It describe the anatomy of eye in detail according to the BD chaurasia textbook.
It includes the parts of eye, internal structures, blood and nerve supply.
3. Introduction
ā¦ Sense of sight perceived through retina of the eyeball is one of the five
speacial senses.
ā¦ The eyeball is the organ of sight.
ā¦ It is almost spherical and has a diameter of a out 2.5 cm. Eyeball is
made up of three concentric coats. The outer fibrous coat comprises
the sclera and the cornea.
ā¦ The middle or vascular coat also called the uveal tract consists of the
choroid , the ciliary body and the iris.
ā¦ The inner nervous coat is the retina.
ā¦ Light entering the eyeball passess through several refracting media.
5. Sclera
ā¦ Opaque and forms the posterior five sixth of the eyeballs.
ā¦ Composed of dense fibrous tissue which is firm and maintains
the shape of the eyeball.
ā¦ Thickest behind near the entrance of the optic nerve
ā¦ Thinneat about 6mm behind sclerocornal junction
ā¦ Weakest at the entrance of optic nerve
6.
7.
8. Lamina cribrosa
ā¦ The sclera shows numerous perforations for passage of fibres
of the optic nerve near itās entrance. Because of its sieve like
appearance , this region is called the lamina cribrosa.
9.
10. Outer surface of sclera
ā¦ White and smooth
ā¦ Covered with Tenonās capsule.
ā¦ Anterior part covered with conjunctiva .
11.
12. Inner surface
ā¦ Brown and grooved for the ciliary nerves and vessels.
ā¦ Sperated from the choroid by the perichoroidal space
containing a delicate tissue called suprachoroidal lamina.
13.
14. Canal of Schlemm
ā¦ Sclera is continous anteriroly with the cornea at the
sclerocornal junction or limbus. The deep part of the limbus
contains a circular canal known as the sinus venosus sclerae
or the cabal of schlemm
ā¦ The aqueous humor drains into the anteriro scleral or ciliary
veins through this sinus.
15.
16. Dural sheath of optic nerve
ā¦ The sclera is fused posteriorly with Dural sheath of the optic
nerve.
ā¦ It provides insertion to the extrinsic muscles of the eyeball:
ā¦ 1) the recti in front
ā¦ 2) the oblique muscle behind
17.
18. Peircings of the sclera
ā¦ Optic nerve
ā¦ Ciliary nerves
ā¦ Anterior ciliary arteries
ā¦ Four venae vorticosae
19.
20. Episclera
ā¦ The sclera is almost avascular.
ā¦ However, the loose connective tissue between the
conjunctiva and sclera called as the elisclera is vascular.
21.
22. Cornea
ā¦ Transparent
ā¦ Replaces sclera over anteriro one sixth of the eyeball
ā¦ Junction with. Sclera is called sclerocornal junction
ā¦ More convex than sclera
ā¦ Seperated from the iris by a space called the anterior chamber of the
eye.
ā¦ Cornea is avascular and is nourished by lymph which is circulated in
numerous corneal spaces and by lacrimal fluid.
23.
24. ā¦ It is supplied by branches of the opthalmic nerve and short
ciliary nerves.
ā¦ Pain is the only sensation aroused from the cornea.
25. Histology/ Microanatomy
ā¦ Structurally, the cornea consists of these layers, from before
backwards:
ā¦ 1. Corneal epithelium (stratified squamous non keratinized
type)
ā¦ 2. Bowmanās membrane
ā¦ 3. Substantia propria
ā¦ 4. Descemetās membrane
ā¦ 5. Simple squamous mesothelium
28. Choroid
ā¦ Choroid is a thin pigmented layer which separates the
posterior part of the sclera from the retina.
ā¦ Anteriorly- ora serata
ā¦ Posteriorly perforated by optic nerve
29.
30. Outer surface
ā¦ Separated from the sclera by the Suprachoroidal lamina
which is traversed by ciliary vessels and nerves .
ā¦ Itās attachment to the sclera is loose so that it can easily be
stripped
31. Inner surface
ā¦ The inner surface is firmly United to the retina:
ā¦ Suprachoroid lamina
ā¦ Vascular lamina
ā¦ The choriocapillary lamina
ā¦ The inner basal lamina prembrane of bruch
32.
33. Ciliary body
ā¦ It is the thickened part of the uveal tract t just posterior to the
corneal limbus
ā¦ Continous anteriorly with iris
ā¦ Posteriorly with choroid
ā¦ It suspends the lens and helps it in accomodation for near
vision
34.
35. Ciliary body
ā¦ Triangular in cross section
ā¦ Thick in front and thin behind
ā¦ The scleral surface of this body contains the ciliary muscles
ā¦ Posterior part of viterous humor is smooth and black ( pars plana)
ā¦ Anteriro part ā ridged anteriroly ( pars plicata) to form about 70
ciliary processes.
ā¦ The central ends of the processes are free and rounded.
39. Ciliary muscle
ā¦ Ring of unstriped muscle which are longitudinal or
meridonial, radial and circular.
ā¦ Longitudinal /meridonial fibres arise from a projection of
sclera or scleral spur near the limbus.
ā¦ They radiate backwards to the Suprachoroidal lamina.
ā¦ The radial fibres are obliquely placed and get continous with
the circular fibres.
40.
41. Circular fibres
ā¦ Lie in the anterior part of the ciliary body and are nearest to
the lens
ā¦ Contraction of all the parts relaxes the suspensory ligament
so that the lens becomes more convex.
ā¦ All parts of the muscle are supplied by parasympathetic
nerves.
42.
43. Iris
ā¦Anterior part of uveal tract
ā¦Circular curtain with an opening in The centre called
the pupil.
ā¦By adjusting the size of the pupil it controls the
amount of light entering the eye.
44.
45. ā¦ It is placed vertically between the cornea and the lens, thua
divides the anterior and posterior chambers both containing
aqueous humor.
ā¦ Itās peripheral margin is attached to the middle of the
anterior surface of the ciliary body and is anterior surface of
the ciliary body.
ā¦ Central margin is free and forms the boundary of the pupil.
46.
47. ā¦The anterior surface of the iris is covered by a single
layer of mesothelium
ā¦Posterior surface by a double layer of deeply
pigmented cells
ā¦The main bulk of the iris is formed by stroma made
up of blood vessels and loose connective tissue in
which there are pigment cells
48. Arterial circle
ā¦ The long posterior and anterior ciliary arteries join to form
the major arterial circle .
ā¦ Form this circle the vessels converge towards the free margin
to form the minor arterial circle of iris.
49.
50. ā¦ The colour of iris is determined by the number of pigment
cells in its connective tissue.
ā¦ If the pigment cells are absent , the iris is blue in colour
ā¦ The iris contains a well developed ring of muscle called the
sphincter pupillae which lies near the margin of the pupil.
51. Dilator pupillae
ā¦ An ill define sheet of radial muscle fibres placed near the
posterior surface of the iris.
ā¦ Supplied by sympathetic nerves.
52.
53. Inner coat (Retina)
ā¦ Thin, delicate inner layer
ā¦ Continous posteriorly with optic nerve
ā¦ Outwr surface attached to choroid, inner surface to hyaloid
membrane of viterous.
54.
55. Optic disc
ā¦Opposite the entrance of the optic nerve , there is
circular area known as the optic disc.
ā¦It is 1.5 mm in diameter
59. Physiological cup
ā¦Contains no rods or comes
ā¦Insensitive to light
ā¦Also called physiological blind spot for the same
reasons.
60.
61. Macula lutea
ā¦At the posterior pole of eye 3 mm lateral to the optic
disc there is another depression of similar size called
macula lutea.
ā¦It is avascular ( no blood vessels)
ā¦Yellow in colour
62.
63. Fovea centralis
ā¦The centre of macula is further depressed to form the
fovea centralis.
ā¦This is the thinnest part of retina.
ā¦It contains cones only and is site of maximum acuity
of vision.
64.
65. Rods
ā¦Light receptors of the eye
ā¦Rods contain a pigment called visual purple.
ā¦They respond to dim light
ā¦The periphery of retina contains only rods, but the
fovea has none at all.
66.
67. Cones
ā¦Responds only to bright light
ā¦Sensitive to colour
ā¦Fovea centralis have only cones
ā¦Their number diminishes towards the periphery of the
retina.
69. Arterial and venous supply
ā¦Arterial supply- central artery
ā¦Cones and rods- supplies by diffusion from the
capillaries of the choroid.
ā¦The retinal veins run with arteries.
70. Aqueous humor
ā¦ Clear fluid which fills the space between the cornea in front
and lens behind the anterior segment.
ā¦ The aqueous humor is secreted into the posterior chamber
from capillaries in the cilairay processes.
ā¦ It passes into the anteriro chamber Through pupil
ā¦ Fromnanteriro chamber, it is drained into anteriorr ciliary
veins through the spaces of the irido corneal angle and the
canal of Schlemm.
71.
72. ā¦ Intraocular pressure is due chiefly to the aqueous humour
which maintains the constancy of the optical dimension of
the eyeball.
ā¦ The aqueous is rich in ascorbic acid, glucose and amino acids
and nourishes the avascular tissues of the cornea and lens.
73.
74. Lens
ā¦ Transparent biconvex structure
ā¦ Lies between the anterior and posterior chamber
ā¦ Circular in outline
ā¦ Diameter of 1 cm
ā¦ Central points of anterior and posterior chambers is called anterior
and posterior poles
ā¦ Lines connecting the poles constitute axis of lens.
ā¦ Marginal circumference of the lens is termed equator
ā¦ It contributes about 15 dioptres to the total 58 dioptric power of the
eye.
75. Dioptres
ā¦ They determine the optical power of the eye and thus defines
the Vergence of the optical beams helping in forming a clear
picture at particular distance
76. ā¦ The posterior surface of lens is more convex than anteriro.
ā¦ The anterior surface is flat because of the suspensory
ligament.
ā¦ When the ligament is relaxed by contraction of the Ciliary
muscle , the anteriro surface becomes more convex due to
elasticity of the lens substance.
ā¦ The lens is enclosed in a transparent, structureless elastic
capsule which is thickest anteriroly.
77. Histology of lens
ā¦ Covered by capsular epithelium
ā¦ At the centre the epithelium is made up of cubical cells.
ā¦ At periphery it is made up of cells that elongate to form the
fibres.
ā¦ The fibres are concentrically arranged to form the lens
substance.
ā¦ The centre ( nucleus) of the lens is firm.
ā¦ The periphery is soft and is made up of more recently formed
fibres
78. Viterous body
ā¦ Colourless jelly like transparent mass which fills the posterior
4/5th of the eyeball.
ā¦ Enclosed in a delicate hyaloid membrane.
ā¦ Posteriorly attached to optic nerve
ā¦ Anteriroly attached to ora seratta
ā¦ In between it is free and is attached to the retina