Visual System Flashcards
Why do we have 2 eyes
Stereopsis = able to see in 3D
Widens our visual field
Number of layers of the eye
3
3 layers of the eye
Outer layer = sclera and cornea
Middle layer = uvea
Inner layer = retina
Sclera
Tough fibrous outer coat
Made of collagen
Why must the outer layer of the eye be transparent - cornea
Light transmission
Why must the outer layer of the eye be tough
Barrier to trauma and infection
Maintains shape of eye
What is the cornea and sclera made out of
Collagen
Outer layer of eye and refraction
Responsible for 2/3 refractive power of eye
Number of layers in outer layer of eye
5
5 layers of outer layer of eye
Epithelium
Bowman’s layer
Stroma
Descemet’s layer
Endothelium
What makes up the middle layer of the eye
Iris
Ciliary body
Choroid
Iris
Coloured part at front of eye
Contains dilator and sphincter pupillae muscles (pupillary reflexes)
Ciliary body
Glandular epithelium produces aqueous humour
Ciliary (smooth) muscle controls accommodation
Choroid
Blood supply to outer third of retina
Heat sink
Darkly pigmented so that it can absorb stray photons
Retina
Specialised organ of phototransduction
What makes up the retina
Macula lutea
Fovea centralis
Cones
Rods
How are collagen fibres laid out in sclera
Cross-linked creating opacity
How are collagen fibres in cornea laid out
Parallel - transparent
What percentage of outer layer if cornea
1/6 (continuation of sclera)
Limbus
forms the border between the transparent cornea and opaque sclera, contains the pathways of aqueous humour outflow, and is the site of surgical incisions for cataract and glaucoma
Where are stem cells for the cornea found
Limbus
What causes the choroid to be coloured
Contains melanocytes-
Ora serrata
serrated junction between the retina and the ciliary body. This junction marks the transition from the simple non-photosensitive area of the retina to the complex, multi-layered photosensitive region.
Intraocular lens
Suspended from cornea
1/3 refractive power
Which part of the eye never stops growing
Lens
Presbyopia
gradual loss of your eyes’ ability to focus on nearby objects.
It’s a natural, often annoying part of aging.
Presbyopia usually becomes noticeable in your early to mid-40s and continues to worsen until around age 65
What percentage of the corneal depth is the stroma
90%
Which layers of the outer layer of the eye can regenerate
Epithelium (not endothelium)
Role of endothelium in cornea
Keeps it dehydrated - fluid removed to keep it clear
Water actively pumped out of stroma so transparent
Thickness of cornea
550 micrometers
Role of ciliary muscles
Holds lens in place by suspensory ligaments
Contract/relax to control accommodation of lens
Function of iris
Changes aperture of pupil
What fluid fills the anterior chamber of the eye (between cornea and iris)
Aqueous humour
What produces the aqueous humour
Ciliary bodies
Function of aqueous humour
Maintain pressure in eye
Anterior chamber of eye
Between cornea and iris
Posterior chamber of eye
Between iris and ciliary processes
Pigmented outer layer of retina
formed by a single layer of cells. It is attached to the choroid and supports the choroid in absorbing light (preventing scattering of light within the eyeball). It continues around the whole inner surface of the eye.
Neural inner layer of retina
consists of photoreceptors, the light detecting cells of the retina. It is located posteriorly and laterally in the eye.
Macula lutea
part of the retina that is responsible for sharp, detailed central vision (also called visual acuity)
Very high concentration of cones
Sphincter muscles
Make pupil smaller
Parasympathetic
Dilator muscles
Make pupil larger
Sympathetic
Intraocular pressure
15 mmHg
Pars plana
Located near iris-sclera junction
Keratoconus
Abnormal shaped cornea
Results in a stigmatism and distorted light and visual focus
Coloboma
Left without uvea
Results in field defect in the affected area
Clinical links to retina
Central scotomas
Night blindness
Macular degeneration can lead to blindness
Humours - open angle glaucoma
Tunnel vision affects 2% of population
Vitreous humour
Acts as a collagen scaffold and helps maintain Intraocular pressure
What produces the vitreous humour
Retina
Fovea centralis
When light passes through pupil it projects an image of what you’re focused on to the fovea centralis
Retinal pigment epithelium
Contains photoreceptors (rods and cones)
Rods
Dim lighting
Sensitive
Peripheral vision
Cones
Colour vision
Photoelectric transducer
Converts light into electric impulses
Number of layers of tear film
3
3 layers of tear film
Anterior lipid
Middle aqueous
Posterior mucous
Anterior lipid layer
Secreted by meibomium glands
Provides hydrophobic barrier to prevent aqueous layer evaporating
Which glands secrete anterior lipid layer
Meibomium gland
Middle aqueous layer
Water, electrolytes and proteins
Secreted by lacrimal glands
Regulates transport through cornea and prevents infection
Which glands secrete middle aqueous layer
Lacrimal glands
Posterior mucous layer
Secreted by goblet cells
Provides hydrophilic layer
Allows for even distribution of tear film
Which cells secrete posterior mucous layer
Goblet cells
What does the vitreous humour contain
Hyaluronic acid and water
Blood supply to eye
Internal carotid artery- ophthalmic artery, central retinal artery and ciliary arteries
External carotid artery - facial artery supplies medial lid and orbit
Branches of internal carotid artery that supplies eye
Ophthalmic
Central retinal
Ciliary
Photon pathway
Tear film (transmission)
Cornea
Aqueous humour
Lens
Vitreous humour
Ganglion cell
Amacrine cell
Bipolar cell
Horizontal cell
Cone
Rods
Pigmented epithelium (absorption of excess photons)
Hypermetropia
Underpowered to focus near objects on retina
May be due to:- corneal curvature too shallow- lens not flexible enough- axial length of eyeball too short
Myopia
Overpowered so can’t focus far objects on retina
May be due to:- corneal curvature too steep- axial length of eyeball too long
Adenexae
Tear film
3 layers anterior lipidmiddle aqueousposterior mucous
Protective
Nutrition for cornea
Which veins drain the choroid
Vortex veins
Where do superior ophthalmic veins drain into
Cavernous sinus
Where do inferior ophthalmic veins drain into
pterygoid venous plexus
Lymphatics.
No lymphatic drainage of globe
Conjunctiva and lids drain into submandibular and pre-auricular nodes
Extra cranial visual pathway
Optic nerve formed by convergence of axons from retinal ganglion cells
Receive impulses from rods and cones
Optic nerve leaves via the optic canal through sphenoid bone
Enters the cranial cavity and runs along the middle cranial fossa
Intracranial visual pathway
In middle cranial fossa, optic nerves join = optic chiasm
At chiasm, fibres from the medial halves cross to the contralateral optic tract
Fibres from the lateral halves remain ipsilateral
Optic tracts then travel to lateral geniculate nucleus in the thalamus and fibres synapse
Where do optic tracts synapse
Lateral geniculate nucleus in thalamus
Optic radiation
Carry visual information to visual cortex from lateral geniculate nucleus
Upper optic radiation
Carries fibres from superior retinal quadrants (Baumans loop)
Travels through parietal lobe to visual cortex
Which optic radiation travels through the parietal lobe
Upper optic radiation
Lower optic radiation
Carries fibres from the inferior retinal quadrants
Travels through temporal lobe (via Meyer’s loop) to visual cortex
Which optic radiation travels through the temporal lobe
Lower optic radiation
Superior retinal quadrants correspond to
Inferior visual field quadratns
Inferior retinal quadrants correspond to
Superior visual field quadrants
Intorsion
Internal rotation
Extortion
External rotation
6 ocular muscles
Medial rectus
Lateral rectus
Superior oblique
Inferior oblique
Superior rectus
Inferior rectus
Damage to left optic nerve causes
No vision in left eye
Damage to optic chiasm
Loss of vision of the temporal visual fields = hemianopia
Damage to left optic tract
Loss of vision of temporal field of left eye and nasal field of right eye
Damage to left Meyer’s loop
Loss of vision in superior nasal field of left eye and superior temporal field of right eye
Damage to Baum’s loop
Loss of vision in inferior temporal field of right eye and inferior nasal field of left eye
Meyer’s loop
Lower optic radiation through temporal lobe
Baumans loop
Upper optic radiation through parietal lobe
Outer segments of rods and cones
contains discs containing light sensitive photopigment
Inner segments of rods and cones
made up of cell body, axon and synaptic terminals
Photopigment in rods
Rhodopsin
Photopigment in cones
Opsin
Opsins
transmembrane proteins which contain the light sensitive molecule retinal
Different opsin structures mean retinal absorbs different wavelengths of light
Effect of a photon on a rhodopsin molecule
Triggers conformation change to all-trans form
This change triggers changes in the opsin structure
This in turn triggers a cascade within the cell
Signals in the retina
Photoreceptor → bipolar cell → retinal ganglion cell
Horizontal and apocrine cells modulate signal
Retinal ganglion cells not graded response – action potential
Retinal blood supply outer 1/3
Choroid (posterior ciliary arteries)
Retinal blood supply inner 2/3
Central retinal artery
The visual pathway begins with the retina sending signals down the optic nerve towards the optic chiasm. After the optic chiasm, the optic tracts carry on the signal reaching the lateral geniculate nuclei. After this both the meyers loop and baums loop (optic radiations) carry the signal to the visual cortex. Lesions at any point in this pathway are known to cause various visual defects.
Which lobe does Baums loop pass through?
Parietal
The visual pathway begins with the retina sending signals down the optic nerve towards the optic chiasm. After the optic chiasm, the optic tracts carry on the signal reaching the lateral geniculate nuclei. After this both the meyers loop and baums loop (optic radiations) carry the signal to the visual cortex. Lesions at any point in this pathway are known to cause various visual defects.
Which lobe does meyers loop pass through?
Temporal