigmented membrane
- Lies in the aqueous humour between the cornea and lens
- Attached at its outer margins to the ciliary body
- Intrinsic muscle containing circular and radial muscle fibres
- Variations in the aperture of the iris occur with different environmental light intensities
What is the retina?
What are rods and cones?
What’s the macula?
What’s the fovea?
Explain the fovea?
The retina
- Lines the choroid and extends anteriorly to the ciliary body
- Delicate membrane containing nerve cells and fibres and specialised structures called rods and cones
- Rods and cones are the light receptors of the eye
- The macula is at the centre of the posterior part of the retina
- In the centre of the macula is a small depression – the fovea
- The fovea contains only cones and is the point of most accurate vision
- Within the fovea, each cone is attached to one bipolar nerve cell whereas more peripherally a number of rods and cones are attached to a single nerve cell thereby decreasing visual acuity
Where is the optic disc?
What is the optic disc?
- The optic disc is just medial to the macula
- The optic disc is the region where the nerve fibres pass posteriorly to enter the optic nerve
- The ophthalmic artery and vein also pass through the optic disc
- The optic disc does not contain any rods or cones and is known as ‘the blind spot’
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What are rods and cones?
- Photosensitive pigments
- Convert light into nerve impulses
Rods
- Black & white
- More sensitive – can function in lower ambient light levels
Cones
- Bright light
- colour
What is the aqueous humour?
Where?
The Aqueous Humour
- Clear watery fluid
- Situated between the lens and the cornea
- The anterior chamber is in front of the iris, the posterior chamber is behind the iris
- Aqueous humour is secreted into the posterior chamber by capillaries in the ciliary body
- Passes through the pupil into the anterior chamber where it drains into the ciliary veins
What is the lens of the eye?
The Lens
- Biconvex transparent structure
- Enclosed within a capsule
- Suspended from the ciliary body by the suspensory ligament which is attached to the lens at its margins
- The capsule and the lens are elastic
- The shape of the lens is altered by contractions of the ciliary body
What is the vitreous humour?
The Vitreous Humour / Body
- Jelly-like transparent substance
- Fills the region of the eye that lies behind the lens
- Helps maintain the shape of the eye
- Helps maintain the position of the retina against the choroid
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Aqueous humour
Vitreous humour
Lens
Explain the extrinsic muscles of the eye?
The Extrinsic Muscles of the Eye
- Responsible for the co-ordinated movements of the eye
- Each eye has four ‘straight’ and two ‘oblique’ muscles
- Arise from the bony walls of the orbit
- Are attached to the sclera
- Supplied by the oculomotor, trochlear and abducens cranial nerves
List the extrinsic eye muscles and what they do?
The Extrinsic Muscles of the Eye
- Superior rectus – turns the eye upwards
- Inferior rectus – turns the eye downwards
- Medial rectus – turns the eye inwards
- Lateral rectus – turns the eye outwards
- Inferior oblique – turns the eye upwards and outwards
- Superior oblique – turns the eye downwards and outwards
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What are the optic nerves?
Where do they pass?
The Optic Nerves
- Formed on the posteromedial side of each eye where the nerve fibres pierce the optic disc
- Leaves the orbital cavity through the optic foramen to enter the middle cranial fossa
- The optic chiasma lies immediately anterior to the sella turcica
The optic nerves pass through the optic chiasma with the medial nerves crossing over