Eagleview Eye Clinic

Tag eye diseases

CORNEA EPITHELIUM

The corneal epithelium is the outermost layer of the cornea. Key features:

  1. Barrier function: Protects the eye from external factors like dust, bacteria, and other foreign particles.
  2. Non-keratinized stratified squamous epithelium: Composed of multiple layers of flat cells that are tightly packed.
  3. Rapid regeneration: The corneal epithelium has a high capacity for regeneration, helping to maintain the integrity of the cornea.
  4. Smooth surface: Contributes to the clarity and smoothness of the cornea, essential for clear vision.

The corneal epithelium plays a crucial role in maintaining corneal health and clarity, and its integrity is vital for protecting the eye and supporting vision.

CORNEA STROMA

The corneal stroma is the thick, middle layer of the cornea, accounting for about 90% of its thickness. It’s composed of:

  1. Collagen fibers: Highly organized and regularly arranged collagen lamellae, which provide strength, transparency, and refractive structure.
  2. Kerocytes: Flattened fibroblasts scattered between the collagen fibers, involved in maintaining the extracellular matrix.

The corneal stroma’s unique structure and organization are crucial for:

  • Corneal transparency
  • Refractive properties
  • Mechanical strength

The precise arrangement of collagen fibers in the stroma is essential for maintaining corneal clarity and function.

AMACRINE CELLS

Amacrine cells are a type of interneuron in the retina. They play a crucial role in visual processing by:

  1. Modulating signal transmission: Amacrine cells interact with bipolar cells and ganglion cells, influencing the transmission of visual signals.
  2. Regulating retinal circuitry: They help refine and process visual information within the retina.
  3. Inhibitory functions: Many amacrine cells release inhibitory neurotransmitters, such as GABA or glycine, to modulate the activity of other retinal neurons.

Amacrine cells contribute to various aspects of visual processing, including:

  • Edge detection
  • Motion detection
  • Contrast sensitivity
  • Adaptation to changing light conditions

There are many subtypes of amacrine cells, each with distinct morphological and functional properties, allowing for complex and nuanced visual processing in the retina.

RETINAL PIGMENT EPITHELIUM

The Retinal Pigment Epithelium (RPE) is a layer of pigmented cells in the retina. Key functions:

  1. Light absorption: Absorbs stray light, reducing scatter and improving visual acuity.
  2. Photoreceptor maintenance: Provides nutrients and waste removal for photoreceptors.
  3. Blood-retina barrier: Regulates the exchange of substances between the choroid and retina.
  4. Retinal health: Plays a role in retinal development, maintenance, and repair.

The RPE is essential for maintaining the health and function of photoreceptors and the retina as a whole. Dysfunction or degeneration of the RPE can lead to retinal diseases, such as age-related macular degeneration (AMD).

PHOTORECEPTORS

Photoreceptors are specialized cells in the retina that convert light into electrical signals. There are two main types:

1. Rods

  • Function: Responsible for vision in low light conditions (scotopic vision) and peripheral vision.
  • Distribution: Highly concentrated in the peripheral retina.
  • Sensitivity: More sensitive to light than cones but do not detect color.

2. Cones

  • Function: Responsible for color vision and high-acuity vision in bright light conditions (photopic vision).
  • Distribution: Concentrated in the central retina, particularly in the fovea.
  • Types: There are three types of cones, each sensitive to different wavelengths of light:
    • S-cones (short-wavelength): Sensitive to blue light.
    • M-cones (medium-wavelength): Sensitive to green light.
    • L-cones (long-wavelength): Sensitive to red light.

Together, rods and cones enable us to perceive a wide range of light intensities and colors, contributing to our overall visual experience.

RETINAL LAYERS

The retina consists of several layers:

  1. Retinal Pigment Epithelium (RPE): The outermost layer, supporting photoreceptors.
  2. Photoreceptor Layer (Rods and Cones): Converts light into electrical signals.
  3. Outer Nuclear Layer: Contains nuclei of photoreceptor cells.
  4. Outer Plexiform Layer: Synapses between photoreceptors and bipolar cells.
  5. Inner Nuclear Layer: Contains nuclei of bipolar, Müller, and amacrine cells.
  6. Inner Plexiform Layer: Synapses between bipolar and ganglion cells.
  7. Ganglion Cell Layer: Contains ganglion cells that transmit signals to the brain.
  8. Nerve Fiber Layer: Contains axons of ganglion cells forming the optic nerve.
  9. Internal Limiting Membrane: The boundary between the retina and the vitreous humor.

These layers work together to convert light into electrical signals, process visual information, and transmit it to the brain.

RETINA

The retina is a complex neural tissue lining the inner surface of the eye. It’s responsible for converting light into electrical signals, which are then transmitted to the brain, enabling us to perceive visual information.

Key components:

  1. Photoreceptors (rods and cones): Convert light into electrical signals.
  2. Bipolar cells: Transmit signals from photoreceptors to ganglion cells.
  3. Ganglion cells: Send signals to the brain via the optic nerve.
  4. Retinal pigment epithelium (RPE): Supports photoreceptors and maintains retinal health.

The retina plays a vital role in vision, and its health is crucial for maintaining visual acuity and function.

LAYERS OF THE CHOROID

The choroid is a vascular layer in the eye between the sclera and retina. It consists of several layers:

1. Suprachoroid Lamina (or Suprachoroid Layer)

  • The outermost layer of the choroid, adjacent to the sclera.
  • Composed of loose connective tissue and melanocytes.

2. Choriocapillaris

  • A layer of capillaries that supplies oxygen and nutrients to the outer retina.
  • Fenestrated capillaries allow for the exchange of substances.

3. Bruch’s Membrane

  • A thin, acellular layer separating the choroid from the retinal pigment epithelium (RPE).
  • Composed of collagen and elastin fibers.

These layers work together to provide nourishment to the retina and support its function. The choroid plays a crucial role in maintaining the health and function of the retina.

REGIONS OF THE CILIARY BODY

The ciliary body is divided into two main regions:

1. Pars Plicata

  • Location: Anterior portion of the ciliary body, closer to the iris.
  • Structure: Contains ciliary processes, which are radial folds in the ciliary body.
  • Function: The ciliary processes produce aqueous humor, which nourishes the lens and cornea and maintains intraocular pressure.

2. Pars Plana

  • Location: Posterior portion of the ciliary body, closer to the ora serrata (the serrated junction between the retina and the ciliary body).
  • Structure: This region is relatively flat and smooth compared to the pars plicata.
  • Function: The pars plana does not produce aqueous humor. It is often used as a site for surgical access to the vitreous humor, such as in pars plana vitrectomy, because it is relatively avascular (fewer blood vessels) and less likely to cause damage to other structures.

These regions are anatomically and functionally distinct, with the pars plicata being crucial for aqueous humor production and the pars plana being useful for surgical access to the posterior segment of the eye.

LAYERS OF THE IRIS

The iris consists of several layers:

  1. Anterior border layer: The front layer of the iris, consisting of fibroblasts and melanocytes.
  2. Stroma: The middle layer, composed of connective tissue, blood vessels, and melanocytes that give the iris its color.
  3. Anterior epithelium (Anterior pigmented epithelium): A layer of pigmented cells.
  4. Posterior epithelium (Posterior pigmented epithelium): A layer of densely pigmented cells that block light from entering the eye except through the pupil.

These layers work together to control the amount of light entering the eye by adjusting the size of the pupil and give the iris its color and structure.