Topic 9: Retina Flashcards

1
Q

Describe the retina

A

a thin, transparent membrane

externally bound by bruch’s membrane and internally by vitreous

extends from ora serrata to optic nerve head (firmly attached at the ora serrata & ON)

Subretinal space: potential space between RPE & NR. during retinal detachment, NR separates from RPE

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2
Q

Explain the arrangement & segregation of the retina

A

Total 10 layers, outer retinal pigmented layer (1) & inner neurosensory layer (9)

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3
Q

Explain pathway of light in the eye

A

light first hits ganglion cells and then nerve impulses get initiated (phototransduction) by photoreceptor cells.

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4
Q

Explain the structure of RPE

A

outermost, single layer of cuboidal/columnar cells, attached to bruch’s membrane

apical surface forms into microvilli that contains melanin

microvilli contains tip of outer segment from photoreceptor, & pigment

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5
Q

state the functions of RPE

A

absorbs stray light at periphery retina - to avoid light scattering

provide pathway for metabolites to receptors & removes waste from receptors

metabolises & stores vitamin A

microvilli gives mechanical stability to tips of receptors

phagocytosis of membrane discs (rods)

forms PART OF blood-retina barrier: protects outer third of retina (photoreceptors) from diffusion of large molecular toxic substances (from choriocapillaries)

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6
Q

describe structure of neurosensory retina

A

firmly attached to RPE @ora serrata & ONH margins, held together by vitreous elsewhere

contains 3 main types of neurons: photoreceptor cells, bipolar cells, ganglion cells (other: HC, AC)

9 layers: (outermost) PRL, ELM, ONL, OPL, INL, IPL, GCL, NFL, ILM

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7
Q

State and describe the regional variations of retina

A

(1) optic nerve head: no rods, no cones = blind spot
(2) macula: rods & cones, cones > rods
(3) fovea: rods & cones, cones&raquo_space; rods
(4) foveola: only cones, no rods
(5) peripheral retina: rods & cones, rods > cones

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8
Q

describe/explain optic disc

A

ONH/optic papilla= neural rim + optic cup

pinkish area containing all nerve fibres = neural rim

slight central depression = optic cup

ONH lies 3mm nasal to macula

no photoreceptors

NOTE: lamina cribosa is where the optic nerve pierces the sclera

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9
Q

explain retinal blood supply

A

inner retina (layers until BPC): central retinal artery and vein

outer retina (PRL, RPE): choriocapillaris (branches of ciliary arteries)

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10
Q

briefly describe what is present in each layer (NR)

A

PRL: outer seg of rods & cones

ELM: separates outer-inner seg of PR from PR cell bodies

ONL: PR nuclei

OPL: synapses btwn PRC, BPC & HZC

INL: nuclei of BPC, HZC & AMC

IPL: synapses btwn BPC, AMC & GLC

GLC: GL nuclei

NFL: axons of GLC

ILM: separates retina from vitreous

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11
Q

describe functional differences between rods & cones

A

(R vs. C)

(1) peripheral vs central vision
(2) monochromatic vs colour vision
(3) scotopic vs photopic vision

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12
Q

describe structural differences between rods & cones

A

(R vs C)

(1) rod shaped vs cone shaped outer seg
(2) contains rhodopsin in membrane disc vs contains erythrolabe, cyanolabe, chlorolabe in membrane infoldings
(3) rod foot (spherule) vs cone foot (pedicle)

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13
Q

describe functional differences btwn peripheral and central vision

A

(P vs C)

(1) scotopic vs photopic vision
(2) monochromatic vs colour vision
(3) motion & flicker detection vs visual acuity function
(4) poor vs high resolution
(5) sensitive to low vs modertate-high light levels

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14
Q

describe structural differences between peripheral vs central vision

A

(P vs C)

(1) rod density higher vs cone density higher
(2) thinner (all layers are 1 cell layer thick) vs thicker (ONL & GCL take up 9-10 layers)

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15
Q

name the layers of retina in the foveolar region

A

RPE, PRL, ELM, ONL (only cone nucleus), OPL, ILM

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16
Q

explain the structure of photoreceptors (general)

A

in PRL: contains outer & inner segments

outer: constantly renewing, contains membrane discs/infoldings - contains visual pigments (rhodopsin, erythro/chloro/cyanolabe), contains one type of VP per cell
inner: mitochondria

in ONL: nucleus

17
Q

explain the nerve fibre arrangement in retina

A

nasal ret: nerve fibres radiate outwards to optic nerve

temporal ret: arcuate arrangment

superior and inferior fibres stop at temporal raphe and do not cross