7 Corneal Light Transmission

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54 Terms

1

Smaller wavelengths transmit (more/less) and scatter (more/less)

transmit less, scatter more

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2

What color scatters most?

violet (short wavelength)

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3

What color transmits most?

red (long wavelength)

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4

Why is light scattering highest in cellular tissue?

organelles and nuclei

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5

Rank parts of cornea from greatest transmission (least light scattering) to least (most light scattering)?

Endothelial > epithelial cells > nerve cells > keratocytes > collagen firbils/ECM

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6

Requirement of stromal transparency theory related to wavelength:

Transparency is maintained as long as distance between fibrils is less than ½ wavelength of visible light

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7

Requirement of stromal transparency theory related to fibril diameter:

collagen fibril diameters uniform, ~25 nm

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8

Requirement of stromal transparency theory related to spacing:

Distances between fibrils should be ~60nm

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9

What factors are part of keeping the stroma transparent?

wavelength, collagen fibril diameter and spacing

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10

Destructive interference cancels out all scattering in any direction except the

forward direction

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11

What would irregular fibril size cause with light waves?

destructive interference unable to dissipate all back scattered light

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12

T or F, in a normal cornea with regular fibril size and spacing, destructive interference dissipates all back scattered light

T

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13

What could cause back light scattering in the cornea?

non-uniform fibril size, spacing (← lack of negative charge from GAGs on proteoglycans)

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14

What happens to fibril diameter from cornea through limbus to sclera?

diameter increases

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15

What happens to fibril density from cornea through limbus to sclera?

Density decreases

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16

What happens withouth the ability to break down stromal proteoglycans?

More GAGs → increased negative charge repels fibrils (and attracts water) → increase spacing → transparency decreased

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17

What is mucopolysaccharidoses?

Group of inherited metabolic diseases that affect breakdown of GAGs

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18

Why is the cornea cloudy in mucopolysaccharidoses?

Genes of enzyme that breaks down GAGs disrupted → GAGs accumulate and disrupt fibril lattice structure → negative charge repels fibrils and attracts water

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19

What would breakdown of endothelial pumps cause?

fibrils more spaced apart → less transparent cornea

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20

Premature infants have more or less transparent corneas than full term? Why?

less, incomplete development of stromal fiber organization

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21

Maturation of stroma occurs in what direction? So a premature baby…

Posterior to anterior (so, water would be anterior in premature infant)

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22

Keratocytes are light scatterers. How do they also promote transparency?

Express large quantities of crystallin protein in its thin cytoplasm that demonstrate destructive interference

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23

Crystallin

water soluble proteins that facilitate minimal light scatter through destructive interference

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24

Why does corneal wounding cause reduced transparency?

Keratocytes become highly reflective myofibroblasts, don’t produce crystallin protein

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25

T or F, there is active inhibition of blood and lymphatic vasculature in the cornea

T

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26

When does vascularization of the cornea occur?

Corneal damage and/or lack of oxygen

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27

T or F, there are no pro-angiogenic factors in the cornea

F, a balance of pro- and anti-angiogenic factors result in normal avascularity/promote neovascularization in the cornea

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28

What inhibits vascularization of the cornea?

sFlt-1

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29

What is the main pro-angiogenic molecule that triggers cascade in the cells to make more vessels?

VEGF-A

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30

What is sFlt-1? (Soluble Flt-1)

Anti-angiogenic receptor that does not trigger vascularization when VEGF binds (because no intracellular portion to cause signal)

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31

T or F, the manatee has vascular growth on the cornea, so it must express sFlt-1

F, it does NOT express sFlt-1 (anti-angiogenic)

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32

How does myelination relate to corneal transparency?

nerve bundles lose perineurium and myelin sheaths as they enter central cornea

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33

What about the corneal epithelium assist transparency?

  • also express crystallin proteins (like keratocytes)

  • Relatively thin

  • Organelles (like mitochondria) are sparse to minimize scatter

    • NON KERATINZED

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34

What might cause keratinization of thin epithelium of cornea?

injury/acid burn, autoimmune, Keratinizing Squamous Metaplasia

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35

3 categories of UV light from smallest to largest wavelengths (and thus amount of absorption)

UVC, UVB, UVA

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36

Which UV light is 100% absorbed (0% transmitted) by the cornea?

UVC

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37

Which UV light is closest to visible light spectrum?

UVA

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38

Which has longer wavelength, visible light or infrared?

Infrared

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39

In visible light, 85-99% is (absorbed or transmitted) by the cornea?

transmitted

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40

Infrared light is transmitted but depends on hydration, thickness, and __

wavelength

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41

Why is it good that the cornea absorbs most of UV light?

Prevent transmission of high energy UV light to the sensory cells in the retina

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42

Is there more or less transmission of visible light in thicker cornea?

less

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43

Smaller wavelengths (violet) scatter more or less than larger ones (red)?

more

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44

Why is cornea more susceptible to UV damage than skin?

no melanin

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45

2 ways UV overexposure damages epithelium

  • inducing apoptosis pathways

  • Generating ROS (reactive oxygen species)

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46

Photokeratitis

massive loss of corneal epithelial cells from UV exposure

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47

Is photokeratitis acute or chronic injury from UV light?

acute

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48

What is a chronic injury from UV light exposure?

pterygium (overgrowth of conj into cornea)

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49

__ acid absorbs UV light and is found in large amounts in corneal epithelium and stroma

ascorbic acid

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50

Ascorbic acid

absorbs UV light, mitigates ROS by functioning as electron donor

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51

How does ascorbate reduce ROS?

donates electron to damaged molecule so the unpaired electron does not cause damage

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52

What protein/enzyme is produced by cornea and is one of the crystallins?

aldehyde dehydrogenase

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53

3 roles of aldehyde dehydrogenase

1) absorbs UV light

2) Mitigates ROS by preventing damaging protein modification

3) mitigates ROS by preventing protein unfolding

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54

What has tryptophan/tyrosine residues and accounts for 50% of UVB absorption in the cornea?

aldehyde dehydrogenase

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