Sclera (post 5/6)
Sclera (post 5/6)
Sclera (post 5/6)
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
Overview of Eye Histology<br />
Tunica fibrosa (fibrous, supporting layer)<br />
Cornea (ant 1/6); <strong>Sclera</strong> (<strong>post</strong> 5/6)<br />
Tunica vasculosa (uvea) (vascular layer)<br />
Ciliary body, Iris, Choroid<br />
Tunica interna (retina) (retinal, neural layer)<br />
Neural retina; Retinal pigment epithelium<br />
Pars optica: ora serrata<br />
Pars ciliaries reinae; Pars iridica retinae<br />
Histo: Eye Ear -<br />
1
Cornea<br />
Histo: Eye Ear -<br />
2
Cornea: transparent, avascular,<br />
refractive index = 1.376<br />
Corneal epithelium:<br />
noncornified, stra. Squ. Epi.;<br />
thin basal lamina; nuclear<br />
DNA-ferritin for UV protection<br />
Bowman’s membrane:<br />
collagen fibril; acellular<br />
Substantia propria (stroma):<br />
transparency, collagen fibrils in<br />
orthogonal array, fibroblast<br />
(CF), cornal proteoglycans<br />
Descemet’s membrane: thick<br />
basal lamina of endothelium<br />
Endothelium: simple squ.;<br />
metabolic exchange; limited<br />
proliferation<br />
Histo: Eye Ear -<br />
3
<strong>Sclera</strong> (S); Choroid (C); Retina (R)<br />
Histo: Eye Ear -<br />
4
<strong>Sclera</strong>: dense fibroelastic tissue;<br />
fibers parallel to eye surface<br />
Episcleral tissue - loose vascular c.t. + conjunctiva<br />
<strong>Sclera</strong> proper - dense network of collagen fibers<br />
Suprachoroid lamina (fusca) - thin transitional layer to<br />
choroid; elastic fibers, pigment cells<br />
<strong>Sclera</strong><br />
Histo: Eye Ear -<br />
5
1. Bruch’s membrane (lamina vitrea)- basement mem. of<br />
pigment epi. (retina)<br />
2. Choroid capillaries layer<br />
3. Vascular layer (contains pigment cells and vessels)<br />
4. Suprachoroid layer – collagen and elastic ff. & pigment<br />
cells (melanoytes)<br />
choroid<br />
2008/01/02 Eye & Ear<br />
6<br />
Histo: Eye Ear -<br />
6
Ciliary body and iridocorneal angle<br />
Ciliary body: forward continuation of choroid,<br />
highly vascular, with abundant melanins<br />
Ciliary (smooth) muscles of 3 functional groups:<br />
meridional (longiudinal), radial (oblique),<br />
circular (sphincteric)<br />
Histo: Eye Ear -<br />
7
Ciliary process<br />
Branching epithelial folds with c.t.<br />
core (C), fenestrated capillaries,<br />
producing<br />
aqueous humor: refractive<br />
index of 1.33<br />
Double cuboid epi. (E)<br />
Non-pigmented: superficial<br />
Pigmented: deep<br />
Suspensory ligaments (S, ciliary<br />
zonule)<br />
M: smooth muscles of ciliary body;<br />
PC: <strong>post</strong>erior chamber<br />
Histo: Eye Ear -<br />
8
Iris<br />
Anterior (facing cornea): fibroblast & stromal melanocyte;<br />
endothelium (in fetus)<br />
General stroma: loose, highly vascular c.t., chromophores; smooth<br />
muscles (sphincter & dilator pupillae)<br />
Posterior (facing lens): 2 layers of pigment epithelium continuous<br />
from ciliary process (ant. pig. epi.; <strong>post</strong>. pig. epi.); myoepithelial cell,<br />
(dilator pupillae)<br />
Histo: Eye Ear -<br />
9
Circulation of Aqueous humor<br />
Ciliary process: production<br />
Posterior chamber<br />
Anterior chamber<br />
collagenous endothelium-lined<br />
Trabecular meshwork (T; space<br />
of Fontana): endothelium-lined<br />
Canal of Schlemm (CS):<br />
endothelium-lined<br />
Episcleral venous system in<br />
sclera<br />
Glaucoma: Increased<br />
intraocular pressure (IOP)<br />
I: root of iris; C: cornea<br />
Histo: Eye Ear -<br />
10
Retinal organization: photoreceptors,<br />
interneurons, retinal ganglia neurons,<br />
retinal pigment epithelium<br />
10: inner limiting mem.: basal lamina<br />
of Muller cells<br />
9: optic nerve fiber: axons of retina<br />
ganglia neurons<br />
8: ganglia cell layer: cell bodies of<br />
retina ganglia neurons<br />
7: inner plexiform layer: synaptic<br />
connections between dendrites of<br />
retina ganglia neurons and axons of<br />
bipolar neurons<br />
6: inner nuclear layer: nuclei of<br />
interneurons (horizontal, amarcrine,<br />
bipolar et al.) and Muller cells<br />
Muller cell<br />
Histo: Eye Ear -<br />
11
Retinal organization: photoreceptors,<br />
interneurons, retinal ganglia neurons,<br />
retinal pigment epithelium<br />
5: outer plexiform layer: processes<br />
of photoreceptors and interneurons<br />
4: outer nuclear layer: nuclei of<br />
photoreceptors<br />
3: outer limiting mem.: zonulae<br />
adherentes between Muller cells<br />
2: photoreceptor layer: rods and<br />
cones with organelles<br />
1: retina pigment epithelium:<br />
junctional complexes and gap<br />
junctions on Bruch’s mem. of<br />
choroid; blood-retina barrier<br />
Muller cell<br />
Histo: Eye Ear -<br />
12
Retina: Muller cell (glia)<br />
inner limiting mem.<br />
outer limiting mem.<br />
Histo: Eye Ear -<br />
13
Photoreceptor: rod, cone<br />
Rod for low light intensity;<br />
cone for color, high light<br />
intensity<br />
Outer segment:<br />
photoreceptor proper<br />
Connecting stalk: cilium<br />
(9 microtubule doublets),<br />
calyceal process<br />
Inner segment: with<br />
organelles, microtubules<br />
outer (ellipsoid):<br />
mitochondria<br />
inner (myoid): Golgi,<br />
rER, free ribosomes<br />
calyceal process<br />
M: outer limiting mem.; P: pigment epi.<br />
B: Bruch’s mem.<br />
Histo: Eye Ear -<br />
14
od<br />
Discs in rods and cones<br />
regularly spaced horizontal discs from transverse infoldings of plasma<br />
membranes in outer segment near cilium<br />
shed and phagocytosed by retina pigment epithelium (phagosome)<br />
cone<br />
cone<br />
rod<br />
Histo: Eye Ear -<br />
15
Retina pigment epithelium: basally-located nucleus;<br />
mitochondria, melanin granule; microvilli<br />
Histo: Eye Ear -<br />
16
Optic disc (optic papilla)<br />
Optic nerve: axons of<br />
retina ganglia neurons<br />
accompanying central<br />
retinal artery and vein<br />
no photoreceptors in<br />
optic disc (blind spot)<br />
Traversing sclera (lamina<br />
cribrosa, cribriform plate)<br />
<strong>Sclera</strong>: equivalent to<br />
dura<br />
Uvea tract: equivalent<br />
to pia-arachnoid<br />
Optic papilla (optic disc; blind spot)<br />
Histo: Eye Ear -<br />
17
Fovea centralis (FC)<br />
retina of conical depression;<br />
4 mm lateral to optic disc;<br />
surrounded by 1 mm-wide<br />
macula lutea<br />
only closely packed cones<br />
(100,000 cones); 1-to-1 ratio<br />
of cones to bipolar neurons<br />
maximal photosensitivity: on<br />
the visual axis with least<br />
refractory distortion; reduced<br />
inner layers of retina;<br />
absence of retina vessels<br />
Macular degeneration: loss<br />
of visual acuity<br />
Histo: Eye Ear -<br />
18
Lens<br />
Lens capsule: basal lamina, produced by anterior lens cells (type IV<br />
collagen, proteoglycans); connected to suspensory lig.<br />
Subcapsular epithelium: a cuboid layer, only on anterior surface of<br />
lens; with gap junctions<br />
Lens fibers: derived from subcapsular epithelium<br />
lose nuclei & organelles; filled with crystalins<br />
Refractive index of 1.38~1.5<br />
Histo: Eye Ear -<br />
19
Vitreous body<br />
Homogenous gel:<br />
99% water (vitreous humor)<br />
bound to hyaliuronic acid<br />
some hyalocytes (round or<br />
fusiform) for collagen,<br />
glycosaminolycans<br />
(hyaluronan)<br />
Colorless, refractive index of<br />
1.334<br />
Hyaloid (Cloquet’s) canal:<br />
remnant of hyaloid artery (at<br />
center of vitreous body from<br />
optic disc to <strong>post</strong>. lens capsule)<br />
Histo: Eye Ear -<br />
20
tarsal plate: dense c.t.;<br />
superior tarsal muscle of<br />
Muller<br />
tarsal sebaceous<br />
(Meibomian) gland: 25<br />
(upper), 20 (lower); oily<br />
layer on tear film<br />
accessory lacrimal gland<br />
of Wolfring<br />
apocrine glands of<br />
eyelashes (glands of Moll)<br />
all gland secretion:<br />
synchronized with lacrimal<br />
glands via vasoactive<br />
intestinal peptide (VIP)<br />
Eyelid: hairy skin + orbicularis<br />
oculi + palpebral conjunctiva<br />
Histo: Eye Ear -<br />
21
Eyelid, Tarsal plate, Meibomian gland: Histology<br />
Histo: Eye Ear -<br />
22
Conjunctiva<br />
Stratified columnar epi., goblet cells<br />
Loose vascularized c.t.<br />
(melanocyte at basal layer)<br />
Histo: Eye Ear -<br />
23
compound tubulo-acinar<br />
serous gland<br />
similar to parotid gland<br />
tear film: proteins (tear<br />
albumins, lactoferrin),<br />
enzymes (lysozyme), lipids,<br />
metabolites, electrolytes,<br />
drugs during therapy<br />
Lacrimal glands<br />
Histo: Eye Ear -<br />
24
Review: Eye<br />
Histological and Gross<br />
correlations: tunica<br />
fibrosa: cornea, sclera<br />
vasculosa: choroid, ciliary,<br />
iris<br />
neural retina, retina<br />
pigment epithelium (RPE)<br />
Retina<br />
Cells: photoreceptors,<br />
neurons (ganglia,<br />
interneurons), retina<br />
pigment epithelium, Muller<br />
cell<br />
Organization: 10 layers<br />
Optic disc, Fovea<br />
Glands: lacrimal, tarsal<br />
Muller cell<br />
Histo: Eye Ear -<br />
25
Ear<br />
Ext. ear: ext. acoustic meatus<br />
Mid. ear: auditary ossicles, Eustachian<br />
(auditory) tube<br />
Inn. ear: cochlear, vestibular apparatus<br />
Histo: Eye Ear -<br />
26
TM: tympanic mem.<br />
LSC: lateral<br />
semicircular canal<br />
AC: mastoid air<br />
cells<br />
V: vestibule<br />
C: cochlea<br />
arrowhead: oval<br />
window<br />
Histo: Eye Ear -<br />
27
External acoustic meatus (Skin)<br />
Cartilage (ext. 3/1) and inside temporal bone (inner 2/3)<br />
Hair follicles (F), Sebaceous gland, Ceruminous (apocrine) gland<br />
Histo: Eye Ear -<br />
28
Tympanic membrane<br />
Outer: stratified squamous epi. (SSE)<br />
Connective tissue (CT)<br />
Inner: simple cuboid epi. (SCE)<br />
Histo: Eye Ear -<br />
29
Eustachian (auditory) tube: bony and cartilaginous parts<br />
Simple columnar epi. near tympanic cavity<br />
Pseudostratified columnar epi. with goblet cells near pharynx<br />
Submucosa: mixed galnds<br />
Histo: Eye Ear -<br />
30
Inner ear: Labyrinth<br />
Bony labyrinth<br />
Vestibule, Cochlea<br />
Membranous labyrinth: with<br />
endolymph inside (perilymph<br />
outside)<br />
Vestibular labyrinth (Utricle,<br />
Saccule, Semicircular duct)<br />
Cochlear duct<br />
Histo: Eye Ear -<br />
31
Sensory organs of<br />
Vestibular mem. labyrinth<br />
Mucula in Utricle and Saccule<br />
Hair cells: Single kinocilium;<br />
bundle of stereocilia<br />
type I (goblet)<br />
type II (columnar)<br />
Supportive cells<br />
Otolith membrane (otoliths):<br />
otoconia<br />
Crista amuplualris in ampular<br />
parts of semicircular ducts<br />
Hair cells (type I goblet & type<br />
II columnar), Supportive cells<br />
Cupula: without otoliths<br />
Histo: Eye Ear -<br />
32
Macula: overview<br />
Histo: Eye Ear -<br />
33
Macula: Histology<br />
Hair cells: type I (goblet);<br />
type II (columnar)<br />
Kinocilium; Stereocilia<br />
Supportive cells<br />
Otoliths<br />
Histo: Eye Ear -<br />
34
Crista ampularis in<br />
Semicircular duct<br />
Hair cells<br />
Type I; Type II<br />
Cupula: gelatinous proteinpolysaccharide<br />
complex<br />
No otoliths<br />
exposed to endolymph<br />
Histo: Eye Ear -<br />
35
Crista ampularis<br />
(CA): Histology<br />
Cu: cupula<br />
EP: epithelium<br />
HC: hair cell<br />
SC:<br />
supportive cell<br />
CT:<br />
connective<br />
tissue<br />
Histo: Eye Ear -<br />
36
Vestibular sensory<br />
hair cells<br />
Hair cells as<br />
mechanoelectric<br />
transducer<br />
Kinocilium with basal<br />
body<br />
Steroecila (hair bundle)<br />
Actin filaments<br />
Cross-linked by fimbrin<br />
and espin (actinbundling<br />
proteins)<br />
anchored to terminal<br />
web (cuticular plate)<br />
Histo: Eye Ear -<br />
37
Plaque<br />
Kinocilium and Stereocilia<br />
Mechanoelectric transducer<br />
channel protein at tip of plasma<br />
membrane of stereocilia<br />
(electron-dense plaque)<br />
tip link: tip of stereocilium with<br />
adjacent shaft of longer<br />
stereocilium (transduction K +<br />
channels are located)<br />
Kinocilium: cilium (microtubules)<br />
Stereocilia: microfilaments<br />
(actins)<br />
Histo: Eye Ear -<br />
38
Tip link in Stereocilia<br />
Tip link: mechanoelectric<br />
transduction (MET) channel<br />
proteins at the tip of<br />
stereocilium associated with<br />
adjacent shaft of longer<br />
stereocilium (transduction<br />
K + channels are located)<br />
Activated by deflection<br />
toward kinocolium, influx of<br />
K + (endolymph: rich in K + );<br />
activation of Ca ++ channels<br />
to release neurotransmitters<br />
Histo: Eye Ear -<br />
39
Mechanoelectric transduction:<br />
Displacement of stereocilia and<br />
Activation of vestibular sensory neurons<br />
Histo: Eye Ear -<br />
40
Cochlea and cochlear<br />
duct (labyrinth)<br />
Cochlea (bony labyrinth): 2 and ¾<br />
turns<br />
Modiolus (central axis)<br />
Helicotrema<br />
Cochlear duct (mem. labyrinth)<br />
Scala vestibule (SV): perilymph<br />
Vestibular membrane<br />
(Reissner’s membrane)<br />
Scala media (SM, cochlear<br />
duct): endolymph<br />
Basilar membrane<br />
Scala typamni (ST): perilymph<br />
Spiral ganglia (SG)<br />
Frequency-position: Low in<br />
apex; High in basal turn<br />
Histo: Eye Ear -<br />
41
Vestibular (Resissner’s) membrane: EM<br />
Mesothelium: facing peilymph of<br />
scala vestibular<br />
Epithelium facing endolymph of<br />
scala media<br />
Histo: Eye Ear -<br />
42
Osseous spiral lamina (O)<br />
Spiral limbus (SL)<br />
Spiral ganglia (G), nerve (N)<br />
Endolymph<br />
Organ of Corti on<br />
Basilar membrane (BM)<br />
Stria vascularis (SVasc)<br />
Spiral igaments (SLig) on<br />
endosteum<br />
Histo: Eye Ear -<br />
43
Organ of Corti: Sensory organ of cochlear duct (labyrinth)<br />
Hair cells: Inner (close to spiral lamina): single row; Outer (farther<br />
from spiral lamina): 3 ranks in basal coil; 5 ranks in apex<br />
Tectorial mem.: from spiral limbus to organ of Corti by stereocilia<br />
of hair cells; radially oriented bundles of collagens embedded in<br />
glycoprotein matrix<br />
Phalangeal (supporing) cells: inner and outer; Pillar cells et al.<br />
Histo: Eye Ear -<br />
44
Hair cells of organ of Corti<br />
Stereocilia in hair cells of<br />
organ of Corti;<br />
1 inner row; 3 outer rows<br />
Apical cuticular plate (ACP)<br />
of phalangeal cells<br />
Histo: Eye Ear -<br />
45
Organ of Corti: hair cells<br />
Hair bundle (stereocilia)<br />
No cilium (kinocilium), basal body retains<br />
Inner hair cell Outer hair cell<br />
Histo: Eye Ear -<br />
46
Sound perception:<br />
mechanoelectric transduction<br />
sound wave → stapes → oval<br />
window → scala vestibuli →<br />
scala media → basilar mem.<br />
(organ of Corti, stereocilia of<br />
hair cells) and tectorial mem.<br />
scala tympani → round window<br />
Histo: Eye Ear -<br />
47
Membranous labyrinth<br />
Histo: Eye Ear -<br />
48
Vestibule<br />
Utricle<br />
Macula<br />
Otolith mem<br />
(otoconia)<br />
Linear movements<br />
Saccule<br />
Macula<br />
Otolith mem<br />
(otoconia)<br />
Semicircular duct<br />
Crista ampularis<br />
Cupula<br />
Angular movements<br />
Vestibular ganglia (of Scarpa), near int. acoustic meatus<br />
Review: Membranous<br />
labyrinths<br />
Cochlea<br />
Cochlear duct<br />
Organ of Corti<br />
Tectorial membrane<br />
Sound perception<br />
Spiral ganglia, modiolus<br />
Histo: Eye Ear -<br />
49