Vision Flashcards

1
Q

What are the layers of the eye that are involved in refraction, and which is strongest? Which is the most variable? Which becomes opaque in cataracts?

A

The cornea and the lens are involved in refraction. The cornea is actually the strongest amount of refraction, but the lens provides variable refraction due to changing shape. This change in shape becomes less with age (presbyopia). The lens also can become opaque in cataracts.

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2
Q

How is the retina organized?

A

the retina has an inner neural layer and an outer layer of pigmented epithelium. The neural layer has several layers of cells and connections. The innermost layer (closest to the center of the eyeball) is the ganglion cell layer. The middle layer is the bipolar cell layer, and the outer layer is the layer of rods and cones that are the photoreceptors. In between these three sets of cells are layers with many connections (plexiform layers) which include horizontal cells near the photoreceptors and amacrine cells near the ganglion cells.

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3
Q

What is the structure of the photoreceptive cells (rods and cones)?

A

The rods and cones each have three sections. They have a synaptic region, an inner segment (that includes the nucleus and most of the organelles), and an outer segment. The outer segment includes stacks of infolded membrane, termed disk membranes. Photopigment is embedded in these disk membranes. Thus, light has to pass through all layers of the neural retina as well as the entirety of the rod or cone to reach the site where they can interact with their signaling pathways.

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4
Q

What is “dark current” in photoreceptive cells?

A

In the dark, cyclic GMP binds to and opens cGMP gated ion channels that are permeable to sodium and calcium. This results in positive ions entering the cell (“dark current”) and maintains a state of partial depolarization of the photoreceptor. This, in turn, results in constant release of neurotransmitter (glutamate) onto bipolar cells.

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5
Q

How does a phtoreceptor cell respond to light?

A

The particular light sensitivity of a photoreceptive cell is based on the specific photopigment and its concentration in disk membranes. Photopigment consists of a protein (opsin) which is a GPCR, and a molecule of cis-retinal (derivative of vitamin A). Light striking the photopigment converts the cis-retinal to trans-retinal. This change in confirmation permits the opsin to activate transducin. This, in turn, activates a phosphodiesterase that converts cGMP to GMP. This, in turn, closes the cGMP gated ion channels, resulting in hyperpolarization of the photoreceptor cell and terminating its release of glutamate onto bipolar cells. Since this glutamate is inhibitory to “on” bipolar cells, these bipolar cells will be excited (“disinhibited”). The associated ganglion cell will be excited by release of glutamate from the “on” bipolar cell.

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6
Q

What is color blindness?

A

Colorblindness results from lack of one or more of the three photoreceptive pigments contained in cones. Thus, colorblind individuals cannot discriminate certain colors (most often red from green).

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7
Q

What are the different types of retinal ganglion cells and their roles in visual processing?

A

Magnocellular (M-type) have large receptive field and appear to be involved in motion detection. Parvocellular (P-type) have smaller receptive fields and are involved in color vision. W-type ganglion cells do not have center/surround organization and respond to the overall illumination of their receptive field. At least some of these cells are directly photosensitive (they contain melanopsin). They are most sensitive to blue light and are important for circadian rhythms and pupillary reflexes.

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8
Q

What is the physiological blind spot?

A

The physiologic blind spot is the part of the retina at the beginning of the optic nerve (where ganglion cell axons leave the retina). This is the optic disc on the medial side of the retina (lateral side of the visual world). There are no photoreceptive cells in this area.

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9
Q

What is the distribution of rods and cones in the retina?

A

he fovea centralis is the region right in the middle of the retina, where central vision is most acute. There are only cone photoreceptors in this region. The more peripheral in the retina, the more rods are present (meaning greater sensitivity to light in this peripheral vision at night, but no color vision).

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10
Q

What is the projeciton pathway from the retina to the visual cortex?

A

Ganglion cell axons comprise the optic nerve. Those axons arising from the temporal visual field remain ipsilateral, while those from the nasal retinal field decussate. The optic tract continues posteriorward from the optic chiasm to reach the lateral geniculate nucleus of the thalamus. This nucleus gives rise to optic radiations to the cortex. Those optic radiations extending through the white matter under the parietal lobe go to the part of the visual cortex above the calcarine sulcus; while those looping through the temporal lobe (Meyers’ loop) terminate below the calcarine sulcus.

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11
Q

What other areas do retinal ganglion cells project to and what do these regions do with this information?

A

etinal ganglion cells project to the suprachiasmatic nucleus to entrain circadian rhythms; to the pretectal area for the pupillary light reflex (consensual pupil constriction to light exposure); and to the superior colliculus for reflex head and eye movements to novel visual stimuli.

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12
Q

Where does visual information first terminate in the cerebral cortex? Where is the lower visual world represented? The upper visual world? The central region of vision?

A

Visual information first reaches the contralateral primary visual cortex, which is located on the medial occipital lobe just above and below the calcarine sulcus. This region is called the calcarine or striate cortex. The gyrus above the sulcus processes information from the contralateral lower visual world; the gyrus below the sulcus processes information from the contralateral upper visual world. Central vision is represented at the occipital pole of the brain (most posterior).

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13
Q

What is the dorsal stream of visua information processing the cortex? What is the ventral stream?

A

The dorsal stream is the “how” and “where” pathway that is mostly focused on movement and location. An example is MT (the posterior part of the Middle Temporal gyrus) that is involved in recognizing movement of objects. The ventral stream, which mostly involves the part of the visual association area in the inferior temporal lobe, is the “what” pathway. This includes object recognition such as the fusiform gyrus, which is involved in recognizing faces (mostly in the nondominant hemisphere).

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14
Q

What kind of deficits should you expect from damage to the optic nerve? The optic chiasm? The optic tract? The optic radiations in the parietal lobe white matter? The optic radiations in the temporal lobe white matter?

A

Damage to the optic nerve should produce monocular vision problems (blindness or blind spots). Damage to the optic chiasm should produce bitemporal vision problems. Damage to the optic tract should produce contralateral homonymous hemianopia. Damage to the optic radiations in the parietal lobe white matter should produce contralateral homonymous inferior quadrantanopia. Damage to the optic radiations in the temporal lobe white matter should produce contralateral homonymous superior quadrantanopia.

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15
Q

accommodation

A

Dynamic changes in the lens of the eye that enable the viewer to focus. When viewing distant objects, the lens is made relatively thin and flat; for near vision, the lens becomes thicker and rounder and has more refractive power.

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16
Q

amacrine cells

A

Retinal neurons that mediate lateral interactions between bipolar cell terminals and the dendrites of ganglion cells.

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17
Q

bipolar cells

A

Retinal neurons that provide a direct link between photoreceptor terminals and ganglion cell dendrites.

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18
Q

ciliary body

A

Two-part ring of tissue encircling the lens of the eye. The muscular component is important for adjusting the refractive power of the lens. The vascular component produces the fluid that fills the front of the eye.

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19
Q

cones

A

Photoreceptor cells specialized for high visual acuity and the perception of color.

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20
Q

cornea

A

The transparent surface of the eyeball in front of the lens; the major refractive element in the optical pathway.

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21
Q

fovea

A

Area of the retina specialized for high acuity in the center of the macula; contains a high density of cones and few rods.

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22
Q

foveola

A

Capillary-free and rod-free zone in the center of the fovea.

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23
Q

glaucoma

A

Condition in which the eye’s aqueous humor is not adequately drained, resulting in increased intraocular pressure, reduced blood supply to the eye, and eventual damage to the retina.

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24
Q

horizontal cells

A

Retinal neurons that mediate lateral interactions between photoreceptor terminals and the dendrites of bipolar cells.

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25
Q

macula lutea

A

The central region of the retina that contains the fovea (the term derives from the yellowish appearance of this region in ophthalmoscopic examination); also, the sensory epithelia of the otolith organs.

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26
Q

mesopic vision

A

Vision in light levels at which both the rods and cones are active.

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27
Q

opsins

A

Proteins in photoreceptors that absorb light (in humans, rhodopsin and the three specialized cone opsins).

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28
Q

optic disk

A

The region of the retina where the axons of retinal ganglion cells exit to form the optic nerve and where the ophthalmic artery and vein enter the eye. Also called the optic papilla.

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29
Q

optic nerve

A

The nerve (cranial nerve II) containing the axons of retinal ganglion cells; extends from the eye to the optic chiasm.

30
Q

photopic vision

A

Vision at high light levels, which is mediated almost entirely by cone cells. Contrast with scotopic vision.

31
Q

photoreceptors

A

The specialized neurons in the eye‚ rods and cones‚ that are sensitive to light.

32
Q

phototransduction

A

The process by which light is converted in electrical signals in the retina.

33
Q

pigment epithelium

A

Pigmented coat underlying the retina important in the normal turnover of photopigment in rods and cones.

34
Q

pupil

A

The perforation in the center of the iris that allows light to enter the eye. The pupillary light reflex mediates pupillary constriction in full light and expansion (dilation) in dim light; these responses can also be induced by chemicals and by certain emotional states, and thus can be clinically important.

35
Q

retina

A

Laminated neural component of the eye that contains the photoreceptors (rods and cones) and the initial processin machinery for the primary (and other) visual pathways.

36
Q

rhodopsin

A

The photopigment found in rods.

37
Q

rods

A

Photoreceptor cells specialized for operating at low light levels.

38
Q

sclera

A

The external connective tissue coat of the eyeball.

39
Q

scotoma

A

A small deficit in the visual field resulting from pathological changes in some component of the primary visual pathway.

40
Q

scotopic vision

A

Vision in dim light, where the rods are the operative receptors.

41
Q

transducin

A

G-protein involved in the phototransduction cascade.

42
Q

trichromatic

A

Referring to the presence of three different cone types in the human retina, which generate the initial steps in color vision by differentially absorbing long, medium, and short wavelength light.

43
Q

describe the pupillary eye reflex

A

This pathway includes bi-lateral projections from the retina to the pretectum and projections from the pretectum to the Edinger–Westphal nucleus. Neurons in the Edinger–West- phal nucleus terminate in the ciliary ganglion, and neurons in the ciliary ganglion innervate the pupillary constrictor muscles. Notice that the afferent axons activate both Edinger–Westphal nuclei via the neurons in the pretectum.

44
Q

describe the first phase of the retinoid cycle and photoadaptation.

A

(A) Following photoisomerization, all-trans retinal is converted into all-trans retinol and is transported by the chaperone protein IRBP into the pigment epithelium. There, in a series of steps, it is converted to 11-cis retinal and transported back to the outer segment (again via IRBP), where it recombines with opsin.

(slap til stiv)

45
Q

describe the second phase of the retinoid cycle and photoadaptation.

A

Photoreceptor adaptation. Calcium in the outer segment inhibits the activity of guanylate cyclase and rhodopsin kinase, and reduces the affinity of cGMP-gated channels for cGMP. Light-induced clo- sure of channels in the outer segment membrane leads to a reduction in Ca2+ concentration and a reduction in Ca2+-me- diated inhibition of these elements of the cascade. As a result, the photoreceptor’s sensitivity to photon capture is reduced.

46
Q
A

(A) Rhodopsin resides in the disk membrane of the photoreceptor outer seg- ment. The seven transmembrane domains of the opsin molecule enclose the light-sensitive retinal molecule. (B) Absorption of a photon of light by retinal leads to a change in configuration from the 11-cis to the all-trans isomer.

47
Q
A

(C) The second messenger cascade of phototransduction. The change in the retinal isomer activates transduc- in, which in turn activates a phosphodiesterase (PDE). The PDE then hydrolyzes cGMP, reducing its concentration in the outer segment and leading to the closure of channels in the outer segment membrane.

48
Q

Cyclic GMP–gated channels and light-induced changes in the electrical activity of photoreceptors.

A

A

This simplified diagram shows a rod, but the same scheme applies to cones. (A) In the dark, cGMP levels in the outer segment membrane are high; cGMP binds to the Na+-permeable channels in the membrane, keeping them open and allowing sodium and other cations to enter, thus depolarizing the cell.

49
Q

Cyclic GMP–gated channels and light-induced changes in the electrical activity of photoreceptors.

B

A

This simplified diagram shows a rod, but the same scheme applies to cones. (B) Absorption of photons leads to a decrease in cGMP levels, closing the cation channels and resulting in receptor hyperpolarization.

50
Q

What is the state of the lens?

A

Unaccommodated

51
Q

What is the state of the lens?

A

Accommodated

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66
Q

What is characteristic for retinal ganglion cells and their receptive fields?

A

They have on-center and off-center responses.

They have antagonistic responses.

They detect contrasts not the absolute level of illuminance.

Information about increases and decreases in luminance is carried separately to the brain by the two types of ganglion cells.

67
Q

What is characteristic of P ganglion cells?

A

They have smaller receptive fields than M ganglion cells.

They have smaller diameter axons than M ganglion cells.

They convey information about colors.

They have smaller cell bodies than M ganglion cells.

They innervate layer 3 of the lateral geniculate nucleus.

68
Q

What is characteristic of M ganglion cells?

A

The most commonly accepted theory is that M cells are particularly involved in detecting movement in a stimulus, whereas P cells, with their small receptive fields, would be more sensitive to its shape and details.

69
Q

Describe three characteristics of the fovea.

A

There are only ones in fovea centralis and (2) they are connected 1: 1 to the ganglion cells. (3) It is a region of high visual acuity.

70
Q

Describe the neuroanatomic coupling that regulates how both eyes’ pupils can be affected after light stimulation of one eye.

A

The circuitry responsible for the pupillary light reflex includes projections from the retina to the pretectum and then bilateral projections to the Edinger-Westphal nucleus. Neurons in theEdinger-Westphal nucleus terminate in the ciliary ganglion that innervates the pupillary constrictor muscles.

71
Q

Stimulating a rod with light leads to membrane hyperpolarization. Explain the details of phototransduction in the rods.

A

Absorption of light by the rods causes a configuration change from 11-cis to all-trans retinal which in turn activates a G-protein, transducin,that then leads to an activation of phosphodiesterase. The phosphodiesterase hydrolyzescGMP leading to a closure of the Na+ channel and hyperpolarization.

72
Q

You are examining the pupillary light reflex in a patient. When you stimulate the left eye with light the pupil in the left eye decreases in diameter but NOT the right pupil. Explain the reason for this.

A

A problem with the oculomotor nerve.