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Anatomy Exam 1
Mostly Hua, some Remington
93
Medical
Graduate
02/23/2011

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Cards

Term
How many layers in corneal epithelium
Definition
6
Term
how may layers in corneal endothelium
Definition
1
Term
What are good reasons to test corneal sensitivty?
Definition
Herpes or LASIK
Term
What innervates the cornea?
Definition
CN V1 --> long posterior ciliary nerve
Term
What is the cornea's main food
Definition
glucose
Term
Wha type of glucose transporter provides glucose to the cornea?
Definition
Glut 1
Term
What is the difference between ATP yield % vs glucose pathway %?
Definition
Even though more glucose goes through anaerobic pathways, the higher yield of aerobic pathways provides the majority of the ATP
Term
what % of glucose comes from AH?
Definition
90.00000%
Term
What is collagen type 4
Definition
found in all basement membranes
Term
Where is type 2 collagen found?
Definition
In cartilage, vitreous, BV, it is most abundant
Term
Where is type 1 collagen found?
Definition
stroma
Term
What is Reese Buckler Corneal Dystrophy?
Definition
A problem with Bowman's Layer
Term
GAG's are good for?
Definition
Lubrication, Hydration, Migration
Term
What are the common suffixes of proteoglycans?
Definition
lumiCAN, keratoCAN, mimeCAN
Term
What are MMPs?
Definition
Matrix Metalloproteinases; family of Zn dependent enzymes, only MMP2 is found in healthy cornea.
Term
What are MMP functions?
Definition
Balances extracellular matrix especially in stroma
Term
What are TIMPs?
Definition
They are MMP antagonists
Term
Where is TIMP2 found?
Definition
In the stroma to balance MMP2
Term
What is the difference between degeneration and dystrophy of the cornea
Definition
Degradation = age; dystrophy = bilateral, younger, genetic, no systemic cause
Term
What problem can occur regarding Descemet's membrane with corneal swelling?
Definition
Vogt's Striae, a wrinkling of Descemet's membrane.
Term
Fuchs' Dystrophy is a degeneration of what part of the cornea?
Definition
Endothelium, resulting in corneal edema.
Term
Between Aquaporin 1 and Aquaporin 5, which one will you find in the epithelium vs the endothelium?
Definition
Aquaporin 5 = Epithelium
Aquaporin 1 = Endothelium
Term
When is the only time you will find Type I collagen in the endothelium?
Definition
After injury, fibroblastic cells express this. Normal corneal endothelium has no Type I collagen.
Term
What are the two theories to corneal transparency? Who made them up and which one are we siding with?
Definition
Maurice = destructive interference, thin cornea also helps
Smith = small size fibriles
We're siding with both.
Term
K is what % water?
Definition
80.00000%
Term
What can cause edematous cornea to lose transparency?
Definition
regions of disrupted fibril distribution
Term
Stem cells along limbus facilitate what?
Definition
Fast healing of the epithelium
Term
What is the main type of cell in the corneal stroma?
Definition
keratocytes
Term
What can keratocytes in the cornea do?
Definition
Turn into fibroblasts, which can then turn into myofibroblasts
Term
Can myofibroblasts move?
Definition
No, they are stationary
Term
Do myofibroblasts stay after wound healing?
Definition
No
Term
What do myofibroblasts do?
Definition
Produce contractile fibers that close wound
Term
What side effects can myofibrils cause after healing a wound?
Definition
Haze
Term
Low levels of immunal activity helps maintain what?
Definition
Clarity. Immune rxn's would release WBC into AH, etc.
Term
What is the master regulator of immune response in the eye?
Definition
Interleukin 1
Term
What is a Hudson-Stahli line?
Definition
Iron deposit after age 50
Term
What is a Kayser-Fleischer Ring?
Definition
A copper ring in the cornea periphery associated w/ Wilson dx
Term
What is a Fleischer ring?
Definition
Iron around an abnormal cone, keratoconus
Term
What are a few tear film anti-oxidants?
Definition
Mucins, superoxide dismutase, ascorbic acid, glutathione
Term
What is the most common glaucoma in US?
Definition
Open angle, more prevalent in blacks
Term
What are the major reasons for the blood-aqueous barrier?
Definition
Tight junctions between NPE cells
Term
What is a syncytium?
Definition
Continuous cytoplasm of matrixed epithelial cells connected by gap junctions
Term
Is there Ca++ in the AH?
Definition
NO
Term
What is the major driving force of AH production?>
Definition
Chloride
Term
How do CAI's lower AH?
Definition
We don't know
Term
What helps water leave the NPE to form AH?
Definition
Sodium cations
Term
What does glutathione do?
Definition
Prevents disulfide bond
Term
What does urea do in AH?
Definition
Stabilizes concentration gradient
Term
What concentration is inositol found in?
Definition
10x higher in AH than blood plasma
Term
How does CO2 leave the eye?
Definition
Through the cornea --> atmosphere
Term
How much CO2 comes from the lens?
Definition
About 3%
Term
Transferrin does what?
Definition
Binds iron
Term
Most common time to see cells and flare?
Definition
Post cataract surgery
Term
What is the most important protein in the AH?
Definition
albumin, most common
Term
What happens to lysozyme production in AH during inflammation?
Definition
Concentration goes up 10 fold
Term
What can cause iris neovascularization
Definition
diabetes, Graves, Dry Eye (odd)
Term
How much O2 is in AH vs plasma
Definition
AH = 1/2 plasma O2 level
Term
How much ascorbate is in AH?
Definition
Excessive amounts
Term
What can high IOP cause?
Definition
mechanical stress
Term
What kind of strain is induced in the eye by high mechanical stress?
Definition
death of the nerve fiber layer
Term
What sleep related substance MAY have an impact on IOP?
Definition
melatonin
Term
Is it better to have a thick or thin cornea?
Definition
Thick is more stabile IOP
Term
What drug reduces IOP by targeting the Cl-/HCO3- antiport
Definition
timolol
Term
Alpha 2 receptors are found where?
Definition
In presynaptic cleft, so they inhibit AH
Term
What is NOT the first choice for acute angle closure?
Definition
PG drugs because they are slow acting
Term
What is a contraindication for PG use in the eye?
Definition
Uveitis
Term
What is myocilin
Definition
Linked to open angle glaucoma after genetic mutation
Term
optineurin?
Definition
Gene associated with glaucoma
Term
What do glucocorticoids do to the trabecular meshwork?
Definition
Target the expression of genes in the TIM, reorganize actin cytoskeleton, which raises IOP
Term
AH composition
Definition
98.2% H2O
Term
AH pH
Definition
6.5-7.6
Term
AH volume
Definition
7.4 uL
Term
Lipid Layer MP
Definition
35* C
Term
lipid layer thickness
Definition
.1 um
Term
Most abundant NP lipid
Definition
wax esters
Term
Most abundant Polar lipid
Definition
phosphatidyl choline/ethanolamine
Term
What accessory glands are more abundant
Definition
Krause > Wolfring
Term
What buffers tear pH
Definition
electrolytes
Term
What Ab are most abundant?
Definition
IgA, IgE
Term
What tearfilm proteins are antifungal
Definition
lipocalins
Term
Growth Factors are important for what process?
Definition
Healing of epithelium
Term
What helps up mucin layer production
Definition
restasis
Term
1,4 mucins are what?
Definition
membrane associated mucins
Term
5,7 mucins are what?
Definition
secreted mucins
Term
What causes mucin dysfunction
Definition
Avitaminosis A, conj destruction
Term
What can cause mucin excess
Definition
hyperthyroidism, allergies
Term
What stimulates tear secretion
Definition
androgen
Term
Main dry eye drug?
Definition
restasis
Term
Name a Potential Space in the Eye
Definition
Between the supraciliaris and the sclera
Term
What is the anterior surface of the iris?
Definition
The anterior border layer, NOT the anterior epithelium
Term
What kind of cell is found in the iris stroma, but not the Anterior Border layer
Definition
Clump cells
Term
What gives the posterior iris epithelium color?
Definition
pigmented columnar cells
Term
What produces AH?
Definition
the outer pigmented epithelium of the ciliary body
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