Lens

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70 Terms

1
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Location of the Lens?

  • In the posterior chamber

  • Posterior to the iris

  • Anterior to the vitreous

  • Medial to the ciliary body

  • Suspended by zonules (suspensory ligaments)


2
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what is the shape of the lens?

biconvex elipse


3
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what is in anterior and posterior of the lens

anterior - faces iris

posterior - faces the vitreous

4
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what is the anterior radius of curvature of the lens?

8-14mm

  • flatter


5
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what is the posterior radius of curvatures of the lens?

  • 5-8mm

  • steeper


6
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what does the equator do?

separate anterior and posterior segments

7
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what occurs to size and weight of lens over time

  • with age is becomes bigger and heavier


8
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how does size change over a lifetime?

  • anterior to posterior

    • 3.5mm in newborns

    • to 4.75-5.0 mm for >50yrs

  • Equatorial diameter

    • 6.5mm for newborns

    • 9.0mm for >15 yrs


9
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what are lens size trends over a lifetime generally?

  • posterior face is steeper than anterior

  • lens grows more in equatorial diameter than anterior to posterior


10
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how does weight of lens change over a lifetime?

  • Newborns

    • 65mg

  • 1 yr

    • 130mg

  • ~90 yrs old

    • gradually increases to 250mg


11
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what is the trend in weight changes of a lens?

  • lens doubles in first year of life and then gradually increases from there


12
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what is the color of the lens over a lifetime?

  • young

    • transparent to transmit light

      • clear bc part of visual axis

  • Old

    • yellow/brown; opacified = cataract, impedes light


13
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what is the blood and nerve supply to the lens?

Avascular = none

14
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what is the function of the lens?

  • refractive surface

    • metabolical maintains transparency and clarity

  • filter UV

  • facilitates accommodation through attachments of zones of the ciliary body


15
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how much does the lens refract?

+15 to +20 diopters

16
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list structures of lens from outside to inside

  1. capsule

    1. anterior

    2. posterior

  2. cortex

  3. nucleus


17
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what is lens capsule and what is it made from?

  • thickened basement membrane

  • made by anterior lens epithelia cells in anterior

  • made by most superficial posterior lens fibers in posterior


18
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what type of fibers make up the lens capsule?

  • ~40 lamella of type IV (4) collagen filaments embedded in a mucopolysaccharide matrix


19
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what kind of passage does the lens capsule allow?

  • selective passage of nutrients into the lens and waste out of the lens

    • pulls nutrients from the aeros running through the posterior chamber


20
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what inserts onto the lens capsule/annular region?

lens zones

21
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where is the thickest and thinnest region of the lens?

  • Annular region around anterior pole

    • Found on the anterior and posterior aspects of the lens

    • Serve as the insertion site for the lens zonules

    • 13.5 um -> 16 um with age

  • Anterior pole

    • 11um → 15 um with age

  • Equator

    • 7um

  • Posterior pole

    • 3.5 um → does NOT include w age


22
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what is the lens epithelium?

  • only cells in lens

  • have metabolic activity and cellular respiration


23
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what is the shape and position of lens epithelium cells?

  • monolayer of cuboidal epithelial cells ONLY on anterior of lens

    • apex of cells face interior lens

    • base of cells face interior lens


24
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what does the base of anterior cells secrete?

  • the basement membrane or the capsule → faces outwards


25
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what are the 3 zones of the lens?

  1. central

  2. intermediate/germinative/proliferative

  3. transition/equatorial


26
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where is the central zone of lens and whats happening there?

  • located at anterior pole

  • cuboidal shape in saggital section, polygonal in coronal

  • NO mitosis (G0) = true collection of aging cells

  • cells laterally joined by desmosomes and gap jxns to allow nutrient transport

    • waste and nutrients in


27
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what connects cells in the central zone?

desmosomes and gap jxns

28
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what is the mitotic activity in the central zone?

no mitosis = true collection of aging cells

29
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what is another name for the intermediate layer?

  • germinative

  • proliferative


30
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where is the intermediate layer located?

  • anterior to the equator


31
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describe cell shape in the proliferative layer?

  • columnar


32
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describe mitotic activity in germinative layer?

  • location of ALL cell mitosis

    • daughter cells displaced towards transitional/equaotiral region


33
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what are cells in the proliferative layer joined by?

desmosomes and gap jxns

34
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what are the names for the 3rd zone of the lens?

  • transition

  • equatorial


35
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where is the equatorial zone located?

near the equator

36
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what is the cell shape of the transitional zone cells?

  • cells are pyramidal in shape

    • basal side is elongated compared to apical side


37
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what is happening in the equatorial layer to the cells?

  • cells differentiate from epithelia cells to lens fibers

    • cells elongate and internalize → basal portion of cell migrates posteriorly and apical portion of cell migrates anteriorly

    • inc ribosomes→ crystalline


38
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how do lens cells become fibers?

  • increase of ribosomes

  • ribosomes produce a protein called crystalline


39
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what is formed when cells are moving anterior to become lens fiber?

  • nuclear bow

    • the nuclei of fiber cells move anterior and from the nuclear bow


40
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where are new lens fibers found?

in the cortex

  • the more anterior the newer the fiber

    • nuclei are still found in newer lens fibers


41
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what is the arrangement of lens fibers and how it contributes to light?

  • internalized (mature) lens fibers lose their nuclei

    • minimize light scatter to help lens transmit light to retina and maintain transparency


42
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where are the older lens fibers found?

  • found at the lens center

    • these cells have lost all their nuclei


43
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what is the shape of lens fibers and how it helps?

  • they are U shaped or C shaped; hexagonal in cross section

  • this allows tight compacting → minimize extracellular matrics and extracellular space

    • minimize light scatter → transmit light and maintain transparency


44
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what are characteristics of lens fiber cells?

  • lack organelles

  • cytoplasm has highest concentration of crystalline proteins

    • higher concentration in nuclear region(compared to cortex)


45
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what is the lens fiber cytoskeleton made of?

microtubules and filaments for structure and stability

46
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how do fibers have the ability to slide?

  • fibers have interdigitations

    • allow for accommodation


47
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how are lens fibers connected?

desmosomes and gap jxns

48
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what happens as we age to the lens fibers?

  • as new fibers are formed→ older ones displaced deeper into lens

    • oldest fibers in nucleus of lens

    • newest fibers directly under capsule


49
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when does the lens have most of its layers?

  • at 5 years old we have 75% of its fibers

    • 31% at birth


50
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what happens to lens growth with age?

lens growth slows

51
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what is happening in the outer 1/3 of the cortex?

  • composed of young lens fibers

    • stabilizes lens fibers during accommodation.

    • maintains regular arrangement to support transparency

    • facilitates metabolic communication between fibers (low resistant gap jxns)

  • fibers tightly packed with little extracellular space

    • minimize light scatter→ max refractive properties

  • extensive system of low resistance gap jxns between fibers

    • facilitates metabolic communication

  • cortical nuclear interface

    • no anatomical landmark between nucleus and cortex


52
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where is the nucleus?

inner 2/3s of lens

  • made of lens fibers


53
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what are the parts of the nucleus?

  1. Embryonic Nucleus

  2. Fetal Nucleus

  3. Adult Nucleus

  4. Cortex


54
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when is embryonic nucleus made? and other characteristics of it

  • made in the frist 1 to 3 months of gestation

  • primary lens fibers

  • oldest part of lens


55
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when is fetal nucleus made? and other characteristics of it

  • made from 3 months gestation to birth

  • Has 2 Sutures - Y and lambda


56
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where is the Y and Lambda sutures found?

fetal nucleus

57
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What does the upright Y represent and where is it found?

  • anterior suture

  • represents the interdigitations of the apical processes of lens fibers


58
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what does the upside down Y represent and where is it found?

  • posterior suture

  • represents the interdigitations of basal processes of lens fibers


59
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what happens to the lens sutures with age?

the sutures becomes more asymmetric and complex → less Y shaped

60
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when is the Adult nucleus made?

  • birth to puberty


61
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when is the cortex made?

  • post puberty


62
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what is another name for zonules and what do they do?

  • Zones of Zinn

  • suspensatory ligaments


63
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where do zonules come from?

  • they come from the non pigmented ciliary epithelium in the pars plant and the valleys between the colliery processes in pars plicate


64
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where do zonules insert?

  • 360 degrees pre and post equatorial regions of the lens capsule with few attachments at the equator (2.5mm zone)

    • most attach at anterior and posterior annular regions of the lens capsule

    • some attach at equator


65
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what are primary lens zonules?

  • attach directly to the lens


66
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what are secondary lens zonules?

  • act as structural support

    • join primary lens zonules

    • connect the ciliary body origin to the middle of another lens zone (does not connect to the lens itself)


67
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what is the function of lens zonules?

  • suspend the lens to help accommodate


68
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what is the compositor of the zonules from the smallest unit to he biggest unit?

  • microfibrils

    • has extracellular matrix of fibrillar, elastin, and glycoproteins

  • fiber

    • made of 8-12nm microfibrils

  • Dense bundles (5-30um)

    • made up of a series of fine fibers


69
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what happens to zonules when accommodating at near?

  • ciliary muscles → contracts

  • zonules → relax

  • lens → thicker, rounder, and convex

  • refractive power - increases


<ul><li><p>ciliary muscles → contracts</p></li><li><p>zonules → relax</p></li><li><p>lens → thicker, rounder, and convex</p></li><li><p>refractive power - increases </p></li></ul><p></p>
70
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what happens to zonules when looking farther

  • ciliary muscles → relax

  • zonules → tighten

  • lens → becomes thicker and flatter

  • refractive power → decreases


<ul><li><p>ciliary muscles → relax</p></li></ul><ul><li><p>zonules → tighten</p></li><li><p>lens → becomes thicker and flatter</p></li><li><p>refractive power → decreases</p></li></ul><p></p>