The Visual Pathways & Eye Flashcards

1
Q

What are the 2 layers of the retina?

A

Pigmented layer

Neural layer

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2
Q

Name the outermost, middle and inner layers of the eyeball.

A

Outermost - sclera and cornea.
Middle - choroid, ciliary body and iris.
Innermost - retina.

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3
Q

List the order of cells in the neural layer of the retina from outermost to innermost.

A

Photoreceptors (rods and cones)
Horizontal cells
Bipolar cells
Ganglion cells

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4
Q

What is the relationship of the sclera and the dura mater?

A

The sclera is a continuation of the dura of the optic nerve.

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5
Q

Name the 2 most common causes of retinopathies.

A

Diabetes

Hypertension

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6
Q

What is papilloedema and what does it indicate?

A

Swollen optic discs

Sign of raised ICP

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7
Q

Which vessels are found in the optic sheath?

A

Central retinal artery and vein.

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8
Q

What are the macula and fovea?

A

Macula is a point in the visual field with the highest acuity where lots of cones are found. The fovea is a pit at the centre of the macula and provides the clearest acuity of all.

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9
Q

Why is the optic disc called a blind spot?

A

There are no photoreceptors here.

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10
Q

Where is the primary visual cortex located?

A

The occipital lobe.

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11
Q

What lobes are the superior and inferior radiations located in?

A

Superior - parietal lobe

Inferior - temporal lobe

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12
Q

What is tunnel vision and what causes it?

A

Bitemporal hemianopia, caused by a lesion at the optic chiasm.

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13
Q

What is the most common cause of bitemporal hemianopia/lesion at the optic chiasm?

A

Pituitary adenoma.

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14
Q

What causes right monocular blindness?

A

Lesion in the right optic nerve.

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15
Q

What causes left homonymous hemianopia?

A

Lesion in the right optic tract or geniculate nucleus.

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16
Q

What is the relationship between visual field, retina and radiations?

A

Inferior visual field projects to superior retina and superior radiations.
Vice versa.

17
Q

What causes right homonymous superior quadrantonopia/pie in the sky defect?

A

Lesion in the left inferior radiation.

18
Q

What causes left homonymous inferior quadrantonopia?

A

Lesion at right superior radiation.

19
Q

What order neurones are in the optic radiations?

A

3rd order (project to cortex).

20
Q

What causes macular sparing?

A

The occipital lobe has a dual blood supply - mainly from posterior cerebral artery but some contribution from middle cerebral artery. If there is a PCA infarct, the lobe still has supply from MCA, so the macula is spared.

21
Q

What is central scotoma? What causes it?

A

Central black/grey spot in the middle of the visual field, caused by:

  • macular degeneration
  • strokes
  • brain trauma
  • disorders that affect the retina, choroid or optic nerve
22
Q

What are the afferent and efferent branches of the pupillary light reflex?

A
Afferent = CN II
Efferent = CN III
23
Q

What muscle is responsible for pupil constriction?

A

Sphincter pupillae

24
Q

What are the 3 steps of the accommodation reflex?

A

1 - eyes converge
2 - pupils constrict
3 - lens thickens

25
Q

What are the afferent and efferent branches of the accommodation reflex?

A
Afferent = CN II
Efferent = CN III