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PHYSIOLO
GY OF THE
EYE
Special
VISION
Sense
Electromagnetic Radiation
Energy in the form of waves that radiates from the
sun.
There are many types of electromagnetic
radiation :
i. gamma rays,
ii. x-rays,
iii. UV rays,
iv. visible light,
v. infrared radiation,
vi. microwaves, and
vii. radio waves.
1.
Optical
formation)
..
..
2.
Neural system
system
(Image
Outline
Sagittal
section
of eye
and its
accessor
consists of :
i.
Lacrimal Apparatus
Lacrimal Gland
Located in the upper, outer portion of each
orbit of the eye.
Lobulated exocrine glands secreting tears .
Lacrimal Ducts
There are about 6 to 12 in number
They dump tears on the surface of the
conjunctiva of the upper lid through the
palpebral part of the gland
Conjunctiva
The conjunctiva is a mucous membrane
lining the eyelids and covering the anterior
eyeball up to the edge of the cornea.
Bulbar: covers the sclera
Palpebral: lines the inside
of the upper and lower lids
Lid retractors
Responsible for opening the
eyelids
levator palpebrae superioris
muscle
Lower lid retractor
inferior rectus, extends with
the inferior oblique and insert
into the lower border of the
tarsal plate
Extraocular Muscles
Rectus Muscles
superior rectus
inferior rectus
medial rectus
lateral rectus
Oblique Muscles
Superior oblique
Inferior oblique
Human Eye
1.
2.
1.
2.
Cornea
Avascular
,transparent
Tear Film:
Lipid layer produced by the
meibomian gland (oil)(hydrophobic)
Aqueous layer produced by the
Lacrimal gland (spreading, control
of infectious agents)
The mucous layer produced by
microscopic goblet cells in the conjunctiva
(coating)
Composition :
Functions :
1.
2.
3.
The sclera is :
- principally collagenous,
- avascular (apart from some vessels
on its surface)
- relatively acellular.
Epithelium
ii.
Bowmans membrane
iii.
Stroma
iv.
Descemets membrane
v.
Endothelium
transmission
and
focusing
(refraction) of light.
3. Screening
ultraviolet
sunlight
out
(UV)
damaging
wavelength
in
Epithelium
A thin, (5-6) layers made up of Stratified
Squamous epithelial cells
1. that keeps the stroma dehydrated and
2. to provide nutrients and oxygen to the
cornea
3.
Epithelium
Extremely sensitive to pain
Can regenerate itself if damaged from
disorders such as:
1. Recurrent corneal erosion: characterized
by the failure of thecornea's outermost
layer ofepithelial cells to attach to the
underlyingbasement membrane
2. Epithelial
basement
membrane
dystrophy: the epithelium's basement
membrane develops abnormally, causing the
epithelial cells to not properly adhere to it.
3. Diabetes mellitus: poor adhesion between
epithelial cells
and their basement
Bowmans membrane
smooth, acellular, non-regenerating
layer,
Is transparent,
composed of collagen,
cannot regenerate after damage and
form scars as it heals which can lead
to vision loss
Stroma
Contributes to 90% of total corneal thickness
Is composed primarily of water (78%) ,
collagen (16%),
keratocytes and
Ground substance (glycosaminoglycan)
Giving the cornea its strength, elasticity and
form
Fairly dehydrated which contributes greatly
to the light-conducting transparency.
Descemets membrane
a
thin
but
strong
homogeneous
elastic membrane
Is a protective barrier under the Stroma
Interiorly composed of collagen
made by the endothelial cells that lie
below
Can regenerate after injury
Endothelium
Single layer of flattened polygonal cells
Is responsible for regulating fluid and
solute transport between the anterior
chamber and the stroma
The
endothelial
dependent
pump
mechanism
is
an
resulting
energyin
ion
Endothelium
Cells dont regenerate,
if they are destroyed, a corneal
transplant is the only therapy.
Choroid:
Thin brown tissue
Highly vascularized
Provides
nutrients
and
Ciliary Body
A
thick
tissue
of
ciliary
processes
muscles
Highly
vascularized
and
Ciliary Processes:
Secretes the aqueous humour in the
posterior chamber and from it to the
anterior chamber
The fluid nourishes and oxygenates the
cornea and lens and
then drains into the sclera via Schlemm
canal
Aqueous Flow
Ciliary Muscles:
Iris:
Colored portion of the eye positioned
between the cornea and the lens
Smooth muscles : 1. The Sphincter
papillae
2. The
Dilatator papillae
Physiology of crystalline
lens
1.
Capsule(tough,
transparent,
semipermeable)
2.
Anterior epithelium
3.
Lens fibers
..
Nucleus
..
Cortex
elastic,
Avascularity
2.
3.
4.
5.
6.
7.
PATHOGENESIS OF
CATARACT
1.
2.
3.
Types of cataract
1.
Cortical
senile
cataract :
Mechanism of
loss of
transparency
total proteins,
A.A & K+ ions
with
in Na+ &
marked
hydration of
lens followed by
With
(senility)
active
pump
mechanism
Reversal of
Na+/K+
ratio
Hydration
of fibers
age
oxidative
reactions
A. A
level
synthesis
of proteins
Denaturation
of lens proteins
Opacification of cortical lens
fibers
Anterior cavity
Anterior Chamber located between the
cornea and the iris
Posterior chamber located between the
lens and the iris
Filled with aqueous humor produced by
ciliary processes
Aqueous humor
Formed
from
plasma
by
diffusion,
Mmoles/kg
Aqueous Flow
Angle
of
anterior
chamber.
Formed by root of iris,
anterior-most part of
ciliary body, trabecular
meshwork
and
Schwalbes line
Increased
intraocular
pressure leads to
Glaucoma
Functions?
Physiology of Vitreous
humor
Retina
Thin,
semitransparent,
multilayered sheet of
neural tissue
Lines
the
inner
anteriorly
Posterior Pole
2.
Photoreceptor layer (rods and
cones)
3. External limiting membrane
4. Outer nuclear layer
5. Outer plexiform layer
6. Inner nuclear layer
7. Inner plexiform layer
8. Ganglion cell layer
9. Nerve fiber layer
10. Internal limiting membrane
Physiology Of The
Image Formation
Optics of Eye.
Cornea.(1.37)
Aqueous humour.(1.33)
Crystalline lens. (1.42)
Vitreous humour. (1.33)
These constitute a homocentric
system of lenses
+44D by cornea
1.
2 principal foci
2.
2 principal points
3.
2 nodal points
By Listing
Reduced Eye
Schematic Eye
Conceptualizing the optical properties of
human eye
in which the curvatures and indices of
by
Gullstrand,
professor of
Schematic eye
Reduced schematic
eye
Schematic eye can be simplified even further
refracting element
Ideal spherical surface separating two media
Visual angles
Angle alpha (ONA)
Angle gamma (OCA)
Angle kappa (OPA, between optical axis and pupillary line OP)
Accomodation
Emmetropia (optically normal eye) can be
defined as a
state of refraction, where in the parallel rays of
light coming from infinity are focused at the
sensitive layer of retina with the accommodation
Our eyes have been provided with a unique
being at rest.
mechanism by which we can even focus the
Accommodation
objects close.
At rest lens
compressed in
capsule by tension
of zonules d/t
relaxation of fibres
of ciliary muscle.
Zonules relaxed.
Range of accommodation
Near point
Far point
Amplitude of
Accommodation
Amplitude
of
accommodation
ANOMALIES OF ACCOMMODATION
I.
Presbyopia
physiological
condition
insufficiency
of
of
Causes :
Insufficiency of accommodation
Paralysis of accommodation
(cycloplegia)
iii.
Spasm of accommodation.
These are :
1.
Diffraction of light :
'Airy disc
2.
Spherical
aberrations :
3. Chromatic
aberrations
It result owing to the fact
that
the
index
of
refraction
of
any
transparent
medium
varies
with
the
wavelength of incident
Chromatic aberrations
Errors of Refraction
Ametropia
1.
Hypermetropia
2.
Myopia
3.
Astigmatism
4.
Presbyopia
Hypermetropia (hyperopia) or
long-sightedness
behind
the
retina
Mechanism :
1.
Axial
2.
Curvatural
3.
Index
4.
Positional
5.
with
Characteristic features
1.
Far-sightedness
2.
3.
discomfort in reading
4.
Myopia or shortsightedness
1.
2.
3.
4.
5.
Mechansims :
Axial
Curvatural
Positional
Index
Due to excessive accommodation
Characteristic features
1.
Short sightedness
2.
3.
Asthenopic symptoms
4.
Astigmatism
Refractive
error
wherein
the
refraction
Two types :
1.
.
2.
.
REGULAR ASTIGMATISM
when the refractive power changes uniformly
from one meridian to another
IRREGULAR ASTIGMATISM
Refractive power changes irregularly from
one meridia to other.
Characteristic features
1.
Defective vision
2.
Blurring of objects
3.
objects
may
proportionately elongated;
4.
Asthenopic symptoms
appear
Physiology of vision
Main mechanisms :
1.
Initiation
of
vision
( Phototransduction -photoreceptors)
2.
Processing
&
transmission
of
pigment: Iodopsin
pigment: rhodopsin
Sensitivity
Cones:
Need
high
level
of
light
(photopic
condition, day)
Rods:
working
maximally
under
different
Structure of Photoreceptor
It is divided into an
outer segment & an
inner segment that
includes
a
nuclear
region, and a synaptic
terminal zone
The outer segments are
comprised of saccules
or membranous disks
(contains pigments).
The inner segments
are rich in mitochondria;
This
region
synthesizes
the
photosensitive
PHOTORECEPTOR MECHANISM
PHOTOTRANSDUCTION
Light
falling
upon
the
retina
causes
photochemical changes which in turn trigger a
cascade of biochemical reactions that result in
generation of electrical changes.
Photochemical changes
1.
Rhodopsin bleaching
2.
Rhodopsin regeneration
Visual cycle :
Visual cycle
Rhodopsi
n
regenerti
on
Rhodopsi
n
bleachin
g
Biochemical reactions
Biochemical
Depicted is an outer
reactions membrane disk in a
rod.
PHOTORECEPTOR POTENTIALS
IONIC BASIS OF
PHOTORECEPTOR
POTENTIALS
Na + channels in the
outer segments of the
rods and cones are open
in the dark, so current
flows from the inner to
the outer segment
Effect of light on
current flow in
visual receptors
Release
of
synaptic
transmitter
channels,
and
the
result
is
The
hyperpolarization
reduces
the
Resulting decrease in Ca
& Na concentration
Activates
guanylyl
cyclase, which generates
more cGMP.
It also inhibits the lightactivated
phosphodiesterase.
Both
actions
speed
recovery, restoring the Na
+ channels to
their open position.
Signal Processing
dendrites
horizontal
of
cells.
interneurons
bipolar
Horizontal
which
aid
cells
and
cells
in
are
signal
processing
Fovea
Processing Time
Phenomenon of processing of
visual
impulse
is
very
complicated.
It includes :
1.
2.
3.
Visual Pathway
The
magnocellular
of
parvocellular
carries
color
signals
vision,
for
texture,
Visual Field
Defects
Visual Perception
Visual adaptation
1.
2.
Dark adaptation
illumination.
This decline in visual threshold is known as dark
adaptation.
Mechanisms :
1.
2.
3.
Neural mechanisms
Light adaptation
the
light
seems
intensely
and
even
Form Sense
Optical factors
2.
Retinal factors
3.
Stimulus Factors :
..
..
Colour of object
..
..
..
Colour sense
colours
excited
by
light
of
different
wavelengths.
Trichromatic
theory.
Called
Young-Helmholtz
theory.
Applied
Trichomate
Colour blindness
- Congenital : dyschromatopsia
Photoreceptor layer:
Comprised of rod and cons neurons that converts light
to receptor potential.
Photoreceptor layer:
The photoreceptors have photopigments that when hit
by light goes thru structural change and triggers the
initiation of a receptor potential across the nerves.
The cone cells have three photopigments each one
interacts at different wavelength (red, green and blue),
The rod cells they only have Rhodopsin which are
essential for vision during dimmed light.
ON-OFF mechanism
At dark, Neurotransmitter glutamate is maximally
released and the rods are depolarized consequently the
ON bipolar gets hyperpolarized and the OFF bipolar
depolarized.
In light, Neurotransmitter glutamate is minimal and the
rods are hyperpolarized consequently the ON bipolar
gets depolarized and the OFF bipolar hyperpolarized.
Depolarizing bipolar cells results in the release of
neurotransmitters whereas hyperpolarization stops this
release.
Horizontal cells:
Inhibitory interneurons,
that help integrate and
regulate the input from
multiple photoreceptor
cells and are responsible
for regulating vision under
both bright and dim light.
Amacrine cells:
Interneurons in the retina
They are responsible for 70% of input to retinal
ganglion cells. The remaining 30% are regulated by the
amacrine cells but are handled by the bipolar cells.
Macula
Center of the posterior retina
responsible for fine central vision
has yellow pigment (xantophyll)
histologically empty space tends to the
accumulation of extracellular material
that cause thickening
Fixation
Involves looking stably straight ahead toward an object
in space.
Fusion:
Is the power exerted by
the eyes to keep the position
of the eyes aligned so that
the fovea can project
the same point in space.
Eye Movement:
Controlled by extraocular
muscles
To the left: levoversion
To the right: dextroversion
Upwards: sursumversion
Downwards: deorsumversion