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Outline

Topographic
Precorneal Tearfilm Parts of the EYE: Cornea Sclera Limbus Anterior chamber
Trabecular meshwork
Uveal tract

Iris
Ciliary Body Choroid

Lens
Retina Macula Ora Serrata Vitreous

Orbit and Adnexa

Topographic features of the globe


3 mm 16 mm

23-25 mm

24 mm

250 L

60 L

5-6 mL

3 chambers

3 concentric layers

Precorneal tearfilm

Importance:
Lubricates the surface of the cornea and conjunctiva

(vital for normal corneal function)


Produce a smooth optical surface Provide O2 and other nutrients Contain immunoglobulins, lysozyme and lactoferrin

Cornea

Main refractive element of the eye

Sclera

Limbus

Relationship to the chamber angle Use as a surgical landmark

Importance

Structures

Conjunctiva and limbal palisades Tenons capsule Episclera Corneoscleral stroma Aqueous outflow apparatus

Surgical Limbus divided into 2 equal zones;


Anterior bluish gray zone overlying clear cornea and

extending from Bowmans layer to Schwalbes line


Posterior white zone overlying the trabecular meshwork

and extending from Schwalbes line to the scleral spur or iris root

*** Essential in cataract surgery/glaucoma-filtering procedure

Anterior Chamber

Trabecular meshwork
Trabeculocytes -have contractile 3 layers: properties = influence outflow resistance uveal portion Corneoscleral - have phagocytic meshwork properties Juxtacanalicular tissue (adjacent to Schlemms canal

Gonioscopy
Shows the anatomical structures of a normal anterior chamber angle: ciliary body (A), scleral spur (B), trabecular meshwork (C), and Schwalbes line (D).

Uveal tract

Attachment to sclera:
Scleral spur Exit points of vortex veins Optic nerve

Iris

Dilator M. contracts w/

sympathetic 1 adrenergic stimulation - inhibited by cholinergic parasympathetic stimulation - via ophthalmic div. of CN V Sphincter M. inhibited by sympathetic innervation, relax in darkness - parasympathetic via CN III (3%), constrict

Ciliary Body

Epithelium & stroma: 2 parts:


Pars plana avascular, from ora serrata to ciliary process

- safest surgical approach to the vitreous cavity


Pars plicata richly vascularized, consists of ciliary

processes

Layers: longitudinal Radial Circular Change with age

Innervation:

parasympathetic CN III (97%), constrict

Choroid

3 layers of vessels: Choriocapillaries (innermost) Small vessels (middle) Large vessels (outermost)

From long and short

posterior A. and anterior ciliary A. Drains to vortex system

Stroma melanocytes Degree of pigmentation

depends on the No. of pigmented melanocytes


Considered in

photocoagulation

Lens
Lacks innervation Avascular Nourishment from

aqueous and vitreous

6.5 mm 3 mm

Ant. Capsule = thicker

than Post capsule


Human lens, cell

division continues throughout life

Distant focus zonule

is tensed lens flattened


Accommodation

ciliary contracts zonule forward & inward lens globular

Retina

INNER

FXNS: Vit A metm Maintenance of outer bloodretina barrier Absorption of light Heat exchange

OUTER

Macula

1.5 mm

Ora Serrata

20 mm

Vitreous
route for metabolites
Vol = 4 mL Gel-like , 99% H2O More fluid= inc. age

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