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48 Cards in this Set

  • Front
  • Back
What two membranes does the cornea rest on?
Bowmans membrane anteriorly and descemets membrane posteriorly.
What does Gonioscopy look at?
The irridocorneal angle
Clouding of the lens usually due to denaturation of protein.
Cataract
Near sightedness
Myopia
The term for double vision is...
Diplopia
Layers of the retina that contain axons and dendrites?
Plexiform layers
Layers of the retina.
Retinal pigment epithelium
Photoreceptors
External limiting membrane
Outer nuclear layer
Outer plexiform Layer
Middle limiting membrane
Inner nuclear layer
Inner plexiform layer
Ganglion cell layer
Nerve fiber layer
Internal limiting membrane
In the eye, inner refers to?
Towards the vitreous humor.
In the eye, outer refers to?
Towards the sclera.
Dry age related macular degeneration (AMD) affects...
Central RPE
Retina
Choriocapillaris

Central retinal atrophy occurs in the end stage.
Wet age related macular degeneration (AMD)
Dry AMD with leakage of fluid and bleeding

Central retinal scarring.

75-90% of patients with severe vision loss have wet AMD.
Composistion of the collagenous stroma of the cornea
keratocytes and clefts
Drusen
Amorphous material accumulations along Bruch's membrane. (under RPE)
Leading cause of permanent blindness in ages 20-65
Diabetic retinopathy
Basic pathogenesis of diabetic retinopathy
high glucose=pericyte loss
Basement membrane thickening
Endothelial dysfunction

PDR or NPDR
Nonproliferative diabetic retinopathy
Microaneurysms, intraretinal hemorrages, exudates and cotton wool spots.
Severe cases can be laser treated to reduce macular edema.
What is the pathology of Proliferative Diabetic Retinopathy?
Retinal ischemia leads to abnormal neovascularization.

Vessels proliferate ON rather than IN the retina. Fragile new vessels can bleed into the vitreous

Contractile elements of new vessels can cause retinal traction.

Untreated, this causes BLINDNESS
Glaucoma
Damage to pressure sensitive optic nerve.

Most Glaucomas are slow progressing, painless and asymptomatic in early stages.
Blood supply to the eye
Opthalmic artery splits into the central retinal artery which enters via optic nerve and the long+short cilliary arteries.

Cilliaries enter between the sclera and RPE, serve the outer retina and form the choroid.
Cilliary muscle action for viewing close objects.
Contraction causing release of tension in zonule fibers and allowing the lens to become more spherical for high power.
Cilliary muscle action for viewing far objects.
Relaxation leading to increased tension in the zonule fibers and stretching of the lens into a flat shape for low power.
What happes in the near reflex?
Convergence of the eyes
Pupil constriction
Cilliary muscle contraction (Rounding of the lens for high power)
Accomodation innervation
Edinger Westphal nucleus preganglionic parasympathetic to the cilliary ganglion.
Postganglionic impulse travels on the short cilliary nerves.
The function of the retinal pigment epithelium is to...
provide metabolic support of the outer retina.
The photoreceptor outer segment contains
light sensitive elements
Photoreceptor inner segment
Contains synthetic machinery
Outer nuclear layer of the retina
Contains photoreceptor cell bodies.
The outer plexiform layer of the retina contains
The synapses between the photoreceptors and relay neurons
The inner nuclear layer of the retina contains....
Relay neuron cell bodies.
The inner plexiform layer of the retina contains...
Synapses between the relay neurons and ganglia
The ganglionic layer of the retina contains..
ganglion cell bodies
Nerve fiber layer of the retina
Contains ganglion cell axons
Size of the fovea
about 1.5mm
What is the foveal pit
An area in the central retina with no blood vessels for unobstructed light path.
The foveola contains which types of cells?
Only cone cells. (no rods)
Rods use....as a light sensitive element.
Rhodopsin
In contrast to photosensitive rods which use rhodopsin to sense light, cones use....
Three different opsins
Pie in the sky visual field loss
Contralateral Myers loop lesion
or
Contralateral lesion in the lower bank of the calcarine fissure
Pie on the floor visual field loss
Contralateral optic radiation lesion
or
Contralateral lesion in the upper bank of the calcarine fissure
Retinal ganglionic P-Cells project to what parts of the LGN?
Contralateral layers 6 and 4
Ipsilateral layers 5 and 3
Retinal ganglionic M-cells go to what parts of the LGN?
Contralateral layer 1
Ipsilateral layer 2
All Magnocellular retinal ganglion cells (M-cells) project through layer....
4C alpha
All Parvocellular retinal ganglion cells (P-cells) project through layer.....
4C beta
In the context of hearing, ITD stands for....
Interaural time delays
ILD
Sound pressure levels (interaural level difference)
Left hemifield of hearing are processed in the.....
Right inferior colliculs.
Lesion in the inferior colliculus results in....
Contralateral hemifield localization deficits
Where is the primary auditory cortex?
Temporal lobe
Area 41
By the lateral sylvian fissue.