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7/6/2012




                                                  Sight and the eye
                                                              By
                                                         Shahzad Bashir
                                                           RN, BScN
                                                          (NMC ION)




              Objectives
     By the end of this presentation you                  The Eye
                will able to:
     Describe the gross structure of eye.    The eye is the organ of sense of sight
         Structure related to vision                  It is supplied by optic,
     Describe the structure and function    oculomotor,trochlear, abducent nerves
                   of ear.                     (2nd,3rd,4th and 6th cranial nerves)
          Transmission through ear.         It is spherical in shape and is about 2.5
     Physiology of Hearing and balance                    cm in diameter.




               Structure                    Structure inside the eyeball
                                             are the lens,aqueous fluid
There are three layers of tissue in the
             wall of eye:                   (humour) and vitreous body
  The outer fibrous layer: sclera and                 (humour)
               cornea
  The middle vascular layer or uveal
 tract:choroid, ciliary body and iris
    The inner nervous tissue layer:
                retina




                                                                                              1
7/6/2012




       Accessory Structures of the                      The Fibrous Tunic (layer)
                  Eye
  Lacrimal apparatus – keeps the                        Most external layer of the eyeball
     surface of the eye moist                        Composed of two regions of connective tissue
Lacrimal gland – produces lacrimal                        Sclera – White, opaque region
               fluid                                           Provides shape and an anchor for eye muscles

 Lacrimal sac – fluid empties into                            Cornea – The transparent circular part of front of the
                                                                  eye, it refracts the light to entering in the eye.
           nasal cavity
                                                                 Limbus – junction between sclera and cornea




     The Fibrous Tunic (layer)
                                                       The Fibrous Tunic (layer)
         The middle coat of the eyeball
        Composed of choroid, ciliary body,            Ciliary body – thickened ring of tissue
                   and iris                                    – encircles the lens
           Choroid – vascular, darkly                      Composed of ciliary muscle
             pigmented membrane                         Ciliary processes – posterior surface of the
          Prevents scattering of light rays within                     ciliary body
                          the eye                          Ciliary zonule (suspensory ligament)
                                                           Attached around entire circumference of the
             Choroid corresponds to the                                      lens.
             arachnoid and pia maters




                   The Iris                             Medial View of the Eye

        Visible colored part of the eye
         Attached to the ciliary body
        Composed of smooth muscle
         Pupil – the round, central opening
         Sphincter pupillae muscle (constrictor or
                         circular)
            Dilator pupillae muscle (dilator or
                          radial)
             Act to vary the size of the pupil




                                                                                                                             2
7/6/2012




Posterior View of the Anterior
       Half of the Eye                           Pupillary dilation and
                                                     constriction




 The Sensory Tunic (layer                     Microscopic Anatomy of the
       ) (Retina)                                       Retina
    Retina – the deepest tunic
    Composed of two layers
   Pigmented layer – single layer of
             melanocytes
  Neural layer – sheet of nervous tissue
      Contains three main types of neurons
                 Photoreceptor cells
                    Bipolar cells
                   Ganglion cells




                                                Photoreceptors
       Photoreceptors

           Two main types
    Rod cells – more sensitive to light
            Allow vision in dim light
  Cone cells – operate best in bright light
         Enable high-acuity, color vision
        Considered neurons




                                                                                3
7/6/2012




Blood Supply of the Retina

Retina receives blood from two sources
 Outer third of the retina – supplied by
       capillaries in the choroid
Inner two-thirds of the retina – supplied
by central artery and vein of the retina




                                                   Internal Chambers and Fluids
Internal Chambers and Fluids
                                                            Anterior segment
The lens and ciliary zonules divide the              Divided into anterior and posterior
                 eye                                             chambers
                                                      Anterior chamber – between the cornea and
      Posterior segment (cavity)                                          iris
         Filled with vitreous humor                    Posterior chamber – between the iris and
            Clear, jelly-like substance                                  lens
                   Transmits light                            Filled with aqueous humor
      Supports the posterior surface of the lens                   Renewed continuously
        Helps maintain intraocular pressure                      Formed as a blood filtrate
                                                             Supplies nutrients to the lens and
                                                                          cornea




 Internal Chambers and Fluids                                     The Lens




                                                                                                        4
7/6/2012




The Eye as an Optical Device                          Visual Pathways
  Structures in the eye bend light rays
 Light rays converge on the retina at a
          single focal point                Most visual information travels to the
  Light bending structures (refractory                cerebral cortex
                media)                       Responsible for conscious “seeing”
     The lens, cornea, and humors           Other pathways travel to nuclei in the
Accommodation – curvature of the lens is        midbrain and diencephalon
              adjustable
 Allows for focusing on nearby objects




     Visual Pathways to the                        Visual Pathways to the
        Cerebral Cortex                               Cerebral Cortex

      Pathway begins at the retina
                                                     Optic tracts send axons to:
     Light activates photoreceptors
                                             Lateral geniculate nucleus of the thalamus
   Photoreceptors signal bipolar cells
                                                  Synapse with thalamic neurons
   Bipolar cells signal ganglion cells
                                              Fibers of the optic radiation reach the
  Axons of ganglion cells exit eye as the
                                                       primary visual cortex
              optic nerve




Visual Pathways to the Brain
     and Visual Fields                      Regional Specializations of the
                                                       Retina

                                              Macula lutea – contains mostly cones
                                              Fovea centralis – contains only cones
                                                Region of highest visual acuity
                                                     Optic disc – blind spot




                                                                                                5
7/6/2012




                                                The Ear: Hearing and Equilibrium
                                                 The ear – receptor organ for hearing and
                                                 equilibrium it is supplied by 8th cranial
         The Ear                                  nerve that is vestibulocochlear nerve.
                                                     Composed of three main regions
                                                     Outer ear – functions in hearing
                                                    Middle ear – functions in hearing
                                                 Inner ear – functions in both hearing and
                                                                equilibrium




                                                     The Outer (External) Ear
  The Outer (External) Ear
           Composed of:
           The auricle (pinna)
          Helps direct sounds
         External acoustic meatus
                Lined with skin
      Contains hairs, sebaceous glands, and
              ceruminous glands
              Tympanic membrane
  Forms the boundary between the external and
                   middle ear




        The Middle Ear                           Structures of the Middle Ear
        The tympanic cavity
        A small, air-filled space
Located within the petrous portion of the
            temporal bone
      Medial wall is penetrated by:
            1.Oval window
           2.Round window
Pharyngotympanic tube (auditory or
         eustachian tube)
 Links the middle ear and pharynx




                                                                                                   6
7/6/2012




                The Middle Ear

     Ear ossicles – smallest bones in
                the body
    Malleus – attaches to the eardrum
 Incus – between the malleus and stapes
Stapes – vibrates against the oval window




     The Inner (Internal) Ear                   The Inner (Internal) Ear




     The Inner (Internal) Ear
                                               The Inner (Internal) Ear

      Membranous labyrinth
  Series of membrane-walled sacs and        Membranous labyrinth (continued)
                   ducts                       Filled with a clear fluid – endolymph
       Fit within the bony labyrinth             Confined to the membranous labyrinth
       Consists of three main parts              Bony labyrinth is filled with perilymph
           A.      Semicircular ducts             Continuous with cerebrospinal fluid
           B.     Utricle and saccule
                C.   Cochlear duct




                                                                                                 7
7/6/2012




The Membranous Labyrinth                                The Vestibule

                                              The central part of the bony labyrinth
                                                  Lies medial to the middle ear
                                                Utricle and saccule – suspended in
                                                           perilymph
                                                   Two egg-shaped parts of the
                                                     membranous labyrinth
                                              House the macula – a spot of sensory
                                                           epithelium




                                                         The Vestibule

                                                Macula – contains receptor cells
                                              Monitor the position of the head when
                                                        the head is still
                                               Contains columnar supporting cells
                                                Receptor cells – called hair cells
                                                      Synapse with the vestibular nerve




   The Semicircular Canals                     The Semicircular Canals


 Lie posterior and lateral to the vestibule
Anterior and posterior semicircular canals
 Lie in the vertical plane at right angles
        Lateral semicircular canal
       Lies in the horizontal plane




                                                                                                8
7/6/2012




     The Semicircular Canals                                       The Cochlea
 Semicircular duct – snakes through
                                                    A spiraling chamber in the bony
     each semicircular canal
                                                                labyrinth
Membranous ampulla – located within
           bony ampulla
  Houses a structure called a crista
            ampullaris
  Cristae contain receptor cells of
      rotational acceleration
Epithelium contains supporting cells and receptor
                  hair cells




               The Cochlea                                          The Cochlea
 The cochlear duct (scala media) –
  contains receptors for hearing                     The cochlear duct (scala media) –
    Lies between two chambers                         contains receptors for hearing
                  The scala vestibuli                  Organ of Corti – the receptor
                   The scala tympani                      epithelium for hearing
       The vestibular membrane – the roof of the                      Consists of:
                    cochlear duct
                                                                      Supporting cells
        The basilar membrane – the floor of the
                                                          Inner and outer hair cells (receptor cells)
                    cochlear duct




     Equilibrium and Auditory
             Pathways                                               References
                                                       •Tortora, J. G., Derrichson, B.
       The equilibrium pathway                         (2006).Principles of Anatomy and
  Transmits information on the position                Physiology. (11th ed). USA: New
       and movement of the head                              York. John Willey 7 sons , Inc.
   Most information goes to lower brain
         centers (reflex centers)
                                                       •Ross and Wilson, Anatomy and
                                                       Physiology (ninth edition) in health
  The ascending auditory pathway
                                                       and illness.
   Transmits information from cochlear
      receptors to the cerebral cortex




                                                                                                              9

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Eye presentation [compatibility mode]

  • 1. 7/6/2012 Sight and the eye By Shahzad Bashir RN, BScN (NMC ION) Objectives By the end of this presentation you The Eye will able to: Describe the gross structure of eye. The eye is the organ of sense of sight Structure related to vision It is supplied by optic, Describe the structure and function oculomotor,trochlear, abducent nerves of ear. (2nd,3rd,4th and 6th cranial nerves) Transmission through ear. It is spherical in shape and is about 2.5 Physiology of Hearing and balance cm in diameter. Structure Structure inside the eyeball are the lens,aqueous fluid There are three layers of tissue in the wall of eye: (humour) and vitreous body The outer fibrous layer: sclera and (humour) cornea The middle vascular layer or uveal tract:choroid, ciliary body and iris The inner nervous tissue layer: retina 1
  • 2. 7/6/2012 Accessory Structures of the The Fibrous Tunic (layer) Eye Lacrimal apparatus – keeps the Most external layer of the eyeball surface of the eye moist Composed of two regions of connective tissue Lacrimal gland – produces lacrimal Sclera – White, opaque region fluid Provides shape and an anchor for eye muscles Lacrimal sac – fluid empties into Cornea – The transparent circular part of front of the eye, it refracts the light to entering in the eye. nasal cavity Limbus – junction between sclera and cornea The Fibrous Tunic (layer) The Fibrous Tunic (layer) The middle coat of the eyeball Composed of choroid, ciliary body, Ciliary body – thickened ring of tissue and iris – encircles the lens Choroid – vascular, darkly Composed of ciliary muscle pigmented membrane Ciliary processes – posterior surface of the Prevents scattering of light rays within ciliary body the eye Ciliary zonule (suspensory ligament) Attached around entire circumference of the Choroid corresponds to the lens. arachnoid and pia maters The Iris Medial View of the Eye Visible colored part of the eye Attached to the ciliary body Composed of smooth muscle Pupil – the round, central opening Sphincter pupillae muscle (constrictor or circular) Dilator pupillae muscle (dilator or radial) Act to vary the size of the pupil 2
  • 3. 7/6/2012 Posterior View of the Anterior Half of the Eye Pupillary dilation and constriction The Sensory Tunic (layer Microscopic Anatomy of the ) (Retina) Retina Retina – the deepest tunic Composed of two layers Pigmented layer – single layer of melanocytes Neural layer – sheet of nervous tissue Contains three main types of neurons Photoreceptor cells Bipolar cells Ganglion cells Photoreceptors Photoreceptors Two main types Rod cells – more sensitive to light Allow vision in dim light Cone cells – operate best in bright light Enable high-acuity, color vision Considered neurons 3
  • 4. 7/6/2012 Blood Supply of the Retina Retina receives blood from two sources Outer third of the retina – supplied by capillaries in the choroid Inner two-thirds of the retina – supplied by central artery and vein of the retina Internal Chambers and Fluids Internal Chambers and Fluids Anterior segment The lens and ciliary zonules divide the Divided into anterior and posterior eye chambers Anterior chamber – between the cornea and Posterior segment (cavity) iris Filled with vitreous humor Posterior chamber – between the iris and Clear, jelly-like substance lens Transmits light Filled with aqueous humor Supports the posterior surface of the lens Renewed continuously Helps maintain intraocular pressure Formed as a blood filtrate Supplies nutrients to the lens and cornea Internal Chambers and Fluids The Lens 4
  • 5. 7/6/2012 The Eye as an Optical Device Visual Pathways Structures in the eye bend light rays Light rays converge on the retina at a single focal point Most visual information travels to the Light bending structures (refractory cerebral cortex media) Responsible for conscious “seeing” The lens, cornea, and humors Other pathways travel to nuclei in the Accommodation – curvature of the lens is midbrain and diencephalon adjustable Allows for focusing on nearby objects Visual Pathways to the Visual Pathways to the Cerebral Cortex Cerebral Cortex Pathway begins at the retina Optic tracts send axons to: Light activates photoreceptors Lateral geniculate nucleus of the thalamus Photoreceptors signal bipolar cells Synapse with thalamic neurons Bipolar cells signal ganglion cells Fibers of the optic radiation reach the Axons of ganglion cells exit eye as the primary visual cortex optic nerve Visual Pathways to the Brain and Visual Fields Regional Specializations of the Retina Macula lutea – contains mostly cones Fovea centralis – contains only cones Region of highest visual acuity Optic disc – blind spot 5
  • 6. 7/6/2012 The Ear: Hearing and Equilibrium The ear – receptor organ for hearing and equilibrium it is supplied by 8th cranial The Ear nerve that is vestibulocochlear nerve. Composed of three main regions Outer ear – functions in hearing Middle ear – functions in hearing Inner ear – functions in both hearing and equilibrium The Outer (External) Ear The Outer (External) Ear Composed of: The auricle (pinna) Helps direct sounds External acoustic meatus Lined with skin Contains hairs, sebaceous glands, and ceruminous glands Tympanic membrane Forms the boundary between the external and middle ear The Middle Ear Structures of the Middle Ear The tympanic cavity A small, air-filled space Located within the petrous portion of the temporal bone Medial wall is penetrated by: 1.Oval window 2.Round window Pharyngotympanic tube (auditory or eustachian tube) Links the middle ear and pharynx 6
  • 7. 7/6/2012 The Middle Ear Ear ossicles – smallest bones in the body Malleus – attaches to the eardrum Incus – between the malleus and stapes Stapes – vibrates against the oval window The Inner (Internal) Ear The Inner (Internal) Ear The Inner (Internal) Ear The Inner (Internal) Ear Membranous labyrinth Series of membrane-walled sacs and Membranous labyrinth (continued) ducts Filled with a clear fluid – endolymph Fit within the bony labyrinth Confined to the membranous labyrinth Consists of three main parts Bony labyrinth is filled with perilymph A. Semicircular ducts Continuous with cerebrospinal fluid B. Utricle and saccule C. Cochlear duct 7
  • 8. 7/6/2012 The Membranous Labyrinth The Vestibule The central part of the bony labyrinth Lies medial to the middle ear Utricle and saccule – suspended in perilymph Two egg-shaped parts of the membranous labyrinth House the macula – a spot of sensory epithelium The Vestibule Macula – contains receptor cells Monitor the position of the head when the head is still Contains columnar supporting cells Receptor cells – called hair cells Synapse with the vestibular nerve The Semicircular Canals The Semicircular Canals Lie posterior and lateral to the vestibule Anterior and posterior semicircular canals Lie in the vertical plane at right angles Lateral semicircular canal Lies in the horizontal plane 8
  • 9. 7/6/2012 The Semicircular Canals The Cochlea Semicircular duct – snakes through A spiraling chamber in the bony each semicircular canal labyrinth Membranous ampulla – located within bony ampulla Houses a structure called a crista ampullaris Cristae contain receptor cells of rotational acceleration Epithelium contains supporting cells and receptor hair cells The Cochlea The Cochlea The cochlear duct (scala media) – contains receptors for hearing The cochlear duct (scala media) – Lies between two chambers contains receptors for hearing The scala vestibuli Organ of Corti – the receptor The scala tympani epithelium for hearing The vestibular membrane – the roof of the Consists of: cochlear duct Supporting cells The basilar membrane – the floor of the Inner and outer hair cells (receptor cells) cochlear duct Equilibrium and Auditory Pathways References •Tortora, J. G., Derrichson, B. The equilibrium pathway (2006).Principles of Anatomy and Transmits information on the position Physiology. (11th ed). USA: New and movement of the head York. John Willey 7 sons , Inc. Most information goes to lower brain centers (reflex centers) •Ross and Wilson, Anatomy and Physiology (ninth edition) in health The ascending auditory pathway and illness. Transmits information from cochlear receptors to the cerebral cortex 9