Visual Tracts (Dennis) Flashcards

1
Q
  • formation of light image (photons) by the photoreceptive retina
  • info transduced from rods/cones > bipolar cells > ganglion cells
  • axons of ganglion cells and axons of higher order cells form this pathway
  • relays info to primary visual cortex via thalamus
  • has precise retinotopic arrangement of fibers that is maintained at each structure (small regions of retina are respresented in specific regions centrally)
A

visual system

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2
Q

What are the 3 layers of the eye?

A
  1. fibrous layer (outer): external layer consisting of sclera and cornea
  2. vascular layer (middle): consists of choroid, ciliary body, and iris
  3. retinal layer (inner): sensory layer that gives rise to optic nerve
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3
Q
  • fibrous, external layer of the eye that protects internal structures and provides sites for muscle insertion
  • composed of dense regular CT, w/ flat bundles of type 1 collagen and microvasculature near outer surface
  • extraocular muscles insert anteriorly onto this structure
A

sclera

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4
Q

What are the 5 layers of the cornea (transparent and avascular)?

A
  1. corneal epithelium: nonkeratinized stratified squamous
  2. anterior limiting membrane (Bowman’s membrane): basement membrane beneath corneal epithelium
  3. thick stroma: composed of keratocytes
  4. posterior limiting membrane (Descemet’s membrane): basement membrane of the endothelium
  5. inner endothelium

(picture below: goes from outer most structures on the left to innermost on the right)

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5
Q
  • transitional area where transparent cornea merges w/ opaque sclera, encircles the entirety of the cornea
  • area denotes end of Bowman’s membrane and beginning of conjunctiva, covers anterior sclera and lines the eyelides
  • epithelial stem cells at surface of this structure give rise to progenitor cells that move into corneal epithelium
A

limbus

(in the photo: labeled as CSJ or corneoscleral junction)

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6
Q

What are the structures of the vascular layer?

A
  • consists of choroid, ciliary body, and iris
  • choroid (yellow arrows in image): loose, well-vascularized connective tissue that contains numerous melanocytes; black layer that prevents light from entering eye except via the pupil; bruch membrane (thin extracellular sheet that includes basal lamina of retina’s pigmented layer)
  • ciliary body: includes ciliary muscle, processes, and zonula; each involved in shaping the lens
  • iris: covers outer boundary of lens, creates the pupil
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7
Q

What are the structures within the retina?

A

(develops from optic cup)

  • outer pigmented layer: simple cuboidal epithelium
  • inner neural layer: thick and stratified w/ various neurons/photoreceptors; extends anteriorly to the ora serrata (continues as cuboidal epithelium that covers ciliary body and posterior iris)
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8
Q
  • outer layer of the retina that consists of simple cuboidal or low columnar epithelium
  • cells have basal nuclei, extensive junctions, and melanin granules
  • surrounds neural retina an extends apical processes around tips of photoreceptors
  • functions: absorbs scattered light, forms blood-retina barrier, isomerization of all-trans-retinal to 11-cis-retinal and transfers back to photoreceptors, phagocytosis/waste recycling, removal of free radicals/secretion of ATP
A

pigmented epithelium (PE)

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9
Q

What are the functions of pigmented epithelium (PE)?

A
  • absorbs scattered light: supplements choroid
  • forms part of the blood-retina barrier: isolates retina photoreceptors from highly vascular choroid
  • isomerization of all-trans-retinal > 11-cis-retinal > transfers back to photoreceptors
  • phagocytosis and degradation of components/waste from photoreceptors
  • removal of free radicals and secretes ATP, polypeptide growth factors, and immunomodulatory factors
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10
Q

What are the 9 layers of the neural retina and their associated functions?

A
  1. inner limiting membrane (ILM): basement mem covered by processes of Müller cells (not seen on H&E)
  2. nerve fiber layer (NFL): contains ganglionic cell axons, converge at optic disc and form CN II
  3. ganglionic layer (GL): contains ganglion cell bodies, thicker near retina’s center than periphery
  4. inner plexiform layer (IPL): contains fibers/synapses of ganglion cells and bipolar neurons from INL
  5. inner nuclear layer (INL): bipolar neurons that integrate signals from rods/cones
  6. outer plexiform layer (OPL): contains fibers/synapses of bipolar neurons and rods/cones
  7. outer nuclear layer (ONL): cell bodies of rods/cones
  8. outer limiting layer (OLL): line of junctional complexes holding photoreceptors to Müller cells
  9. rod/cone layer (RCL): contains outer segments of rods/cones
    (10. pigmented layer)

*light flows from 1 to 10*

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11
Q
  • photoreceptor cells that are sensitive to light
  • thin, elongated cells that are composed of: inner segment (glycogen, mitos, polyribosomes for cell’s biosyn activity) and outer segment (modified primary cilium, photosensitive, shaped like a short rod w/ 600-1000 flattened stacked membranous discs)
  • rhodopsin located within discs, acts as GPCR for light transduction signal
  • discs are replaced continually, old discs are pushed superficially, shed, phagocytosed, and digested by pigemented epithelium
A

rods

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12
Q
  • less numerous and less sensitive of the photoreceptor cells, produce color vision in adequate lighting
  • elongated cells with: inner and outer segments (shorter, more conical, membranous discs are continuous invaginations of plasma membrane along one side)
  • 3 types, each contain one type of visual pigment, iodopsin (photopsins) that have maximal sensitivity to light of different wavelengths (red, blue, green)
  • discs are shed less frequently
A

cones

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13
Q
  • specialized area of the retina
  • highest concentration of cones
  • area where visual acuity is sharpest (20/20), drops precipitously in outer parts of retina (20/600)
  • absence of vessels, cell bodies, and axons of ganglionic/inner nuclear layer
A

fovea (fovea centralis)

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14
Q
  • specialized area of the retina
  • surrounds fovea and protects cones
  • antioxidant properties and short wave UV filter
A

macula (macula lutea)

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15
Q
  • specialized area of the retina
  • located at the head of the optic nerve
  • ganglion axons from all of retina converge and dive here
  • lacks photoreceptors, only ganglion cells axons > blind spot
A

optic disc

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16
Q
  • specialized area of the retina
  • axons of retinal ganglion cells, become myelinated as they pass through sclera
  • penetrates choroid and sclera, travels to brain
A

optic nerve

17
Q
  • area that person is able to see when both eyes are fixed in one position
  • binocular zone: broad, central region seen by both eyes
  • monocular zone: seen only by R/L eye
A

visual fields

*visual system lesions are described in terms of their visual field deficits*

18
Q
  • location on the retina that an object in visual field is projected
  • retinal hemifields: nasal and temporal halves of retina
  • quadrants: hemifields divided into upper/lower parts
A

retinal fields

19
Q

How is an image projected onto the retina?

A
  • image formed on the retina is inverted in lateral and vertical dimensions
  • left half of visual field: forms an image on nasal (right) half of left retina and temporal (right) half of right retina
  • right half of visual field: forms an image on temporal (left) half of left retina and nasal (left) half of right retina
20
Q

fibers from temporal retina (ipsilateral eye) + fibers from nasal retina (contralateral eye)

A

optic tract

21
Q

Where does CN II decussate and why does this occur?

A
  • optic chiasm: this is where the two optic nerves partially decussate; nasal half of each retina decussates to contralat tract; temporal half of each retina remains ipsilateral
  • decussation is necessary to deliver info from contralat visual field to optic tract; brings together info from comparable areas of both retinas, necessary for stereoscopic vision (aka depth perception)
22
Q

How do optic tract fibers move into and out of the lateral geniculate nucleus (LGN)?

A
  • optic tract curves posteriorly around cerebral peduncles to term in the LGN (maintain retinotopic pattern)
  • within LGN, there are magnocellular and parvocellular layers: based on type of ganglion cell input received and the side of retina from which input originates
  • outgoing fibers then form optic radiations
23
Q

How is info sent to primary visual cortex from retinas?

A
  • neurons from LGN extend as large bundle forming optic radiations (retinotopic org maintained)
  • relay info to PVC (striate cortex), located on upper and lower banks of calcarine sulcus
  • lower quadrant of contralat hemifields > superior bank of sulcus, the cuneus
  • upper quadrant of contralat hemifield > arch rostrally, pass through temporal lobe, do broad U-turn (Meyer’s loop) > inferior bank of sulcus, the lingual gyrus
24
Q

What is the Meyer’s loop and what are clinical implications of lesions in this area?

A
  • Meyer’s loop: fibers from upper quadrant of contralat hemifield that arch rostrally, pass through temporal lobe, and U-turn (toward PVC)
  • lesions in this area of temporal lobe can lead to blindess
25
Q

How are the fibers representing macula and fovea presented in the LGN and PVC?

A
  • these fibers originate from central regions of the LGN
  • in PVC: these fibers target the most posterior portion and are represented in disproportionately large volumes (relative to size) in the LGN and visual cortex
26
Q

How are visual projections conveyed in the PVC?

A
  • visual field has four quadrants, each projecting to its own quadrant of the PVC (left/right hemi, above/below calcarine sulcus)
  • lateral and vertical inversion occurs in projection of visual field upon PVC
  • example: upper left quadrant (visual field) is represented in the lower right quadrant (visual cortex)
27
Q

If you review nothing else in this lecture, at least review this:

A
28
Q
  • located above and below calcarine sulcus
  • inferior visual fields project to area above calcarine, superior field project to area below sulcus
  • macula is represented more posteriorly, and peripheral fields more anteriorly
A

primary visual cortex

29
Q
  • ‘parieto-occipito-temporal area’
  • areas 18, 19, and related parts of temporal and parietal lobes
  • LGN also sends targets to these areas > helps interpret location, motion, form, and color
A

visual association cortex

30
Q
  • spatially directs head movements and visual reflexes (eye movements)
  • retinal input bypass the LGN
  • target the brachium of this area > terminate retinotopically
  • also receives spinotectal (somatosensory) and auditory inputs
A

superior colliculus

31
Q
  • nuclei near midbrain/forebrain junction
  • receives inputs from optic tract, LGN, and suprachiasmatic nucleus
  • respond to varying intensities of illuminance and non-conscious behavioral responses
  • important in pupillary light reflex
A

pretectal/pretectum area

32
Q

blindess (-anopia or -anopsia) in 1/2 of the visual field

A

hemianopia

33
Q

blindness of a quadrant of the visual field

A

quadrantanopia

34
Q

conditions in visual field losses are similar in both eyes

A

homonymous visual fields

35
Q

conditions in which two eyes have non-overlapping field losses

A

heteronymous visual fields

36
Q

visual field loss that preserves vision in the center of the visual field

A

macular sparing

37
Q
  • visual field loss of one eye that can be superimposed on the other eye (symmetrical)
  • the closer a lesion is to the visual cortex, the more likely the deficit will be displayed in this manner
  • the more anterior a lesion is, the more likely it will be incongruous
A

congruous

38
Q

What are the 3 general visual field deficit concepts?

A
  • damage anterior to chiasm affects only ipsilateral eye
  • damage at chiasm causes heteronymous deficits
  • damage behind chiasm causes homonymous deficits
39
Q
  • infarction of left occipital lobe and posterior corpus callosum (typically due to PCA damage)
  • disconnects language area from visual association cortex
  • patient cannot name or describe object in visual field, BUT they can recognize and demonstrate its use
  • patient may also be alexic (unable to read), and writing ability may be affected (agraphia)
A

associative visual agnosia