Low-Level Visual Processing: the Retina
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Permeability of the Retina and RPE-Choroid-Sclera to Three Ophthalmic Drugs and the Associated Factors
pharmaceutics Article Permeability of the Retina and RPE-Choroid-Sclera to Three Ophthalmic Drugs and the Associated Factors Hyeong Min Kim 1,†, Hyounkoo Han 2,†, Hye Kyoung Hong 1, Ji Hyun Park 1, Kyu Hyung Park 1, Hyuncheol Kim 2,* and Se Joon Woo 1,* 1 Department of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam 13620, Korea; [email protected] (H.M.K.); [email protected] (H.K.H.); [email protected] (J.H.P.); [email protected] (K.H.P.) 2 Department of Chemical and Biomolecular Engineering, Sogang University, Seoul 04107, Korea; [email protected] * Correspondence: [email protected] (H.K.); [email protected] (S.J.W.); Tel.: +82-2-705-8922 (H.K.); +82-31-787-7377 (S.J.W.); Fax: +82-2-3273-0331 (H.K.); +82-31-787-4057 (S.J.W.) † These authors contributed equally to this work. Abstract: In this study, Retina-RPE-Choroid-Sclera (RCS) and RPE-Choroid-Sclera (CS) were prepared by scraping them off neural retina, and using the Ussing chamber we measured the average time– concentration values in the acceptor chamber across five isolated rabbit tissues for each drug molecule. We determined the outward direction permeability of the RCS and CS and calculated the neural retina permeability. The permeability coefficients of RCS and CS were as follows: ganciclovir, 13.78 ± 5.82 and 23.22 ± 9.74; brimonidine, 15.34 ± 7.64 and 31.56 ± 12.46; bevacizumab, 0.0136 ± 0.0059 and 0.0612 ± 0.0264 (×10−6 cm/s). -
Sclera and Retina Suturing Techniques 9 Kirk H
Chapter 9 Sclera and Retina Suturing Techniques 9 Kirk H. Packo and Sohail J. Hasan Key Points 9. 1 Introduction Surgical Indications • Vitrectomy Discussion of ophthalmic microsurgical suturing tech- – Infusion line niques as they apply to retinal surgery warrants atten- – Sclerotomies tion to two main categories of operations: vitrectomy – Conjunctival closure and scleral buckling. Th is chapter reviews the surgical – Ancillary techniques indications, basic instrumentation, surgical tech- • Scleral buckles niques, and complications associated with suturing – Encircling bands techniques in vitrectomy and scleral buckle surgery. A – Meridional elements brief discussion of future advances in retinal surgery Instrumentation appears at the end of this chapter. • Vitrectomy – Instruments – Sutures 9.2 • Scleral buckles Surgical Indications – Instruments – Sutures Surgical Technique 9.2.1 • Vitrectomy Vitrectomy – Suturing the infusion line in place – Closing sclerotomies Typically, there are three indications for suturing dur- • Scleral buckles ing vitrectomy surgery: placement of the infusion can- – Rectus muscle fi xation sutures nula, closure of sclerotomy, and the conjunctival clo- – Suturing encircling elements to the sclera sure. A variety of ancillary suturing techniques may be – Suturing meridional elements to the sclera employed during vitrectomy, including the external – Closing sclerotomy drainage sites securing of a lens ring for contact lens visualization, • Closure of the conjunctiva placement of transconjunctival or scleral fi xation su- Complications tures to manipulate the eye, and transscleral suturing • General complications of dislocated intraocular lenses. Some suturing tech- – Break in sterile technique with suture nee- niques such as iris dilation sutures and transretinal su- dles tures in giant tear repairs have now been replaced with – Breaking sutures other non–suturing techniques, such as the use of per- – Inappropriate knot creation fl uorocarbon liquids. -
The Nature of Foveal Representation Projections from the Nasal Part of the Retinae to Reach the Ipsilateral Hemispheres
PERSPECTIVES OPINION hemiretina, project to the ‘wrong’ laminae of the LGN. These results were taken to show that the crossing of the nasal retinal fibres in the optic chiasm is incomplete, allowing some The nature of foveal representation projections from the nasal part of the retinae to reach the ipsilateral hemispheres. Normally, Michal Lavidor and Vincent Walsh however, foveal stimuli received by the nasal retinae are projected to the contralateral visual Abstract | A fundamental question in visual the visual midline. This is what Descartes1 cortex. A later study10 indicated that the perception is whether the representation of suggested in his description of the visual dendritic coverage of the centre of the fovea the fovea is split at the midline between the system — he identified the pineal gland as the by RGCs provides a possible neural basis for two hemispheres, or bilaterally represented organ of integration (FIG. 1).Unfortunately, 2–3° of bilateral representation of the fovea by overlapping projections of the fovea in this intuitive, appealing explanation is in the central visual pathways. There is also each hemisphere. Here we examine not true, and we therefore have to assume evidence that the nasotemporal overlap psychophysical, anatomical, that the two cerebral hemispheres cooperate increases towards the upper and lower regions neuropsychological and brain stimulation or compete over the representation of the of the retina11. experiments that have addressed this human foveal area. Most studies that have labelled RGCs with question, and argue for a shift from the When a person is fixating centrally (looking HRP after unilateral injections into the mon- current default view of bilateral straight ahead), information that is to key optic tract have found a nasotemporal representation to that of a split the right of fixation (in the right visual field) is overlap zone along the vertical meridian12. -
Foveola Nonpeeling Internal Limiting Membrane Surgery to Prevent Inner Retinal Damages in Early Stage 2 Idiopathic Macula Hole
Graefes Arch Clin Exp Ophthalmol DOI 10.1007/s00417-014-2613-7 RETINAL DISORDERS Foveola nonpeeling internal limiting membrane surgery to prevent inner retinal damages in early stage 2 idiopathic macula hole Tzyy-Chang Ho & Chung-May Yang & Jen-Shang Huang & Chang-Hao Yang & Muh-Shy Chen Received: 29 October 2013 /Revised: 26 February 2014 /Accepted: 5 March 2014 # Springer-Verlag Berlin Heidelberg 2014 Abstract Keywords Fovea . Foveola . Internal limiting membrane . Purpose The purpose of this study was to investigate and macular hole . Müller cell . Vitrectomy present the results of a new vitrectomy technique to preserve the foveolar internal limiting membrane (ILM) during ILM peeling in early stage 2 macular holes (MH). Introduction Methods The medical records of 28 consecutive patients (28 eyes) with early stage 2 MH were retrospectively reviewed It is generally agreed that internal limiting membrane (ILM) and randomly divided into two groups by the extent of ILM peeling is important in achieving closure of macular holes peeing. Group 1: foveolar ILM nonpeeling group (14 eyes), (MH) [1]. An autopsy study of a patient who had undergone and group 2: total peeling of foveal ILM group (14 eyes). A successful MH closure showed an area of absent ILM sur- donut-shaped ILM was peeled off, leaving a 400-μm-diameter rounding the sealed MH [2]. ILM over foveola in group 1. The present ILM peeling surgery of idiopathic MH in- Results Smooth and symmetric umbo foveolar contour was cludes total removal of foveolar ILM. However, removal of restored without inner retinal dimpling in all eyes in group 1, all the ILM over the foveola causes anatomical changes of the but not in group 2. -
The Visual System: Higher Visual Processing
The Visual System: Higher Visual Processing Primary visual cortex The primary visual cortex is located in the occipital cortex. It receives visual information exclusively from the contralateral hemifield, which is topographically represented and wherein the fovea is granted an extended representation. Like most cortical areas, primary visual cortex consists of six layers. It also contains, however, a prominent stripe of white matter in its layer 4 - the stripe of Gennari - consisting of the myelinated axons of the lateral geniculate nucleus neurons. For this reason, the primary visual cortex is also referred to as the striate cortex. The LGN projections to the primary visual cortex are segregated. The axons of the cells from the magnocellular layers terminate principally within sublamina 4Ca, and those from the parvocellular layers terminate principally within sublamina 4Cb. Ocular dominance columns The inputs from the two eyes also are segregated within layer 4 of primary visual cortex and form alternating ocular dominance columns. Alternating ocular dominance columns can be visualized with autoradiography after injecting radiolabeled amino acids into one eye that are transported transynaptically from the retina. Although the neurons in layer 4 are monocular, neurons in the other layers of the same column combine signals from the two eyes, but their activation has the same ocular preference. Bringing together the inputs from the two eyes at the level of the striate cortex provide a basis for stereopsis, the sensation of depth perception provided by binocular disparity, i.e., when an image falls on non-corresponding parts of the two retinas. Some neurons respond to disparities beyond the plane of fixation (far cells), while others respond to disparities in front of the plane of the fixation (near cells). -
Visual Perceptual Skills
Super Duper® Handy Handouts!® Number 168 Guidelines for Identifying Visual Perceptual Problems in School-Age Children by Ann Stensaas, M.S., OTR/L We use our sense of sight to help us function in the world around us. It helps us figure out if something is near or far away, safe or threatening. Eyesight, also know as visual perception, refers to our ability to accurately identify and locate objects in our environment. Visual perception is an important component of vision that contributes to the way we see and interpret the world. What Is Visual Perception? Visual perception is our ability to process and organize visual information from the environment. This requires the integration of all of the body’s sensory experiences including sight, sound, touch, smell, balance, and movement. Most children are able to integrate these senses by the time they start school. This is important because approximately 75% of all classroom learning is visual. A child with even mild visual-perceptual difficulties will struggle with learning in the classroom and often in other areas of life. How Are Visual Perceptual Problems Diagnosed? A child with visual perceptual problems may be diagnosed with a visual processing disorder. He/she may be able to easily read an eye chart (acuity) but have difficulty organizing and making sense of visual information. In fact, many children with visual processing disorders have good acuity (i.e., 20/20 vision). A child with a visual-processing disorder may demonstrate difficulty discriminating between certain letters or numbers, putting together age-appropriate puzzles, or finding matching socks in a drawer. -
AN OT's Toolbox : Making the Most out of Visual Processing and Motor Processing Skills
AN OT’s Toolbox : Making the Most out of Visual Processing and Motor Processing Skills Presented by Beth Kelley, OTR/L, MIMC FOTA 2012 By Definition Visual Processing Motor Processing is is the sequence of steps synonymous with Motor that information takes as Skills Disorder which is it flows from visual any disorder characterized sensors to cognitive by inadequate development processing.1 of motor coordination severe enough to restrict locomotion or the ability to perform tasks, schoolwork, or other activities.2 1. http://en.wikipedia.org/wiki/Visual_ processing 2. http://medical-dictionary.thefreedictionary.com/Motor+skills+disorder Visual Processing What is Visual Processing? What are systems involved with Visual Processing? Is Visual Processing the same thing as vision? Review general anatomy of the eye. Review general functions of the eye. -Visual perception and the OT’s role. -Visual-Motor skills and why they are needed in OT treatment. What is Visual Processing “Visual processing is the sequence of steps that information takes as it flows from visual sensors to cognitive processing1” 1. http://en.wikipedia.org/wiki/Visual_Processing What are the systems involved with Visual Processing? 12 Basic Processes are as follows: 1. Vision 2. Visual Motor Processing 3. Visual Discrimination 4. Visual Memory 5. Visual Sequential Memory 6. Visual Spatial Processing 7. Visual Figure Ground 8. Visual Form Constancy 9. Visual Closure 10. Binocularity 11.Visual Accommodation 12.Visual Saccades 12 Basic Processes are: 1. Vision The faculty or state of being able to see. The act or power of sensing with the eyes; sight. The Anatomy of Vision 6 stages in Development of the Vision system Birth to 4 months 4-6 months 6-8 months 8-12 months 1-2 years 2-3 years At birth babies can see patterns of light and dark. -
How the Eye Works
HOW THE EYE WORKS The Eyes & Vision Our ability to "see" starts when light reflects off an object and enters the eye. As it enters the eye, the light is unfocused. The first step in seeing is to focus the light rays onto the retina, which is the light sensitive layer found inside the eye. Once the light is focused, it stimulates cells to send millions of electrochemical impulses along the optic nerve to the brain. The portion of the brain at the back of the head interprets the impulses, enabling us to see the object. The Refraction of Light by the Eye Light entering the eye is first bent, or refracted, by the cornea -- the clear window on the outer front surface of the eyeball. The cornea provides most of the eye's optical power or light- bending ability. After the light passes through the cornea, it is bent again -- to a more finely adjusted focus -- by the crystalline lens inside the eye. The lens focuses the light on the retina. This is achieved by the ciliary muscles in the eye. They change the shape of the lens, bending or flattening it to focus the light rays on the retina. This adjustment in the lens is necessary for bringing near and far objects into focus. The process of bending light to produce a focused image on the retina is called "refraction". Ideally, the light is "refracted" in such a manner that the rays are focused into a precise image on the retina. Many vision problems occur because of an error in how our eyes refract light. -
Retinal Anatomy and Histology
1 Q Retinal Anatomy and Histology What is the difference between the retina and the neurosensory retina? 2 Q/A Retinal Anatomy and Histology What is the difference between the retina and the neurosensory retina? While often used interchangeably (including, on occasion, in this slide-set), these are technically not synonyms. The term neurosensory retina refers to the neural lining on the inside of the eye, whereas the term retina refers to this neural lining along with the retinal pigmentthree epithelium words (RPE). 3 A Retinal Anatomy and Histology What is the difference between the retina and the neurosensory retina? While often used interchangeably (including, on occasion, in this slide-set), these are technically not synonyms. The term neurosensory retina refers to the neural lining on the inside of the eye, whereas the term retina refers to this neural lining along with the retinal pigment epithelium (RPE). 4 Q Retinal Anatomy and Histology What is the difference between the retina and the neurosensory retina? While often used interchangeably (including, on occasion, in this slide-set), these are technically not synonyms. The term neurosensory retina refers to the neural lining on the inside of the eye, whereas the term retina refers to this neural lining along with the retinal pigment epithelium (RPE). The neurosensory retina contains three classes of cells—what are they? There are five types of neural elements—what are they? What are the three types of glial cells? The two vascular cell types? --? ----PRs ----Bipolar cells ----Ganglion cells ----Amacrine cells ----Horizontal cells --? ----Müeller cells ----Astrocytes ----Microglia --? ----Endothelial cells ----Pericytes 5 A Retinal Anatomy and Histology What is the difference between the retina and the neurosensory retina? While often used interchangeably (including, on occasion, in this slide-set), these are technically not synonyms. -
Identification & Intervention with Sensory Processing
An Introduction to Identification & Intervention for Children with Sensory Processing Difficulties EARLY CHILDHOOD MENTAL HEALTH INSTITUTE Location: University of Alaska Anchorage Date: May 13, 2009 Time: 8:30am to 12:00pm Jackie Brown, OTR/L Occupational Therapist Registered, Licensed Sensory Integration Certified Therapist #1602 Modulated and Advanced Therapeutic Listening Training All For Kids Pediatric Therapy Occupational Therapy/Physical Therapy Supervisor 8200 Homer Drive, Unit F Anchorage, AK 99518 Phone: (907) 345-0050 Email: [email protected] Website: www.allforkidsalaska.com Presentation Objectives WHAT IS IT? Define terms related to Sensory Processing Disorder (SPD). WHY IS IT IMPORTANT? Identify behaviors (signs and symptoms) associated with sensory processing difficulties. WHO DISCOVERED IT? WHERE HAVE WE BEEN? WHERE ARE WE GOING? Understand a brief history and look into current research. HOW DOES IT WORK? Identify the various sensory systems and their functions. WHAT DOES IT LOOK LIKE? Identify model of understand and describing Sensory Processing Disorders. WHEN DO I ACT and WHERE DO I GO FROM HERE? Identify when to refer a client to a specialist for a screening or evaluation. WHAT DO I DO NOW? Become familiar with simple intervention techniques to put into practice. What is Occupational Therapy? Occupational therapy is the scientifically based use of purposeful activity (or occupation) with individuals who are affected by physical injury or illness, psychosocial dysfunction, developmental or learning disabilities, or the aging process, in order to maximize independence, prevent disability, and promote health. WHAT IS SPD? What is Sensory Processing or Sensory Integration (SI)? Definitions The neurological process that organizes sensation form ones body and the environment and makes it possible to use the body effectively within the environment. -
Anatomy and Physiology of the Afferent Visual System
Handbook of Clinical Neurology, Vol. 102 (3rd series) Neuro-ophthalmology C. Kennard and R.J. Leigh, Editors # 2011 Elsevier B.V. All rights reserved Chapter 1 Anatomy and physiology of the afferent visual system SASHANK PRASAD 1* AND STEVEN L. GALETTA 2 1Division of Neuro-ophthalmology, Department of Neurology, Brigham and Womens Hospital, Harvard Medical School, Boston, MA, USA 2Neuro-ophthalmology Division, Department of Neurology, Hospital of the University of Pennsylvania, Philadelphia, PA, USA INTRODUCTION light without distortion (Maurice, 1970). The tear–air interface and cornea contribute more to the focusing Visual processing poses an enormous computational of light than the lens does; unlike the lens, however, the challenge for the brain, which has evolved highly focusing power of the cornea is fixed. The ciliary mus- organized and efficient neural systems to meet these cles dynamically adjust the shape of the lens in order demands. In primates, approximately 55% of the cortex to focus light optimally from varying distances upon is specialized for visual processing (compared to 3% for the retina (accommodation). The total amount of light auditory processing and 11% for somatosensory pro- reaching the retina is controlled by regulation of the cessing) (Felleman and Van Essen, 1991). Over the past pupil aperture. Ultimately, the visual image becomes several decades there has been an explosion in scientific projected upside-down and backwards on to the retina understanding of these complex pathways and net- (Fishman, 1973). works. Detailed knowledge of the anatomy of the visual The majority of the blood supply to structures of the system, in combination with skilled examination, allows eye arrives via the ophthalmic artery, which is the first precise localization of neuropathological processes. -
Rapid Evolution of the Visual System: a Cellular Assay of the Retina and Dorsal Lateral Geniculate Nucleus of the Spanish Wildcat and the Domestic Cat
The Journal of Neuroscience, January 1993, 13(l): 208-229 Rapid Evolution of the Visual System: A Cellular Assay of the Retina and Dorsal Lateral Geniculate Nucleus of the Spanish Wildcat and the Domestic Cat Robert W. Williams,’ Carmen Cavada,2 and Fernando Reinoso-Suhrez* ‘Department of Anatomy and Neurobiology, College of Medicine, University of Tennessee, Memphis, Tennessee 38163 and *Departamento de Morfologia, Facultad de Medicina, Universidad Aut6noma de Madrid, 28029 Madrid, Spain The large Spanish wildcat, Fe/is silvestris tartessia, has re- and important topic, it has been difficult to study the process tained features of the Pleistocene ancestor of the modern of brain evolution in any detail. Our approach has been to domestic cat, F. catus. To gauge the direction and magnitude identify a pair of closely related living species,one from a highly of short-term evolutionary change in this lineage, we have conservative branch that has retained near identity with the compared the retina, the optic nerve, and the dorsal lateral ancestral species,and the other from a derived branch that has geniculate nucleus (LGN) of Spanish wildcats and their do- undergone rapid evolutionary change. The recent recognition mestic relatives. Retinas of the two species have the same that evolution and speciationcan occur in short bursts separated area. However, densities of cone photoreceptors are higher by long interludes of stasisprovides a sound theoretical basis in wildcat-over 100% higher in the area centralis-where- for a search for such pairs (Schindewolf, 1950; Eldredge and as rod densities are as high, or higher, in the domestic lin- Gould, 1972; Stanley, 1979; Gould and Eldredge, 1986).