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Week 127
Sudden Visual Disturbance
37
Medical
Undergraduate 1
02/06/2014

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Cards

Term
What is the nerve fibre layer made up of and where in the eye will you find it?
Definition
Nervous ganglia nuclei overlying the retina.
Term
Explain the role of ganglia in the nerve fibre layer
Definition
Nervous nuclei and fibres which lead to the optic disc. Approx. 2% are photosensitive to blue light.
They also regulate melatonin productio for circadian rhythms.
Term
What is the role of the inner plexiform layer?
Definition
Synapses between ganglia and bipolar/amacrine cells
Term
What processor and supportive cells make up the inner nuclear layer?
Definition
Processor- Bipolar, horizontal and amacrine cells.
Supportive- Muller cells
Term
What is the role of bipolar cells in the inner nuclear layer?
Definition
Relay impulses from photoreceptors to ganglia
Term
What is the role of horizontal cells in the inner nuclear layer?
Definition
Laterally inhibit photoreceptors, no ganglion contact. They help integrate and regulate input from photoreceptor cells. Horizontal cells are responsible for allowing eyes to adjust to bright and dim light conditions.
Term
What is the role of amacrine cells in the inner nuclear layer?
Definition
Laterally inhibit photorecptors AND ganglia. Mechanism of action is unknown.
Term
What is the role of muller cells in the inner nuclear layer?
Definition
Muller cells are glial cells, therefore act as support cells. They have also been shown to dedifferentiate into progenitor cells in response to retinal damage.
Term
What is the role of the outer plexiform layer?
Definition
Synapses between photoreceptors and processor cells.
Term
Where is the photoreceptor layer and what is it composed of?
Definition
Outer nuclear layer, made up of rods (~120m) and cones (~7m)which are concentrated in the fovea.
Term
What are the roles of rods and cones in the photoreceptor layer?
Definition
Rods- sense light/darkness
Cones- sense red and green or blue.
Term
How is light transferred into a nervous impulse?
Definition
Rods and cones contain rhodopsin, light causes hyperpolarisation by break down of rhodopsin into large opsin and small retinal molecules, retinal molecule inactivates cGMP molecule and closes NA gate, Ca+ pumped out Na+ cant get in, cell becomes -ve and reduced glutamate production, this signal reaches ganglia and is then transmitted to the optic nerve.
Term
What is the role of the retinal pigment epithelium?
Definition
Prevents reflection of light and phyagocytoses cell debris from inner layers.
Term
What is the choroid?
Definition
Vascular supply of the retina but on a seperate layer.
Term
What happens to the photoreceptors in the dark
Definition
Become depolarised, Na+ diffusing in, Ca2+ pumped out – cGMP keeps Na+ gate open.
Produce gluatamate.
Term
What occurs in the neural processing of diffuse light?
Definition
Lateral inhibition by horizontal and amacrine cells limits the depolarisation of photoreceptors, therefore impulses are only sent if the light hits a large area of the retina.
Term
How does the action of bipolar centres affect vision?
Definition
One bipolar cell connects to many rods.
If centred on a hyperpolarising rod, the bipolar cell will depolarise.
However this is inhibited by horizontal and amacrine cells when a bipolar cell is neighboured by a non hyperpolarising rod.
This allows for increased edge/contour definition.
Term
How do bipolar cells affect foveal acuity?
Definition
One cone is connected to one cone cell therefore acuity is increased.
Term
How does colour blindness occur?
Definition
Red, blue and green cone cells each have different rhodopsin molecules. Colour blindness occurs when the eye is unable to produce one of these rhodopsin molecules. Most commonly red and green, this is a sex linked th.most common in boys.
Term
What stimuli will make the pupils change in size?
Definition
Change in light/dark and close/distant objects.
Term
Describe the pathway of the pupillary light reflex.
Definition
Optic nerve -> optic chiasm -> pretectal nuclei -> erdinger westphal nuclei ->occulomotor nerve/ cillary ganglia/ constrictor muscles of iris.
Term
Why do both eyes respond to a light stimulus in one eye?
Definition
In the optic chiasm, fibres from the medial half of the retina decussate whilst fibres from the lateral half remain ipsilateral.
Term
What would a lesion to the optic nerve anterior to the optic chiasm result in?
Definition
No sensory information passing from that eye.
Term
What pupillary effect would a lesion to the optic nerve behind the optic chiasm result in?
Definition
Will not affect the pupillary light reflex as fibres from the other eye will pass to both erdigner westphal nuclei.
Term
What pupillary effect would a lesion to an occulomotor nerve result in?
Definition
Prevent any response in that eye but have no effect on the other.
Term
What are the three actions of the pupillary near response?
Definition
Convergence, accomodation and constriction.
Term
Describe the sensory pathway
Definition
Optic nerve -> optic chiasm -> lateral geniculate bodies -> optic radiations ->primary visual cortex
Term
What occurs in the sensory pathway at the optic chiasm?
Definition
Fibres from medial half of retina (or lateral visual field) decussate, fibres from lateral half remain on ipsilateral side.
Term
Where are the lateral geniculate bodies found?
Definition
Thalamus
Term
What occurs in the sensory pathway at the lateral geniculate bodies?
Definition
Fibres synapse and split into those from top and bottom of retina.
Term
What does the superior optic radiation carry and to where?
Definition
Carries fibres from upper retina (lower field of vision) through the parietal lobes.
Term
What does the inferior optic radiation carry and to where?
Definition
Carries fibres from the lower retina (upper field of vision) through the temporal lobes.
Term
What occurs at the visual cortex and where is it?
Definition
Neurons from radiations synapse with cortical cells.
In the occipital lobe
Term
What is macular sparing and why does it occur?
Definition
Poor blood supply tot he cortex makes it vulnerable to CVA.
However, cells dealing with macula located at the occipital pole dual blood supply, therefore can be spared in CVA.
Term
Describe the motor pathway
Definition
Visual cortex -> frontal eye field -> erdinger westphal nuclei ->oculomotor nerve.
Term
What would a lesion in the optic tract result in?
Definition
Contralateral Hemianopsia
Term
What would a central lesion in the optic chiasm result in?
Definition
Bitemporal Hemianopsia
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