The Special Senses
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Altered Hyaluronic Acid Content in Tear Fluid of Patients with Adenoviral Conjunctivitis
Anais da Academia Brasileira de Ciências (2015) 87(1): 455-462 (Annals of the Brazilian Academy of Sciences) Printed version ISSN 0001-3765 / Online version ISSN 1678-2690 http://dx.doi.org/10.1590/0001-3765201520140122 www.scielo.br/aabc Altered hyaluronic acid content in tear fluid of patients with adenoviral conjunctivitis JULIANA L. DREYFUSS1,2*, CAIO V. REGATIERI1,3,5*, BRUNO COELHO1, JOSÉ B. BARBOSA3, DENISE DE FREITAS3, HELENA B. NADER1 and JOÃO R. MARTINS1,4 1Departamento de Bioquímica, Disciplina de Biologia Molecular, Universidade Federal de São Paulo, Rua Três de Maio, 100, 4º andar, 04044-020 São Paulo, SP, Brasil 2Departamento de Informática em Saúde, Grupo Interdisciplinar de Ciências Exatas em Saúde, Universidade Federal de São Paulo, Rua Botucatu, 862, 04023-062 São Paulo, SP, Brasil 3Departamento de Oftalmologia, Universidade Federal de São Paulo, Rua Botucatu, 821, 04023-062 São Paulo, SP, Brasil 4Departamento de Medicina, Disciplina de Endocrinologia, Universidade Federal de São Paulo, Rua Borges Lagoa, 800, 04038-001 São Paulo, SP, Brasil 5Department of Ophthalmology, New England Eye Center, Tufts Medical Center, 800 Washington Street, 02111 Boston, MA, USA Manuscript received on March 13, 2014; accepted for publication on October 24, 2014 ABSTRACT The adenoviral conjunctivitis is one of the biggest causes of conjunctival infection in the world. Conjunctivitis causes relatively nonspecific symptoms, as hyperaemia and chemosis. Even after biomicroscopy, complex laboratory tests, such as viral culture, are necessary to identify the pathogen or its etiology. To contribute to the better understanding of the pathobiology of the adenoviral conjunctivitis, the tear fluids of patients with unilateral acute adenovirus conjunctivitis (UAAC), normal donors (control) and patients with allergic conjunctivitis were analyzed. -
Lacrimal Obstruction
Yung_edit_final_Layout 1 01/09/2009 15:19 Page 81 Lacrimal Obstruction Proximal Lacrimal Obstruction – A Review Carl Philpott1 and Matthew W Yung2 1. Rhinology and Anterior Skull Base Fellow, St Paul’s Sinus Centre, St Paul’s Hospital, Vancouver; 2. Department of Otolaryngology, Ipswich Hospital NHS Trust Abstract While less common than distal lacrimal obstruction, proximal obstruction causes many cases of epiphora. This article examines the aetiology of proximal lacrimal obstruction and considers current management strategies with reference to recent literature. The Lester Jones tube is the favoured method of dealing with most cases of severe proximal obstruction; other methods have been tried with less success. Keywords Proximal lacrimal obstruction, epiphora, canalicular blockage, Lester Jones tube Disclosure: The authors have no conflicts of interest to declare. Received: 31 March 2009 Accepted: 14 April 2009 DOI: 10.17925/EOR.2009.03.01.81 Correspondence: Matthew W Yung, The Ipswich Hospital, Heath Road, Ipswich, Suffolk, IP4 5PD, UK. E: [email protected] Obstruction of the lacrimal apparatus commonly causes sufferers to dominant fashion.3 Where absence of the punctum and papilla present with symptoms of epiphora, for which they are commonly (congenital punctal agenesis) occurs, it is likely that more distal parts referred to ophthalmology departments. In those units where of the lacrimal apparatus are obliterated. collaboration with otorhinolaryngology occurs, the distal site of obstruction is usually dealt with. -
Ciliary Zonule Sclera (Suspensory Choroid Ligament)
ACTIVITIES Complete Diagrams PNS 18 and 19 Complete PNS 23 Worksheet 3 #1 only Complete PNS 24 Practice Quiz THE SPECIAL SENSES Introduction Vision RECEPTORS Structures designed to respond to stimuli Variable complexity GENERAL PROPERTIES OF RECEPTORS Transducers Receptor potential Generator potential GENERAL PROPERTIES OF RECEPTORS Stimulus causing receptor potentials Generator potential in afferent neuron Nerve impulse SENSATION AND PERCEPTION Stimulatory input Conscious level = perception Awareness = sensation GENERAL PROPERTIES OF RECEPTORS Information conveyed by receptors . Modality . Location . Intensity . Duration ADAPTATION Reduction in rate of impulse transmission when stimulus is prolonged CLASSIFICATION OF RECEPTORS Stimulus Modality . Chemoreceptors . Thermoreceptors . Nociceptors . Mechanoreceptors . Photoreceptors CLASSIFICATION OF RECEPTORS Origin of stimuli . Exteroceptors . Interoceptors . Proprioceptors SPECIAL SENSES Vision Hearing Olfaction Gustation VISION INTRODUCTION 70% of all sensory receptors are in the eye Nearly half of the cerebral cortex is involved in processing visual information Optic nerve is one of body’s largest nerve tracts VISION INTRODUCTION The eye is a photoreceptor organ Refraction Conversion (transduction) of light into AP’s Information is interpreted in cerebral cortex Eyebrow Eyelid Eyelashes Site where conjunctiva merges with cornea Palpebral fissure Lateral commissure Eyelid Medial commissure (a) Surface anatomy of the right eye Figure 15.1a Orbicularis oculi muscle -
Ν Prefit Examination
Cosmetics and the Contact Lens Wearer - What and Why By Diane F. Drake, LDO, ABOM, FCLSA Mission Statement Better Quality of Life Through Better Vision Course Description This presentation discusses cosmetics offered for the male and female contact lens wearers. Obvious and not so obvious cosmetics such as hairsprays, aftershaves, colognes, and soaps will be discussed. Proper handling and hygiene of contact lenses and the various structures of the tear layer and ocular structure will be included. Discover how improper cosmetic use can affect tear layers and the success or lack of success of the contact lens wearer. Introduction ν Tear layers ν Cosmetic usage ν Importance of tear film ν Patient instructions ν Types of cosmetics ν Conclusion - Communication ν Prefit examination Anatomy of the Eye Cornea Eyelids ν Five distinct layers ν Important in health of eye – Epithelium – Help to keep eye moist – Bowman’s layer – Help to distribute tears, oxygen and – Stroma nutrients – Descemets membrane – Protects the eye from light and injury – Endothelium – Lids are elastic ν Lose elasticity with age Tissues of Eyelids Conjunctiva ν Conjunctiva ν Thin mucous membrane, running ν Termed palpebral aperture continuous from lid to corneal limbus – While opened – Not always same size – Palpebral - lids – Bulbar - Globe of eye ν Contain Meibomian glands ν Contain Sebaceous glands ν Muscles of eyelid – Levator Muscle ν Pumps tears away – Orbicularis Oculi Muscle Contact lenses cannot get lost behind the eye Lacrimal Apparatus - Tear Production ν The conjunctival -
Vocabulario De Morfoloxía, Anatomía E Citoloxía Veterinaria
Vocabulario de Morfoloxía, anatomía e citoloxía veterinaria (galego-español-inglés) Servizo de Normalización Lingüística Universidade de Santiago de Compostela COLECCIÓN VOCABULARIOS TEMÁTICOS N.º 4 SERVIZO DE NORMALIZACIÓN LINGÜÍSTICA Vocabulario de Morfoloxía, anatomía e citoloxía veterinaria (galego-español-inglés) 2008 UNIVERSIDADE DE SANTIAGO DE COMPOSTELA VOCABULARIO de morfoloxía, anatomía e citoloxía veterinaria : (galego-español- inglés) / coordinador Xusto A. Rodríguez Río, Servizo de Normalización Lingüística ; autores Matilde Lombardero Fernández ... [et al.]. – Santiago de Compostela : Universidade de Santiago de Compostela, Servizo de Publicacións e Intercambio Científico, 2008. – 369 p. ; 21 cm. – (Vocabularios temáticos ; 4). - D.L. C 2458-2008. – ISBN 978-84-9887-018-3 1.Medicina �������������������������������������������������������������������������veterinaria-Diccionarios�������������������������������������������������. 2.Galego (Lingua)-Glosarios, vocabularios, etc. políglotas. I.Lombardero Fernández, Matilde. II.Rodríguez Rio, Xusto A. coord. III. Universidade de Santiago de Compostela. Servizo de Normalización Lingüística, coord. IV.Universidade de Santiago de Compostela. Servizo de Publicacións e Intercambio Científico, ed. V.Serie. 591.4(038)=699=60=20 Coordinador Xusto A. Rodríguez Río (Área de Terminoloxía. Servizo de Normalización Lingüística. Universidade de Santiago de Compostela) Autoras/res Matilde Lombardero Fernández (doutora en Veterinaria e profesora do Departamento de Anatomía e Produción Animal. -
Adrenaline Dacryolith: Detection by Ultrasound Examination of the Nasolacrimal Duct
Br J Ophthalmol: first published as 10.1136/bjo.72.12.935 on 1 December 1988. Downloaded from British Journal ofOphthalmology, 1988, 72, 935-937 Adrenaline dacryolith: detection by ultrasound examination of the nasolacrimal duct JOHN A BRADBURY,' IAN G RENNIE,' AND M ANDREW PARSONS2 From the Departments of'Ophthalmology and 2Pathology, University ofSheffield SUMMARY A 73-year-old woman on topical pilocarpine and adrenaline for chronic simple glaucoma for three years presented with a mass in the medial canthus of the right eye. Although dacryocystography showed a dilated and partially obstructed nasolacrimal system, ultrasound examination was able to demonstrate a mass in the nasolacrimal duct. At operation a black dacryolith was found, of the diameter predicted by ultrasound. Histological examination of the dacryolith suggested its derivation from breakdown products of adrenaline. Ultrasound examination of the nasolacrimal drain- her right conjunctival sac. In between these acute age system has been shown to be of value when the episodes the epiphora and a slight swelling at the copyright. system is dilated in cases such as a mucocoele or acute medial canthus persisted but were less troublesome. dacryocystitis. It is of limited value in functional Her right nasolacrimal duct had been irrigated during disorders, where the passage of fluid through the one of these acute episodes, which had caused some nasolacrimal system is slowed, producing a minimally resolution of her symptoms. dilated system.' No reports so far have illustrated the On examination a firm mass was palpable over the ability of ultrasound to demonstrate a mass in the right lacrimal fossa extending slightly above the nasolacrimal duct. -
Pediatric Orbital Tumors and Lacrimal Drainage System
Pediatric Orbital Tumors and Lacrimal Drainage System Peter MacIntosh, MD University of Illinois • No financial disclosures Dermoid Cyst • Congenital • Keratinized epidermis • Dermal appendage • Trapped during embryogenesis • 6% of lesions • 40-50% of orbital pediatric orbital lesion • Usually discovered in the first year of life • Painless/firm/subQ mass • Rarely presents as an acute inflammatory lesion (Rupture?) • Frontozygomatic (70%) • Maxillofrontal (20%) suture Imaging - CT • Erosion/remodeling of bone • Adjacent bony changes: “smooth fossa” (85%) • Dumbell dermoid: extraorbital and intraorbital components through bony defect Imaging - MRI • Encapsulated • Enhancement of wall but not lumen Treatment Options • Observation • Risk of anesthesia • Surgical Removal • Changes to bone • Rupture of cyst can lead to acute inflammation • Irrigation • Abx • Steroids Dermoid INFANTILE/Capillary Hemangioma • Common BENIGN orbital lesion of children • F>M • Prematurity • Appears in 1st or 2nd week of life • Soft, bluish mass deep to the eyelid • Superonasal orbit • Rapidly expands over 6-12 months • Increases with valsalva (crying) • Clinical findings • Proptosis Astigmatism • Strabismus Amblyopia INFANTILE/Capillary Hemangioma • May enlarge for 1-2 years then regress • 70-80% resolve before age 7 • HIGH flow on doppler • Kasabach-Merritt Syndrome • Multiple large visceral capillary hemangiomas • Sequestration of platelets into tumor • Consumptive thrombocytopenia • Supportive therapy and treat underlying tumor • Complications • DIC • death •Homogenous -
Epiphora (Excessive Tearing)
EPIPHORA (EXCESSIVE TEARING) INTRODUCTION Epiphora, or excessive tearing, is the overflow of tears from one or both eyes. Epiphora can occur all the time or only sometimes. It can be split into two categories. Either too many tears are produced or not enough of the tears are cleared. The following information will focus on tears not being cleared. ANATOMY The part of your body that makes tears is the lacrimal apparatus (See Figure 1). It is a system of tubes and sacs. It begins at the outer corner of your eyes in the lacrimal gland. This is the gland that produces tears. Tears then wash across the surface of the eye from the outer to inner corner, protecting, moistening and cleaning the outer layer of the eye. The upper and lower eyelids each have a single opening near the inner corner. These openings are on slightly raised mounds called puncta (See Figure 2). Each punctum drains tears into a tube called the canaliculus. There is an upper and lower canaliculus. Each of these small tubes drains tears into a larger tube called the common canaliculus. The common canaliculus delivers tears to the lacrimal sac, which is under the inner corner of the eye near the nose. The duct then drains tears from the lacrimal sac into the nose. Tears enter the nasal cavity through an opening near the bottom known as Hasner's valve. Too much tearing can result from problems that happen anywhere along this path. A common area to see obstruction is in the nasolacrimal duct. Figure 1. -
Nasolacrimal Duct Flushes in Rabbits
Practice Tip Nasolacrimal Duct Flushes in Rabbits Anthony A. Pilny, DVM, DABVP (Avian) The Center for Avian and Exotic Medicine New York, New York he nasolacrimal system of rabbits consists of a single punctum located in the ventral eyelid near the medial canthus (FIGURE 1). TThe lacrimal sac is rostral to the punctum and caudal to the nasolacrimal duct aperture. The duct extends from the orbit to the nasal fossa, exiting on the ventromedial aspect of the alar fold just caudal to the mucocutaneous junction of the nares. • The most common indication for nasolacrimal duct flushing is unilateral or bilateral epiphora secondary to an obstructed nasolacrimal duct (FIGURE 2). Most of these rabbits present without other clinical signs and are healthy other than the ocular discharge. In other cases, the epiphora is secondary to infection (e.g., Pasteurella multocida), elon- gation of maxillary incisor or first premolar roots, or dental abscessation. Figure 2. Epiphora in a pet rabbit. Note the hair loss from chronic tearing. The A condition resolved completely after appropriate nasolacrimal duct flushes. • Treatment of epiphora in rabbits involves irrigation of the B nasolacrimal duct to restore patency. After a topical anes- thetic (e.g., proparacaine HCI 0.5%) has been instilled and proper restraint instituted, the lower eyelid can be abducted and the punctum identified. Although a lacrimal cannula can be used, a 22- or 24-gauge standard intravenous catheter works well and is most commonly used (FIGURE 3). In most cases, lubrication is not needed to insert the catheter. Magnification may help in identifying the punctum in smaller rabbits or those with conjunctivitis. -
Original Article Anatomic Study of the Lacrimal Fossa and Lacrimal Pathway
Original Article Anatomic study of the lacrimal fossa and lacrimal pathway for bypass surgery with autogenous tissue grafting Hai Tao, Zhi‑zhong Ma1, Hai‑Yang Wu, Peng Wang, Cui Han Purpose: To study the microsurgical anatomy of the lacrimal drainage system and to provide anatomical Access this article online evidence for transnasal endoscopic lacrimal drainage system bypass surgery by autogenous tissue grafting. Website: Materials and Methods: A total of 20 Chinese adult cadaveric heads in 10% formaldehyde, comprising www.ijo.in 40 lacrimal ducts were used. The middle third section of the specimens were examined for the following DOI: features: the thickness of the lacrimal fossa at the anterior lacrimal crest, vertical middle line, and posterior 10.4103/0301-4738.121137 lacrimal crest; the cross section of the upper opening, middle part, and lower opening of the nasolacrimal PMID: canal; the horizontal, 30° oblique, and 45° oblique distances from the lacrimal caruncle to the nasal cavity; ***** the distance from the lacrimal caruncle to the upper opening of the nasolacrimal duct; and the included Quick Response Code: angle between the lacrimal caruncle–nasolacrimal duct upper opening junction and Aeby’s plane. Results: The middle third of the anterior lacrimal crest was significantly thicker than the vertical middle line and the posterior lacrimal crest (P > 0.05). The horizontal distance, 30° oblique distance, and 45° oblique distance from the lacrimal caruncle to the nasal cavity exhibited no significant differences (P > 0.05). The included angle between the lacrimal caruncle and the lateral wall middle point of the superior opening line of the nasolacrimal duct and Aeby’s plane was average (49.9° ± 1.8°). -
A Rarity, Oncocytoma of the Eyelid Nadir Bir Durum, Gözkapağı Onkositomu
CASE REPORT Bagcilar Med Bull 2020;5(2):57-59 DO I: 10.4274/BMB.galenos.2020.02.03 A Rarity, Oncocytoma of the Eyelid Nadir Bir Durum, Gözkapağı Onkositomu Perçin Karakol1, Tevfik Balıkçı1, Cem Leblebici2 1Health Science University Turkey, Bağcılar Training and Research Hospital, Clinic of Plastic, Reconstructive and Aesthetic Surgery, İstanbul, Turkey 2İstanbul Training and Research Hospital, Clinic of Pathology, İstanbul, Turkey Abstract Öz Eyelid tumors are most common in the skin, and lacrimal gland and Göz kapağı tümörleri en sık deri kaynaklı olup, lacrimal gland ve adnex adnex origin are very rare. Although oxyphilic adenoma (oncocytoma) is kaynaklı olanlar oldukça nadirdir. Oksifilik adenom (onkositom) genellikle generally located in the internal organ, it is one of the rare areas where iç organda olmasına rağmen, göz çevresi de tutabildiği nadir bölgelerden it can hold around the eyes. Oncocytomas are one of the rare benign biridir. Onkositomlar genellikle göz çevresindeki kistik lezyonlar olarak tumors that usually appear as cystic lesions around the eyes and can be görülen ve punktum biyopsileri ile teşhis edilebilen nadir görülen benign diagnosed with punctum biopsies. If it is not excised totally, it is one of tümörlerden biridir. Total olarak eksize edilmezse lokal agresif seyredip the tumors that can progress locally and become malignant. Although malignleşebilen tümörlerdendir. Periokuler, peripunktal ve lakrimal gland the cases with periocular, peripunktal and lacrimal glands are located in yerleşimli olgular literatürde yer almasına rağmen, göz kapağı yerleşimi the literature, eyelid placement is very rare. oldukça nadirdir. Keywords: Eyelid, oncocytoma, oxyphilic adenoma Anahtar kelimeler: Göz kapağı, onkositom, oksifilik adenom Introduction Case Report Oxyphilic adenomas (oncocytomas) are generally benign, A 66-year-old man presented in 2014 with a three year of rarely malignant tumors with distant spread. -
Dry Eye Syndrome: Excessive Tear Evaporation
IOWA CITY DEPARTMENT OF VETERANS AFFAIRS (VA) MEDICAL CENTER Medical Center 601 Highway 6 West, Iowa City, IA 52246-2208 Community-Based Outpatient Clinics 2979 Victoria Street, Bettendorf, IA 52722-2784 200 Mercy Drive, Suite 106, Dubuque, IA 52201-7343 387 E. Grove Street, Galesburg, IL 61401-3728 721 Broadway, Quincy, IL 62301-2708 1015 S. Hackett, Waterloo, IA 50701-3500 Coralville Clinic: 520 10th Avenue, Suite 200, Coralville, IA 52241-1923 Dry Eye Syndrome: Excessive Tear Evaporation Dry eye syndromes can be caused by excessive tear evaporation. The root cause of this condition is obstruction and poor quality of the eyelid (meibomian) oil glands. These glands are responsible for coating the tears with a layer of oil that helps prevent evaporation. Meibomian gland dysfunction, or, more simply, MGD, is the most common dry eye syndrome, accounting for approximately 85% of cases. MGD may occur as a consequence of getting older and may be become symptomatic in 10% to 15% of adults over the age of 50. It can also occur in patients with acne rosacea (where it is almost universally present), in patients with multiple allergies (especially those with strong family histories of allergy and/or eczema), and after eye surgery (especially LASIK, but also after cataract or glaucoma surgery). The MOST common symptom of MGD is fluctuation of vision. This is most noticeable during visual tasks that are associated with decreased blinking, such as reading, using the computer, watching television, and driving. It is aggravated during exposure to “evaporative conditions,” such as low environmental humidity and blowing air, especially ceiling and floor fans and heaters or air conditioners.