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1 made simply ridiculous

Regarding the embryology of the : There are two anatomic structures we must concern ourselves with… 2 Eye embryology made simply ridiculous

(Outside of ; space filled with amniotic fluid)

( apices) Surfacesame twoEctoderm words cells resting on the outer body wall of the embryo

(Inside of embryo; space filled with embryo stuff) This is the outer body wall of the embryo in the region destined to become the . The surface of the outer body wall is lined with surfacetwo ectodermwords cells. 3 Eye embryology made simply ridiculous

(Outside of embryo; space filled with amniotic fluid)

(Cell apices) Surface cells resting on the outer body wall of the embryo

(Inside of embryo; space filled with embryo stuff) This is the outer body wall of the embryo in the region destined to become the head. The surface of the outer body wall is lined with cells. 4 Eye embryology made simply ridiculous

This is the , an outpouching of the . The inner surface of the optic vesicle is lined with neuroectodermone word cells.

(Cell apices)

Neuroectodermsame one word cells resting on the inner wall of the optic vesicle

This way to the neural tube 5 Eye embryology made simply ridiculous

This is the optic vesicle, an outpouching of the neural tube. The inner surface of the optic vesicle is lined with cells.

(Cell apices)

Neuroectoderm cells resting on the inner wall of the optic vesicle

This way to the neural tube 6 Eye embryology made simply ridiculous

(Outside of embryo) (Outside of embryo) (Outside of embryo)

(Inside of embryo) (Inside of embryo) (Inside of embryo) This is how the surface ectoderm and optic vesicle are spatially related early in embryogenesis. Neuroectoderm cells resting on the inner wall of the optic vesicle

This way to the neural tube 7 Eye embryology made simply ridiculous Lenstwo placode words

The proximity of the optic vesicle to the surface ectoderm induces those cells to grow taller, forming a structure known as the lenssame placode two words . 8 Eye embryology made simply ridiculous

The proximity of the optic vesicle to the surface ectoderm induces those cells to grow taller, forming a structure known as the lens placode. 9 Eye embryology made simply ridiculous Lens placode

The proximity of the optic vesicle to the surface ectoderm induces those cells to grow taller, forming a structure known as the lens placode. This occurs in the firstunit ofmonth time of embryogenesis. 10 Eye embryology made simply ridiculous Lens placode

The proximity of the optic vesicle to the surface ectoderm induces those cells to grow taller, forming a structure known as the lens placode. This occurs in the first month of embryogenesis. 11 Eye embryology made simply ridiculous

The optic vesicle starts to invaginate, and… 12 Eye embryology made simply ridiculous

The optic vesicle starts to invaginate, and… as it does, the lens placode follows. 13 Eye embryology made simply ridiculous

This process of /following continues… 14 Eye embryology made simply ridiculous

This process of invagination/following continues… and continues… 15 Eye embryology made simply ridiculous

This process of invagination/following continues… and continues… until the two walls of neuroectoderm are apposing, and the surface ectoderm has formed a sphere. 16 Eye embryology made simply ridiculous

Note that the surface ectoderm re-establishes a continuous body wall

This process of invagination/following continues… and continues… until the two walls of neuroectoderm are apposing, and the surface ectoderm has formed a sphere. 17 Eye embryology made simply ridiculous

Note that the surface ectoderm re-establishes a continuous body wall

This process of invagination/following continues… and continues… until the two walls of neuroectoderm are apposing, and the surface ectoderm has formed a sphere.

Note that this part will become the optictwo wordsnerve 18 Eye embryology made simply ridiculous

Note that the surface ectoderm re-establishes a continuous body wall

This process of invagination/following continues… and continues… until the two walls of neuroectoderm are apposing, and the surface ectoderm has formed a sphere.

Note that this part will become the optic 19 Eye embryology made simply ridiculous

Note that the surface ectoderm re-establishes a continuous body wall

The re-established surface ectoderm will eventually give rise to a number of eye-related structures: This process of 1) of the invagination/following2) Epithelium of the continues… 3) Eyelids and continues… 4) Lacrimal gland until the two walls of neuroectoderm are apposing, and the surface ectoderm has formed a sphere.

Note that this part will become the optic nerve 20 Eye embryology made simply ridiculous

Note that the surface ectoderm re-establishes a continuous body wall

The re-established surface ectoderm will eventually give rise to a number of eye-related structures: This process of 1) Epithelium of the conjunctiva invagination/following2) Epithelium of the cornea continues… 3) Eyelids and continues… 4) Lacrimal gland until the two walls of neuroectoderm are apposing, and the surface ectoderm has formed a sphere.

Note that this part will become the optic nerve 21 Eye embryology made simply ridiculous

Note that the surface ectoderm re-establishes a continuous body wall

The re-established surface ectoderm will eventually give rise to a number of eye-related structures: This process of 1) Epithelium of the conjunctiva invagination/following2) Epithelium of the cornea continues… 3) Eyelids and continues… 4) Lacrimal gland until the two walls of neuroectoderm are apposing, and the surface ectoderm has formed a sphere.

Note that this part will become the optic nerve 22 Eye embryology made simply ridiculous

The pinched-off sphere forms the lens vesicle 23 Eye embryology made simply ridiculous

The pinched-off sphere forms the lens vesicle 24 Eye embryology made simply ridiculous

The pinched-off sphere forms the lens vesicle

The invaginated neuroectoderm gives rise to the: 1) Neurosensory 2) RPE 3) Ciliary-body epithelium (both pigmented and nonpigmented layers) 4) epithelium (posterior) 5) Pupillary sphincter muscle 6) Pupillary dilator muscle 25 Eye embryology made simply ridiculous

The pinched-off sphere forms the lens vesicle

The invaginated neuroectoderm gives rise to the: 1) Neurosensory retina 2) RPE 3) Ciliary-body epithelium (both pigmented and nonpigmented layers) 4) Iris epithelium (posterior) 5) Pupillary sphincter muscle 6) Pupillary dilator muscle 26 Eye embryology made simply ridiculous

The pinched-off sphere forms the

Note that the embryology explains why thelens neurosensory retina is upsideupside downdown in the eye. vesicle

The invaginated neuroectoderm gives rise to the: 1) Neurosensory retina 2) 3) Ciliary-body epithelium (both pigmented and nonpigmented layers) 4) 5) Pupillary sphincter muscle 6) Pupillary dilator muscle 27 Eye embryology made simply ridiculous

The pinched-off sphere forms the lens vesicle

The invaginated neuroectoderm gives rise to the: 1) Neurosensory retina 2) RPE 3) Ciliary-body epithelium (both pigmented and nonpigmented layers) 4) Iris epithelium (posterior) 5) Pupillary sphincter muscle 6) Pupillary dilator muscle 28 Eye embryology made simply ridiculous

The pinched-off sphere forms the lens vesicle

The invaginated neuroectoderm gives rise to the: 1) Neurosensory retina 2) RPE 3) Ciliary-body epithelium (both pigmented and nonpigmented layers) 4) Iris epithelium (posterior) 5) Pupillary sphincter muscle 6) Pupillary dilator muscle 29 Eye embryology made simply ridiculous

The pinched-off sphere forms the lens vesicle

The invaginated neuroectoderm gives rise to the: 1) Neurosensory retina 2) RPE 3) Ciliary-body epithelium (both pigmented and nonpigmented layers) 4) Iris epithelium (posterior) Note also that the embryology explains why the RPE and (This cells part are becomes arranged the optic nerve) 5) Pupillary sphincter muscle apex-to-apex 6) Pupillary dilator muscle 30 Eye embryology made simply ridiculous

Also, the embryology explains why rhegmatogenous retinal detachments occur. The neurosensory retina and RPE are not attached to one another, but rather are separated by a potential space—the remnant of the space contained within the optic vesicle. Breaks in the retina allow syneretic vitreous to gain access to this space—and the result is a rhegmatogenous RD.

The pinched-off sphere forms the lens vesicle

The invaginated neuroectoderm gives rise to the: 1) Neurosensory retina 2) RPE 3) Ciliary-body epithelium (both pigmented and nonpigmented layers) 4) Iris epithelium (posterior) 5) Pupillary sphincter muscle 6) Pupillary dilator muscle 31 Eye embryology made simply ridiculous

What does rhegmatogenous mean in this context? It means ‘associated with a break or tear’

Also, the embryology explains why rhegmatogenous retinal detachments occur. The neurosensory retina and RPE are not attached to one another, but rather are separated by a potential space—the remnant of the space contained within the optic vesicle. Breaks in the retina allow syneretic vitreous to gain access to this space—and the result is a rhegmatogenous RD.

The pinched-off sphere forms the lens What does syneretic mean in this context? vesicle It means ‘liquified’

The invaginated neuroectoderm gives rise to the: 1) Neurosensory retina 2) RPE 3) Ciliary-body epithelium (both pigmented and nonpigmented layers) 4) Iris epithelium (posterior) 5) Pupillary sphincter muscle 6) Pupillary dilator muscle 32 Eye embryology made simply ridiculous

What does rhegmatogenous mean in this context? It means ‘associated with a break or tear’

Also, the embryology explains why rhegmatogenous retinal detachments occur. The neurosensory retina and RPE are not attached to one another, but rather are separated by a potential space—the remnant of the space contained within the optic vesicle. Breaks in the retina allow syneretic vitreous to gain access to this space—and the result is a rhegmatogenous RD.

The pinched-off sphere forms the lens What does syneretic mean in this context? vesicle It means ‘liquified’

The invaginated neuroectoderm gives rise to the: 1) Neurosensory retina 2) RPE 3) Ciliary-body epithelium (both pigmented and nonpigmented layers) 4) Iris epithelium (posterior) 5) Pupillary sphincter muscle 6) Pupillary dilator muscle 33 Eye embryology made simply ridiculous

The pinched-off sphere forms the lens vesicle

The invaginated neuroectoderm gives rise to the: 1) Neurosensory retina 2) RPE 3) Ciliary-body epithelium (both pigmented and nonpigmented layers) 4) Iris epithelium (posterior) 5) Pupillary sphincter muscle 6) Pupillary dilator muscle 34 Eye embryology made simply ridiculous

The pinched-off sphere forms the lens vesicle

The invaginated neuroectoderm gives rise to the: 1) Neurosensory retina 2) RPE 3) Ciliary-body epithelium (both pigmented and nonpigmented layers) 4) Iris epithelium (posterior) 5) Pupillary sphincter muscle 6) Pupillary dilator muscle 35 Eye embryology made simply ridiculous

Note that the embryology explains why the has two epithelial layers that also are arranged apex-to-apex

The pinched-off sphere forms the lens vesicle

The invaginated neuroectoderm gives rise to the: 1) Neurosensory retina 2) RPE 3) Ciliary-body epithelium (both pigmented and nonpigmented layers) 4) Iris epithelium (posterior) 5) Pupillary sphincter muscle 6) Pupillary dilator muscle 36 Eye embryology made simply ridiculous

Note that the embryology explains why the ciliary body has two epithelial layers that also are arranged apex-to-apex

One CB epi layer is pigmented, The pinched-off and one isn’t. Which is which? sphere forms the The inner (nearest the lens) layer lens is nonpigmented; the outer (next ? to the CB stroma) is pigmented. vesicle

The invaginated neuroectoderm gives rise to the: 1) Neurosensory retina 2) RPE 3) Ciliary-body epithelium (both pigmented and nonpigmented layers) 4) Iris epithelium (posterior) 5) Pupillary sphincter muscle 6) Pupillary dilator muscle 37 Eye embryology made simply ridiculous

Note that the embryology explains why the ciliary body has two epithelial layers that also are arranged apex-to-apex

One CB epi layer is pigmented, The pinched-off and one isn’t. Which is which? sphere forms the The inner (nearest the lens) layer lens is nonpigmented; the outer (next vesicle to the CB stroma) is pigmented.

The invaginated neuroectoderm gives rise to the: 1) Neurosensory retina 2) RPE 3) Ciliary-body epithelium (both pigmented and nonpigmented layers) 4) Iris epithelium (posterior) 5) Pupillary sphincter muscle 6) Pupillary dilator muscle 38 Eye embryology made simply ridiculous

One CB epi layer is pigmented, The pinched-off and one isn’t. Which is which? sphere forms the The inner (nearest the lens) layer lens is nonpigmented; the outer (next vesicle to the CB stroma) is pigmented. Note how the embryology can help you remember this, because the pigmented CB The invaginated neuroectoderm epi is continuous with the gives rise to the: (heavily pigmented) RPE, 1) Neurosensory retina while the nonpigmented CB 2) RPE epi is continuous with the 3) Ciliary-body epithelium (largely nonpigmented) retina. (both pigmented and nonpigmented layers) 4) Iris epithelium (posterior) 5) Pupillary sphincter muscle 6) Pupillary dilator muscle 39 Eye embryology made simply ridiculous

The pinched-off sphere forms the lens vesicle

The invaginated neuroectoderm gives rise to the: 1) Neurosensory retina 2) RPE 3) Ciliary-body epithelium (both pigmented and nonpigmented layers) 4) Iris epithelium (posterior) 5) Pupillary sphincter muscle 6) Pupillary dilator muscle 40 Eye embryology made simply ridiculous

The pinched-off sphere forms the lens vesicle

The invaginated neuroectoderm gives rise to the: 1) Neurosensory retina 2) RPE 3) Ciliary-body epithelium (both pigmented and nonpigmented layers) 4) Iris epithelium (posterior) 5) Pupillary sphincter muscle 6) Pupillary dilator muscle 41 Eye embryology made simply ridiculous

Note that the embryology explains why the iris has two epithelial layers that are arranged apex-to-apex, but it is less helpful for remembering that both epithelial layers are pigmented (you’re on your own for that fact!).

The pinched-off sphere forms the lens vesicle

The invaginated neuroectoderm gives rise to the: 1) Neurosensory retina 2) RPE 3) Ciliary-body epithelium (both pigmented and nonpigmented layers) 4) Iris epithelium (posterior) 5) Pupillary sphincter muscle 6) Pupillary dilator muscle 42 Eye embryology made simply ridiculous

The pinched-off sphere forms the lens vesicle

The invaginated neuroectoderm gives rise to the: 1) Neurosensory retina 2) RPE 3) Ciliary-body epithelium (both pigmented and nonpigmented layers) 4) Iris epithelium (posterior) 5) Pupillary sphincter muscle 6) Pupillary dilator muscle 43 Eye embryology made simply ridiculous

The pinched-off sphere forms the lens vesicle

The invaginated neuroectoderm gives rise to the: 1) Neurosensory retina 2) RPE 3) Ciliary-body epithelium (both pigmented and nonpigmented layers) 4) Iris epithelium (posterior) 5) Pupillary sphincter muscle 6) Pupillary dilator muscle 44 Eye embryology made simply ridiculous

The pinched-off sphere forms the lens vesicle

The invaginated neuroectoderm gives rise to the: 1) Neurosensory retina 2) RPE 3) Ciliary-body epithelium (both pigmented and nonpigmented layers) 4) Iris epithelium (posterior) 5) Pupillary sphincter muscle 6) Pupillary dilator muscle 45 Eye embryology made simply ridiculous

The pinched-off sphere forms the lens vesicle

Note that embryology explains why the lens is composed of epithelial cells on the inside with their basement membrane on the outside. 46 Eye embryology made simply ridiculous

The pinched-off sphere forms the lens vesicle

Note that embryology explains why the lens is composed of epithelial cells on the inside with their basement membrane on the outside.

What structure of the adult lens derives from this basement membrane? The lens capsule 47 Eye embryology made simply ridiculous

The pinched-off sphere forms the lens vesicle

Note that embryology explains why the lens is composed of epithelial cells on the inside with their basement membrane on the outside.

What structure of the adult lens derives from this basement membrane? The lens capsule 48 Eye embryology made simply ridiculous

The pinched-off sphere forms the lens vesicle

Soon the cells on the posterior aspect of the lens vesicle start to grow anteriorly, eventually obliterating the lumen entirely. The structure thus formed is called the embryonic nucleus 49 Eye embryology made simply ridiculous

Embryonic Nucleus?

Soon the cells on the posterior aspect of the lens vesicle start to grow anteriorly, eventually obliterating the lumen entirely. The structure thus formed is called the embryonictwo words nucleus 50 Eye embryology made simply ridiculous

Embryonic Nucleus

Soon the cells on the posterior aspect of the lens vesicle start to grow anteriorly, eventually obliterating the lumen entirely. The structure thus formed is called the embryonic nucleus 51 Eye embryology made simply ridiculous

Fibers meet and interdigitate here

Fibers grow from here

Fibers grow Embryonic from here Nucleus Fibers meet and interdigitate here

The equatorial cells of the embryonic lens will then grow anteriorly and posteriorly, insinuating themselves between the fetal fibers and the lens capsule. These fibers meet and interdigitate at the anterior and posterior poles of the lens. This entire structure is known as the fetal nucleus 52 Eye embryology made simply ridiculous

Fetal Nucleus? Embryonic Nucleus

The equatorial cells of the embryonic lens will then grow anteriorly and posteriorly, insinuating themselves between the fetal fibers and the lens capsule. These fibers meet and interdigitate at the anterior and posterior poles of the lens. This entire structure is known as the fetaltwo nucleus words 53 Eye embryology made simply ridiculous

Fetal Nucleus

Embryonic Nucleus

The equatorial cells of the embryonic lens will then grow anteriorly and posteriorly, insinuating themselves between the fetal fibers and the lens capsule. These fibers meet and interdigitate at the anterior and posterior poles of the lens. This entire structure is known as the fetal nucleus 54 Eye embryology made simply ridiculous

Fetal ? Nucleus

Embryonic Nucleus

? The equatorial cells of the embryonic lens will then grow anteriorly and posteriorly, insinuating themselves between the fetal fibers and the lens capsule. These fibers meet and interdigitate at the anterior and posterior poles of the lens. This entire structure is known as the fetal nucleus What two structures, easily observable in the adult lens, do these interdigitations form? The Y sutures

What are the orientations of the two Y sutures? The anterior Y suture is upside down; the posterior Y suture is rightside up 55 Eye embryology made simply ridiculous

Fetal Nucleus

Embryonic Nucleus

The equatorial cells of the embryonic lens will then grow anteriorly and posteriorly, insinuating themselves between the fetal fibers and the lens capsule. These fibers meet and interdigitate at the anterior and posterior poles of the lens. This entire structure is known as the fetal nucleus What two structures, easily observable in the adult lens, do these interdigitations form? The Y sutures

What are the orientations of the two Y sutures? The anterior Y suture is upside down; the posterior Y suture is rightside up 56

Eye embryology made simply ridiculous Y or Fetal Y Nucleus

Embryonic

Nucleus Y orY The equatorial cells of the embryonic lens will then grow anteriorly and posteriorly, insinuating themselves between the fetal fibers and the lens capsule. These fibers meet and interdigitate at the anterior and posterior poles of the lens. This entire structure is known as the fetal nucleus What two structures, easily observable in the adult lens, do these interdigitations form? The Y sutures

What are the orientations of the two Y sutures? The anterior Y suture is upside down; the posterior Y suture is rightside up 57 Eye embryology made simply ridiculous

Fetal Y Nucleus

Embryonic

Nucleus Y

The equatorial cells of the embryonic lens will then grow anteriorly and posteriorly, insinuating themselves between the fetal fibers and the lens capsule. These fibers meet and interdigitate at the anterior and posterior poles of the lens. This entire structure is known as the fetal nucleus What two structures, easily observable in the adult lens, do these interdigitations form?

The Y sutures What are the orientations of the two Y sutures? upside down The anterior Y suture is right-side up; the posterior Y suture is 58 Eye embryology made simply ridiculous

In addition to surface- and neuroectoderm, there are two embryologic cell/ types we must concern ourselves with:

Mesodermone word

Neuralthree crest words cells 59 Eye embryology made simply ridiculous

In addition to surface- and neuroectoderm, there are two embryologic cell/tissue types we must concern ourselves with:

Mesoderm

Neural crest cells 60 Eye embryology made simply ridiculous

In addition to surface- and neuroectoderm, there are two embryologic cell/tissue types we must concern ourselves with:

Mesoderm

What is mesodermNeural? crest cells One of the three primary germ layers of the embryo

What are the other two primary germ layers? --Ectoderm -- 61 Eye embryology made simply ridiculous

In addition to surface- and neuroectoderm, there are two embryologic cell/tissue types we must concern ourselves with:

Mesoderm

What is mesodermNeural? crest cells One of the three primary germ layers of the embryo

What are the other two primary germ layers? --Ectoderm --Endoderm 62 Eye embryology made simply ridiculous

In addition to surface- and neuroectoderm, there are two embryologic cell/tissue types we must concern ourselves with:

Mesoderm

What is mesodermNeural? crest cells One of the three primary germ layers of the embryo

What are the other two primary germ layers? --Ectoderm --Endoderm 63 Eye embryology made simply ridiculous

In addition to surface- and neuroectoderm, there are two embryologic cell/tissue types we must concern ourselves with:

Mesoderm

What is mesodermNeural? crest cells One of the three primary germ layers of the embryo

What are the other two primary germ layers? --Ectoderm --Endoderm 64 Eye embryology made simply ridiculous

In addition to surface- and neuroectoderm, there are two embryologic cell/tissue types we must concern ourselves with:

Mesoderm

What is mesodermNeural? crest cells One of the three primary germ layers of the embryo

What ocularWhat structures are the derive other two from primary mesoderm? germ layers? (mnemonic coming…) -- --Ectoderm --Endoderm ------65 Eye embryology made simply ridiculous

In addition to surface- and neuroectoderm, there are two embryologic cell/tissue types we must concern ourselves with:

Mesoderm

What is mesodermNeural? crest cells One of the three primary germ layers of the embryo

What ocularWhat structures are the derive other two from primary mesoderm? germ layers? (mnemonic coming…) --M --Ectoderm --Endoderm --E --S --O 66 Eye embryology made simply ridiculous

In addition to surface- and neuroectoderm, there are two embryologic cell/tissue types we must concern ourselves with:

Mesoderm

What is mesodermNeural? crest cells One of the three primary germ layers of the embryo

What ocularWhat structures are the derive other two from primary mesoderm? germ layers? (mnemonic coming…) --Muscles (EOMs)--Ectoderm --Endoderm -- of the blood vessels --Schlemm’s canal --Oh, and don’t forget that small portion of the ! 67 Eye embryology made simply ridiculous

In addition to surface- and neuroectoderm, there are two embryologic cell/tissue types we must concern ourselves with:

Mesoderm

Neural crest cells

What is/are neural crest cells? A special subpopulation of neuroectodermal cells that migrate across the embryo and deposit themselves at a wide variety of locations, eventually differentiating into a number of different tissues. 68 Eye embryology made simply ridiculous

In addition to surface- and neuroectoderm, there are two embryologic cell/tissue types we must concern ourselves with:

Mesoderm

Neural crest cells

What is/are neural crest cells? A special subpopulation of neuroectodermal cells that migrate across the embryo and deposit themselves at a wide variety of locations, eventually differentiating into a number of different tissues. 69 Eye embryology made simply ridiculous

What ocular structures derive from neural crest cells? Just about everything that has yet to be mentioned: --Corneal stroma and endothelium --TrabecularIn addition meshwork to surface- and neuroectoderm, there are two --Irisembryologic stroma cell/tissue types we must concern ourselves with: -- --Most of the sclera (except the smallMesoderm part deriving from mesoderm, as mentioned)

Neural crest cells

What is/are neural crest cells? A special subpopulation of neuroectodermal cells that migrate across the embryo and deposit themselves at a wide variety of locations, eventually differentiating into a number of different tissues. 70 Eye embryology made simply ridiculous

What ocular structures derive from neural crest cells? Just about everything that has yet to be mentioned: --Corneal stroma and endothelium --TrabecularIn addition meshwork to surface- and neuroectoderm, there are two --Irisembryologic stroma cell/tissue types we must concern ourselves with: --Choroid --Most of the sclera (except the smallMesoderm part deriving from mesoderm, as mentioned)

Neural crest cells

What is/are neural crest cells? A special subpopulation of neuroectodermal cells that migrate across the embryo and deposit themselves at a wide variety of locations, eventually differentiating into a number of different tissues. 71 Eye embryology made simply ridiculous

What ocular structures derive from neural crest cells? Just about everything that has yet to be mentioned: --Corneal stroma and endothelium --TrabecularIn addition meshwork to surface- and neuroectoderm, there are two --Irisembryologic stroma cell/tissue types we must concern ourselves with: --Choroid --Most of the sclera (except the smallMesoderm part deriving from mesoderm, as mentioned)

Neural crest cells

What is/are neural crest cells? A special subpopulation of neuroectodermal cells that migrate across the embryo and deposit themselves at a wide variety of locations, eventually differentiating into a number of different tissues.

Neural crest concerning the anterior segment occurs in three ‘waves.’ Which wave involves which future structure? First wave: Second wave: Iris stroma Third wave: Corneal stroma (keratocytes) 72 Eye embryology made simply ridiculous

What ocular structures derive from neural crest cells? Just about everything that has yet to be mentioned: --Corneal stroma and endothelium --TrabecularIn addition meshwork to surface- and neuroectoderm, there are two --Irisembryologic stroma cell/tissue types we must concern ourselves with: --Choroid --Most of the sclera (except the smallMesoderm part deriving from mesoderm, as mentioned)

Neural crest cells

What is/are neural crest cells? A special subpopulation of neuroectodermal cells that migrate across the embryo and deposit themselves at a wide variety of locations, eventually differentiating into a number of different tissues.

Neural crest cell migration concerning the anterior segment occurs in three ‘waves.’ Which wave involves which future structure? First wave: Corneal endothelium Second wave: Third wave: 73 Eye embryology made simply ridiculous

What ocular structures derive from neural crest cells? Just about everything that has yet to be mentioned: --Corneal stroma and endothelium --TrabecularIn addition meshwork to surface- and neuroectoderm, there are two --Irisembryologic stroma cell/tissue types we must concern ourselves with: --Choroid --Most of the sclera (except the smallMesoderm part deriving from mesoderm, as mentioned)

Neural crest cells

What is/are neural crest cells? A special subpopulation of neuroectodermal cells that migrate across the embryo and deposit themselves at a wide variety of locations, eventually differentiating into a number of different tissues.

Neural crest cell migration concerning the anterior segment occurs in three ‘waves.’ Which wave involves which future structure? First wave: Corneal endothelium Second wave: Third wave: 74 Eye embryology made simply ridiculous

What ocular structures derive from neural crest cells? Just about everything that has yet to be mentioned: --Corneal stroma and endothelium --TrabecularIn addition meshwork to surface- and neuroectoderm, there are two --Irisembryologic stroma cell/tissue types we must concern ourselves with: --Choroid --Most of the sclera (except the smallMesoderm part deriving from mesoderm, as mentioned)

Neural crest cells

What is/are neural crest cells? A special subpopulation of neuroectodermal cells that migrate across the embryo and deposit themselves at a wide variety of locations, eventually differentiating into a number of different tissues.

Neural crest cell migration concerning the anterior segment occurs in three ‘waves.’ Which wave involves which future structure? First wave: Corneal endothelium Second wave: Iris stroma Third wave: 75 Eye embryology made simply ridiculous

What ocular structures derive from neural crest cells? Just about everything that has yet to be mentioned: --Corneal stroma and endothelium --TrabecularIn addition meshwork to surface- and neuroectoderm, there are two --Irisembryologic stroma cell/tissue types we must concern ourselves with: --Choroid --Most of the sclera (except the smallMesoderm part deriving from mesoderm, as mentioned)

Neural crest cells

What is/are neural crest cells? A special subpopulation of neuroectodermal cells that migrate across the embryo and deposit themselves at a wide variety of locations, eventually differentiating into a number of different tissues.

Neural crest cell migration concerning the anterior segment occurs in three ‘waves.’ Which wave involves which future structure? First wave: Corneal endothelium Second wave: Iris stroma Third wave: 76 Eye embryology made simply ridiculous

What ocular structures derive from neural crest cells? Just about everything that has yet to be mentioned: --Corneal stroma and endothelium --TrabecularIn addition meshwork to surface- and neuroectoderm, there are two --Irisembryologic stroma cell/tissue types we must concern ourselves with: --Choroid --Most of the sclera (except the smallMesoderm part deriving from mesoderm, as mentioned)

Neural crest cells

What is/are neural crest cells? A special subpopulation of neuroectodermal cells that migrate across the embryo and deposit themselves at a wide variety of locations, eventually differentiating into a number of different tissues.

Neural crest cell migration concerning the anterior segment occurs in three ‘waves.’ Which wave involves which future structure? First wave: Corneal endothelium Second wave: Iris stroma Third wave: Corneal stroma (keratocytes) 77 Eye embryology made simply ridiculous

What ocular structures derive from neural crest cells? Just about everything that has yet to be mentioned: --Corneal stroma and endothelium --TrabecularIn addition meshwork to surface- and neuroectoderm, there are two --Irisembryologic stroma cell/tissue types we must concern ourselves with: --Choroid --Most of the sclera (except the smallMesoderm part deriving from mesoderm, as mentioned)

Neural crest cells

What is a neurocristopathy? A congenital/developmentalWhat is/are neural crest abnormality cells? owing to flawed neural-crest cell migration or differentiation A special subpopulation of neuroectodermal cells that migrate across the embryo and deposit themselves at a wide variety of locations, eventually differentiating into a number What are some examples of neurocristopathy? of different tissues. Some of the important ones include… Neural crest cell migration concerning the anterior segment occurs in three ‘waves.’ Which wave involves which future structure? First wave: Corneal endothelium Second wave: Iris stroma Third wave: Corneal stroma (keratocytes) 78 Eye embryology made simply ridiculous

What ocular structures derive from neural crest cells? Just about everything that has yet to be mentioned: --Corneal stroma and endothelium --TrabecularIn addition meshwork to surface- and neuroectoderm, there are two --Irisembryologic stroma cell/tissue types we must concern ourselves with: --Choroid --Most of the sclera (except the smallMesoderm part deriving from mesoderm, as mentioned)

Neural crest cells

What is a neurocristopathy? A congenital/developmentalWhat is/are neural crest abnormality cells? owing to flawed neural-crest cell migration or differentiation A special subpopulation of neuroectodermal cells that migrate across the embryo and deposit themselves at a wide variety of locations, eventually differentiating into a number What are some examples of neurocristopathy? of different tissues. Some of the important ones include… Neural crest cell migration concerning the anterior segment occurs in three ‘waves.’ Which wave involves which future structure? First wave: Corneal endothelium Second wave: Iris stroma Third wave: Corneal stroma (keratocytes) 79 Eye embryology made simply ridiculous

What ocular structures derive from neural crest cells? Just about everything that has yet to be mentioned: --Corneal stroma and endothelium --TrabecularIn addition meshwork to surface- and neuroectoderm, there are two --Irisembryologic stroma cell/tissue types we must concern ourselves with: --Choroid --Most of the sclera (except the smallMesoderm part deriving from mesoderm, as mentioned)

Neural crest cells

What is a neurocristopathy? A congenital/developmentalWhat is/are neural crest abnormality cells? owing to flawed neural-crest cell migration or differentiation A special subpopulation of neuroectodermal cells that migrate across the embryo and deposit themselves at a wide variety of locations, eventually differentiating into a number What are some examples of neurocristopathy? of different tissues. Some of the important ones include… Neural crest cell migration concerning the anterior segment occurs in three ‘waves.’ Which wave involves which future structure? First wave: Corneal endothelium Second wave: Iris stroma Third wave: Corneal stroma (keratocytes) 80 Eye embryology made simply ridiculous

What ocular structures derive from neural crest cells? Just about everything that has yet to be mentioned: --Corneal stroma and endothelium --TrabecularIn addition meshwork to surface- and neuroectoderm, there are two --Irisembryologic stroma cell/tissue types we must concern ourselves with: --Choroid --Most of the sclera (except the smallMesoderm part deriving from mesoderm, as mentioned)

Neural crest cells

What is a neurocristopathy? A congenital/developmentalWhat is/are neural crest abnormality cells? owing to flawed neural-crest cell migration or differentiation A special subpopulation of neuroectodermal cells that migrate across the embryo and deposit themselves at a wide variety of locations, eventually differentiating into a number What are some examples of neurocristopathy? of different tissues. Some of the important ones include… Neural crest cell migration concerning the anterior segment occurs in three ‘waves.’ Which wave involves which future structure? First wave: Corneal endothelium Second wave: Iris stroma Third wave: Corneal stroma (keratocytes) 81 --Axenfeld-Reiger syndrome Eye embryology made simply--Peters ridiculous anomaly --Posterior --Posterior embryotoxon --Microcornea and megalocornea --Sclerocornea and cornea plana --CHED What ocular structures derive from neural crest cells?--CHSD Just about everything that has yet to be mentioned: --Corneal stroma and endothelium --TrabecularIn addition meshwork to surface- and neuroectoderm, there are two --Irisembryologic stroma cell/tissue types we must concern ourselves with: --Choroid --Most of the sclera (except the smallMesoderm part deriving from mesoderm, as mentioned)

Neural crest cells

What is a neurocristopathy? A congenital/developmentalWhat is/are neural crest abnormality cells? owing to flawed neural-crest cell migration or differentiation A special subpopulation of neuroectodermal cells that migrate across the embryo and deposit themselves at a wide variety of locations, eventually differentiating into a number What are some examples of neurocristopathy? of different tissues. Some of the important ones include… Neural crest cell migration concerning the anterior segment occurs in three ‘waves.’ Which wave involves which future structure? First wave: Corneal endothelium Second wave: Iris stroma Third wave: Corneal stroma (keratocytes) 82 --Axenfeld-Reiger syndrome Eye embryology made simply--Peters ridiculous anomaly --Posterior keratoconus --Posterior embryotoxon --Microcornea and megalocornea --Sclerocornea and cornea plana --CHED What ocular structures derive from neural crest cells?--CHSD Just about everything that has yet to be mentioned: --Corneal stroma and endothelium --TrabecularIn addition meshwork to surface- and neuroectoderm, there are two --Irisembryologic stroma cell/tissue types we must concern ourselves with: --Choroid --Most of the sclera (except the smallMesoderm part deriving from mesoderm, as mentioned)

Neural crest cells

What is a neurocristopathy? A congenital/developmentalWhat is/are neural crest abnormality cells? owing to flawed neural-crest cell migration or differentiation A special subpopulation of neuroectodermal cells that migrate across the embryo and deposit themselves at a wide variety of locations, eventually differentiating into a number What are some examples of neurocristopathy? of different tissues. Some of the important ones include… Neural crest cell migration concerning the anterior segment occurs in three ‘waves.’ Which wave involves which future structure? First wave: Corneal endothelium Second wave: Iris stroma Third wave: Corneal stroma (keratocytes) 83 --Axenfeld-Reiger syndrome Eye embryology made simply--Peters ridiculous anomaly --Posterior keratoconus What do CHED and CHSD stand for? --Posterior embryotoxon CHED: Congenital hereditary endothelial dystrophy --Microcornea and megalocornea CHSD: Congenital hereditary stroma; dystrophy --Sclerocornea and cornea plana --CHED What ocular structures derive from neural crest cells?--CHSD Just about everything that has yet to be mentioned: --Corneal stroma and endothelium --TrabecularIn addition meshwork to surface- and neuroectoderm, there are two --Irisembryologic stroma cell/tissue types we must concern ourselves with: --Choroid --Most of the sclera (except the smallMesoderm part deriving from mesoderm, as mentioned)

Neural crest cells

What is a neurocristopathy? A congenital/developmentalWhat is/are neural crest abnormality cells? owing to flawed neural-crest cell migration or differentiation A special subpopulation of neuroectodermal cells that migrate across the embryo and deposit themselves at a wide variety of locations, eventually differentiating into a number What are some examples of neurocristopathy? of different tissues. Some of the important ones include… Neural crest cell migration concerning the anterior segment occurs in three ‘waves.’ Which wave involves which future structure? First wave: Corneal endothelium Second wave: Iris stroma Third wave: Corneal stroma (keratocytes) 84 --Axenfeld-Reiger syndrome Eye embryology made simply--Peters ridiculous anomaly --Posterior keratoconus What do CHED and CHSD stand for? --Posterior embryotoxon CHED: Congenital hereditary endothelial dystrophy --Microcornea and megalocornea CHSD: Congenital hereditary stromalstroma; dystrophy --Sclerocornea and cornea plana --CHED What ocular structures derive from neural crest cells?--CHSD Just about everything that has yet to be mentioned: --Corneal stroma and endothelium --TrabecularIn addition meshwork to surface- and neuroectoderm, there are two --Irisembryologic stroma cell/tissue types we must concern ourselves with: --Choroid --Most of the sclera (except the smallMesoderm part deriving from mesoderm, as mentioned)

Neural crest cells

What is a neurocristopathy? A congenital/developmentalWhat is/are neural crest abnormality cells? owing to flawed neural-crest cell migration or differentiation A special subpopulation of neuroectodermal cells that migrate across the embryo and deposit themselves at a wide variety of locations, eventually differentiating into a number What are some examples of neurocristopathy? of different tissues. Some of the important ones include… Neural crest cell migration concerning the anterior segment occurs in three ‘waves.’ Which wave involves which future structure? First wave: Corneal endothelium Second wave: Iris stroma Third wave: Corneal stroma (keratocytes) 85 --Axenfeld-Reiger syndrome Eye embryology made simply--Peters ridiculous anomaly --Posterior keratoconus --Posterior embryotoxon --Microcornea and megalocornea --Sclerocornea and cornea plana --CHED What ocular structures derive from neural crest cells?--CHSD Just about everything that has yet to be mentioned: --Corneal stroma and endothelium --TrabecularIn addition meshwork to surface- and neuroectoderm, there are two embryologic cell/tissue types we must concern ourselves with: --Iris stroma Congenital(Just one, but it’s reallyglaucomaimportant) --Choroid --Most of the sclera (except the smallMesoderm part deriving from mesoderm, as mentioned)

Neural crest cells

What is a neurocristopathy? A congenital/developmentalWhat is/are neural crest abnormality cells? owing to flawed neural-crest cell migration or differentiation A special subpopulation of neuroectodermal cells that migrate across the embryo and deposit themselves at a wide variety of locations, eventually differentiating into a number What are some examples of neurocristopathy? of different tissues. Some of the important ones include… Neural crest cell migration concerning the anterior segment occurs in three ‘waves.’ Which wave involves which future structure? First wave: Corneal endothelium Second wave: Iris stroma Third wave: Corneal stroma (keratocytes) 86 --Axenfeld-Reiger syndrome Eye embryology made simply--Peters ridiculous anomaly --Posterior keratoconus --Posterior embryotoxon --Microcornea and megalocornea --Sclerocornea and cornea plana --CHED What ocular structures derive from neural crest cells?--CHSD Just about everything that has yet to be mentioned: --Corneal stroma and endothelium --TrabecularIn addition meshwork to surface- and neuroectoderm, there are two embryologic cell/tissue types we must concern ourselves with: --Iris stroma Congenital --Choroid --Most of the sclera (except the smallMesoderm part deriving from mesoderm, as mentioned)

Neural crest cells

What is a neurocristopathy? A congenital/developmentalWhat is/are neural crest abnormality cells? owing to flawed neural-crest cell migration or differentiation A special subpopulation of neuroectodermal cells that migrate across the embryo and deposit themselves at a wide variety of locations, eventually differentiating into a number What are some examples of neurocristopathy? of different tissues. Some of the important ones include… Neural crest cell migration concerning the anterior segment occurs in three ‘waves.’ Which wave involves which future structure? First wave: Corneal endothelium Second wave: Iris stroma Third wave: Corneal stroma (keratocytes) 87 --Axenfeld-Reiger syndrome Eye embryology made simply--Peters ridiculous anomaly --Posterior keratoconus --Posterior embryotoxon --Microcornea and megalocornea --Sclerocornea and cornea plana --CHED What ocular structures derive from neural crest cells?--CHSD Just about everything that has yet to be mentioned: --Corneal stroma and endothelium --TrabecularIn addition meshwork to surface- and neuroectoderm, there are two embryologic cell/tissue types we must concern ourselves with: --Iris stroma Congenital glaucoma --Choroid Rule--Most of of the thumb: sclera (except Guess the smallMesoderm ‘neurocristopathy’part deriving from mesoderm, asfor mentioned) any condition involving anterior-segment dysgenesis— chances areNeural you crest will cells be correct! What is a neurocristopathy? A congenital/developmentalWhat is/are neural crest abnormality cells? owing to flawed neural-crest cell migration or differentiation A special subpopulation of neuroectodermal cells that migrate across the embryo and deposit themselves at a wide variety of locations, eventually differentiating into a number What are some examples of neurocristopathy? of different tissues. Some of the important ones include… Neural crest cell migration concerning the anterior segment occurs in three ‘waves.’ Which wave involves which future structure? First wave: Corneal endothelium Second wave: Iris stroma Third wave: Corneal stroma (keratocytes) 88 --Axenfeld-Reiger syndrome Eye embryology made simply--Peters ridiculous anomaly --Posterior keratoconus --Posterior embryotoxon --Microcornea and megalocornea --Sclerocornea and cornea plana --CHED What ocular structures derive from neural crest cells?--CHSD Just about everything that has yet to be mentioned: --Corneal stroma and endothelium --TrabecularIn addition meshwork to surface- and neuroectoderm, there are two embryologic cell/tissue types we must concern ourselves with: --Iris stroma Congenital glaucoma --Choroid Finally,--Most what of themajor sclera ocular (except structure the smallhaveMesoderm partwe yet deriving to mention, from mesoderm, and what gives as mentioned) rise to it? The vitreous derives from surface ectoderm, neuroectoderm, mesoderm—pretty much everything BUT neural crest. Neural crest cells

What is a neurocristopathy? A congenital/developmentalWhat is/are neural crest abnormality cells? owing to flawed neural-crest cell migration or differentiation A special subpopulation of neuroectodermal cells that migrate across the embryo and deposit themselves at a wide variety of locations, eventually differentiating into a number What are some examples of neurocristopathy? of different tissues. Some of the important ones include… Neural crest cell migration concerning the anterior segment occurs in three ‘waves.’ Which wave involves which future structure? First wave: Corneal endothelium Second wave: Iris stroma Third wave: Corneal stroma (keratocytes) 89 --Axenfeld-Reiger syndrome Eye embryology made simply--Peters ridiculous anomaly --Posterior keratoconus --Posterior embryotoxon --Microcornea and megalocornea --Sclerocornea and cornea plana --CHED What ocular structures derive from neural crest cells?--CHSD Just about everything that has yet to be mentioned: --Corneal stroma and endothelium --TrabecularIn addition meshwork to surface- and neuroectoderm, there are two embryologic cell/tissue types we must concern ourselves with: --Iris stroma Congenital glaucoma --Choroid Finally,--Most what of themajor sclera ocular (except structure the smallhaveMesoderm partwe yet deriving to mention, from mesoderm, and what gives as mentioned) rise to it? The vitreous derives from surface ectoderm, neuroectoderm, mesoderm—pretty much everything BUT neural crest. Neural crest cells

What is a neurocristopathy? A congenital/developmentalWhat is/are neural crest abnormality cells? owing to flawed neural-crest cell migration or differentiation A special subpopulation of neuroectodermal cells that migrate across the embryo and deposit themselves at a wide variety of locations, eventually differentiating into a number What are some examples of neurocristopathy? of different tissues. Some of the important ones include… Neural crest cell migration concerning the anterior segment occurs in three ‘waves.’ Which wave involves which future structure? First wave: Corneal endothelium Second wave: Iris stroma Third wave: Corneal stroma (keratocytes)