ANATOMY OF UVEA
INTRODUCTION
• UVEA constitutes- middle vascular coat
• 3 parts- a)iris
b)ciliary
body
c)choroid
• Developmentally,structurally and
functionally- indivisible
• color varies from light blue to dark brown
EMBRYOLOGY
IRIS-
• Both layers of epithelium derived from
marginal region of optic cup
(neuroectoderm)
• Sphincter and dilator pupillae-
anterior epithelium
(neuroectoderm)
• Stroma and vessels- vascular mesoderm
CILIARY BODY
• Both Epithelium from neuroectoderm
• Ciliary processes from ciliary
epithelium
• Stroma and blood vessels –
mesoderm
MILESTONES
• 9TH WEEK GESTATION- ciliary body
appears
• 12TH WEEK GESTATION- sphincter
pupillae appears
• 5TH MONTH- all layers of choroid seen
- iris fully developed
• 6TH MONTH- dilator muscle begins to
form, sphincter muscle is fully formed
• POSTNATAL PERIOD- dilator
muscle fully formed by 5 years, iris
stromal pigment develops after birth
IRIS
• Anterior most part
• Avg diameter- 12mm, thickness- 0.5mm
• In centre an aperture of 3-4mm- PUPIL
• Thinnest at its root- tears away easily on
blunt trauma- IRIDODIALYSIS
• Divides space into anterior and
posterior chamber
MACROSCOPIC APPEARANCE
TWO SURFACES
A)ANTERIOR SURFACE
• Collarette- zigzag line, 2mm from pupil, thickest,
represents attachment of pupillary membrane
• Divides surface into-
a) CILIARY ZONE- c/b
 Radial streaks
 Crypts- peripheral-near the iris
central- near collarette
 Contraction furrows- faints lines outside collarette
b) PUPILLARY ZONE-
 Between collarette and pigmented frill
 Pigmented frill- black pigment at pupillary margin
-represents ant end of optic cup
B)POSTERIOR SURFACE- dark
brown/black
Contains-
A)Schwalbe’s contraction folds- 1 mm
from pupillary border, little radial
furrows
B)Schwalbe’s structural furrows- 1.5 mm
from pupillary border
C)Circular furrows- finer then radial
furrows
MICROSCOPIC STRUCTURE
FOUR LAYERS-
a)Anterior limiting layer- consists melanocytes and
fibroblasts Previously called endothelial layer
• Colour of iris depends on this layer
• Blue iris- thin layer and few pigment cells
• Brown iris- thick and doubly pigmented
b) Iris stroma-
• Forms main bulk
• Consists of collagenous tissue with mucopolysaccharide
• Structures embedded-
 Sphincter pupillae- 1 mm broad circular band in pupillary
area
derived by ectoderm
supplied by parasympathetic fibres by 3rd
nerve constricts pupil
 Dilator pupillae- lies in posterior part of ciliary zone
supplied by cervical
sympathetics dilates pupil
 vessels- form bulk of stroma
radial vessels- branches of circulous arteriosis major
peculiarities- absence of IEL & non fenestrated capillary
endothelium
 Pigment cells- melanocytes
 Lymphocytes, fibroblast and macrophages
C) Anterior epithelial layer
 anterior continuation of pigment epithelium of retina and ciliary
body
 Lacks melanocytes
 Basal processes- give rise to dilator pupillae
D)Posterior pigmented epithelial layer
 Anterior continuation of non pigmented epithelium of ciliary body
 Derived from internal layer of optic cup
 Forms pigmented frill
FUNCTIONS OF IRIS
• CONTROLS AMOUNT OF LIGHT
ENTERING THE EYE THROUGH PUPIL
• DEFINES EYE COLOUR
• CONTROL DEPTH OF FIELD
• SOURCE OF BLOOD OCULAR TISSUES
CILIARY BODY
• Forward continuation of choroid at ora serrata
• Triangular in cut section, ant side of its form part of
angle , in middle attached to iris and outer part lies
against sclera
• Triangle – two parts
a)Anterior part- ciliary processes (pars plicata) 2-
2.5mm
b)Posterior part- smooth (pars plana) 5mm wide
temporally & 3mm nasally
MICROSCOPIC STRUCTURE
1.SUPRACILIARY LAMINA- outermost part
 Consist of pigmented collagen fibres
 Posteriorly continuation of suprachoroidal lamina,
ant continous with anterior limiting membrane
2.STROMA-
Consists
 Ciliary muscle- non striated, triangular in cut
section, 3 parts
 Longitudnal/meridional fibres- origin from
scleral spur, inserts into suprachoroidal
lamina
 Circular fibres- in inner portion, nearest to lens
 Radial fibres- obliquely placed
Actions - slacken suspensory ligament thus
helps in accomodation
circular fibres- directly as sphincter
nerve supply- parasym. fibres from ciliary
ganglion
Vascular stroma- major arterial circle lies
Formed by anastomosis of long and short
PCA
Supplies iris and ciliary body
3)Layer of pigmented epithelium-
forward continuation of RPE
Anteriorly continues to pigmented epithelium
of iris
4)Layer of non pigmented epithelium-
forward continuation of sensory retina
Continues anteriorly with pigmented
epithelium of iris
5)Internal limiting membrane-lines NPE
Frwd continuation of internal limiting
membrane of retina
CILIARY PROCESSES
• Finger like projections from pars plicata
• 70-80 in number, 2mm long 0.5mm
diameter
• Site of aqueous production
ULTRASTRUCTURE
1)Network of capillaries- in the centre
• Has endothelium with fenestrae
2)Stroma of ciliary processes- thin,
separates capillaries from epithelium
3)Epithelium-two layered with apical
FUNCTIONS OF CILIARY
BODY
• Site of aqueous humour production
• Maintenance of IOP
• Constitutes blood aqueous barrier
• Accommodation
• Eicosanoids are synthesised in ciliary
body
CHOROID
• Posterior most part
• Extension- optic disc to ora serrata
• Inner surface- smooth, brown and in
contact with RPE
• Outer surface-rough and in contact with
sclera
• Thickness- posteriorly 0.22mm
anteriorly 0.10mm
MICROSCOPIC
STRUCTURE
1) Suprachoroidal lamina- lamina fusca
• Thin layer, continues anteriorly with supraciliary lamina of
ciliary
body
• Suprachoroidal space- contains long and short posterior
ciliary arteries and nerves
2) Stroma – plenty of pigmented cells, macrophages,mast and
plasma
cells
• Vessels- form the bulk
• Arranged in two layers- outer consisting of large
vessels(hallers layer) , inner of medium vessels ( sattlers
layer)
3) choriocapillaris- rich capillary network
• Supplies pigment epithelium and outer layers of sensory
retina
4)Basal lamina- bruch’s
membrane/lamina vitrae
• Innermost layer
• Between choriocapillaris and RPE
• Electron microscopy- basement
membrane of RPE, inner collagen,
middle elastic and outer collagen and
basement membrane choriocapillaris
• With increasing age- produces
hyaline excresences known as
druscens
FUNCTIONS OF
CHOROID
• BLOOD SUPPLY TO OUTER FOUR
LAYERS OF RETINA
• MODULATION OF
VASCULARISATION
• REGULATE RETINAL HEAT
• ASSIST IN THE CONTROL OF
INTRAOCULAR PRESSURE
• PIGMENT ABSORBS EXCESS
LIGHT SO AVOIDING
REFLECTION
BLOOD SUPPLY UVEAL TRACT
1.SHORT POSTERIOR CILIARY ARTERIES
• Branches of ophthalmic artery
• Divides into 10-20 branches, pierce sclera around optic nerve
• Supply choroid in segmental manner
2) LONG POSTERIOR CILIARY ARTERIES
• Two in number- nasal and temporal
• Pierce sclera
• Anastomose with anterior ciliary arteries- form major arterial
circle supply ciliary body
3)ANTERIOR CILIARY ARTERIES
• From muscular arteries
• 7 in number
• 2 each SR,IR,MR and 1 from LR
• Anastomse with LPCA
• Circulous arterious major and minor
VENOUS DRAINAGE
1)Anterior ciliary veins- tributaries of
muscular veins
2)Smaller veins from sclera- carry
blood only from sclera and not from
choroid
3)Vena verticosae- 4 in
no. Drain whole of
choroid
anatomyofuvea student.pptx
anatomyofuvea student.pptx

anatomyofuvea student.pptx

  • 1.
  • 2.
    INTRODUCTION • UVEA constitutes-middle vascular coat • 3 parts- a)iris b)ciliary body c)choroid • Developmentally,structurally and functionally- indivisible • color varies from light blue to dark brown
  • 3.
    EMBRYOLOGY IRIS- • Both layersof epithelium derived from marginal region of optic cup (neuroectoderm) • Sphincter and dilator pupillae- anterior epithelium (neuroectoderm) • Stroma and vessels- vascular mesoderm
  • 4.
    CILIARY BODY • BothEpithelium from neuroectoderm • Ciliary processes from ciliary epithelium • Stroma and blood vessels – mesoderm
  • 5.
    MILESTONES • 9TH WEEKGESTATION- ciliary body appears • 12TH WEEK GESTATION- sphincter pupillae appears • 5TH MONTH- all layers of choroid seen - iris fully developed • 6TH MONTH- dilator muscle begins to form, sphincter muscle is fully formed • POSTNATAL PERIOD- dilator muscle fully formed by 5 years, iris stromal pigment develops after birth
  • 6.
    IRIS • Anterior mostpart • Avg diameter- 12mm, thickness- 0.5mm • In centre an aperture of 3-4mm- PUPIL • Thinnest at its root- tears away easily on blunt trauma- IRIDODIALYSIS • Divides space into anterior and posterior chamber
  • 8.
    MACROSCOPIC APPEARANCE TWO SURFACES A)ANTERIORSURFACE • Collarette- zigzag line, 2mm from pupil, thickest, represents attachment of pupillary membrane • Divides surface into- a) CILIARY ZONE- c/b  Radial streaks  Crypts- peripheral-near the iris central- near collarette  Contraction furrows- faints lines outside collarette b) PUPILLARY ZONE-  Between collarette and pigmented frill  Pigmented frill- black pigment at pupillary margin -represents ant end of optic cup
  • 11.
    B)POSTERIOR SURFACE- dark brown/black Contains- A)Schwalbe’scontraction folds- 1 mm from pupillary border, little radial furrows B)Schwalbe’s structural furrows- 1.5 mm from pupillary border C)Circular furrows- finer then radial furrows
  • 12.
    MICROSCOPIC STRUCTURE FOUR LAYERS- a)Anteriorlimiting layer- consists melanocytes and fibroblasts Previously called endothelial layer • Colour of iris depends on this layer • Blue iris- thin layer and few pigment cells • Brown iris- thick and doubly pigmented b) Iris stroma- • Forms main bulk • Consists of collagenous tissue with mucopolysaccharide • Structures embedded-  Sphincter pupillae- 1 mm broad circular band in pupillary area derived by ectoderm supplied by parasympathetic fibres by 3rd nerve constricts pupil
  • 13.
     Dilator pupillae-lies in posterior part of ciliary zone supplied by cervical sympathetics dilates pupil  vessels- form bulk of stroma radial vessels- branches of circulous arteriosis major peculiarities- absence of IEL & non fenestrated capillary endothelium  Pigment cells- melanocytes  Lymphocytes, fibroblast and macrophages C) Anterior epithelial layer  anterior continuation of pigment epithelium of retina and ciliary body  Lacks melanocytes  Basal processes- give rise to dilator pupillae D)Posterior pigmented epithelial layer  Anterior continuation of non pigmented epithelium of ciliary body  Derived from internal layer of optic cup  Forms pigmented frill
  • 17.
    FUNCTIONS OF IRIS •CONTROLS AMOUNT OF LIGHT ENTERING THE EYE THROUGH PUPIL • DEFINES EYE COLOUR • CONTROL DEPTH OF FIELD • SOURCE OF BLOOD OCULAR TISSUES
  • 18.
    CILIARY BODY • Forwardcontinuation of choroid at ora serrata • Triangular in cut section, ant side of its form part of angle , in middle attached to iris and outer part lies against sclera • Triangle – two parts a)Anterior part- ciliary processes (pars plicata) 2- 2.5mm b)Posterior part- smooth (pars plana) 5mm wide temporally & 3mm nasally MICROSCOPIC STRUCTURE 1.SUPRACILIARY LAMINA- outermost part  Consist of pigmented collagen fibres  Posteriorly continuation of suprachoroidal lamina, ant continous with anterior limiting membrane
  • 20.
    2.STROMA- Consists  Ciliary muscle-non striated, triangular in cut section, 3 parts  Longitudnal/meridional fibres- origin from scleral spur, inserts into suprachoroidal lamina  Circular fibres- in inner portion, nearest to lens  Radial fibres- obliquely placed Actions - slacken suspensory ligament thus helps in accomodation circular fibres- directly as sphincter nerve supply- parasym. fibres from ciliary ganglion
  • 21.
    Vascular stroma- majorarterial circle lies Formed by anastomosis of long and short PCA Supplies iris and ciliary body 3)Layer of pigmented epithelium- forward continuation of RPE Anteriorly continues to pigmented epithelium of iris 4)Layer of non pigmented epithelium- forward continuation of sensory retina Continues anteriorly with pigmented epithelium of iris 5)Internal limiting membrane-lines NPE Frwd continuation of internal limiting membrane of retina
  • 22.
    CILIARY PROCESSES • Fingerlike projections from pars plicata • 70-80 in number, 2mm long 0.5mm diameter • Site of aqueous production ULTRASTRUCTURE 1)Network of capillaries- in the centre • Has endothelium with fenestrae 2)Stroma of ciliary processes- thin, separates capillaries from epithelium 3)Epithelium-two layered with apical
  • 24.
    FUNCTIONS OF CILIARY BODY •Site of aqueous humour production • Maintenance of IOP • Constitutes blood aqueous barrier • Accommodation • Eicosanoids are synthesised in ciliary body
  • 25.
    CHOROID • Posterior mostpart • Extension- optic disc to ora serrata • Inner surface- smooth, brown and in contact with RPE • Outer surface-rough and in contact with sclera • Thickness- posteriorly 0.22mm anteriorly 0.10mm
  • 27.
    MICROSCOPIC STRUCTURE 1) Suprachoroidal lamina-lamina fusca • Thin layer, continues anteriorly with supraciliary lamina of ciliary body • Suprachoroidal space- contains long and short posterior ciliary arteries and nerves 2) Stroma – plenty of pigmented cells, macrophages,mast and plasma cells • Vessels- form the bulk • Arranged in two layers- outer consisting of large vessels(hallers layer) , inner of medium vessels ( sattlers layer) 3) choriocapillaris- rich capillary network • Supplies pigment epithelium and outer layers of sensory retina
  • 28.
    4)Basal lamina- bruch’s membrane/laminavitrae • Innermost layer • Between choriocapillaris and RPE • Electron microscopy- basement membrane of RPE, inner collagen, middle elastic and outer collagen and basement membrane choriocapillaris • With increasing age- produces hyaline excresences known as druscens
  • 30.
    FUNCTIONS OF CHOROID • BLOODSUPPLY TO OUTER FOUR LAYERS OF RETINA • MODULATION OF VASCULARISATION • REGULATE RETINAL HEAT • ASSIST IN THE CONTROL OF INTRAOCULAR PRESSURE • PIGMENT ABSORBS EXCESS LIGHT SO AVOIDING REFLECTION
  • 31.
    BLOOD SUPPLY UVEALTRACT 1.SHORT POSTERIOR CILIARY ARTERIES • Branches of ophthalmic artery • Divides into 10-20 branches, pierce sclera around optic nerve • Supply choroid in segmental manner 2) LONG POSTERIOR CILIARY ARTERIES • Two in number- nasal and temporal • Pierce sclera • Anastomose with anterior ciliary arteries- form major arterial circle supply ciliary body 3)ANTERIOR CILIARY ARTERIES • From muscular arteries • 7 in number • 2 each SR,IR,MR and 1 from LR • Anastomse with LPCA • Circulous arterious major and minor
  • 35.
    VENOUS DRAINAGE 1)Anterior ciliaryveins- tributaries of muscular veins 2)Smaller veins from sclera- carry blood only from sclera and not from choroid 3)Vena verticosae- 4 in no. Drain whole of choroid