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Sensory Systems
The Eye
The Cornea
Histology of the front of the Eye
Ciliary Body and Processes
The Iris
The Lens
The Retina
Ganglion Cells

Bipolar Cells

Rods and Cones

Pigmented Retina
Rods and Cones

Pigmented Retina
Rod

Cone
EYE & SEEING/VISION
The eyes are paired for security, a wider field of view,
and to aid distance perception and other apects of
seeing. However, ‘seeing double’ spells trouble!
The eyes contain the receptors for light, provide
mechanisms for influencing the light falling on the
photoreceptors, and are constructed to hold their shape,
and have transparent regions
Although connected to the brain by the optic nerve, the
eye has muscle attachments for movement, and needs
blood vessels
Other accessory structures, in and around the bony orbit
housing the eye, comprise the ocular adnexa, e.g., tear
glands & eyelids
GLOBE’S LAYERS & CHAMBERS
outer tunic
SCLERA
&
CORNEA

sagittal
view

UVEA middle tunic
RETINA
inner
LENS

ANTERIOR
CHAMBER
POSTERIOR
not
CHAMBER Note: Posterior chamber isdoes
posterior in the globe, but
lie behind the anterior chamber

VITREOUS
CAVITY
GLOBE’S ANTERIOR STRUCTURES
SCLERA

CILIARY BODY
CORNEA

IRIS
PUPIL

LENS

ZONULE

ANTERIOR
CHAMBER
POSTERIOR
CHAMBER
Chambers filled with aqueous

ZONULE suspends
and pulls on the lens
GLOBE’S ANTERIOR STRUCTURES: LIMBUS
SCLERA
LIMBUS is where
the cornea
meets the sclera
CILIARY BODY

CORNEA
PUPIL

LENS

ZONULE

IRIS
ANTERIOR
CHAMBER
POSTERIOR
CHAMBER

LIMBUS = corneoscleral junction
LIMBAL epithelium is the sole source of cells, by mitosis & migration, for
turnover & repair of the corneal epitheium
OPTICAL ASPECTS I
CILIARY BODY includes the muscle to
relax the lens shape for more focusing

dark UVEA prevents
light reflecting
around inside & is
vascular

Transparent CORNEA’S
extra curvature focuses light
IRIS controls the
amount of light
reaching the retina
PUPIL size reflects
iris muscles’ activity

Vitreous body (a
jelly) lets light
LENS
through, and keeps
the layers attached

Chambers are filled with the
aqueous humor which provides
tranparency, and its pressure holds
the eye in shape
‘White of the eye’ is dense scleral
connective tissue for strength, and to
keep light out, aided by dark inner uvea

posterior/neural RETINA
is sensitive to light
OPTICAL ASPECTS I (Tabular)
Transparent CORNEA’S
extra curvature focuses light
Chambers are filled with the
aqueous humor which provides
tranparency, and its pressure holds
the eye in shape

‘White of the eye’ is dense
scleral connective tissue for
strength, and to keep light out,
aided by dark inner uvea
Dark UVEA prevents light
reflecting around inside
& is vascular

IRIS controls the
PUPIL size
amount of light
reflects iris
reaching the retina muscles’ activity
LENS adds focusing
Vitreous body (a jelly) lets
light through, and keeps
the layers attached
Posterior/neural RETINA
is sensitive to light

CILIARY BODY includes
the muscle to relax the lens
shape for more focusing

Anterior ‘RETINA’ is a
double-layered epithelium
unresponsive to light
OPTICAL ASPECTS II: Focusing
CILIARY BODY includes the muscle to
relax the lens shape for more focusing

On neural RETINA is a tiny
REAL INVERTED
IMAGE of object

Transparent CORNEA’S
extra curvature focuses light

OBJECT
Visual axis

Elongated lens focuses light
further onto the retina

LENS

Vitreous jelly lets light
through, and keeps the
layers attached
OPTICAL ASPECTS III: Near-vision Focusing
CILIARY MUSCLE contracts; tension in
zonule decreases; the lens’ elasticity
changes it into a rounder shape

Close
OBJECT
Visual axis

LENS

Rounder lens focuses light
more onto the retina
The older lens loses this elastic ability
to change shape, so that one cannot
clearly see close objects - presbyopia

NEURAL RETINA
OPTICAL ASPECTS IV: Near-vision Focusing 2
CILIARY MUSCLE contracts; tension in zonule decreases; the lens’
elasticity changes it into a rounder shape
At first hearing, these sound to be contradictory
Under parasympathetic control the CILIARY MUSCLE contracts;
tension in zonule decreases; the
len capsule’s elasticity changes
CILIARY MUSCLE
lens into a rounder shape
ZONULE

LENS

LENS

LENS

A-P view

CILIARY MUSCLE - within the
eye - is an intra-ocular muscle

LENS
OPTICAL ASPECTS V: Central vision
NEURAL RETINA
The eyes are moved by the
extra-ocular muscles
to bring the object of
attention onto the visual axis

OBJECT
Visual axis

On the visual axis, the

LENS

MACULA/FOVEA is the region of
retina for precise central vision
OPTICAL ASPECTS VI: Peripheral vision

OBJECT
Visual axis

LENS

This part of the anterior nonneural retina is the PARS PLANA
Outside the macula, the remainder of the
neural retina is responsible for peripheral
vision - for things off the visual axis

MACULA for
central vision

Can all of the neural retina see things? No
OPTICAL ASPECTS VII: NerveHead & Blind spot
The neural retina contains
not only the
photoreceptors, but nerve
and glial cells for the
initial processing of the
signals. The result is
patterns of firing in
retinal ganglion neurons
whose axons leave the
eye, at one place, to
become the optic nerve

LENS

The place is the Nerve
head/ optic disc/ optic
papilla Also where vessels
OPTIC
NERVE

The optic nerve leaves on the
nasa/ medial side to the macula

enter
OPTICAL ASPECTS VIII: Blind spot

LENS

The neural retina contains not only
the photoreceptors, but nerve and
glial cells for the initial processing
of the signals. The result is
patterns of firing in retinal
ganglion neurons whose axons
leave the eye, at one place, to
become the optic nerve

LENS

LENS

LENS

OPTIC
NERVE
OPTIC

UNSEEN
OBJEC T

CHIASMA

Nerve head/ optic
disc/papilla has no
photoreceptorshence is blind

The optic nerves leave on the nasa/ medial side to the macula, so that they
can connect at the midline OPTIC CHIASMA: the starting device for binocular
integration - seeing one object with two eyes and two sides to the brain
OPTICAL ASPECTS IX: Experiencing the Blind spot
Place a small bright coin on a dark
table, e.g., a quarter

L

Place another bright coin, e.g. a dime,
to the right of the first coin

LENS

R
LENS

Cover your left eye with your left hand
Fixate your right eye on the first coin
Move the second coin to right & left
with your right-hand forefinger, but
not obscuring your view
At about 17 cm separation, the
second coin should disappear from
view as its image falls on the right
eye’s blind spot/ nerve head
10

25

[Reverse the side of second to first
coin for testing the left eye]
OPTICAL ASPECTS X: Retinal layers

LENS

The neural retina contains not only
the photoreceptors, but nerve and
glial cells for the initial processing
of the signals.
These cells are arranged in layers
with the photorecptors next to
the uvea, and

Vitreous

the retinal ganglion output
neurons innermost, close to
the vitreous
Thus, for peripheral vision, the light
has to pass through all the retinal
layers to reach the photoreceptors

OPTIC
NERVE

For precise central vision, the nerve and
glial cells lie as an annular hump
around a depression - fovea - where
the cone photoreceptors can respond to
the unimpeded light
Retinal layers I: Cells simplified
RETINAL GANGLION NEURONS

:
MULLER CELLS (glial)
Between neurons and
stretched across the layers

BIPOLAR NEURONS

PHOTORECEPTORS

PIGMENT CELLS

BRUCH’S MEMBRANE
Retinal layers II: Connection layers
RETINAL GANGLION NEURONS
Inner* Zone of Synapsing processes

BIPOLAR NEURONS
Outer Zone of Synapsing processes

PHOTORECEPTORS

:
MULLER CELLS
PIGMENT CELLS

* Reference point
for inner & outer is
interior of the eye

BRUCH’S MEMBRANE
Retinal layers III: Orientation
* Reference point for inner &
outer is interior of the eye
GANGLION NEURONS

Inner* Zone of
Synapsing processes
BIPOLAR NEURONS

Outer Zone of
Synapsing
processes
PHOTORECEPTORS

PIGMENT CELLS

The presence of a major
basement membrane outside
the pigment cells, here, is
NOT the starting point for
orientation. The reference
point instead is opposite inside the eye , where there
is an inconspicuous basal
lamina around the vitreous

BRUCH’S MEMBRANE is a
substantial basement membrane
:

Retinal layers IV: Terminology

MULLER CELLS

INNER LIMITING MEMBRANE

NERVE FIBER LAYER

RETINAL GANGLION NEURONS
GANGLION CELL LAYER
Inner* Zone of Synapsing processes

INNER PLEXIFORM LAYER

BIPOLAR NEURONS

INNER NUCLEAR LAYER

Outer Zone of Synapsing processes

OUTER PLEXIFORM LAYER

PHOTORECEPTORS

OUTER NUCLEAR LAYER

OUTER LIMITING MEMBRANE

PHOTORECEPTOR LAYER

PIGMENT CELLS
BRUCH’S MEMBRANE

PIGMENT CELL LAYER
INNER LIMITING MEMBRANE

Glial cell layer

NERVE FIBER LAYER
GANGLION CELL LAYER
INNER PLEXIFORM LAYER
INNER NUCLEAR LAYER
OUTER PLEXIFORM LAYER
OUTER NUCLEAR LAYER
PHOTORECEPTOR LAYER
PIGMENT CELL LAYER
OUTER LIMITING MEMBRANE

RETINAL GANGLION NEURONS
Inner* Zone of Synapsing processes

BIPOLAR NEURONS’ BODIES
Outer Zone of Synapsing processes

PHOTORECEPTOR BODIES
PHOTORECEPTOR CONES & RODS
RETINAL PIGMENT CELLS
INNER LIMITING MEMBRANE

NERVE FIBER LAYER
GANGLION CELL LAYER
INNER PLEXIFORM LAYER

INNER NUCLEAR LAYER
OUTER PLEXIFORM LAYER

OUTER NUCLEAR LAYER

PHOTORECEPTOR LAYER
PIGMENT CELL LAYER

Retinal layers V: H&E stained
Retinal layers V: H&E stained
NERVE FIBER LAYER
GANGLION CELL LAYER
INNER PLEXIFORM LAYER
INNER NUCLEAR LAYER
OUTER PLEXIFORM LAYER
OUTER NUCLEAR LAYER
PHOTORECEPTOR LAYER
PIGMENT CELL LAYER
Retinal layers VI: More cell types?
GANGLION NEURONS
Why not have the photoreceptors directly
stimulate action potentials in the ganglion
cells?
BIPOLAR NEURONS
The light causes changes in photoreceptor
membrane potentials, but it takes STEPS to
achieve actual ganglion-cell firing
The synaptic arrangement shown transmits
‘signals’ just inwards
Additional synapses and cell types provide
for integrative influence and interactions
across the retina
PHOTORECEPTORS
Two types of photoreceptor - rods & cones have somewhat different connection patterns
& very different light sensitivities
PIGMENT CELLS
Retinal layers VII: More cells 2
GANGLION NEURONS

Both provide for crosswise connections, and
need more investigation

AMACRINE CELL
BIPOLAR NEURONS

HORIZONTAL CELL

ROD For low light & black-grey perception
CONE For daylight & color perception

Provides the visual acuity of the fovea

PIGMENT CELLS
BRUCH’S MEMBRANE
PHOTORECEPTOR STRUCTURE I
INNER
FIBER

CONE
PEDICLE

ROD

:

MULLER
CELLS

:

Attachment
of Muller cell

INNER FIBER

INNER SEGMENT
INNER
SEGMENT

MITOCHONDRIA

OUTER SEGMENT

CILIUM

connecting segments
for transport
OUTER
SEGMENT

Stacked BILAMINAR
DISCS with
photopigment

Photopigment - iodopsin(s) absorbs in red, green or blue
regions of light spectrum
CONE
ROD

PHOTORECEPTOR STRUCTURE II
CONES:
are larger than rods
are far fewer, except in the fovea
have a differently shaped outer segment
have different photopigments - NOT
rhodopsin - and responsiveness to light
their synaptic end - pedicle - is much larger
than the rod’s spherule
do not shed discs for phagocytosis by
pigment cells
Signal transduction & Electrical activity I
GANGLION
NEURONS

L
I
G
H
T

AMACRINE CELL
BIPOLAR NEURONS
HORIZONTAL CELL

ROD
CONE

Outer segments

Light passes through the retina
to be absorbed by the
photopigment stacked in the
rod/cone outer segments
The light has to alter electrical
activity: in photoreceptors, the
light stimulus counteracts an
existing depolarized state from
cyclic nucleotide-gated ion
channels - so reduced, that a
hyperpolarization occurs,
causing
the receptor to stop releasing +
transmitter from vesicles in its
spherule, so changing
membrane potentials in the
bipolar cells, which signal to
the ganglion cell that it should
produce an action potential for
its optic-nerve fiber

L
I
G
H
T
Signal transduction & Electrical activity II
In the DARK

SODIUM CHANNEL - held open by
bound

cGMP

allows Na to leave,
DEPOLARIZING the cell
+

Na+

Na+
cGMP

L
I
G
H
T

In the LIGHT

SODIUM CHANNEL - closes because

cGMP
cGMP

Na+
cGMP

dissociates

With rising intracellular Na+
a hyperpolarization occurs
Why the dissociation?
cGMPphosphodiesterase
hydrolyzes cGMP, so
lowering its intracellular level

cGMP

But what activates the enzyme?
L
I
G
H
T

In the LIGHT

Signal transduction & Electrical activity III
1

RHODOPSIN

L
I
G
H
T

RHODOPSIN

OPSIN

2

Photon
isomerizes
retinal

11-cis-RETINAL
to
Light is absorbed
by the photopigment
stacked in the rod
outer segment

OPSIN
3

all-transRETINAL

TRANSDUCIN
- a G protein

Changed shape of
retinal forces OPSIN
molecule to alter its
conformation 4

OPSIN

6 α 1 subunit activates
7
cGMP

cGMPphosphodiesterase,
which hydrolyzes cGMP, so
lowering its intracellular level

8

5 Altered OPSIN binds
TRANSDUCIN,
releasing α 1 subunit

resulting in a cGMP dissociation from the Sodium channel
Signal transduction IV: Recovery & adaptation
In the DARK

SODIUM CHANNEL - held open by
bound

cGMP

Ca2+

also allows Ca2+ to enter

cGMP
In the LIGHT

Ca2+

SODIUM CHANNEL - closes because cGMP dissociates

Falling Ca2+
unbinds
inactivating
Ca2+
Ca 2+ from
RECOVERIN
which can
then stimulate
Guanylyl cyclase
to make more cGMP

Ca2+

entry is blocked

Intracelllular Ca2+ falls

cGMP

Recovery? With cGMP restored,
it can quickly associate again
with the sodium channnels
RHODOPSIN

OPSIN

TRANSDUCIN
- a G protein
retinal

The G-protein cascade allows
amplification of the signal initially
detected by the retinal
Signal transduction & Electrical activity V
GANGLION
NEURONS

L
I
G
H
T

AMACRINE CELL
BIPOLAR NEURONS
HORIZONTAL CELL

Pattern of ganglion-cell firing
alters
Bipolar cells’ GABA or glycine
then inhibits ganglion activity less
In response, bipolar cells
hyperpolarize
Receptor reduces the release of
glutamate + transmitter from
vesicles in its spherule

ROD
CONE

Outer segments

Simplified sample
sequence
The light stimulus causes a
hyperpolarization
Light passes through the retina to be absorbed
by the photopigment stacked in the rod/cone
outer segments
Signal transduction & Electrical activity VI
COMPLICATING aspects include:
As in the CNS, inhibition is used extensively

L
I
G
H
T

There are many subtypes of ganglion, amacrine
, horizontal & even bipolar cells
The GABA interplexiform is an additional type
Amacrine cells use electrical (nexus) synapses in
addition to chemical, e.g., dopaminergic, ones

ON cells respond to a stimulus brighter than
background, OFF to one darker than surround
Great convergence of connections
characterizes the rod system
Arrangements for color & movement signal
processing are elaborate
OPTIC NERVE
Nerve fibers acquire myelin
as they leave the eye
NERVE-FIBER LAYER
LAMINA CRIBROSA
un-myelinated
Holes in the sclera
for the nerve fibers
A weak spot

RETINA

SCLERA

DURA
ARACHNOID
& PIA

DURA
RETINA in OPHTHALMOSCOPY
All this transparency to let light in means that, when the interior of the
eye is illuminated, one can look in, with magnification, at the inside of
the back of the eye - the fundus

NORMAL VIEW

FUNDUS
MACULA

OPTIC DISK

VESSELS

Macula lies circa two Disk Diameters
(2 DD) temporally to the optic disc
SOME RETINA QUESTIONS in OPHTHALMOSCOPY
FUNDUS - Correct color for
race? Any spots? No
unevenness?

NORMAL VIEW

MACULA - Any vessels
over it? Too red?

OPTIC DISK - Not too pale? No
bulge, or excessive excavation?

VESSELS - Right size?
Not bent? Correct course?
Engorged veins?
SCLERA & regional specializations
LENS

Dense irregular connective tissue
Some vessels by
limbus & ciliary body
Insertions of
extraocular muscles

Vitreous

RETINA

Lamina
fusca

LAMINA CRIBROSA

OPTIC
NERVE
exits

Melanocytes

Loose
episcleral CT

SCLERA
proper
UVEA Components
outer

sagittal view

UVEA middle tunic

SCLERA

RETINA

inner
LENS

1
IRIS
2
CILIARY BODY

3

CHOROID
Sphincter constrictor
muscle

Anterior

IRIS

Posterior

No
epithelium

LENS

Melanocytes
More stromal
melanocytes,
browner eyes

Pigmented cuboidal
epithelium
Myoepithelial dilator cells modified deeper epithelial cells

IRIDIAL STROMA of loose connective tissue
INTRAOCULAR MUSCLES
Separate
parasympathetic IIIrd
cranial nerve controls

CILIARY MUSCLE contracts;
tension in zonule decreases;
the lens’ elasticity changes it
into a rounder shape

Sphincter constrictor
muscle

IRIS

Pupil

Weak dilator effect from

LENS

sympathetics

A-P views

IRIS constrictor & dilator and CILIARY MUSCLES are intra-ocular muscles
ZONULE or SUSPENSORY LIGAMENT OF LENS
CILIARY MUSCLE contracts;
tension in zonule decreases;
the lens’ elasticity changes it
into a rounder shape

LENS

A-P view

ZONULE comprsises many
coated fibers, running from
the ciliary body to the lens
capsule
COMPOSITION of the zonule
shares many characteristics
with basal-lamina materials, e.g.
ORA SERRATA
PARS PLANA

Posterior-to-Ant. view

CILIARY MUSCLE

LENS

The junction
between the neural
retina and the
double cuboidal
epithelium on the
plars plana and the
ciliary body is very
irregular - creating
a serrated ‘mouth’

NEURAL RETINA
UVEA: Choroid
The structure of the iris
conveys much of the
ROD structure of the choroid
CONE

IRIS

PIGMENT CELLS
BRUCH’S

CHOROID

loose vascular
connective tissue

MEMBRANE

CHORIOCAPILLARIS
Wide fenestrated capillaries
to nourish the retina

Melanocytes
ANGLE OF ANTERIOR CHAMBER & Aqueous Humor
Corner of ant chamber
between cornea & iris,
where sclera starts

ANTERIOR
CHAMBER

PUPIL LENS

POSTERIOR CHAMBER

Chambers filled
with aqueous
humor

SCLERAL ANGLE
is another name
Epithelium of CILIARY PROCESSES makes AH
ANGLE of ANTERIOR CHAMBER
Corner of ant chamber between
cornea & iris, where sclera starts

CORNEA

Canal of Schlemm
Trabecular
meshwork

ANTERIOR
CHAMBER

Spaces of Fontana in
the meshwork

SCLERA
IRIS

POSTERIOR CHAMBER

CILIARY
PROCESSES make aqueous humor
CILIARY MUSCLE

Uveoscleral outflow is another drainage route
AQUEOUS HUMOR: Production & Flow I
Canal of Schlemm
Trabecular
meshwork
ANTERIOR
CHAMBER
Chambers filled
with aqueous
humor

PUPIL

LENS
POSTERIOR CHAMBER

SCLERAL ANGLE
Corner of ant chamber
between cornea & iris,
where sclera starts
epithelium of CILIARY PROCESSES makes AH
AQUEOUS HUMOR: Production & Flow II
Epithelium of CILIARY PROCESSES makes Aqueous Humor

6
POSTERIOR CHAMBER
PUPIL

3

PUPIL

SCLERAL ANGLE with

Canal of Schlemm

2

4

ANTERIOR CHAMBER

Trabecular meshwork

1

5

Uveoscleral
outflow

LENS
AQUEOUS HUMOR: Glaucoma
Epithelium of CILIARY PROCESSES makes AH
POSTERIOR CHAMBER
PUPIL

6
5
4

1
2
3

ANTERIOR CHAMBER

PUPIL

LENS

SCLERAL ANGLE with

Trabecular meshwork
Canal of Schlemm

Blocked drainage/venous return of
AH raises intra-ocular pressure,
damaging vessels & the retina
CORNEA I: Layers
CORNEAL EPITHELIUM

Bowman’s
membrane

No vessels
STROMA

Keratocyte
Descemet’s membrane
Anterior chamber

ENDOTHELIUM
CORNEA II: Layer constituents
CORNEAL EPITHELIUM

EPITHELIUM is stratified
squamous, with nerve fibers
Thin basal lamina

Bowman’s membrane
of dense fibrillar collagen

STROMA
No vessels anywhere

of collagen fibers in very
orderly lamellae, with regular
alternating fiber orientations
& much special proteoglycan

Keratocytes are fibroblasts
of the corneal stroma

Descemet’s membrane
- a thick basal lamina

ENDOTHELIUM

Not a vascular endothelium, but pumps water out of stroma
Transparency factors Bowman’s membrane is modified stroma, not the basal lamina
CORNEA II: Layer constituents
CORNEAL EPITHELIUM is stratified squamous, with nerve fibers
Thin basal lamina

Bowman’s membrane of dense fibrillar collagen
STROMA of collagen fibers in very orderly lamellae,

with
regular alternating fiber orientations & much special
proteoglycan

Keratocytes are fibroblasts of the corneal stroma
No vessels are present
Bowman’s membrane is modified stroma, not the basal lamina

Descemet’s membrane - a thick basal lamina
ENDOTHELIUM

Not a vascular endothelium, but
pumps water out of the stroma

Transparency factors, & not present in the sclera
CORNEA III: Tear-film constituents
oily/lipid layer - eyelid glands
aqueous phase - Lacrimal
Mucin layer
From conjunctival & tearduct goblet cells

CORNEAL EPITHELIUM
TEARS:
Protect the conjunctival & corneal surfaces
Nourish the avascular cornea
Wash out discrepancies to ‘corner’ of the eye
Kill & restrain microorganisms
Smooth corneal-surface optics
LACRIMAL/LACHRYMAL GLAND & PASSAGES
LACHRYMAL GLAND
LACHRYMAL DUCTS
LACHRYMAL SAC
NASOLACRIMAL DUCT
Gland is superior and
temporal to the eye
facilitating the spread of
tears across the eye to
the collection points - the
lacrimal puncta medially
at the eyelids’ margin
LACRIMAL GLAND II
Gland is superior and temporal to the eye
facilitating the spread of tears across the eye to the collection points the lacrimal puncta medially at the eyelids’ medial/nasal margins
evaporation is slowed by surface film of lipid from Meibomian
glands

LACRIMAL GLAND

compound tubulo-alveolar
gland with myoepithelial cells

LACRIMAL DUCTS
From eyelids

LACRYMAL SAC
with valves

NASOLACRIMAL DUCT
continuation of the sac to drain into
lower nasal cavity
LACRIMAL GLAND III

LACRIMAL GLAND
Compound tubulo-alveolar gland
Alveoli lined by pale columnar/cuboidal serous cells
with myoepithelial cells
Secretion - tears - comprises
water
antimicrobials - lysozyme, defensins, antibodies
electrolytes - plasma-like (tears taste salty)
Innervation - Parasympathetic in CN VII via
Pterygopalatine ganglion
Blinking - eyelid movement - is necessary to spread tears
UPPER EYELID I
Palpebral part of

Orbicularis oculi
Muscle
EYELID SKIN
Dense connective-tissue

TARSAL PLATE
with

Meibomian
glands

EYELASH

LID MARGIN

PALPEBRAL
CONJUNCTIVA

Levator palpebrae
superior. Muscle
BULBAR
CONJUNCTIVA
UPPER EYELID II
Palpebral part of

Orbicularis oculi
Muscle

Levator palpebrae
superior. Muscle
Inserts into Tarsus, etc

EYELID SKIN

BULBAR
CONJUNCTIVA

Dense connective-tissue

TARSAL PLATE
with embedded

Meibomian
glands
By the eyelash
follicle are other
small glands

EYELASH

fornix
PALPEBRAL CONJUNCTIVA
Stratified cuboidal epithelium with
some goblet cells on loose CT
LID MARGIN

Where secretion of Meibomian modified
sebaceous glands emerges
LENS EQUATOR & AXIS
EQUATOR

Anterior

AXIS

LENS

Posterior pole
Lateral view

Posterior--Anterior view

Lens shape is not quite as depicted: the anterior part is an
ellipsoid; the posterior bulges back more as a parabyloid
LENS PARTS

LENS
CAPSULE

Subcapsular epithelium
(cuboidal)

becomes elongated
LENS FIBERS (cells)
at the LENS BOW
by filling themselves
with crystallins the proteins that
confer long-lasting
transparency
ZONULE
FIBERS
CATARACT - Lens becomes opaque

LENS
CAPSULE

Common in old age
UV radiation is an
accelerating factor
Naphthalene (in mothballs) is
another agent, as is
Overheating with infrared
radiation from furnaces
e.g., in glassblowers, &
Traumatic damage to the
lens capsule and epithelium
Lentectomy, and replacement with
an artificial lens usually cure
Posterior-capsule opacification is one risk

ZONULE
FIBERS
EYE DEVELOPMENT I: Some specifications
The eye comprises many tissues, structures, and layers
that require contributions from three main sources
Using multiple sources needs tight coordination of
signals and controls
The body’s covering has to have a transparent region
For optics, the lens needs to be roundish, the eye almost
spherical, with the retina precisely hemispherical
Spaces - chambers and cavity - have to be created inside
Blood vessels have to be introduced early into the soonto-be-enclosed round eye
Nerves (afferent & efferent) to & from the brain are needed
External & internal muscles & other auxilliary structueres
are needed
DEVELOPMENT of the EYE I from CNS

35 days pc

3 brain ‘vesicles’ are subdividing

Mesencephalon
Rhombencephalon

BRAIN
Diencephalon

now four, then Rhombencephalon
divides into Met- & Melencephalons

Cephalic flexure/bend
Cervical flexure

start the folding
Telencephalon

Surface
ECTODERM

MESENCHYM
E

Neural
RETINA
ECTODERM

Already before 35d pc, on
each side of the ‘head’,
interactions have started
between surface
ECTODERM, a bulge of
the FOREBRAIN & the
MESENCHYME
EYE PARTS’ EMBRYONIC SOURCES
Surface
ECTODERM

MESENCHYME

UVEA
LENS

SCLERA

CORNEAL
EPITHELIUM
CORNEAL
STROMA

Connective tissue &
muscle (& vessels) come
from cranial mesenchyme

LENS

Neural
RETINA
ECTODERM

RETINA
OPTIC
NERVE

VITREOUS
Two ectoderms
drive events
and shaping
ANTERIOR EYE PARTS’ EMBRYONIC SOURCES
Surface
ECTODERM

LENS
CORNEAL
EPITHELIUM

How does a surface layer produce
two separate structures?
In much the same way as an
endocrine gland is produced: by a
downgrowth of cells that then
break off the surface connection
Here the downgrowth makes the
lens vesicle, conferring a roundish
shape from early on

Mesenchyme

To have enough cells for the
future cornea and for the lens
vesicle, the surface ectoderm first
thickens to form a lens placode
over the brain-derived optic vesicle
LENS & OPTIC CUP DEVELOPMENT I
While still growing, both placode and
end of the optic vesicle invaginate
optic
vesicle

Mesenchyme

Intraretinal
space
lens placode

Double wall of optic cup is starting to form
Optic vesicle precedes the lens vesicle and is a distinct structure
OPTIC CUP DEVELOPMENT II: Choroid fissure
Mesenchyme

Blood vessels have to be introduced early
into the soon to be enclosed round eye
Together with the invagination
centrally at the end of the optic
cup,

an invagination along the
cup & stalk’s inferior
surface occurs, to create
the choroid fissure
in which runs the
hyaloid artery
OPTIC CUP DEVELOPMENT II: Coloboma
Mesenchyme

Blood vessels have to be introduced early
into the soon to be enclosed round eye
Together with the invagination
centrally at the end of the optic
cup,
an invagination along the cup &
stalk’s inferior surface occurs,
to create the choroid fissure
in which runs the
hyaloid artery

Also, an annular vessel
runs around the
outside of the
Imagine a penis in which the urethra near & into the
optic cup
glans is still open on its underside - the condition
of hypospadias - (but now contains an artery)
Defects in the eye from failure of the choroid
fissure to close are colobomas
OPTIC DEVELOPMENT III: Lens vesicle
Mesenchyme

LENS VESICLE
Mesenchyme

l
e
n
s

Inner wall thickens

p
l
a
c
o
d
e

Deeper part of Placode sinks into
mesenchyme & makes a vesicle

Optic cup becomes deeper

Attachment to surface ectoderm will be broken
so that surface ectoderm can become corneal
epithelium & intervening mesenchyme can form
the corneal stroma
OPTIC DEVELOPMENT IV: Lens differentiation
Mesenchyme

Attachment to surface ectoderm lost
Mesenchyme

Anterior vesicle cells become
subcapsular epithelium
Basal lamina becomes lens capsule
Posterior vesicle cells
become elongated lens cells
Posterior vesicle cells form the nucleus of the lens.
Subsequent lens cells derive from the subcapsular
epithelium
OPTIC DEVELOPMENT IV: Lens differentiation
Mesenchyme

Anterior-vesicle cells become
subcapsular epithelium
Basal lamina becomes
lens capsule
Lumen obliterated
Posterior-vesicle cells
elongate to lens cells

LENS
OPTIC DEVELOPMENT V: Retina differentiation I
Mesenchyme

Outer layer of cup stays thin
and beomes pigment cell
layer
Intra-retinal space occluded
Inner layer of cup thickens
and becomes Neural layer
Hyaloid artery reaches inside cup
After a while, the lens and vitreous no
longer need it, and it atrophies. Only
the neural retina continues to depend
on it, but under another name - central
artery of the retina
OPTIC DEVELOPMENT VI: Retina differentiation II
Mesenchyme

Inner layer of cup thickens
and becomes Neural layer
Where cells multiply, form
layers and differentiate to
the several cell types of the
neural retina

Outer layer of cup stays thin
and beomes pigment cell layer

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20. eye

  • 2.
  • 4. Histology of the front of the Eye
  • 5. Ciliary Body and Processes
  • 8. The Retina Ganglion Cells Bipolar Cells Rods and Cones Pigmented Retina
  • 11. EYE & SEEING/VISION The eyes are paired for security, a wider field of view, and to aid distance perception and other apects of seeing. However, ‘seeing double’ spells trouble! The eyes contain the receptors for light, provide mechanisms for influencing the light falling on the photoreceptors, and are constructed to hold their shape, and have transparent regions Although connected to the brain by the optic nerve, the eye has muscle attachments for movement, and needs blood vessels Other accessory structures, in and around the bony orbit housing the eye, comprise the ocular adnexa, e.g., tear glands & eyelids
  • 12. GLOBE’S LAYERS & CHAMBERS outer tunic SCLERA & CORNEA sagittal view UVEA middle tunic RETINA inner LENS ANTERIOR CHAMBER POSTERIOR not CHAMBER Note: Posterior chamber isdoes posterior in the globe, but lie behind the anterior chamber VITREOUS CAVITY
  • 13. GLOBE’S ANTERIOR STRUCTURES SCLERA CILIARY BODY CORNEA IRIS PUPIL LENS ZONULE ANTERIOR CHAMBER POSTERIOR CHAMBER Chambers filled with aqueous ZONULE suspends and pulls on the lens
  • 14. GLOBE’S ANTERIOR STRUCTURES: LIMBUS SCLERA LIMBUS is where the cornea meets the sclera CILIARY BODY CORNEA PUPIL LENS ZONULE IRIS ANTERIOR CHAMBER POSTERIOR CHAMBER LIMBUS = corneoscleral junction LIMBAL epithelium is the sole source of cells, by mitosis & migration, for turnover & repair of the corneal epitheium
  • 15. OPTICAL ASPECTS I CILIARY BODY includes the muscle to relax the lens shape for more focusing dark UVEA prevents light reflecting around inside & is vascular Transparent CORNEA’S extra curvature focuses light IRIS controls the amount of light reaching the retina PUPIL size reflects iris muscles’ activity Vitreous body (a jelly) lets light LENS through, and keeps the layers attached Chambers are filled with the aqueous humor which provides tranparency, and its pressure holds the eye in shape ‘White of the eye’ is dense scleral connective tissue for strength, and to keep light out, aided by dark inner uvea posterior/neural RETINA is sensitive to light
  • 16. OPTICAL ASPECTS I (Tabular) Transparent CORNEA’S extra curvature focuses light Chambers are filled with the aqueous humor which provides tranparency, and its pressure holds the eye in shape ‘White of the eye’ is dense scleral connective tissue for strength, and to keep light out, aided by dark inner uvea Dark UVEA prevents light reflecting around inside & is vascular IRIS controls the PUPIL size amount of light reflects iris reaching the retina muscles’ activity LENS adds focusing Vitreous body (a jelly) lets light through, and keeps the layers attached Posterior/neural RETINA is sensitive to light CILIARY BODY includes the muscle to relax the lens shape for more focusing Anterior ‘RETINA’ is a double-layered epithelium unresponsive to light
  • 17. OPTICAL ASPECTS II: Focusing CILIARY BODY includes the muscle to relax the lens shape for more focusing On neural RETINA is a tiny REAL INVERTED IMAGE of object Transparent CORNEA’S extra curvature focuses light OBJECT Visual axis Elongated lens focuses light further onto the retina LENS Vitreous jelly lets light through, and keeps the layers attached
  • 18. OPTICAL ASPECTS III: Near-vision Focusing CILIARY MUSCLE contracts; tension in zonule decreases; the lens’ elasticity changes it into a rounder shape Close OBJECT Visual axis LENS Rounder lens focuses light more onto the retina The older lens loses this elastic ability to change shape, so that one cannot clearly see close objects - presbyopia NEURAL RETINA
  • 19. OPTICAL ASPECTS IV: Near-vision Focusing 2 CILIARY MUSCLE contracts; tension in zonule decreases; the lens’ elasticity changes it into a rounder shape At first hearing, these sound to be contradictory Under parasympathetic control the CILIARY MUSCLE contracts; tension in zonule decreases; the len capsule’s elasticity changes CILIARY MUSCLE lens into a rounder shape ZONULE LENS LENS LENS A-P view CILIARY MUSCLE - within the eye - is an intra-ocular muscle LENS
  • 20. OPTICAL ASPECTS V: Central vision NEURAL RETINA The eyes are moved by the extra-ocular muscles to bring the object of attention onto the visual axis OBJECT Visual axis On the visual axis, the LENS MACULA/FOVEA is the region of retina for precise central vision
  • 21. OPTICAL ASPECTS VI: Peripheral vision OBJECT Visual axis LENS This part of the anterior nonneural retina is the PARS PLANA Outside the macula, the remainder of the neural retina is responsible for peripheral vision - for things off the visual axis MACULA for central vision Can all of the neural retina see things? No
  • 22. OPTICAL ASPECTS VII: NerveHead & Blind spot The neural retina contains not only the photoreceptors, but nerve and glial cells for the initial processing of the signals. The result is patterns of firing in retinal ganglion neurons whose axons leave the eye, at one place, to become the optic nerve LENS The place is the Nerve head/ optic disc/ optic papilla Also where vessels OPTIC NERVE The optic nerve leaves on the nasa/ medial side to the macula enter
  • 23. OPTICAL ASPECTS VIII: Blind spot LENS The neural retina contains not only the photoreceptors, but nerve and glial cells for the initial processing of the signals. The result is patterns of firing in retinal ganglion neurons whose axons leave the eye, at one place, to become the optic nerve LENS LENS LENS OPTIC NERVE OPTIC UNSEEN OBJEC T CHIASMA Nerve head/ optic disc/papilla has no photoreceptorshence is blind The optic nerves leave on the nasa/ medial side to the macula, so that they can connect at the midline OPTIC CHIASMA: the starting device for binocular integration - seeing one object with two eyes and two sides to the brain
  • 24. OPTICAL ASPECTS IX: Experiencing the Blind spot Place a small bright coin on a dark table, e.g., a quarter L Place another bright coin, e.g. a dime, to the right of the first coin LENS R LENS Cover your left eye with your left hand Fixate your right eye on the first coin Move the second coin to right & left with your right-hand forefinger, but not obscuring your view At about 17 cm separation, the second coin should disappear from view as its image falls on the right eye’s blind spot/ nerve head 10 25 [Reverse the side of second to first coin for testing the left eye]
  • 25. OPTICAL ASPECTS X: Retinal layers LENS The neural retina contains not only the photoreceptors, but nerve and glial cells for the initial processing of the signals. These cells are arranged in layers with the photorecptors next to the uvea, and Vitreous the retinal ganglion output neurons innermost, close to the vitreous Thus, for peripheral vision, the light has to pass through all the retinal layers to reach the photoreceptors OPTIC NERVE For precise central vision, the nerve and glial cells lie as an annular hump around a depression - fovea - where the cone photoreceptors can respond to the unimpeded light
  • 26. Retinal layers I: Cells simplified RETINAL GANGLION NEURONS : MULLER CELLS (glial) Between neurons and stretched across the layers BIPOLAR NEURONS PHOTORECEPTORS PIGMENT CELLS BRUCH’S MEMBRANE
  • 27. Retinal layers II: Connection layers RETINAL GANGLION NEURONS Inner* Zone of Synapsing processes BIPOLAR NEURONS Outer Zone of Synapsing processes PHOTORECEPTORS : MULLER CELLS PIGMENT CELLS * Reference point for inner & outer is interior of the eye BRUCH’S MEMBRANE
  • 28. Retinal layers III: Orientation * Reference point for inner & outer is interior of the eye GANGLION NEURONS Inner* Zone of Synapsing processes BIPOLAR NEURONS Outer Zone of Synapsing processes PHOTORECEPTORS PIGMENT CELLS The presence of a major basement membrane outside the pigment cells, here, is NOT the starting point for orientation. The reference point instead is opposite inside the eye , where there is an inconspicuous basal lamina around the vitreous BRUCH’S MEMBRANE is a substantial basement membrane
  • 29. : Retinal layers IV: Terminology MULLER CELLS INNER LIMITING MEMBRANE NERVE FIBER LAYER RETINAL GANGLION NEURONS GANGLION CELL LAYER Inner* Zone of Synapsing processes INNER PLEXIFORM LAYER BIPOLAR NEURONS INNER NUCLEAR LAYER Outer Zone of Synapsing processes OUTER PLEXIFORM LAYER PHOTORECEPTORS OUTER NUCLEAR LAYER OUTER LIMITING MEMBRANE PHOTORECEPTOR LAYER PIGMENT CELLS BRUCH’S MEMBRANE PIGMENT CELL LAYER
  • 30. INNER LIMITING MEMBRANE Glial cell layer NERVE FIBER LAYER GANGLION CELL LAYER INNER PLEXIFORM LAYER INNER NUCLEAR LAYER OUTER PLEXIFORM LAYER OUTER NUCLEAR LAYER PHOTORECEPTOR LAYER PIGMENT CELL LAYER OUTER LIMITING MEMBRANE RETINAL GANGLION NEURONS Inner* Zone of Synapsing processes BIPOLAR NEURONS’ BODIES Outer Zone of Synapsing processes PHOTORECEPTOR BODIES PHOTORECEPTOR CONES & RODS RETINAL PIGMENT CELLS
  • 31. INNER LIMITING MEMBRANE NERVE FIBER LAYER GANGLION CELL LAYER INNER PLEXIFORM LAYER INNER NUCLEAR LAYER OUTER PLEXIFORM LAYER OUTER NUCLEAR LAYER PHOTORECEPTOR LAYER PIGMENT CELL LAYER Retinal layers V: H&E stained
  • 32. Retinal layers V: H&E stained NERVE FIBER LAYER GANGLION CELL LAYER INNER PLEXIFORM LAYER INNER NUCLEAR LAYER OUTER PLEXIFORM LAYER OUTER NUCLEAR LAYER PHOTORECEPTOR LAYER PIGMENT CELL LAYER
  • 33. Retinal layers VI: More cell types? GANGLION NEURONS Why not have the photoreceptors directly stimulate action potentials in the ganglion cells? BIPOLAR NEURONS The light causes changes in photoreceptor membrane potentials, but it takes STEPS to achieve actual ganglion-cell firing The synaptic arrangement shown transmits ‘signals’ just inwards Additional synapses and cell types provide for integrative influence and interactions across the retina PHOTORECEPTORS Two types of photoreceptor - rods & cones have somewhat different connection patterns & very different light sensitivities PIGMENT CELLS
  • 34. Retinal layers VII: More cells 2 GANGLION NEURONS Both provide for crosswise connections, and need more investigation AMACRINE CELL BIPOLAR NEURONS HORIZONTAL CELL ROD For low light & black-grey perception CONE For daylight & color perception Provides the visual acuity of the fovea PIGMENT CELLS BRUCH’S MEMBRANE
  • 35. PHOTORECEPTOR STRUCTURE I INNER FIBER CONE PEDICLE ROD : MULLER CELLS : Attachment of Muller cell INNER FIBER INNER SEGMENT INNER SEGMENT MITOCHONDRIA OUTER SEGMENT CILIUM connecting segments for transport OUTER SEGMENT Stacked BILAMINAR DISCS with photopigment Photopigment - iodopsin(s) absorbs in red, green or blue regions of light spectrum
  • 36. CONE ROD PHOTORECEPTOR STRUCTURE II CONES: are larger than rods are far fewer, except in the fovea have a differently shaped outer segment have different photopigments - NOT rhodopsin - and responsiveness to light their synaptic end - pedicle - is much larger than the rod’s spherule do not shed discs for phagocytosis by pigment cells
  • 37. Signal transduction & Electrical activity I GANGLION NEURONS L I G H T AMACRINE CELL BIPOLAR NEURONS HORIZONTAL CELL ROD CONE Outer segments Light passes through the retina to be absorbed by the photopigment stacked in the rod/cone outer segments The light has to alter electrical activity: in photoreceptors, the light stimulus counteracts an existing depolarized state from cyclic nucleotide-gated ion channels - so reduced, that a hyperpolarization occurs, causing the receptor to stop releasing + transmitter from vesicles in its spherule, so changing membrane potentials in the bipolar cells, which signal to the ganglion cell that it should produce an action potential for its optic-nerve fiber L I G H T
  • 38. Signal transduction & Electrical activity II In the DARK SODIUM CHANNEL - held open by bound cGMP allows Na to leave, DEPOLARIZING the cell + Na+ Na+ cGMP L I G H T In the LIGHT SODIUM CHANNEL - closes because cGMP cGMP Na+ cGMP dissociates With rising intracellular Na+ a hyperpolarization occurs Why the dissociation? cGMPphosphodiesterase hydrolyzes cGMP, so lowering its intracellular level cGMP But what activates the enzyme?
  • 39. L I G H T In the LIGHT Signal transduction & Electrical activity III 1 RHODOPSIN L I G H T RHODOPSIN OPSIN 2 Photon isomerizes retinal 11-cis-RETINAL to Light is absorbed by the photopigment stacked in the rod outer segment OPSIN 3 all-transRETINAL TRANSDUCIN - a G protein Changed shape of retinal forces OPSIN molecule to alter its conformation 4 OPSIN 6 α 1 subunit activates 7 cGMP cGMPphosphodiesterase, which hydrolyzes cGMP, so lowering its intracellular level 8 5 Altered OPSIN binds TRANSDUCIN, releasing α 1 subunit resulting in a cGMP dissociation from the Sodium channel
  • 40. Signal transduction IV: Recovery & adaptation In the DARK SODIUM CHANNEL - held open by bound cGMP Ca2+ also allows Ca2+ to enter cGMP In the LIGHT Ca2+ SODIUM CHANNEL - closes because cGMP dissociates Falling Ca2+ unbinds inactivating Ca2+ Ca 2+ from RECOVERIN which can then stimulate Guanylyl cyclase to make more cGMP Ca2+ entry is blocked Intracelllular Ca2+ falls cGMP Recovery? With cGMP restored, it can quickly associate again with the sodium channnels
  • 41. RHODOPSIN OPSIN TRANSDUCIN - a G protein retinal The G-protein cascade allows amplification of the signal initially detected by the retinal
  • 42. Signal transduction & Electrical activity V GANGLION NEURONS L I G H T AMACRINE CELL BIPOLAR NEURONS HORIZONTAL CELL Pattern of ganglion-cell firing alters Bipolar cells’ GABA or glycine then inhibits ganglion activity less In response, bipolar cells hyperpolarize Receptor reduces the release of glutamate + transmitter from vesicles in its spherule ROD CONE Outer segments Simplified sample sequence The light stimulus causes a hyperpolarization Light passes through the retina to be absorbed by the photopigment stacked in the rod/cone outer segments
  • 43. Signal transduction & Electrical activity VI COMPLICATING aspects include: As in the CNS, inhibition is used extensively L I G H T There are many subtypes of ganglion, amacrine , horizontal & even bipolar cells The GABA interplexiform is an additional type Amacrine cells use electrical (nexus) synapses in addition to chemical, e.g., dopaminergic, ones ON cells respond to a stimulus brighter than background, OFF to one darker than surround Great convergence of connections characterizes the rod system Arrangements for color & movement signal processing are elaborate
  • 44. OPTIC NERVE Nerve fibers acquire myelin as they leave the eye NERVE-FIBER LAYER LAMINA CRIBROSA un-myelinated Holes in the sclera for the nerve fibers A weak spot RETINA SCLERA DURA ARACHNOID & PIA DURA
  • 45. RETINA in OPHTHALMOSCOPY All this transparency to let light in means that, when the interior of the eye is illuminated, one can look in, with magnification, at the inside of the back of the eye - the fundus NORMAL VIEW FUNDUS MACULA OPTIC DISK VESSELS Macula lies circa two Disk Diameters (2 DD) temporally to the optic disc
  • 46. SOME RETINA QUESTIONS in OPHTHALMOSCOPY FUNDUS - Correct color for race? Any spots? No unevenness? NORMAL VIEW MACULA - Any vessels over it? Too red? OPTIC DISK - Not too pale? No bulge, or excessive excavation? VESSELS - Right size? Not bent? Correct course? Engorged veins?
  • 47. SCLERA & regional specializations LENS Dense irregular connective tissue Some vessels by limbus & ciliary body Insertions of extraocular muscles Vitreous RETINA Lamina fusca LAMINA CRIBROSA OPTIC NERVE exits Melanocytes Loose episcleral CT SCLERA proper
  • 48. UVEA Components outer sagittal view UVEA middle tunic SCLERA RETINA inner LENS 1 IRIS 2 CILIARY BODY 3 CHOROID
  • 49. Sphincter constrictor muscle Anterior IRIS Posterior No epithelium LENS Melanocytes More stromal melanocytes, browner eyes Pigmented cuboidal epithelium Myoepithelial dilator cells modified deeper epithelial cells IRIDIAL STROMA of loose connective tissue
  • 50. INTRAOCULAR MUSCLES Separate parasympathetic IIIrd cranial nerve controls CILIARY MUSCLE contracts; tension in zonule decreases; the lens’ elasticity changes it into a rounder shape Sphincter constrictor muscle IRIS Pupil Weak dilator effect from LENS sympathetics A-P views IRIS constrictor & dilator and CILIARY MUSCLES are intra-ocular muscles
  • 51. ZONULE or SUSPENSORY LIGAMENT OF LENS CILIARY MUSCLE contracts; tension in zonule decreases; the lens’ elasticity changes it into a rounder shape LENS A-P view ZONULE comprsises many coated fibers, running from the ciliary body to the lens capsule COMPOSITION of the zonule shares many characteristics with basal-lamina materials, e.g.
  • 52. ORA SERRATA PARS PLANA Posterior-to-Ant. view CILIARY MUSCLE LENS The junction between the neural retina and the double cuboidal epithelium on the plars plana and the ciliary body is very irregular - creating a serrated ‘mouth’ NEURAL RETINA
  • 53. UVEA: Choroid The structure of the iris conveys much of the ROD structure of the choroid CONE IRIS PIGMENT CELLS BRUCH’S CHOROID loose vascular connective tissue MEMBRANE CHORIOCAPILLARIS Wide fenestrated capillaries to nourish the retina Melanocytes
  • 54. ANGLE OF ANTERIOR CHAMBER & Aqueous Humor Corner of ant chamber between cornea & iris, where sclera starts ANTERIOR CHAMBER PUPIL LENS POSTERIOR CHAMBER Chambers filled with aqueous humor SCLERAL ANGLE is another name Epithelium of CILIARY PROCESSES makes AH
  • 55. ANGLE of ANTERIOR CHAMBER Corner of ant chamber between cornea & iris, where sclera starts CORNEA Canal of Schlemm Trabecular meshwork ANTERIOR CHAMBER Spaces of Fontana in the meshwork SCLERA IRIS POSTERIOR CHAMBER CILIARY PROCESSES make aqueous humor CILIARY MUSCLE Uveoscleral outflow is another drainage route
  • 56. AQUEOUS HUMOR: Production & Flow I Canal of Schlemm Trabecular meshwork ANTERIOR CHAMBER Chambers filled with aqueous humor PUPIL LENS POSTERIOR CHAMBER SCLERAL ANGLE Corner of ant chamber between cornea & iris, where sclera starts epithelium of CILIARY PROCESSES makes AH
  • 57. AQUEOUS HUMOR: Production & Flow II Epithelium of CILIARY PROCESSES makes Aqueous Humor 6 POSTERIOR CHAMBER PUPIL 3 PUPIL SCLERAL ANGLE with Canal of Schlemm 2 4 ANTERIOR CHAMBER Trabecular meshwork 1 5 Uveoscleral outflow LENS
  • 58. AQUEOUS HUMOR: Glaucoma Epithelium of CILIARY PROCESSES makes AH POSTERIOR CHAMBER PUPIL 6 5 4 1 2 3 ANTERIOR CHAMBER PUPIL LENS SCLERAL ANGLE with Trabecular meshwork Canal of Schlemm Blocked drainage/venous return of AH raises intra-ocular pressure, damaging vessels & the retina
  • 59. CORNEA I: Layers CORNEAL EPITHELIUM Bowman’s membrane No vessels STROMA Keratocyte Descemet’s membrane Anterior chamber ENDOTHELIUM
  • 60. CORNEA II: Layer constituents CORNEAL EPITHELIUM EPITHELIUM is stratified squamous, with nerve fibers Thin basal lamina Bowman’s membrane of dense fibrillar collagen STROMA No vessels anywhere of collagen fibers in very orderly lamellae, with regular alternating fiber orientations & much special proteoglycan Keratocytes are fibroblasts of the corneal stroma Descemet’s membrane - a thick basal lamina ENDOTHELIUM Not a vascular endothelium, but pumps water out of stroma Transparency factors Bowman’s membrane is modified stroma, not the basal lamina
  • 61. CORNEA II: Layer constituents CORNEAL EPITHELIUM is stratified squamous, with nerve fibers Thin basal lamina Bowman’s membrane of dense fibrillar collagen STROMA of collagen fibers in very orderly lamellae, with regular alternating fiber orientations & much special proteoglycan Keratocytes are fibroblasts of the corneal stroma No vessels are present Bowman’s membrane is modified stroma, not the basal lamina Descemet’s membrane - a thick basal lamina ENDOTHELIUM Not a vascular endothelium, but pumps water out of the stroma Transparency factors, & not present in the sclera
  • 62. CORNEA III: Tear-film constituents oily/lipid layer - eyelid glands aqueous phase - Lacrimal Mucin layer From conjunctival & tearduct goblet cells CORNEAL EPITHELIUM TEARS: Protect the conjunctival & corneal surfaces Nourish the avascular cornea Wash out discrepancies to ‘corner’ of the eye Kill & restrain microorganisms Smooth corneal-surface optics
  • 63. LACRIMAL/LACHRYMAL GLAND & PASSAGES LACHRYMAL GLAND LACHRYMAL DUCTS LACHRYMAL SAC NASOLACRIMAL DUCT Gland is superior and temporal to the eye facilitating the spread of tears across the eye to the collection points - the lacrimal puncta medially at the eyelids’ margin
  • 64. LACRIMAL GLAND II Gland is superior and temporal to the eye facilitating the spread of tears across the eye to the collection points the lacrimal puncta medially at the eyelids’ medial/nasal margins evaporation is slowed by surface film of lipid from Meibomian glands LACRIMAL GLAND compound tubulo-alveolar gland with myoepithelial cells LACRIMAL DUCTS From eyelids LACRYMAL SAC with valves NASOLACRIMAL DUCT continuation of the sac to drain into lower nasal cavity
  • 65. LACRIMAL GLAND III LACRIMAL GLAND Compound tubulo-alveolar gland Alveoli lined by pale columnar/cuboidal serous cells with myoepithelial cells Secretion - tears - comprises water antimicrobials - lysozyme, defensins, antibodies electrolytes - plasma-like (tears taste salty) Innervation - Parasympathetic in CN VII via Pterygopalatine ganglion Blinking - eyelid movement - is necessary to spread tears
  • 66. UPPER EYELID I Palpebral part of Orbicularis oculi Muscle EYELID SKIN Dense connective-tissue TARSAL PLATE with Meibomian glands EYELASH LID MARGIN PALPEBRAL CONJUNCTIVA Levator palpebrae superior. Muscle BULBAR CONJUNCTIVA
  • 67. UPPER EYELID II Palpebral part of Orbicularis oculi Muscle Levator palpebrae superior. Muscle Inserts into Tarsus, etc EYELID SKIN BULBAR CONJUNCTIVA Dense connective-tissue TARSAL PLATE with embedded Meibomian glands By the eyelash follicle are other small glands EYELASH fornix PALPEBRAL CONJUNCTIVA Stratified cuboidal epithelium with some goblet cells on loose CT LID MARGIN Where secretion of Meibomian modified sebaceous glands emerges
  • 68. LENS EQUATOR & AXIS EQUATOR Anterior AXIS LENS Posterior pole Lateral view Posterior--Anterior view Lens shape is not quite as depicted: the anterior part is an ellipsoid; the posterior bulges back more as a parabyloid
  • 69. LENS PARTS LENS CAPSULE Subcapsular epithelium (cuboidal) becomes elongated LENS FIBERS (cells) at the LENS BOW by filling themselves with crystallins the proteins that confer long-lasting transparency ZONULE FIBERS
  • 70. CATARACT - Lens becomes opaque LENS CAPSULE Common in old age UV radiation is an accelerating factor Naphthalene (in mothballs) is another agent, as is Overheating with infrared radiation from furnaces e.g., in glassblowers, & Traumatic damage to the lens capsule and epithelium Lentectomy, and replacement with an artificial lens usually cure Posterior-capsule opacification is one risk ZONULE FIBERS
  • 71. EYE DEVELOPMENT I: Some specifications The eye comprises many tissues, structures, and layers that require contributions from three main sources Using multiple sources needs tight coordination of signals and controls The body’s covering has to have a transparent region For optics, the lens needs to be roundish, the eye almost spherical, with the retina precisely hemispherical Spaces - chambers and cavity - have to be created inside Blood vessels have to be introduced early into the soonto-be-enclosed round eye Nerves (afferent & efferent) to & from the brain are needed External & internal muscles & other auxilliary structueres are needed
  • 72. DEVELOPMENT of the EYE I from CNS 35 days pc 3 brain ‘vesicles’ are subdividing Mesencephalon Rhombencephalon BRAIN Diencephalon now four, then Rhombencephalon divides into Met- & Melencephalons Cephalic flexure/bend Cervical flexure start the folding Telencephalon Surface ECTODERM MESENCHYM E Neural RETINA ECTODERM Already before 35d pc, on each side of the ‘head’, interactions have started between surface ECTODERM, a bulge of the FOREBRAIN & the MESENCHYME
  • 73. EYE PARTS’ EMBRYONIC SOURCES Surface ECTODERM MESENCHYME UVEA LENS SCLERA CORNEAL EPITHELIUM CORNEAL STROMA Connective tissue & muscle (& vessels) come from cranial mesenchyme LENS Neural RETINA ECTODERM RETINA OPTIC NERVE VITREOUS Two ectoderms drive events and shaping
  • 74. ANTERIOR EYE PARTS’ EMBRYONIC SOURCES Surface ECTODERM LENS CORNEAL EPITHELIUM How does a surface layer produce two separate structures? In much the same way as an endocrine gland is produced: by a downgrowth of cells that then break off the surface connection Here the downgrowth makes the lens vesicle, conferring a roundish shape from early on Mesenchyme To have enough cells for the future cornea and for the lens vesicle, the surface ectoderm first thickens to form a lens placode over the brain-derived optic vesicle
  • 75. LENS & OPTIC CUP DEVELOPMENT I While still growing, both placode and end of the optic vesicle invaginate optic vesicle Mesenchyme Intraretinal space lens placode Double wall of optic cup is starting to form Optic vesicle precedes the lens vesicle and is a distinct structure
  • 76. OPTIC CUP DEVELOPMENT II: Choroid fissure Mesenchyme Blood vessels have to be introduced early into the soon to be enclosed round eye Together with the invagination centrally at the end of the optic cup, an invagination along the cup & stalk’s inferior surface occurs, to create the choroid fissure in which runs the hyaloid artery
  • 77. OPTIC CUP DEVELOPMENT II: Coloboma Mesenchyme Blood vessels have to be introduced early into the soon to be enclosed round eye Together with the invagination centrally at the end of the optic cup, an invagination along the cup & stalk’s inferior surface occurs, to create the choroid fissure in which runs the hyaloid artery Also, an annular vessel runs around the outside of the Imagine a penis in which the urethra near & into the optic cup glans is still open on its underside - the condition of hypospadias - (but now contains an artery) Defects in the eye from failure of the choroid fissure to close are colobomas
  • 78. OPTIC DEVELOPMENT III: Lens vesicle Mesenchyme LENS VESICLE Mesenchyme l e n s Inner wall thickens p l a c o d e Deeper part of Placode sinks into mesenchyme & makes a vesicle Optic cup becomes deeper Attachment to surface ectoderm will be broken so that surface ectoderm can become corneal epithelium & intervening mesenchyme can form the corneal stroma
  • 79. OPTIC DEVELOPMENT IV: Lens differentiation Mesenchyme Attachment to surface ectoderm lost Mesenchyme Anterior vesicle cells become subcapsular epithelium Basal lamina becomes lens capsule Posterior vesicle cells become elongated lens cells Posterior vesicle cells form the nucleus of the lens. Subsequent lens cells derive from the subcapsular epithelium
  • 80. OPTIC DEVELOPMENT IV: Lens differentiation Mesenchyme Anterior-vesicle cells become subcapsular epithelium Basal lamina becomes lens capsule Lumen obliterated Posterior-vesicle cells elongate to lens cells LENS
  • 81. OPTIC DEVELOPMENT V: Retina differentiation I Mesenchyme Outer layer of cup stays thin and beomes pigment cell layer Intra-retinal space occluded Inner layer of cup thickens and becomes Neural layer Hyaloid artery reaches inside cup After a while, the lens and vitreous no longer need it, and it atrophies. Only the neural retina continues to depend on it, but under another name - central artery of the retina
  • 82. OPTIC DEVELOPMENT VI: Retina differentiation II Mesenchyme Inner layer of cup thickens and becomes Neural layer Where cells multiply, form layers and differentiate to the several cell types of the neural retina Outer layer of cup stays thin and beomes pigment cell layer