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what is the cornea
transparent, avascular connective tissue with a smooth surface
the cornea is the main structural barrier to?
infections
cornea is continuous with?
conjunctiva and sclera
what fraction does the cornea provide total refractive power
2/3
refractive power of cornea
43 dioptres
refractive index 1.33
anterior surface is ____ and ______
convex and elliptical
horizontal diamter
11-12mm
vertical diameter
10.6mm
cornea is p____
prolate (stepper centrally, flatter peripherally)
how many structures in cornea
5
name the 3 main cell types cornea has
epithelial, stromal keratocytes and endothelial cells
corneal epithelium is comprised of?
flattened superficial squamous cells, intermediate wing cells and innermost cuboidal basal cells
squamous cells surfaces have small projections known as?
microplicae
where is mucin from
goblet cells
what does mucin coat and form?
coats the microplicae and forms the innermost layer of the tear film
what does the tear film do
smooths out epithelial micro-irregularities
epithelial cells are crucial in maintaining?
a stable tear film
mucin changes it from ____________ to _______________
hydrophobic to hydrophilic
what is epithelial glycocalyx
maintains ocular surface barrier function
as basal cells divide and migrate anteriorally, they change into?
wing cells
what does migrated basal cells become
squamous cells which desquamate
how many days does basal to squamous differentiation take
10 days
superficial squamous cells are linked by?
anchoring junctions (zonula occludens or tight junctions)
whats the benefit of superficial squamous cells being linked by anchoring junctions
prevent tear film inflow
wing and basal cells are connected by?
anchoring junctions (desmosomes)
basal cells are attached to BM by?
hemidesmosomes
plasma membrane of the surface epithelial cells secretes a?
glycocalyx component which binds mucin onto the corneai
intracellular junctions of the corneal epithelium are part of _______ against pathogens and allergences
1st line of protection
how many types of junctions does the cornea have
4naa
name the 4 cornea junctions
tight junctions (zonula occludens)
desmosomes
adherens junctions
gap junctions
where does the 4 junctions of the cornea exist
different depths of the stratified epithelia
describe the bowmans layer
smooth, acellular, non regenerating layer
bowmans layer contains what type of sheet
dense fibrous of randomly arranged collagen fibrils
collagen fibrils are not ordered into?
bundles
what does bowmans layer help
cornea maintain its shape
stroma is composed of?
collagen fibrils, keratocytes and extracellular “ground substances”
uniform collagen fibres run parallel to each other to form?
bundles (lamellae)
transparency is due to?
precise organisation of the stromal fibres and extracellular matrix
in the stroma, periphery is thicker or thinner at centre?
thicker
highly organised network reduces?
forwards light scatter, contributing to both the transparency and mechanical strength of cornea
what is stromal collagen fibrils
type I collagen in a complex with type V collagenke
keratocyte synthesise what?
collagen and glycosaminoglycans
why is keratocytes synthesising collgen and glycosaminoglycans crucial
maintaining ECM homeostasis
where are most keratocytes located
anterior stroma, and contain corneal crystallins
what does excessive cell death of keratocytes lead to
keratoconus
how are fibrils arranged
in sheets
how many keratocytes in normal stroma
4 million
describe descemets membrane
latticework o collagen fibrils produced by endotheliumw
what does descemet’s membrane form
the BM of endothelium
where does descemets membrane end
limbus (called shwalbe line)
describe endothelium
innermost layer of cornea, single layer of hexagonal cells. cell do not replicate or divide
cells are very ___________ active in endothelium
metabolically
epithelium is from?
surface ectoderm (between 5-6 weeks)
bowmans membrane and stroma is from?
mesenchymestroma
stroma is from?
neural crest (7 weeks)
endothelium is from?
neural crest
descemets membrane is synthesised by?
endothelial cellsname the
name the layers in order from outermost
epithelium
bowman’s layer
stroma
descemet’s membrane
endothelium