Vision Flashcards
Macular degeneration:
progressive loss of central vision
most common cause of vision loss in people over 55 and most _____ is age-related
Why?
First noticed as things being kinda blurry in the _____ when you are ____
Can be detected with the _____
Age-related macular degeneration (AMD):
Why? Not really sure. Lots of things (lifestyle, genetics…) may contribute
First noticed as things being kinda blurry in the middle when you are reading
Can be detected with the Amsler grid
Age-related macular degeneration (AMD):
two main types- wet and dry
Wet AMD (“exudative-neovascular”): 10% of AMD
Abnormal blood vessel growth under the macula
Blood vessels leak blood and fluid “wet”
Progresses rapidly and can cause severe damage (to vision) and may easily lose central vision
Treatment: laser therapy or lasers + light-activated drug to destroy these leaky vessels
Dry AMD (“nonexudative”): the other 90%
Involves a gradual loss of the retinal pigment epithelium, which is a layer of cells right next to the photoreceptor cells photoreceptor loss
Much slower to progress, which is good because there is no effective treatment for it as of now
most people that have AMD have wet or dry AMD?
Dry
Retinitis Pigmentosa
Group of hereditary eye disorders
Photoreceptors die by apoptosis (programmed cell death)
Choosing to die
Symptoms: night blindness (rods seem to go first), loss of peripheral vision, migration of pigment from the epithelium to other places in the retina
No real cure, but there are some treatments that can help for a while
the eye functions
- The eye functions
- Let in light
- Let in the right amount of light
- Focus the light/image on the retina
- Be flexible to permit seeing things at different distances
• Retina-
at the back of the eye; part of the CNS; contains the light sensitive neurons that send the visual information to the brain
• (Vision, itself, actually occurs in the retina)
• The retina is actually an extension of the brain,
•
T/F one of the roles of the eye is assist in vision
FALSE this is a role of the reina
Uveal tract
3 parts: choroid, ciliary body, iris
• Choroid: lots of capillaries that supply the photoreceptor cells; contains melanin (absorbs light)
-We need these capillaries to supply
-The pigment is not what is contributing to sight
• Ciliary body: encircles the lens
-Muscular component refractive power of lens
-Vascular component: Because things need blood
• Iris: the colored portion of the eye
- Muscles to adjust the size of the pupil
can the pupil be adjusted?
yes
• Adjustable pupil lets you try to get the best of both worlds- reduce aberrations while still letting in enough light to see
the aberrations of the pupil
Spherical aberration due to the difficulties in focusing planar images with spherically lenses; causes the specimen image to appear hazy or blurred and slightly out of focus
Chromatic aberration different wavelengths of light have different refractive indices, i.e. are bent to different degrees by a lens surface.
Cornea:
•
• in the front; lets light into the eye
Cornea does most of the refraction (of the eye and in comparison to the lens) and is adapted for air
• Put cornea in water, which has almost the same refractive index –> hazy, unfocused vision
Vitreous humor:
thick, gelatinous substance that fills the space between the lens and the retina
• 80% of eye’s volume
• Maintains shape, removes debris
• Floaters:
bits of debris that are stuck
chambers of the eye
• Anterior chamber- between cornea and lens
-Contains aqueous humor
• Posterior chamber- between the lens and the iris
-Aqueous humor is produced here and flows out through the pupil
Vitreous humor:
thick, gelatinous substance that fills the space between the lens and the retina
• 80% of eye’s volume
• Maintains shape, removes debris
thick, gelatinous substance that fills the space between the lens and the retinal surface, which accounts for 80% of the volume of the eye.
- maintains shape of eye
- contains phagocytic cells that remove blood and other debris that might interfere with light transmission.
aqueous humor
aqueous humor (watery liquid that supplies nutrients to the cornea and lens)
(zonule fibers)
• Lens connected to muscle by little bands of connective tissue (zonule fibers)
- tension wants to flatten the lens
Conditions/Problems with vision: what are they are and what causes them ***
-what are they
• Glaucoma and cataracts
refraction (of the eyeball)
- cornea and lens
- Cornea does most of the work and is adapted for air
*Lens does help some and is adjustable
Helps with objects at different distances
Ametropia:
having some sort of refractive error
Almost everyone has some sort of imperfect vision
zonule fibers
• Lens connected to muscle by little bands of connective tissue (zonule fibers) –> tension wants to flatten the lens
radially arranged connective tissue bands that are attached to the ciliary muscle and hold the lens in place.
Accommodation:
Accommodation: dynamic changes in shape of the lens
what causes glaucoma
- Genetic predisposition common
* Drainage failure = increased intraocular pressure
role of zonule fibers in accommodations
- to see things far away: Zonule fibers create more tension=> Flatter, thinner lens
- To view things close up: the zonule fibers have to relax and let the elasticity of the lens take over =>Thicker, rounder lens
- *myopia
- what in the eye causes this? (2 possible reasons)
- Near-sighted: unable to bring distant objects into focus (But can still see up close very well)
- caused by: Corneal surface too curved or eyeball is too long. Basically, cannot flatten the lens out enough to see distant objects
- Lines converge too early
Why are so many people near-sighted?
myopia
• might be because of learning to read and write at an early age
• The growth of the eyeball is influenced strongly by light falling on the retina
• Reading and writing may change this, leading to an overly elongated eyeball
how to correct myopia ***
• Near-sighted correction: concave lenses (thicker at the edges)
Accommodation:
Accommodation: dynamic changes in shape of the lens
dynamic changes in the refractive power of the lens due to the activity of the ciliary muscle that surrounds the lens attached by the zonule fibers.
- for distant object viewing the lens is made relatively thing and flat and has the least refractive power.
- for near vision the lens is made round and thick and has the most refractive power.
Most people age into _______ (hyperopic//myopic) … why?
• Most people age into hyperopic
- Not as common for younger people to have
- Lots of people eventually become somewhat far-sighted as they age
Why? The lens loses some of its elasticity (presbyopia)
• Therefore, the maximum curvature of the lens is reduced
• Need a curvy lens to see things close up. Thus, the need for reading glasses
how do glasses work
- Essentially, glasses work by helping focus the light that is getting bent in the wrong direction
- Contact lens do the same thing, but they can be much smaller since they are right on your eye
Far-sighted correction:
convex lenses (thicker in the center)
• 5 basic neuron types in retina:
***
- 5 basic neuron types in retina:
- Photoreceptors
- Bipolar cells
- Ganglion cells
- Horizontal cells
- Amacrine cells
phototransduction
*Light travels through the retina to the pigment epithelium-> -> -> changes membrane potential of photoreceptor cells–> neurotransmitter release
inner vs outer segment of rods and cones
both rods and cones have an inner segment and outer segment
-outer segment: is adjacent to the pigment epithelium. contains membranous disks that contain light-sensitive pigments
-inner segment contains the nucleus and gives rise to the synaptic terminals (i think syapse onto bipolar cells
• Fundus:
- Fundus: surface of the retina
- Blood vessels arising from the opthalamic artery and vein
- Lots of vascular
• Optic disk
-clinical use
(optic papilla): blood supply enters and exits from here; also where retinal axons exit
• This region has no photoreceptors = blind spot (scotoma)
• Basically of tunnel of cables
• clinical use: as a way to detect an increase in intracranial pressure (pressure on the inside of the skull)
• Subarachnoid space of brain continuous around the optic nerve
• Increased pressure will make the disk bulge
•
Macula lutea:
-pigment:
circular; near center of the retina
• Contains yellow pigment (xanthophyll), which filters UV light (protective)
• Supports high visual acuity
• Acuity highest in the center of the macula, which is a small pit called the fovea
fovea
small pit in the center of the macula with the highest acuity
-only has cones
• 5 basic neuron types in retina:
***
- Photoreceptors
- Bipolar cells
- Ganglion cells
- Horizontal cells
- Amacrine cells
phototransduction
** Light travels through the retina to the pigment epithelium-> -> -> changes membrane potential of photoreceptor cells–> neurotransmitter release
- light activation causes graded change in membrane potential of photoreceptors and a corresponding change in NT (glutamate) release rate. (add light= hyper polarization up to -65mV, dark= depolarized, resting at 40mV)
- huge signal amplification capability.
In the dark:
1) Inward Na+ and Ca2+ flow into the outer segment though cGMP gated membrane channels (cGMP-bound=open) acts to depolarize the cell. Outward current of K+ through K+ selective channels in the inner segment acts to hyper polarize the cell. In dark, large quantity of cGMP in outer segment=many open cGMP-gated channels= inward>outward= depolarized= high # synaptic terminal Ca2+ channels open=high transmitter release.
Addition of light:
1) Photon absorbed by the photopigment in the receptor disk by the chromophore retinal coupled to one of several opsins.
2) When light is absorbed by retinal, one of the double bonds between the carbon atoms in the molecule breaks, causing a configuration shift from the T1-cis isomer to the all-trans retinal.
3) Series of changes in the opsin component triggered.
4) opsin change triggers activation of transducin, which activates phosphodiesterase which hydrolyzes cGMP thus causing channel closure, leading to hyper polarization, closing of synaptic terminal Ca2+ channels and decrease in transmitter release.
for rods and cones: light causes? dark causes?
- Light => hyperpolarization (more negative)
* Dark => depolarization (less negative)
• Fundus:
- Fundus: surface of the retina
- Blood vessels arising from the opthalamic artery and vein
- Lots of vascular
• Optic disk
-clinical use ?
(optic papilla): blood supply enters and exits from here; also where retinal axons exit
- This region has no photoreceptors = blind spot (scotoma)
- Basically of tunnel of cables
- can use it (clinically) as a way to detect an increase in intracranial pressure (pressure on the inside of the skull)
- Subarachnoid space of brain continuous around the optic nerve
- Increased pressure will make the disk bulge
the site where optic veins and arteries enter the eye (to then fan out over the fundus of the retina) and the site where retinal axons leave the eye.
- contains no photoreceptors and is responsible for the blind spot phenomenon.
- its appearance is a useful gauge of intracranial pressure because it is continuous with the subarachnoid space of the brain (swelling of papilla=increased intracranial pressure).
cones : location
• are present at a low density throughout the retina, but are concentrated in the center of the fovea
Macula lutea:
-contains:
circular; near center of the retina
• Contains yellow pigment (xanthophyll), which filters UV light (protective)
• Supports high visual acuity
• Acuity highest in the center of the macula, which is a small pit called the fovea
oval spot containing yellow pigment near the center of the retina which is responsible for high visual acuity.
- acuity is greatest in the fovea which is the small depression at the very center of the macula.
fovea
-vascularization?
small pit in the center of the macula with the highest acuity
- highly specialized region in the center of the macula.
- increased density of cones and sharp decrease in density of rods (density of rods is far greater than that of cones throughout the rest of the retina)
- called the foveola: at very center, there are no rods at all. has the highest level of visual acuity ( due to high density of cones + one-to-one neural relationships in the cone system)
- displacement of inner layers of retina at this region which decreases photon scattering also adds to the superior acuity of the area.
- devoid of blood vessels means higher acuity.
- high acuity limited to this small region is why humans move their eyes and heads so much depending on the object they want to bring into focus.
Role of pigment epithelium***
• Cells in the pigment epithelium have processes that extend to and surround the tips of the outer segments of each photoreceptor
• Two roles:
1) Eat (phagocytose) old membranous disks filled with pigment (lifespan of disk= 12 days)
2) Regenerate photopigment molecules after exposure to light
• Pigment is continuously cycled between the outer segment of the photoreceptor and the pigment epithelium
• Disks migrate from innermost portion of the outer segment to the outermost portion of the outer segment (get closer to pigment epithelium) as they age
• The disks then shed and are eaten by the pigment epithelium
functions:
1) Removal of the expended (old ~12 day lifespan) photoreceptor disks which house the light sensitive photo-pigment, via engulfment of the tip of the photoreceptor outer segment into the pigment epithelium.
2) Regeneration of photopigment molecules after they have been exposed to light– photopigment is cycled continuously between photoreceptor outer segment and the pigment epithelium. (retinoid cycle, IRBP brings retinol to the pigment epithelium, where it is converted back to 11-cis-retinal, and then transported back to the outer segment by IRBP)
How do we “return things to normal” after light hits a photoreceptor
• **
We would like some control over this wild cascade
• arrestin:
-Arrestin blocks the ability of rhodopsin to activate more transducin
-Activated rhodopsin is phosphorylated by rhodopsin kinase
-This allows arrestin to bind it
- All-trans retinal dissociates from the opsin and goes into the cytosol of the outer segment
- Converted to all-trans retinol
- All-trans retinol gets escorted to the pigment epithelium by interphotoreceptor retinoid binding protein (IRBP)
- Gets converted back to 11-cis retinal –> IRBP sends it back
- Restore retinal to stop the cascade
Arrestin
Arrestin blocks the ability of rhodopsin to activate more transducin
interphotoreceptor retinoid binding protein (IRBP) *
• All-trans retinol gets escorted to the pigment epithelium by interphotoreceptor retinoid binding protein (IRBP)
IRBP carries the 11-cis retinal back to the photorecptor
Who sends axons from the retina to the brain?
***
Ganglion cells are the only way out
• Axons of the retinal ganglion cells exit through the optic disk and bundle together for form the optic nerve
• The optic nerves from each side of the head meet at the optic chiasm
• Here, some fibers cross and some stay on the same side
• In humans, 60% of fibers cross over and the rest stay on the same side
• 40% stay on the same side
• As the axons continue on to their targets, they are now called the optic tract
• Optic tract contains information from both eyes. Optic nerves only contain information from the ipsilateral eye
color vision
-wavelength:
Rods contain a single photopigment –> not useful for color vision
(Human) Cones have three kinds of photopigments, each sensitive to a different wavelength of light
Trichromatic- blue, green, and red (short, medium, and long wavelength)
The actual color information is extracted higher up in the visual processing pathways
• Opsin
Opsins are multipass transmembrane proteins and they form a pocket for the retinal to sit in
There are a variety of opsins.
• Example: rhodopsin
• Different opsins tune the absorption of light by the molecule based off the wavelength of light in the spectrum