iris & pupil

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89 Terms

1
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what is the major role of the iris?

to dynamically react to ambient lighting conditions and adjust retinal illumination. the pupil also plays a role in the accommodative reflex.

2
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more light =

close pupils

3
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less light =

open pupils

4
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Light from a distant object or infinity is parallel and can fall on the image plane or retina of an ______ eye.

emmetropic

5
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for an object at near, the lens accommodates (_____ in power, _____ the focal length) to focus the object onto the retina

increases power, reduces focal length

6
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when focused on a certain plane, objects in front of, or behind that plane will be out of focus generating a _______.

blur circle

7
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a hole limiting the amount of light passing along an optical pathway placed near or at the lens

this hole is an aperture stop

8
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has less effect on the field of view (this is because light rays coming from oblique sources can still pass through the lens)

aperture stop

9
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a hole limiting somewhat the amount of light passing along an optical pathway placed at a distance from the lens

this hole is a field stop

10
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has less effect on the amount of light passing through the lens

field stop

11
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limits the field of view because light rays from oblique sources cannot pass through the hole in the stop to reach the lens

field stop

12
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what limits the amount of light, but does not reduce the field of view?

an aperture stop

13
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what has a very large effect on the field of view, but has little effect on limiting the amount of light?

a field stop (large effect on field of view)

14
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what structure acts like an aperture stop?

the iris

15
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the range of distance in object space within which an acceptable focus can be achieved

depth of field

16
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the corresponding range of distance in image space inside the eye within which focus is acceptable

refers specifically to retinal image and perceived image clarity (absence of blur).

depth of focus

17
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smaller pupil leads to ____ depth of field and depth of focus. (and vice versa)

larger

18
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bending of light waves at the edges of an aperture (like pinhole or pupil)

diffraction of light

19
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changes in focal points for light rays entering off-axis in a lens

spherical aberration

20
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light of different wavelengths (colors) is refracted (bent) differently by a lens, thus focal point varies with color

chromatic aberration

21
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Because of refraction by the cornea, when light rays passing through the center or grazing the edges of the real pupil are projected back into object space towards an observer, the rays will appear to arise from a slightly larger pupil (1.13 times larger) that lies in a plane in front (0.5 mm in front) of the real pupil. This apparent pupil is the entrance pupil! It has a center E in the diagram

entrance pupil, 1.13 times larger

<p>entrance pupil, 1.13 times larger</p>
22
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A similar construction taking refraction by the lens into account shows the exit pupil (1.03 times larger than the real pupil) and behind the real pupil (0.8 mm behind the real pupil) It has a center E’ in the diagram.

exit pupil, 1.03 times larger

<p>exit pupil,&nbsp;1.03 times larger</p>
23
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which pupil size is measured in the clinic? what is the size range?

entrance pupil size, 2-8 mm in young healthy adults depending on ambient illumination

24
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if there is over a 100,000 fold change in lighting, the retina only sees about  a 10,000 fold change  . . .

why? what does this demonstrate?

because the pupil diameter will change! this shows how the iris dynamically responds to ambient lighting conditions.

25
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when you change your point of focus from a distant to a near object, what 3 things will occur? **triad of the near response**

1) increase lens curvature by accommodation

2) convergence (eyes rotate inward nasally to align a target on the fovea-extraocular muscle)

3) pupil constricts

26
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how does the convergence of the near response change over the range of accommodative responsiveness? what is the slope called?

increases linearly. slope = Accommodative Convergence/Accommodation ratio (AC/A)

<p>increases linearly. slope = Accommodative Convergence/Accommodation ratio (AC/A)</p>
27
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during the near response, how does the pupil size change with accommodative response? what is the slope called?

decreases linearly until the accommodative response can no longer respond. slope = pupil size/accommodation ratio (P/A)

<p><strong>decreases linearly</strong> until the accommodative response can no longer respond. slope = pupil size/accommodation ratio (P/A)</p>
28
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for the same three subjects, pupil diameter _____ with convergence angle.

reduces linearly

<p>reduces linearly</p>
29
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does the P/A ratio change with age? how?

yes, the P/A ratio changes more as we age. it gets more negative overtime.

<p>yes, the P/A ratio changes more as we age. it gets more negative overtime.</p>
30
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mismatched iris color

heterochromia

31
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condition where a person has different colored eyes

caused by a variation in the amount of melanin, the pigment that gives iris its color

can be genetic, congenital or acquired (via trauma, eye disease or certain medications)

heterochromia

32
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an arc or ring of white or gray coloration around the outer edge of the iris denotes deposition of fat or cholesterol within the cornea. this usually age-related, and may indicate ______.

hyperlipidemia

33
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<p>what is the arrow pointing to?</p>

what is the arrow pointing to?

a ring of white/gray coloration, indicating cholesterol/fat deposition within the cornea (could be hyperlipidemia)

34
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what is the general histology of the iris?

very spongy sheet with strong pigmentation

a circular blackout curtain

35
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what are the 5 layers of the iris?

1) anterior border

2) stroma

3) muscular layer (sphincter & dilator)

4) anterior iris epithelium layer **really near the posterior wall of the iris

5) posterior iris epithelium layer **this is the posterior wall of the iris

36
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attachment site (weakest area of tissue)

fibrils attached to trabecular meshwork and scleral spur

iris root / iris processes

37
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anatomical border

thickest region of the iris

collarette

38
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the collarette is a border between what 2 regions?

pupillary region (thick central region contains sphincter muscle)

ciliary region (contains dilator muscle)

39
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the collarette is the site of the _______.

minor arterial circle

40
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what provides the blood supply for the iris derived from the major** arterial circle MAC?

minor* arterial circle

41
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the MAC is formed by anastomoses of what?

anterior ciliary arteries & long posterior ciliary arteries (LPCAs)

42
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anatomy of the layers

knowt flashcard image
43
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which layer has melanocytes, fibroblasts, and lot of holes?

anterior border layer. this is the brown/blue color that you see in someone’s eyes.

44
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what are the holes in the anterior border layer called?

crypts of Fuchs

45
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the anterior border layer has ______ that appear during dilation.

contraction folds

46
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in the anterior border layer, contraction folds during dilation can block the anterior chamber and _____ intraocular pressure (beware of angle closure)

increase

47
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in the anterior border layer, the Crypts of Fuchs (holes) allow ____ to enter the ____.

aqueous into the stroma

48
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what serves as the “iris fingerprint”?

Crytpts of Fuchs in the anterior border layer

49
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what is the function of the anterior border layer?

1st pigmented cells to block light helping the iris to serve as effective aperture stop, and to determine eye color

50
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true or false. the structure of the iris (Crypts of Fuchs) is so anatomically unique, it is used to establish identity.

true

51
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what are the shape of the cells of the anterior border layer?

starfish shaped cells (fibroblasts over melanocytes)

<p>starfish shaped cells (fibroblasts over melanocytes) </p>
52
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which layer is a spongy mixture of melanocytes, fibroblasts, collagen, and blood vessels?

stroma

53
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where do clump cells appear?

near the sphincter muscle

54
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what do clump cells do?

they clean up “spilled” pigment from melanocytes or pigmented epithelium

55
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in the arterial circles, the blood vessels are very tight with no fluid leaks. what contributes to this tightness?

tight junctions (lots of zonule occludens)

overlapping endothelial

secondary covering of pericytes and collagen

56
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the iris is like a folding blackout curtain. how does this impact the blood supply?

the blood supply must go on as the tissue expands to cover a large area, or it will be compacted by pupil dilation

57
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minor arterial circle is about ___ of the way from root to the pupil.

2/3

58
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where is the minor arterial circle positioned?

at the collarette

59
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what layer has the sphincter (of the pupillary region, defines the collarette)?

muscle layer

60
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in the muscle layer

sphincter =

dilator =

sphincter = pupillary region

dilator = ciliary region (very thin)

61
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the nerves that control the muscle layer function are _____, which means they are NOT voluntary.

autonomic

62
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sphincter vs pupillary ruff

knowt flashcard image
63
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circular sphincter vs radial dilator

knowt flashcard image
64
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parasympathetic of ANS

neurotransmitter?

stimulates what muscle?

neurotransmitter is Acetylcholine

stimulates the sphincter, smaller pupil

65
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sympathetic of ANS

neurotransmitter?

stimulates what muscle?

neurotransmitter is norepinephrine

excites the dilator, causing mydriasis (larger/dilated pupil)

66
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chemical packaged and ready for release at synaptic endings

neurotransmitter

67
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what is the function of a neurotransmitter?

to depolarize (excite) or hyperpolarize (inhibit) the post synaptic cell

68
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neurotransmitters are important sites for drug actions.

agonist _____ transmitter function

antagonist _____ transmitter function

agonist mimics

antagonist blocks

69
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synapses are communication sites. during transmitter action, what do all actions require?

G-protein 2nd messenger

70
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true or false. both epithelial layers of the iris line the posterior chamber.

true. they both line it.

71
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flatter, less pigmented

forms the dilator muscle (it is the myoepithelium from which the dilator muscle arises)

anterior epithelial layer

72
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heavy pigmentation

most central tissue wraps around the pupil margin, forming the pupillary ruff

posterior epithelial layer

73
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columnar heavy pigmentation tight junctions

posterior epithelium

74
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how does the pupillary light reflex work? is it important?

it is very important!!

direct reflex = light strikes one eye & constricts pupil

consensual light reflex = light strikes one eye & effects both pupils

75
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Agonists: Pilocarpine

stimulate Sphincter (pilocarpine)

parasympathetic

constriction

76
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Agonists: Physostigmine

stimulate Sphincter

parasympathetic

constriction

77
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Antagonists: Dapiprozole

inhibit / block Dilator

sympathetic

constriction

78
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Antagonists: Tropicamide

inhibit Sphincter

parasympathetic

dilation

79
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Agonists: Phenylephrine

stimulate Dilator

sympathetic

dilation

80
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what is the iris a barrier for?

aqueous humor circulation

81
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Which epithelium in the iris has columnar heavy pigmentation & tight junctions?

posterior epithelium

82
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synechia

touching

83
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iris Bombé

bulging iris

84
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what is the solution for synechia & iris Bombé?

make a hole or several holes through the iris to shunt the aqueous directly into the anterior chamber

85
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what happens in the 2nd wave of neural crest cell migration?

The 2nd wave forms a thin line of tissue which forms the iris stroma. The cells in this layer will differentiate & proliferate to become fibroblasts and melanocytes for the iris & anterior border. They have NOTHING to do with the sphincter or dilator. The stroma blood vessels are mesodermal.

86
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what structures are formed from the Neural Crest?

Corneal stroma

Corneal Endothelium

Sclera

Trabecular structures

Uveal pigment cells

Ciliary muscle

Ganglia of Autonomic nervous system

Iris stroma***

87
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what structures are formed from the Neural ectoderm? (tube/rim of the optic cup)

RPE & retina

Fibers of optic nerve

Neuroglia

Epithelium of ciliary body

Epithelium of iris***

Iris muscles***

Oculomotor nerves

88
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What is the last anatomical structure of the iris to form?

Pupil

89
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The pupil is the last structure to form in the iris, so early or late development can cause problems. What is a Coloboma?

part of the iris is missing

<p>part of the iris is missing</p>