visual systems 1 Flashcards

1
Q

what is the basic anatomy of the eye?

A
lateral:
upper eyelid
lower eyelid
lateral canthus 
palpebral fissure
medial:
pupil
iris
sclera
medial canthus
caruncle
limbus (border between cornea and sclera)
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2
Q

how does the lacrimal system work?

A

three types of tears:
basal - constant level of tears
reflex - increased production in response to irritation
emotional

afferents:
come from cornea
via cranial nerve V (opthalmic branch of the trigeminal 
efferents:
parasympathetic
neurotransmitter is acetylcholine

tears are produced by the lacrimal gland (sits above the eye)
they drain through the two puncta
they flow through the inferior and superior canaliculi
they then gater in the tear sac
and exit the sac through the tear duct and into the nasal cavity

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3
Q

what is tear film?

A

the healthy cornea is constantly covered by the tear film, a thin layer of fluid
it maintains a smooth cornea-air surface

importance:
oxygen supply to cornea as it has no blood vessels
removal of debris during blinking
bactericide

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4
Q

what are the three layers of the tear film?

A

superficial lipid layer:
reduces tear film evaporation
produced by a row of meibomian glands along the lid margin

aqueous:
water
main bulk of fluid
delivers oxygen and bactericidal factors

mucinous layer:
on corneal surface
maintains surface wetting
mucin molecules act by binding water molecules to the hydrophobic corneal epithelial cell surface

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5
Q

what is conjunctiva?

A

thin transparent tissue that covers the outer surface of the eye

begins at the outer edge of the cornea, covers the visible part of the eye, and lines the inside of the eyelids

nourished by tiny blood vessels that are nearly invisible to the naked eye
unless there is a condition causing inflammation - conjunctivitis

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6
Q

what comprises of the coating of the eyeball?

A

(diameter of eye is 24mm)

3 layers (outside to in):
sclera - hard an opaque (the white)
protects and maintains the shape

choroid - pigmented and vascular
shields unwanted scattered light

retina - neurosenspry tissue

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7
Q

what is the sclera?

A

commonly known as the white of the eye

forms the tough opaque tissue that serves as the protective outer coat

has a high water content

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8
Q

what is the cornea?

A

(when the sclera seamlessly gets to the front of the eye)

the transparent window covering the front of the eye

low water content

powerful refracting surface
provides 2/3 of the eyes focusing power

5 layers (outside to inside): 
epithelium 

bowmanns membrane

stroma (made of collagen fibres, its regularity contributes to transparency)

descemets membrane

endothelium (pumps fluid out of cornea and prevents corneal oedema) (also passage of glucose that nourishes the cornea)

it doesnt have blood vessels as it is clear:
oxygen - comes from air
glucose - comes through the endothelium

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9
Q

what happens if you hydrate the cornea?

A

it becomes white and cloudy

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10
Q

what is the uvea?

A

vascular coat of the eyeball

lies between the sclera and the retina in the choroid

comprised of three parts:
iris
ciliary body
choroid

they are intimately connected, so a disease of one part effects all the other parts, but in differing amounts

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11
Q

what is the choroid?

A

lies between the sclera and retina

composed of layers of blood vessels that nourish the back of the eye

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12
Q

what is the iris?

A

controls light levels inside the eye

round opening with pupil in the centre

embedded with tiny muscles that dilate and constrict the pupil (ciliary and radial muscles)

it is the foremost part of the uvea

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13
Q

what is the lense

A

structure:
outer acellular capsule
regular inner elongated cell fibres, these give transparency
transparency may go with age (cateracts)

function:
transparency
regular structure
refractive power
 (1/3 of the eyes focussing power)
accommodation (short and long vision)
elasticity
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14
Q

what is the retina?

A

very thin layer of tissue that lines the inner surface of the eye

responsible of capturing light rays that enter the eye

light impulses are sent via the optic nerve to the brain for processing

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15
Q

what is the optic nerve

A

transmits electrical impulses from the retina to the brain

connects to the back of the eye near the macula

visible portion is called the optic dic

there is a blind spot where the optic nerve meets the retina

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16
Q

what is the macula

A

located roughly in the centre of the retina

a small highly sensitive part of the retina responsible for detailed central vision

the fovea is the very centre of the macula

the macula allows us to appreciate detail and perform tasks that require central vision such as reading

high concentration of cones (dim, but colour) 
low rods (detect light at a lower level but only black and white)

but only the fovea has a high enough concentration of cones to perceive in detail

17
Q

what is central vision?

A

detail day vision, colour vision
FOVEA has the highest concentration of cones
reading, facial recognition
assessed by visual acuity assessment

loss of foveal vision - poor visual acuity

18
Q

what is peripheral vision?

A

shape, movement, night vision
essential for navigation vision

assessed by visual field assessment

extensive loss of visual field - unable to navigate in environment, patient may need white stick even with perfect visual acuity

19
Q

what is the structure of the retina?

A

outer layer:
photoreceptors (first order neurone)
detection of light

middle layer:
bipolar cells (second order neurones)
local signal processing to improve contrast sensitivity, regulate sensitivity

inner layer:
retinal ganglion cells (third order neurone)
transmission of signals from the eye to brain

20
Q

what are rods?

A

photoreceptors
longer outer segment with photosensitive pigment

100 times more sensitive to light than cones
slow response to light
black and white
responsible for night vision (scotopic)
there are 120 million rods
21
Q

what are cones?

A
less sensitive to light
faster response
daylight fine vision
colour vision (phototopic)
there are 6 million cones (5% of the number of rods)
22
Q

how are the photoreceptors distributed?

A
rods:
peripheral and night vision
more photoreceptors
more pigment
higher spatial and temporal summation
recognises motion

high levels either side of the macula, tails off as you go further out
none in blind spot
highest concentration 20-40 degrees away from the fovea

cones:
central and day vision
colour and detail

really high concentration in the macula
not many at all anywhere else

23
Q

what is a frequency spectrum?

A

different colour are captured through different photoreceptors

S cones - blue
M cones - green
L cones - red

each of the pigments in these detect different wavelengths of light

24
Q

what are colour vision deficiencies?

A

8% in males, 0.5% in women

deuteranomaly (aka daltonism) is the most frequent form of colour blindness

these people arent completely colour blind, but they dont perceive the colour red

full colour blindness (achromatopsia) only occurs in a very small percentage of the population

an ishihara test is used to assess colour blindness (can you see the number in the blobs of different colour dots)