visual system Flashcards

1
Q

cornea/sclera

A

major refractive structure, sclera is the insertion pt for muscles
epithelium: stratified squamous cells, highly regenerative capacity

bowmans membrane: acellular layer of unorganized collagen fibers, barrier to infection can heal but scars can form

stroma: organized type 1 collagen bundles binds water, maintains corneal clarity, corneal thickness

descemets membrane: corneal endothelial cells, increases in thickness w/age

endothelium: simple squamous epithelium, pumps water out of stroma

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2
Q

uvea (choroid)

A

a highly pigmented vascular tunic between the sclera and retina. Absorbs stray light:

Vessel layer: med sized arteries and veins, loose CT and melanocytes
Choriocapillary layer: fenestrated capillaries arranged in single plane
Bruch membrane: amorphous hyaline that the RPE rest on

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3
Q

Uvea (ciliary body)

A

expansion of the stroma of choroid near lens
contacts 3 regions: vitreous body, sclera, posterior chamber/lens

has projections called ciliary processes that project toward lens

Trabecular meshwork within ciliary body near limbus (aqueous humor drained from anterior chamber via trabecular meshwork)

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4
Q

Uvea (iris)

A

covers lens, regulates the amount of light reaching the retina
Anterior aspect made of vascular loose CT with interspersed melanocyes, the number of which determines eye color
posterior surface is a double layer of pigmented epithelium (absorbs light)

2 muscle masses layer on pigmented epithelium and regulate iris opening (pupil diameter)- radially arranged myoepithelial cells form dialator pupillae m (sympathetic innervation)

concentric smooth muscles bundles at the pupil margin and form the sphincter pupillae (Parasym innervation)

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5
Q

Anterior and posterior chamber

A

anterior chamber: between cornea and iris, contains aqueous humor, avascular, involved in maintaining ocular pressure

post chamber: between iris and lens aqueous humor produced by the ciliary processes in the posterior chamber and passes thru pupil

from ant chamber the aqueous humor drained via trabecular meshwork, and then canal of schlemm that drains into venous system

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6
Q

lens

A

very transparent (avascular with little ECM)
Capsule- ECM surrounding the lens
Epithelium- ant surface of lens
lens fibers- body of lens (no organelles)

functions- second to cornea in refractive power, its suspended via suspensory ligaments and zonules attached to ciliary body

Accommodation: when something is far: lens gets thinner and pulled by ciliary muscles and relaxed when near and gets thicker

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7
Q

vitreous body

A

structural components: neerly acellular mostly type 2 collagen and hyaluronic acid

function/specialization: very transparent structure- 99% water and avascular, nutrition

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8
Q

retina regions

A

the retina has 2 regions from embryology

neural/sensory retina, retinal pigment epithelium

layers from inner to outer
Ganglion cell layer, inner plexiform, inner nuclear, outer plexiform, outer nuclear, Rods and cones, RPE

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9
Q

Neural sensory retina

A

Fovea- small pit- region for high acuity vision
Anteriorly the number of neural elements in the retina declines, becoming a signle layer of epithelium (unpigmented that covers the ciliary body

the fovea is avascular, a pit excavation of inner retinal neurons, high cone densitym absebce of rods

Layers: from out to in

  • Photoreceptors (rods and cones) light passes thru all other retina layers before it reaches photoreceptors
  • Outer nuclear layer: nuclei of rods and cones
  • outer plexiform layer: synapses of rods and cone axons with next layer of bipolar neurons
  • inner nuclear layer: nuclei of bipolar neurons
  • inner plexiform: synapses of bipolar axons with ganglion cells
  • ganglion cell layer: nuclei of ganglion cells
  • nerve fiberl layer: axons of ganglion cells that converge to form optic nerve
  • inner limiting lamina: basement membrane of Müller glial cells
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10
Q

light transduction

A

light travels thru inner retina to reach the photoreceptors at the back of eye, and then heads the opposite direction to go to optic nerve

photoreceptors segments:
inner segments: organelles for protein synthesis and energy production
outer segments: flattened membrane discs with photosensitive visual pigment

Rods- long and slender outer segments, very light sensitive
Cones: conical outer segments with membrane discs, responsible for high acuity and color vision

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11
Q

retinal blood supply

A

inner retina: central retinal artery (branch of ophthalmic )
outer retina: choroidal blood vessels (choroicocapillaries)

the retina has a dual blood supply, with the choroid giving the largest blood flow

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12
Q

Retinal pigment epithelium

A

simple cuboidal melanin containing epithelium behind neural retina and bruchs
Major function of RPE: absorbs scattered light, transports nutrients, spatial buffering of ions, reisomerization, outer segment renewel, secretion of growth factors

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13
Q

how to correct myopia and hyperopia

A

nearsightedness, with concave lens

hyper, farsightedness, with convex lens

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14
Q

lens cataract

A

opacification of the lens
nuclear: centerally located
cortical: outside of nuclear region
posterior capsular

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15
Q

glaucoma

A

increased intraocular pressure

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