W21-L2: Retina Flashcards

1
Q

What is visual acuity?

A

Ability to resolve fine detail tested by Snellen chart

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2
Q

What do the two numbers in a snellen chart refer to?

A

Top number is test distance eg 6 meters, bottom number is the distance they have to be to see what a normal person would see at 6 meters

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3
Q

What is normal vision, legal blindness and the minimum acuity for driving?

A

6/6 is normal vision, 6/60 is legal blindless, 6/12 is minimum for driving

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4
Q

What optical factors affect visual acuity?

A
  • Pupil size
  • Clarity of optical media (eg cataracts)
  • Refractive errors
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5
Q

At scotopic light what is the best visual acuity possible?

A

6/60

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6
Q

What are the normal neurones of the retina?

A

Rods, cones, Horizontal cells, Bipolar cells, amacrine cells and ganglion cells

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7
Q

What are the two synaptic layers of the retina?

A
  • Outer plexiform layer

- Inner plexiform layer

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8
Q

Which photoreceptor is more sensitive to light, the rod or the cone?

A

Rod

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9
Q

Is there more cones or rods in the retina?

A

Rods, 100 million vs 5 million

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10
Q

Why is the vision with rods worse than cones?

A

Connectivity

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11
Q

What is the through pathway of the retina?

A

Photoreceptors–> Bipolar Cells –> Ganglion cells

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12
Q

What are the two lateral interactions that occur in the retina?

A

Outer retina=Horizontal cells
Inner retina= Amacrine cells (axonless)
Both inhibitory

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13
Q

Where are bipolar cells located?

A

Inner nuclear layer

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14
Q

What are the types of bipolar cells?

A

Two:

  • ones that hyperpolarise when light is on the retina (off BCs)
  • ones that depolarize when light is on the retina are called “on” BCs
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15
Q

What are the type of ganglion cells and what do they release?

A

ON, OFF, M and P and Release Glutamate

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16
Q

What is interesting about the receptor field properties of ganglion cells?

A

light in different parts of the receptor fields produces different rates of ganglion firing

17
Q

What are the photopigments and what are they all attached to?

A

Rods contain rhodopsin
Cones contain one of three cone-opsins
All are bound to vitamin A

18
Q

How do photoreceptors function?

A
  • Photoreceptors are hyperpolarized by light.
  • Use glutamate as their neurotransmitter.
  • Respond to light with graded changes in membrane potential (not Action Potentials)
19
Q

How does a photoreceptor function in the dark?

A

cGMP gates a sodium channel causing continuous influx of sodium ions which causes depolarization of the cell.

20
Q

How does a photoreceptor function in the light?

A

In the light, cGMP breaks down to GMP:

  • cGMP no longer gates the sodium channels
  • Flow of Na ions ceases
  • Cell is hyperpolarized
21
Q

What is the process known as phototransduction?

A

Light activates rhodopsin
Initiates a cascade of events that ultimately leads to the closure of cGMP gated sodium channels.

Rh->Transducin->PDE->breaks down cGMP.

Closure of sodium channels>hyperpolarization

22
Q

What creates the centre-surround response of the retina?

A

The way the retina is wired, which gives a central response and a surround response (horizontal cells)

23
Q

What creates the surround response in the retina?

A

Horizontal cells receive input from many photoreceptors and provide output to other photoreceptors.

24
Q

In the surround response which cells depolarize and which hyperpolarize?

A

Photoreceptors depolarize and ganglion cells hyperpolarizes

25
Q

What is melanoma associated retinopathy?

A

Rare complication of melanoma where antibodies are produced directed against ON bipolar cells.