wiesbrod notes Flashcards
sclera is … (vascularity)
Avascular, but conjunctiva and episclera are vascular
3 components of the conjunctiva
palpebral
forniceal
bulbar
Location of the episclera
Between the conjunctiva and the sclera
Scleritis is
deep vessel condition
What fraction of refractive power does the cornea have?
2/3
Lens is 1/3
At the periphery vs centrally how thick is the cornea?
centrally - 0.54mm, peripherally ~1mm
5 layers of the cornea
- epithelium (stratified nonkerat squamous)
- Bowman’s layer (dense collagen)
- Stroma
- Descemet’s BM
- endolthelium (keep dehydrated)
which part of the cornea regenerates and which part doesnt
Epithelium regenerates
stroma DOES NOT
Describe collage in sclera vs cornea
In sclera - collagen is course/irreguled
In cornea - regular arrays, fine and regularly packed
2 ways a cornea can lose transparency
- Damaged by trauma
2. Swelling due to endothelial function loss
3 parts of the uvea
- Iris
- Ciliary body
- Choroid
2 functions of the ciliary body
- Production of aqueous humour
2 accommodation
How is glaucoma managed?
- decrease production by ciliary body
2. Increase aqueous outflow through trebcular meshwork
During accommodation what happens to the ciliary body and the zonula
Ciliary body skeletal muscle CONTRACTS -
Zonules RELAX
Components of the vitreous
- Mostly water (99%)
- Collagen (1%)
- Hyaluronic acid
How many layers does the light penetrate before reaching RPE
8 layers
What is the highly vascular portion of the uvea
Choroid
Describe the vacularity of the fovea
AVASCULAR! - important choroid supply
what does the optic foramen contain?
Optic nerve and opthalmic artery
what does the tear film contain? and what is it’s function
- Lipid layer
- aqueous layer
- Mucin layer
- nourish the cornea and maintain refractive surface
What produces the mucin layer and it’s function
Conjunctival goblet cells
Adherence to cornea
what produces the aqueous layer and function
Accessory lacrimal glands
Bulk of tear film
What forms the lipid layer and function
Meibomian gland in lid margin
reduces tear evaporation
Function of the lacrimal gland
REFLEX tearing (CN 2, 5, and limbic)
Accessory glands in the conjunctival fornix produce
basal secretion
Function of superior rectus
Elevate
Adduction, incyclotorsion
Function of Inferior rectus
Depress
Adduction, excyclotorsion