Ocular Anatomy, Neuroanatomy, and Cataract Surgery

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Vocabulary practice flashcards covering ocular anatomy, vascular supply, retinal histology, neuro-ophthalmic pathways, autonomic innervation, and cataract surgery steps.

55 Terms

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Uvea

The middle (vascular) layer of the eye composed of the iris, ciliary body, and choroid.

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Miosis

Pupillary constriction that results in a small pupil.

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Mydriasis

Pupillary dilation that results in a large pupil.

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Collarette

The landmark dividing the iris into the pupillary zone and the ciliary zone.

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Fuch's Crypts

Depressions on the iris surface that allow aqueous humor to enter and exit the stroma.

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Anterior Border Layer of the Iris

The iris layer composed of fibroblasts, melanocytes, and collagen fibrils.

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Iris Stroma

Iris layer composed of connective tissue, non-pigmented cells, and pigmented cells.

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Iris Sphincter Muscle

Smooth muscle located in the stromal pupillary zone innervated by the parasympathetic nervous system that constricts the pupil causing miosis.

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Iris Dilator Muscle

Radially arranged smooth muscle of the anterior iris epithelium innervated by the sympathetic nervous system that enlarges the pupil creating mydriasis.

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Deep Structural Furrows of Schwalbe

Structural furrows located on the posterior iris surface alongside radial contraction furrows.

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Pars Plana and Pars Plicata

The two anatomical divisions of the ciliary body.

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Ciliary Muscle

Smooth muscle of the ciliary body composed of longitudinal, radial, and circular fibers.

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Ciliary Epithelium

Epithelial structure composed of pigmented and nonpigmented ciliary epithelium that functions to secrete aqueous humor.

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Choroid

The vascular layer located internal to the sclera and external to the retina, composed of the suprachoroid, choroidal stroma, choriocapillaris, and Bruch's membrane.

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Suprachoroidal Space

The choroidal space through which long posterior ciliary arteries and nerves travel from the posterior to the anterior globe.

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Haller's Layer

The tier of the choroidal stroma that contains large blood vessels.

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Sattler's Layer

The tier of the choroidal stroma that contains medium blood vessels.

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Choriocapillaris

A specialized capillary bed made up of a single layer of anastomosing, fenestrated capillaries containing pericytes that alter local blood flow.

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Bruch's Membrane

The most internal layer of the choroid.

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Retinal Pigment Epithelium (RPE)

The outermost retinal layer containing lysosomes that phagocytize discs from the outer portion of photoreceptor cells.

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Rhodopsin

Molecules found in the disc membranes of outer segments created by the combination of vitamin A (retinal) and opsin.

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Cilium (Photoreceptor)

The stalk that connects the outer and inner segments of rods and cones.

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Ellipsoid

The region of the photoreceptor inner segment that contains mitochondria.

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Myoid

The region of the photoreceptor inner segment in which protein synthesis occurs.

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Spherule

The synaptic terminal of a rod cell.

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Pedicle

The synaptic terminal of a cone cell.

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External Limiting Membrane

The retinal layer created by the junctional involvement of photoreceptor cells and Müller cells.

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Outer Nuclear Layer

The retinal layer that contains the cell bodies of photoreceptors.

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Outer Plexiform Layer

The retinal layer containing synapses between photoreceptor cells, bipolar cells, and horizontal cells.

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Horizontal Cells

Retinal cells that transfer visual information horizontally, parallel to the retinal surface.

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Amacrine Cells

Retinal cells located in the inner nuclear layer that help modulate information transmitted from bipolar cells to ganglion cells.

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Interplexiform Neurons

Retinal cells that provide feedback between the inner and outer retinal layers.

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Müller Cells

Retinal neuroglial cells involved in glucose metabolism that provide support and structure to retinal tissue.

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Microglial Cells

Phagocytic neuroglial cells that wander throughout all layers of the retina.

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Astrocytes

Neuroglial cells located in the inner retina within the nerve fiber and ganglion cell layers.

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Inner Plexiform Layer

The retinal layer containing synapses between bipolar cells and ganglion cells.

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Ganglion Cells

Retinal cells classified into several groups depending on visual pathway termination, whose axons comprise the nerve fiber layer.

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Internal Limiting Membrane

The innermost layer of the retina.

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Lutein and Zeaxanthin

The two xanthophyll pigments found in the macula.

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Optical Coherence Tomography (OCT)

A fast, non-invasive imaging test that uses light waves to take high-resolution, cross-sectional pictures of the retina.

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Central Retinal Artery

The first branch of the ophthalmic artery, located within the nerve fiber layer (NFL) of the retina.

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Hyphema

Blood in the anterior chamber caused by compromise of the major arterial circle of the iris.

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Vortex Veins

Venous structures through which choroidal blood drains.

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Infratrochlear Nerve

A branch of the nasociliary nerve that supplies sensory innervation to the caruncle and canaliculi.

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Accommodative Convergence Reaction

A reflex reaction involving medial rectus muscle contraction, ciliary muscle accommodation, and iris sphincter constriction.

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Pretectal Nucleus

Midbrain nucleus where afferent pupillary light fibers synapse before splitting equally to the ipsilateral and contralateral Edinger-Westphal nuclei.

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Edinger-Westphal Nucleus

A midbrain parasympathetic nucleus from which preganglionic pupillomotor fibers travel with the inferior division of CN III to synapse in the ciliary ganglion.

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Optic Chiasm

The visual pathway structure located below the third ventricle and above the pituitary gland where nasal retinal fibers decussate.

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Lateral Geniculate Nucleus (LGN)

A thalamic visual nucleus that gathers visual input from retinal ganglion cells, receives cortical and subcortical feedback, and regulates visual flow to the cortex.

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Meyer's Loops

Fiber tracts found within the optic radiations.

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Primary Visual Cortex (Striate Cortex)

Visual area on the medial surface of the occipital lobe containing regions corresponding to magnocellular and parvocellular LGN inputs.

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Hydrodissection

A surgical technique in cataract surgery that separates the lens from the capsule to ensure lens mobility.

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Phacoemulsification

The procedure used to chop up and drain away the cataractous lens nucleus.

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Haptics

The arms of an intraocular lens that have a tendency to stick to the optic.

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Tri-Moxi

A compound containing triamcinolone acetonide and moxifloxacin HCl injected into the vitreous for infection prophylaxis during cataract surgery.