Visual System 1.5 Flashcards

1
Q

What is the retina?

A

Very thin layer of tissue that lines the inner part of the eye

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2
Q

What is the retina responsible for?

A
  1. capturing the light rays that enter the eye

2. these light impulses are then sent to the brain for processing, via the optic nerve.

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3
Q

What does the optic nerve do?

A

transmits electrical impulses from the retina to the brain

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4
Q

Where does the optic nerve connect?

A

to the back of the eye near the macula

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5
Q

What is the visible portion of the optic nerve called?

A

optic disc (corresponding anatomic landmark for physiological blind spot)

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6
Q

Where is the blind spot?

A

Where the optic nerve meets the retina there are no light sensitive cells

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7
Q

Where is the macula?

A

roughly in the centre of the retina, temporal to the optic nerve

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8
Q

What is the macula?

A
  • small and highly sensitive part of the retina responsible for detailed central vision
  • allows us to appreciate detail and perform tasks that require central vision such reading
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9
Q

What is the fovea?

A

the very centre of the macula and most sensitive part of retina

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10
Q

What is the concentration of rods and cones in the fovea?

A
  • Highest conc of cones

- Lowest conc of rods

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11
Q

What is central vision?

A
  • Detail day vision, colour vision

- Reading, facial recognition

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12
Q

How do you asses central visions?

A

visual acuity assessment

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13
Q

What does loss of foveal vision lead to?

A

Poor visual acuity

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14
Q

What is perisperhal vision?

A
  • Shape, movement, night vision

- Navigation vision

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15
Q

How is peripheral vision assessed?

A

by visual field assessment

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16
Q

What happens if there is is extensive loss of visual field?

A

unable to navigate in environment, patient may need white stick even with perfect visual acuity

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17
Q

What is the outer layers of the retinal structure?

A
  • Photoreceptors (1st order neuron)

- Detection of Light

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18
Q

What is the middle layer of retinal structure?

A
  • Bipolar Cells (2nd order neuron)

- Local signal processing to improve contrast sensitivity, regulate sensitivity

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19
Q

What is the inner layer of retinal structure?

A
  • Retinal ganglion cells (3rd order neuron)

- Transmission of signal from the eye to the brain

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20
Q

What does the retina form?

A

the innermost layer of the coat of eye in the posterior segment

21
Q

What does the retina consist of?

A
  • an outer thin layer of Retinal Pigment Epithelium, situated right in front of the Choroid,
  • inner thicker layer called the Neuroretina.
22
Q

What does the retinal pigment epithelium do?

A

transports nutrient from the choroid to the photo-receptor cells,
and removes metabolic waste from the retina

23
Q

What is the neuroretina made up of?

A

photo-receptors and neurons

24
Q

What are the layers of retina?

A
  1. Outer Layer consisting of photo-receptors,
  2. middle layer of intermediate neurons
  3. inner layer of ganglion nerve cells
    - axon running along the optic nerve into the brain
25
What are rods?
1. Longer outer segment with photo-sensitive pigment 2. 100 times more sensitive to light than cones 3. Slow response to light 4. Responsible for night vision (Scotopic Vision) 120 million rods
26
What are cones?
1. Less sensitive to light, but faster response 2. Responsible for day light fine vision and colour vision (Photopic Vision) 6 million cones 3. Shorter outer segment
27
Where are photopigments synthesised?
inner photo-receptor segment, | and are then transported to the outer segment
28
What is the outer segment made of?
stacks of discs
29
What are distal discs?
The distal discs with deactivated photo-pigments are shedded from the tips, and phago-cytosed by the retinal epithelial cells
30
What happens to the deactivated photopigments?
The deactivated photopigments are regenerated inside the retinal epithelial cells, and then transported back to the photo-receptors
31
What is rod (scotopic) vision?
1. Peripheral and night vision 2. More photoreceptors 3, More pigment 4. Higher spatial and temporal (time) summation 5. Recognizes motion
32
What is cone (photic) vision?
- Central and day vision | - Recognizes colour and detail
33
Where is rod density highest?
Rod photo-receptors are widely distributed all over the retina, with the highest density just outside the macula (tails off towards periphery)
34
Are rod photoreceptors in the macula?
NO
35
Where are cone photoreceptors?
distributed only within the macula
36
Where can you find the highest conc of rod photoreceptors in retina?
20-40 degrees away from fovea
37
Where is the peak light sensitivity for rod vision?
498 nano-meters wavelength
38
What are the different cones and colours?
S-Cones: Blue (short wavelength) M-Cones: Green L- Cones: Red (long wavelength)
39
What is yellow light?
1. wavelength between the peak sensitivity wavelengths of M-Cones and L-Cones. 2. Yellow light stimulates both M-cones and L-cones equally. 3. Biologically, we experience yellow light as a combination of green and red light.
40
What is the commonest form of colour vision deficiency?
Deuteranomaly
41
What is deuteranomaly caused by?
shifting of the M-cone sensitivity peak towards that of the L-cone curve, causing red-green confusion - don't perceive red
42
What is the name for full colour blindness?
achromatopsia
43
What is the prevalence of colour vision deficit?
8% amongst males, | and 0.5% amongst females
44
What is anomalous trichromatism?
Colour Vision deficits can be caused by a shift in the photo-pigment peak sensitivity
45
What is commonest form of anomalous trichromatism?
Deuteranomaly
46
What is dichromatism?
only two cone photo-pigment sub-types are present
47
What is monochromatism?
complete absence of colour vision
48
What is blue cone monochromatism?
- presence of only blue L-cones | - normal day light visual acuity
49
What is rod cone monochromatism?
- total absence of all cone photo-receptors | - no functional day vision