2. INTRODUCTION
ī´ Special sense organ are characterised by large & complex organs each with a
unique function.
ī´ Sensory organs have special receptors that allow us to smell, taste ,see,hear
and maintain equilibrium or balance
ī´ Information conveyed from these receptors to the CNS is used to help to
maintain homeostasis.
ī´ Special senses are:
ī´ vision (the eye)
ī´ hearing and balance (the ear, which includes the auditory
system and vestibular system)
ī´ smell (the nose)
ī´ taste (the tongue)
3. Sensory Receptors
ī´ Receive input , generate receptor potencials and with enough summation,
generate action potentials in the neurons they are part of or synapse with.
ī´ 5 Types of Sensory receptors (based on the types of stimuli they detect:
ī´ Mechanoreceptors : pressure receptors,stretch receptors, and specialized
mechanoreceptors involved in movement and balance.
ī´ Thermoreceptors: skin and viscera , respond to both external and internal
temperature
ī´ Pain receptors: stimulated by lack of O2, chemical released from damaged cells
and inflammatory cells.
ī´ Chemoreceptors: detect changes in levels of O2,CO2, and H+ ions (pH) as well as
that stimulate taste and smell receptors[.
ī´ Photoreceptors : stimulated by Light.
4. Distribution of Receptors in the body
ī´ SPECIAL SENSES:
ī´ Mediated by relatively complex sense organs of the head , innervated by cranial
nerves
ī´ Vision, Hearing, Equilibrium, taste, and smell
ī´ Sensation and perception: EYE , EAR, NOSE, TONGUE
ī´ GENERAL ( Somesthetic, Somatosensory)
ī´ Receptors widely distributed in skin , muscles, tendons, joints, and viscera
ī´ they detect touch, pressure, stretch, heat, cold and pain
ī´ Skin : Hot , cold , pressure , pain
ī´ Muscles ,Joints and tendons : - stretch receptors respond to stretch or
compression
5. EYE : VISION
ī´Human eyes are complex, and it takes many parts
working together correctly for you to see.
ī´Eye : The organ used to sense light
ī´It consist of Three layers:
ī´OUTER LAYER : Consists of sclera and cornea
ī´MIDDLE LAYER : consists of choroid , cilliary body
and iris
ī´INNER LAYER : consists of Retina
ī´EXTRAOCULAR MUSCLES: attached to the eye and
skull and allow movement.
6. Eye anatomy
ī´ Cornea. This protects the inside of eye like a
windshield.The tearfluid lubricates corneas. The corneas also do part of the
work bending light as it enters in eyes.
ī´ Sclera. This is the white part of eye that forms the general shape and
structure of eyeball.
ī´ Conjunctiva. This clear, thin layer covers the sclera and lines the inside of your
eyelids.
ī´ Aqueous humor. This is fluid that fills a space called the anterior chamber. The
pressure of the aqueous humor helps maintain your eyeâs shape.
ī´ Iris. This part contains the muscles that control the size of pupil. Itâs also
responsible for eye color. The iris can be brown, blue, green or hazel (a blend
of brown, yellow and green).
7. ī´ Pupil. This is the black circle inside the iris. Itâs like an adjustable window to the inside of the eye. It
widens and narrows to control how much light enters in eye.
ī´ Lens. This focuses light that enters in eye and directs it to the back of eye.
ī´ Vitreous humor. This clear, gel-like fluid fills the space between the lens and retina. It helps eye hold
its shape. Itâs also sometimes known simply as âthe vitreous.â
ī´ Retina. This thin layer of light-sensitive cells at the back of the eyes converts light into electrical
signals. It contains rods (which help to see in low light i.e black and white) and cones (which help to see
colors).
ī´ Macula. This small area of your retina is key to vision. Itâs responsible for the center of visual field. It
also helps to see color and fine details.
ī´ Optic nerve. This connects your retinas to your brain. Itâs nerve that carries electrical signals from
retina, to multiple brain areas.
8. COMMON EYE DEFECTS
ī´The diseases or a disorder that destroy eye tissue and other parts of
the eyes can be classified as eye diseases.
ī´ There are different types of eye diseases, which can either be minor,
which donât last for a longer time or some can also lead to a
permanent loss of vision.
ī´There are different factors behind the causes of eye diseases.
ī´ These factors include age, stress, infections, heredity, nutritional
deficiencies, injuries or accidents, etc.
9. 1. Age-Related Macular Degeneration
ī´ Macular degeneration is also known as an irregularity that affects the centre of the retina, which is
called the Macula. The Macula is responsible for everyday acute vision.
ī´ There are two types of Macular Degeneration-
ī´ Dry Macular degeneration.
ī´ Wet Macular degeneration.
ī´ Causes of Macular Degeneration
ī´ Age, Smoking, Obesity, High blood pressure, Exposure to sunlight.
ī´ Symptoms of Macular Degeneration
ī´ Blurred vision
ī´ A dark or empty area in the central area of vision
ī´ Distortion of straight lines
10. Glaucoma
ī´ It is a situation which is caused by the damage to the eyeâs optic nerve which gets severer over
time. It is often associated with an increase in the pressure inside the eye.
ī´ Causes of Glaucoma
ī´ All four types of glaucoma are caused by different reasons :
ī´ Chronic open-angle glaucoma results from a pressure build-up in the eye and causes severe vision
loss without any symptoms.
ī´ Acute closed glaucoma appears all of a sudden which is very painful and extremely serious.
ī´ Secondary glaucoma arrives as a result of something else like medical conditions and injuries
ī´ Normal-tension glaucoma is a unique condition of the eye which is caused by damage to an optic
nerve. This may result in the loss of vision, caused by the intraocular pressure in the eye.
11. ī´ Presbyopia
ī´ Presbyopia is a refractive error often related to aging that results in the
inability to focus properly on close objects. Onset of symptoms usually begins
in a patientâs 40s and gets worse until around 65.
ī´ Symptoms of Presbyopia
ī´ Symptoms progress slowly and include:
ī´ Blurry vision when reading at normal distance
ī´ Eyestrain (sometimes with headaches) after reading.
12. Ear : Hearing and Equilibrium
ī´ Human
ear, organ of hearing and equilibrium that
detects and
analyzes sound by transduction (or the
conversion of sound waves into
electrochemical impulses) and maintains
the sense of balance (equilibrium).
ī´ Anatomically, the ear has three
distinguishable parts: the outer, middle,
and inner ear.
ī´ The outer ear consists of the visible portion
called the auricle, or pinna, which projects
from the side of the head, and the
short external auditory canal, the inner end
of which is closed by the tympanic
membrane, commonly called the eardrum.
13.
14. Outer Ear
ī´ The function of the outer ear is to collect sound waves and guide them to the tympanic
membrane. The middle ear is a narrow air-filled cavity in the temporal bone.
ī´ Auricle (Pinna)
ī´ The auricle comprises a thin plate of elastic cartilage covered by a layer of skin. It consists of
funnel-like curves that collect sound waves and transmits them to the middle ear. The lobule
consists of adipose and fibrous tissues supplied with blood capillaries.
ī´ External Auditory Meatus
ī´ It is a slightly curved canal supported by bone in its interior part and cartilage in the exterior part.
The meatus or the canal is lined with stratified epithelium and wax glands.
ī´ Tympanic Membrane
ī´ This membrane separates the middle ear and the external ear. This part receives and amplifies the
sound waves.
15. Middle Ear
ī´ The middle ear comprises the following parts:
ī´ Tympanic Cavity
ī´ It is a narrow air-filled cavity separated from the external ear by tympanic membrane and from inner ear by
the bony wall. The tympanic cavity has an auditory tube known as the eustachian tube in its anterior wall.
ī´ Eustachian Tube
ī´ The eustachian tube is a 4cm long tube that equalizes air pressure on either side of the tympanic membrane.
It connects the tympanic cavity with the nasopharynx.
ī´ Ear Ossicles
ī´ These are responsible for transmitting sound waves from the eardrum to the middle ear. There are three ear
ossicles in the human ear:
ī´ Malleus: A hammer-shaped part that is attached to the tympanic membrane through the handle and incus
through the head. It is the largest ear ossicle.
ī´ Incus: An anvil-shaped ear ossicle connected with the stapes.
ī´ Stapes: It is the smallest ossicle and also the smallest bone in the human body.
16. Inner Ear
ī´ The inner ear has two main components â the
bony labyrinth and membranous labyrinth.
ī´ Bony labyrinth â consists of a series of bony
cavities within the petrous part of the temporal
bone.
ī´ It is composed of the cochlea, vestibule and
three semi-circular canals.
ī´ All these structures are lined internally with
periosteum and contain a fluid called perilymph.
ī´ Membranous labyrinth â lies within the bony
labyrinth. It consists of the cochlear duct, semi-
circular ducts, utricle and the saccule.
ī´ The membranous labyrinth is filled with fluid
called endolymph.
17. Bony Labyrinth
ī´ Vestibule
ī´ The vestibule is the central part of the bony labyrinth.
ī´ It is separated from the middle ear by the oval window, and communicates anteriorly
with the cochlea and posteriorly with the semi-circular canals.
ī´ Two parts of the membranous labyrinth; the saccule and utricle, are located within the
vestibule.
ī´ Cochlea
ī´ The cochlea houses the cochlea duct of the membranous labyrinth â the auditory part of
the inner ear.
ī´ It twists upon itself around a central portion of bone called the modiolus, producing a
cone shape which points in an anterolateral direction.
ī´ Branches from the cochlear portion of the vestibulocochlear (VIII) nerve are found at the
base of the modiolus.
18. ī´ Extending outwards from the modiolus is a ledge of bone known as spiral lamina, which
to the cochlear duct, holding it in position.
ī´ The presence of the cochlear duct creates two perilymph-filled chambers above and below:
ī´ Scala vestibuli: Located superiorly to the cochlear duct. As its name suggests, it is continuous with
the vestibule.
ī´ Scala tympani: Located inferiorly to the cochlear duct. It terminates at the round window.
ī´Semi-circular Canals
ī´ There are three semi-circular canals: anterior, lateral and posterior.
ī´ They contain the semi-circular ducts, which are responsible for balance (along with the utricle
and saccule).
ī´ The canals are situated superoposterior to the vestibule, at right angles to each other.
ī´ They have a swelling at one end, known as the ampulla.
19. Membranous Labyrinth
ī´ The cochlear duct is situated within the cochlea and is the organ of hearing.
ī´ The semi-circular ducts, saccule and utricle are the organs of balance (also known as
the vestibular apparatus).
ī´ Cochlear Duct
ī´ The cochlear duct is located within the bony scaffolding of the cochlea. It is held in
place by the spiral lamina.
ī´ The presence of the duct creates two canals above and below it â the scala
vestibuli and scala tympani respectively.
ī´ The cochlear duct can be described as having a triangular shape:
ī´ Lateral wall â Formed by thickened periosteum, known as the spiral ligament.
ī´ Roof â Formed by a membrane which separates the cochlear duct from the scala
vestibuli, known as the Reissnerâs membrane.
ī´ Floor â Formed by a membrane which separates the cochlear duct from the
scala tympani, known as the basilar membrane.
20.
21. Saccule and Utricle
ī´ The saccule and utricle are two membranous sacs located in the vestibule.
ī´ They are organs of balance which detect movement or acceleration of the
head in the vertical and horizontal planes, respectively.
ī´ The utricle is the larger of the two, receiving the three semi-circular ducts.
ī´ The saccule is globular in shape and receives the cochlear duct.
ī´ Endolymph drains from the saccule and utricle into the endolymphatic duct.
ī´ The duct travels through the vestibular aqueduct to the posterior aspect of
the petrous part of the temporal bone.
ī´ Here, the duct expands to a sac where endolymph can be secreted and
absorbed.
22. Semi-circular Ducts
ī´ The semi-circular ducts are
located within the semi-circular
canals, and share their
orientation.
ī´ Upon movement of the head,
the flow of endolymph within
the ducts changes speed
and/or direction.
ī´ Sensory receptors in the
ampullae of the semi-circular
canals detect this change, and
send signals to the brain,
allowing for the processing of
balance.
23. Function of Ear
ī´ Hearing
ī´ The mechanism of hearing involves the following steps:
ī´ The sound waves pass through the auditory canal and reach the eardrum.
ī´ The vibrations produced pass through the tympanic membrane to the
tympanic cavity.
ī´ The ear ossicles in the tympanic cavity receive the vibrations and the stapes
pushes the oval window in and out.
ī´ This action is passed on to the organ of corti, the receptor of hearing, that
contains tiny hair cells that translate the vibrations into an electrical impulse
that are transmitted to the brain by sensory nerves.
24. Cont..
ī´ Balance
ī´ The eustachian tube and the vestibular complex are the important parts of
the ear responsible for the balance.
ī´ The eustachian tube equalizes the air pressure in the middle ear and
maintains the balance.
ī´ The vestibular complex contains receptors that maintain body balance.
25. QUESTION BANK
ī´ Draw a labeled diagram of eye-ball.
ī´ Describe physiology of hearing with suitable diagram.
ī´ Write a note on Internal Ear