Vision Flashcards

1
Q

Describe the process of phototransduction

A

In more detail:
Rhodopsin > bathrodopsin> lumirhodopsin> metarodhopsin I > metarodhopsin 2 > metarodhopsin 3

metarodhopsin2 activates transducin

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2
Q

When rhodopsin undergoes chemical changes in phototransduction, which step is the only one that is reversible?

A

metarodhopsin1 to metarodhopsin2

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3
Q

In the phototransduction cascade, how does transdusin work?

A

It is a G protein.
Alpha subunit dissociates and activates PDE.
In turn PDE can catalyse the break down of hundreds of CGMP molecules

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4
Q

How can the phototransduction cascade be inhibited?

A

1) darkness
2) rhodopsin binds to arrestin or is phosphorylated
3) PDE can recombine with its gamma subunit
4) alpha subunit of transducin can rejoin with its beta-gamma complex
5) low calcium stimulates guanylyl cyclase, which helps recover cGMP

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5
Q

Which photoreceptor is faster at phototransduction?
Which is better at adapting to light
Which is more sensitive

A

Cones.
Cones are also better at adapting to ambient light.
Cones are comparatively less sensitive compared to rods

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6
Q

Why do cones have a better flicker fusion frequency compared to rods?

A

They have neurally mediated negative feedback which allows them to turn on and off rapidly. This involves:
1) horizontal cells work antagonistically with cones, providing negative feedback

2) cones release GABA which is inhibitory helping with a faster off response.

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7
Q

After phototransduction, how are cone chromophores recycled?

A

All trans retinal is reisomerised in the retina to form 11-cis retinal

Faster than cones

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8
Q

After phototransduction, how are rod chromophores recycled?

A

All trans retinal converted to all trans retinol by retinol dehydrogenase.

All trans retinol is then transported into the RPE via IRBP.

Then converted into 11-cis retinol in the dark

Then converted to 11-cis retinal- cralbp.

11 cis retinal-cralbp then transported back into the retina where it dissociates from cralbp and attaches to opsin.

Slower than cone

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9
Q

Where is vitamin A found?

A

Carrots, fish and dairy

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10
Q

Where is vitamin A stored

A

Liver

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11
Q

How is retinol produced from vit A

A

It is stored in the liver as a retinyl ester and hydrolysed into retinol. It is transported in the serum to the rpe via retinol binding protein

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12
Q

What are the symptoms of vit a deficiency

A

Poor corneal healing, Xerosis, nyctalopia (night blindness)

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13
Q

In the visual pathway, what are the first and second order neurons?

A

First = photoreceptors
Second= bipolar cells

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14
Q

What are Parvocellular cells, what are their function and where do they synpase.

A

Type of ganglion cell, aka p ganglion cell in the retina aka midget cell.
They are responsible for: spatial resolution and colour.
They connect the cone cells to the X cells of the LGN in layers 3-6

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15
Q

What are magnocellular cells, what are their function and where do they signapse.

A

Type of ganglion cell (M cell) aka parasol cells

They are responsible for motion detection and course vision.
They connect rod cells to the Y cells of the LGN in layers 1 and 2

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16
Q

Which layers of the LGN receive ipsilateral input?

A

235

17
Q

Which layers of the LGN receive contralateral input?

A

146

18
Q

The optic radiations connect the LGN to…

A

Primary visual cortex- aka Brodmann area 17

19
Q

Name the 3 remenants of the fetal hyloid vasculature

A

-Mittendorfs dot
-Bergmeister papilla
- vascular loops

20
Q

What is an optic pit? What symptoms can it cause?

A

Herniation of the retina into the meninges.
Can cause serous retinal detachment.
Causes centrocecal scotoma

21
Q

What is an optic disc Coloboma and what are the causes

A

Underdeveloped disk which can result in altidunal field defects.
Causes include:
CHARGE syndrome
Idiopathic
Sjogrens
Trisomy 18 and 22

22
Q

When do optic nerves become myelinated?

A

When exiting the lamina cribrosa

23
Q

In the optic nerve, what is the function of microglia

A

Macrophages

24
Q

In the optic nerve, what is the function of astrocytes:

A

Potassium regulation

25
Q

In the optic nerve, what is the function of oligodendrocyte:

A

Myelination

26
Q

What are the dimensions of the intraocular portion of the optic nerve

A

3mm by 1.5mm

27
Q

In the intra ocular aspect of the optic nerve, where do the macular fibres occupy

A

Centrally the fibres are in the centre of the optic nerve. Distally, they lie laterally of the optic nerve. Nasal fibres lie medially

28
Q

What is the blood supply to the intraocular aspects of the optic nerve?

A

Circle of sin which is derived from the short posterior ciliary arteries.
Surface is supplied by branches of the CRA

29
Q

What’s is the blood supply to the intraorbital section of the optic nerve?

A

Plial plexus
Collateral branches of the central retinal artery

30
Q

Where does the intracranial aspect of the optic nerve lie and what is its blood supply

A

Travels, posterior,superior and medial surrounded by meninges towards the chiasm. Lateral to it is the internal carotids. /

Supplied by plial plexus from superior hypophyseal artery from internal carotid and ophthalmic artery

31
Q

Where does the intracanalicular aspect of the optic nerve lie?
What is the blood supply?

A

In the lesser wing of the sphenoid.
Plial plexus, recurrent branch of ophthalmic nerve

32
Q

What els runs with the intracanalicular aspect of the optic nerve?

A

Postganglionic sympathetic fibres.
Dura also fuses with periorbita

33
Q

Inferior, nasal fibres cross the optic chiasm…

A

Anteriorly and inferiorily, superior fibres, cross posteriorly and superiorly.

This is why craniopharyngioma patients get inferior bitemoporal hemianopia