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What is the size of the eye (diameter)?
25mm
What suspends the eye?
six extrinsic muscles
What are the layers of the eye?
Fibrous tunic (corneoscleral)
Vascular tunic (uvea)
Retina
What is contained in the fibrous tunic?
Opaque, white sclera (posterior 5/6) and transparent cornea (anterior 1/6)
What is in the vascular tunic?
iris, choroid, ciliary body
What is the lens used for?
accommodation (focusing)
What is in the retina?
10 layered structure including rods and cones
Describe characteristics of rods?
low intensity, black and white
Describe characteristics of cones?
color: red (erythrolabi), green (chlorolabi), blue (cyanolabi)
Anterior chamber
between corneal endothelium and lens, iris, etc.
What are the chambers of the eye?
anterior chamber
posterior chamber
vitreous chamber
What is the posterior chamber?
space between the iris and lens and zonular fibers
What fills the anterior and posterior chamber?
aqueous humor
Where is the aqueous humor from the chambers drained?
canal of schlemm
What is the vitreous chamber?
clear, transparent gel filling the bulk of the eye that is 99% water with hyaluronic acid and collagen fibrils
What is the corneoscleral coat?
aka fibrous coat; provides tough, fibroelastic support for the eye
What is the cornea?
clear, transparent anterior 1/6 with smooth, curved anterior surface; refractive power greater than the lens
What are the two parts of the cornea?
cornea proper (avascular)
limbus
What is the size of the limbus and what is found there?
1 mm wide peripheral region with blood vessels and lymphatics
How does light affect the cornea proper?
It is protected from UV light due to the cells possessing nuclear ferritin, an iron-storage protein that prevents free radical damage
What is the corneal epithelium?
stratified squamous (moist)
Describe the layers of the corneal epithelium?
5-6 cell layers (basal, low columnar cells)
3-4 layers of “wing” cells
1-2 layers of squamosal cells
What are two main characteristics of the corneal epithelium?
sensitive
regenerative
Bowman’s Membrane (anterior basement membrane) size?
8-10um
What is bowman’s membrane?
thick acellular layer of collagen (18nm diameter and randomly oriented)
What is another name for the substantia propria?
corneal stroma
What is the substantia propria?
60 thin lamellae of parallel collagen fibrils separated by slender, flattened fibroblasts
What accounts for 90% of corneal thickness?
substantia propria (corneal stroma)
What collagen type is in the substantia propria?
type V
How is collagen arranged in the corneal stroma?
in plates arranged at different angles so that the cornea remains transparent
In addition to collagen type v, what else is in the corneal stroma?
stellate, flat fibroblasts
What do the fibroblasts in the corneal stroma do?
secrete corneal proteoglycans (lumican) which is keratan sulfate and chondroitin sulfate linked to the protein decorin
What is decemet’s membrane composed of?
small regularly arranged fibrils and pectinate ligaments
What is the size of decemet’s membrane?
5-10um thick
What is the role of pectinate ligaments in decemet’s membrane?
extend under the sclera to assist in keeping the normal curvature of the cornea
What is the endothelium of the cornea?
single layer of cuboid cells on internal surface
What is the role of the endothelium of the cornea?
transports fluids from the anterior chamber of the stroma (diffusion of aqueous humor)
What is the sclera?
posterior 5/6; dense fibrous CT
What is the size of the sclera?
0.8-1.0 mm thick collagen fibers parallel to the surface
What is found in the sclera?
collagen fibers, elastic fibers, ground substance and flattened, branched fibroblasts
What is episcleral tissue?
loose Ct with skeletal muscle and periorbital fat
What is the substantia propria (sclera proper)?
dense network of collagen fibers
What is the suprachoroid lamina (lamina fusca)?
inner aspect of the sclera next to the choroid
What is found in the lamina fusca?
thinner collagen fibers, elastic fibers, fibroblasts, melanocytes, macrophages, and other CT cells
What is the lamina cribrosa?
where sclera is pierced by optic nerve fibers
What is the limbus?
well vascularized peripheral region where Bowman’s membrane ends
What happen when Decemet’s membrane splits?
a transition between the cornea and sclera
What is the canal of schlemm?
venous scleral sinus for outflow of aqueous humor
What is the uveal (vascular coat)?
choroid, ciliary body, and iris (with blood vessels and pigment cells)
What is the iris?
pigmented, muscular, anterior part of the vascular coat with the centrally-located pupil
What are the muscles in the iris?
sphincter (parasympathetic) and dilator (sympathetic) muscles that control the size of the pupil.
What are the iris sphincters made of?
pigmented and nonpigmented myoepithelial cells as well as typical smooth muscle cells
Describe the anterior and posterior surface of the iris?
Anterior: irregular with no cellular membrane
Posterior: surface is pigmented
What is the size of the ciliary body?
extends 6mm from the root of the iris to the ora serrata
What are the two ciliary stroma layers?
the outer smooth (ciliary) muscle fiber layer
inner vascular region
Where do you find the ciliary body?
Encircles the eye anterior to the ora serrata
What are features of ciliary bodies?
shallow grooves called ciliary striae
~75 deeper ciliary ridges or grooves called ciliary processes
ciliary stroma
What type of fibers are found in the ciliary body?
elastic fibers
What are the three functional groups of ciliary muscles?
meridional/ longitudinal
radial/ oblique
circular/sphincteral
What attaches the lens to the ciliary processes and plays a role in accommodation?
zonular fibers
What is the choroid?
spongy, brown layer with extensive venous plexuses
What is the size of the venous plexus of the choroid?
0.1 to 0.3 mm thick
What is the external layer of the choroid?
Suprachoroid lamina with the epichoroid lymph space
What is found in the epichoroid lymph space?
loosely arranged collagen and elastic fibrils, fibroblasts, macrophages, lymphocytes, plasma cells and mast cells
Where is the bulk of the choroid tissue?
Vessel layer
What is in the vessel layer?
arteries, veins in loose CT with numerous melanocytes
What is internal to the vessel layer?
capillary beds called choriocapillaris with fenestrated endothelium
What structure achieves light absorption?
choroid
Bruch’s membrane is what?
thin, amorphous, refractile layer
Where is Bruch’s membrane located?
between the choriocapillaris and pigmented layer of the retina
What is the size of the Bruch’s membrane?
1um to 4um thick
What are the five layers of Bruch’s membrane?
the basal lamina of endothelial cells
.5um thick layer of collagen
a 2um thick layer of elastic fibers
a second collagen fiber layer
the retinal epithelial cell basement membranes
What are the 10 layers of the retina (nervous) coat?
pigmented epithelium
receptor layer
external limiting membrane
outer nuclear layer
outer plexiform layer
inner nuclear layer
inner plexiform layer
ganglion cell layer
optic nerve fiber layer
internal limiting membrane
What does the pigmented epithelium do?
absorbs light and provide nutrients to receptors
What is in the outer nuclear layer?
rods and cones
What is in the inner nuclear layer?
bipolar cell
What are photoreceptors?
rods and cones
What are rods?
slender cells used for dark vision (B/W)
What are cones?
tapered outer segments used for color perception
What are the three components of the photoreceptors?
the outer segment
connecting stalk
inner segment
Describe the outer segment of the photoreceptors?
intimately related to the microvilli of the pigmented epithelial cells
Describe the connecting stalk of the photoreceptors?
contains cilium with nine doublets of microtubules extending from a basal body
What is the inner segment of the photoreceptors divided into?
outer ellipsoid and inner myoid portion
What are examples of retinal cells?
bipolar cells
ganglion cells
horizontal cells
amacrine cells
neuroglial cells
Muller’s cells
What are the bipolar cells in the retina?
diffuse bipolars that go to several photoreceptors and midget
(monosynaptic) bipolars to a single cone cell
What are the ganglion cells in the retina?
with diffuse cells to several bipolar neurons and midget
(monosynaptic) cells toa single, midget bipolar cell
What are the horizontal cells in the retina?
in outer part of inner nuclear layer; associational neurons
What are amacrine cells in the retina?
in inner part of inner nuclear layer; associational neurons
What are neuroglial cells?
for support, insulation, and nutrition
What are Muller’s cells?
packing cells (very large) forming the external and internal limiting membrane
What is the fovea centralis?
high concentration of photoreceptors for accurate vision
What is the optic disc?
where optic nerve exits the retina and with no photoreceptors and it represents the blind spot
What are accessory structures of the eye?
eyelids, lacrimal glands, and extraocular muscles
Describe the development of the ear?
develops from surface ectoderm as otic placodes
invaginating to form otic pits
eventually pinch off from the surface as otic vesicles in the superior region of the pharynx
Three parts of the ear?
external ear
middle ear
inner ear
What structures make up the external ear?
auricle or pinna and the external auditory meatus
What is the middle ear?
air filled chamber in the temporal bone
What separates the middle ear and external ear?
tympanic membrane (ear drum)
What separates the middle ear from the inner ear?
two small membranes covering an oval window ( finestra vestibuli) and a round window (finestra cochlea)
What is the middle ear connected to?
nasopharynx