Uvea - Week 2 Flashcards

1
Q

Where does the choroid begin?

A

Where the ciliary body ends

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2
Q

What is the function of ciliary body?

A

To produce aqueous, which provides nutrition

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3
Q

What is the pars plicata?

A

It surrounds the ciliary processes, responsible for aqueous humour production

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4
Q

What do the pars plicata attach to?

A

To the lens via zonules

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5
Q

What is the pars plana, and what does it merge with?What is the border of mergence called?

A

Connects to the pars plicata inward, and merges with the retina. The border of the pars plana and retina is called the ora serrata

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6
Q

What is the ora serrata?

A

The border of the pars plana and retina

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7
Q

How does the ciliary body appear on gonioscopy?

A

You can only see the anterior face of the ciliary body. It appears as a thin line

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8
Q

What is the favoured site for surgical injection to the eye, and why?

A

Ora serrata, as it’s least likely to be injured

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9
Q

Describe the ciliary process epithelium

A

It is double-layered. In contact with the aqueous humour

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10
Q

Is the inner epithelium of the ciliary processes pigmented?

A

No, only the outer epithelium is

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11
Q

Name the 3 zones of the ciliary body

A
  • ciliary epithelium
  • ciliary stroma
  • ciliary muscle
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12
Q

Where is the newly made aqueous humour released, and where does it go?

A

Released into the posterior chamber, and travels up, around the lens, and through the pupil, into the anterior chamber

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13
Q

What is the inner (non-pigmented) layer of the epithelium of ciliary processes continuous with?

A

Neural retina

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14
Q

What is the outer (pigmented) layer of the epithelium of ciliary processes continuous with?

A

RPE and Iris

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15
Q

What surrounds the outer epithelium of the ciliary processes?

A

The inner non-pigmented layer. Inner surrounds outer. Inner is non-pigmented, outer is pigmented

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16
Q

What does the ciliary stroma border?

A

The ciliary muscle

17
Q

What covers the ciliary stroma?

A

Ciliary epithelium layers

18
Q

Is the ciliary stroma vascular or avascular?

A

Richly vascularised

19
Q

Are pigmented cells present in the ciliary stroma?

A

Yes. Melanocytes

20
Q

Are fibroblasts present in the ciliary stroma?

21
Q

What immune cells can be found in the ciliary stroma?

A

Mast cells, macrophages and lymphocytes

22
Q

Name the 3 ciliary muscles beginning with the most superficial. Which has the main bulk?

A

Longitudinal - form main bulk
Oblique
Circular

23
Q

Which of the ciliary muscles runs parallel with the sclera?

A

Longitudinal fibres

24
Q

During accommodation, which surface of the lens changes more, anterior or posterior?

25
What happens to lens with age?
Thickens
26
What happens when you accommodate?
Ciliary muscles contract, which loosen the zonules, and allow the lens to increase in curvature. (Whereas when relaxed, zonules tighten and pull the lens)
27
Do ciliary muscles receive mainly sympathetic or parasympathetic innervation?
Parasympathetic system (sympathetic is only 1-2%)
28
Describe the parasympathetic innervation to the ciliary muscles
``` Receptor: muscarinic receptors To - the midbrain via - ciliary ganglion Nerve - short posterior ciliary nerves Cranial nerve - III (inferior division) ```
29
What vessels supply blood to the ciliary body?
Long posterior ciliary arteries (main source) and Anterior ciliary arteries
30
How do anterior ciliary arteries reach the ciliary bodies? What about the long posterior ciliary arteries?
They travel via the extraocular muscles. Long posterior ciliary arteries travel between the sclera and the choroid
31
What do the anterior ciliary arteries and long posterior ciliary arteries form?
Major Arterial Circle