Pupillary Aperture Is a Potential Biomarker of Movement Preparation
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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. -
Affections of Uvea Affections of Uvea
AFFECTIONS OF UVEA AFFECTIONS OF UVEA Anatomy and physiology: • Uvea is the vascular coat of the eye lying beneath the sclera. • It consists of the uvea and uveal tract. • It consists of 3 parts: Iris, the anterior portion; Ciliary body, the middle part; Choroid, the third and the posterior most part. • All the parts of uvea are intimately associated. Iris • It is spongy having the connective tissue stroma, muscular fibers and abundance of vessels and nerves. • It is lined anteriorly by endothelium and posteriorly by a pigmented epithelium. • Its color is because of amount of melanin pigment. Mostly it is brown or golden yellow. • Iris has two muscles; the sphincter which encircles the pupil and has parasympathetic innervation; the dilator which extends from near the sphincter and has sympathetic innervation. • Iris regulates the amount of light admitted to the interior through pupil. • The iris separates the anterior chamber from the posterior chamber of the eye. Ciliary Body: • It extends backward from the base of the iris to the anterior part of the choroid. • It has ciliary muscle and the ciliary processes (70 to 80 in number) which are covered by ciliary epithelium. Choroid: • It is located between the sclera and the retina. • It extends from the ciliaris retinae to the opening of the optic nerve. • It is composed mainly of blood vessels and the pigmented tissue., The pupil • It is circular and regular opening formed by the iris and is larger in dogs in comparison to man. • It contracts or dilates depending upon the light source, due the sphincter and dilator muscles of the iris, respectively. -
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. -
Clinical Study of Etiopathogenesis of Isolated Oculomotor Nerve Palsy
CLINICAL STUDY OF ETIOPATHOGENESIS OF ISOLATED OCULOMOTOR NERVE PALSY DISSERTATION SUBMITTED TO In partial fulfillment of the requirement for the degree of M.S. DEGREE EXAMINATION OF BRANCH III OPHTHALMOLOGY of THE TAMIL NADU DR. M. G. R MEDICAL UNIVERSITY CHENNAI- 600032 DEPARTMENT OF OPHTHALMOLOGY TIRUNELVELI MEDICAL COLLEGE TIRUNELVELI- 11 APRIL 2015 CERTIFICATE This is to certify that this dissertation entitled “Clinical Study Of Etiopathogenesis Of Isolated Oculomotor Nerve Palsy” submitted by Dr. Saranya.K.V to the faculty of Ophthalmology ,The Tamil Nadu Dr. MGR Medical University, Chennai in partial fulfillment of the requirement for the award of M.S Degree Branch III (Ophthalmology), is a bonafide research work carried out by her under my direct supervision and guidance. Dr. L.D.THULASI RAM MS. (Ortho) Dr A.YOGESWARI. The Dean Professor & Head of the Department Tirunelveli Medical College, Department of Ophthalmology Tirunelveli Tirunelveli Medical College, Tirunelveli. DECLARATION BY THE CANDIDATE I hereby declare that this dissertation entitled “Clinical Study Of Etiopathogenesis Of Isolated Oculomotor Nerve Palsy” is a bonafide and genuine research work carried out by me under the guidance of Dr. RITA HEPSI RANI .M, Assistant Professor of Ophthalmology, Department of Ophthalmology, Tirunelveli Medical College, Tirunelveli Dr. Saranya.K.V Post Graduate In Ophthalmology, Department Of Ophthalmology, Tirunelveli Medical College, Tirunelveli. ACKNOWLEDGEMENT I express my sincere gratitude and thanks to The Dean, Tirunelveli Medical College, Tirunelveli, for providing all the facilities to conduct this study. I sincerely thank Dr.A.Yogeswari Professor and HOD, Dept of Ophthalmology for her valuable advice, comments and constant encouragement for the completion of this study. -
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. -
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. -
Pupils and Near Vision
PUPILS AND NEAR VISION Akilesh Gokul PhD Research Fellow Department of Ophthalmology Iris Anatomy Two muscles: • Radially oriented dilator (actually a myo-epithelium) - like the spokes of a wagon wheel • Sphincter/constrictor Pupillary Reflex • Size of pupil determined by balance between parasympathetic and sympathetic input • Parasympathetic constricts the pupil via sphincter muscle • Sympathetic dilates the pupil via dilator muscle • Response to light mediated by parasympathetic; • Increased innervation = pupil constriction • Decreased innervation = pupil dilation Parasympathetic Pathway 1. Three major divisions of neurons: • Afferent division 2. • Interneuron division • Efferent division Near response: • Convergence 3. • Accommodation • Pupillary constriction Pupil Light Parasympathetic – Afferent Pathway 1. • Retinal ganglion cells travel via the optic nerve leaving the optic tracts 2. before the LGB, and synapse in the pre-tectal nucleus. 3. Pupil Light Parasympathetic – Efferent Pathway 1. • Pre-tectal nucleus nerve fibres partially decussate to innervate both Edinger- 2. Westphal (EW) nuclei. • E-W nucleus to ipsilateral ciliary ganglion. Fibres travel via inferior division of III cranial nerve to ciliary ganglion via nerve to inferior oblique muscle. 3. • Ciliary ganglion via short ciliary nerves to innervate sphincter pupillae muscle. Near response: 1. Increased accommodation Pupil 2. Convergence 3. Pupillary constriction Sympathetic pathway • From hypothalamus uncrossed fibres 1. down brainstem to terminate in ciliospinal centre -
Anatomy & Physiology of The
Anatomy & Physiology of The Eye 2017-2018 Done By: 433 Team Abdullah M. Khattab Important Doctor’s Notes Extra Abdullah AlOmair Resources: Team 433, Doctors Notes, Vaughan & Asbury’s General ophthalmology. Editing File Embryology of The Eye ............................................................................................. 2 ● Defects: ........................................................................................................................... 2 Development of The Eye After Birth .......................................................................... 3 ● Refractive power depends on two factors: ...................................................................... 3 The Orbit ................................................................................................................... 4 ● Seven bones contribute the bony orbit and surrounded by nasal sinuses. .................... 4 ● The orbital wall, pear-like shaped, formed by: ................................................................ 4 ● Structures Passing Through the Optic Openings: ........................................................... 4 Extraocular Muscles .................................................................................................. 1 ● Anatomy .......................................................................................................................... 1 ● Notes: .............................................................................................................................. 1 ● Field of action: -
The Anatomy of the Foveola Reinvestigated
A peer-reviewed version of this preprint was published in PeerJ on 12 March 2018. View the peer-reviewed version (peerj.com/articles/4482), which is the preferred citable publication unless you specifically need to cite this preprint. Tschulakow AV, Oltrup T, Bende T, Schmelzle S, Schraermeyer U. 2018. The anatomy of the foveola reinvestigated. PeerJ 6:e4482 https://doi.org/10.7717/peerj.4482 The anatomy of the foveola reinvestigated Alexander V. Tschulakow 1 , Theo Oltrup 2 , Thomas Bende 2 , Sebastian Schmelzle 3 , Ulrich Schraermeyer Corresp. 1, 4 1 Division of Experimental Vitreoretinal Surgery, University Hospital Tübingen, Centre for Ophthalmology, Tübingen, Germany 2 Division of Experimental Ophthalmic Surgery, University Hospital Tübingen, Centre for Ophthalmology, Tübingen, Germany 3 Ecological Networks, Department of Biology, Technische Universität Darmstadt, Darmstadt, Germany 4 Ocutox (www.ocutox.com), Hechingen, Germany Corresponding Author: Ulrich Schraermeyer Email address: [email protected] Objective. In the foveola of the eye, photoreceptors and Müller cells with a unique morphology have been described, but little is known about their 3D structure and orientation. Considering that there is an angle-dependent change in the foveolar photoreceptor response for the same light beam, known as the Stiles Crawford Effect of the first kind (SCE I), which is still not fully understood, a detailed analysis of the anatomy of the foveolar cells might help to clarify this phenomenon. Methods. Serial semithin and ultrathin sections, and focused ion beam (FIB) tomography were -prepared from 32 foveolae from monkeys (Macaca fascicularis) and humans. Foveolae were also analyzed under the electron microscope. Serial sections and FIB analysis were then used to construct 3D models of central Müller and photoreceptor cells. -
Localization and Characterization of Substance P Binding Sites in Rat and Rabbit Eyes
Investigative Ophthalmology & Visual Science, Vol. 32, No. 6, May 1991 Copyright © Association for Research in Vision and Ophthalmology Localization and Characterization of Substance P Binding Sites in Rat and Rabbit Eyes Philippe Denis,*t Veronique Fardin4 Jean-Philippe Nordmann,t Pierre-Paul Elena,§ Laurent Laroche,-(- Henri Saraux,t and William Rostene* Specific and high-affinity binding sites for Substance P (SP) were found in eyes from albino rabbits and rats using an in vitro autoradiographic method with l2SI-Bolton Hunter SP (BHSP). Autoradiograms were generated by apposing 10-20/im-thick cryostat eye sections to 3H-Hyperfilm or liquid emulsion and quantified by means of image-analysis procedures. Kinetic studies showed that equilibrium was reached after a 75-min incubation at room temperature. In rat retina, specific binding corresponding to approximately 90% of total binding, was reversible, of high affinity (dissociation constant [Kd], 0.13 ± 0.02 nM). Half-time for dissociation of 125I-BHSP was about 15 min. I) n la be led SP and the two neurokinins (NK) A and B competed in a concentration-dependent manner for retinal sites labeled by 125I-BHSP with the following order of potencies: SP > NKA > NKB, in agreement with a pharmaco- logic profile of a SP receptor site. In both species, specific binding was found in the iris sphincter muscle, choroid, and retina. In rats, detectable amounts of SP-binding sites were also expressed in the corneal epithelium and iridial stroma. Quantitative analysis of the autoradiograms revealed that the highest densities of 125I-BHSP binding sites were localized in the iris sphincter muscle in rabbits and the inner retina in rats. -
Presynaptic Effects of Botulinum Toxin Type a on the Neuronally Evoked Response of Albino and Pigmented Rabbit Iris Sphincter and Dilator Muscles
Presynaptic Effects of Botulinum Toxin Type A on the Neuronally Evoked Response of Albino and Pigmented Rabbit Iris Sphincter and Dilator Muscles Hitoshi Ishikawa,* Yoshihisa Mitsui,* Takeshi Yoshitomi,* Kimiyo Mashimo,* Shigeru Aoki,† Kazuo Mukuno† and Kimiya Shimizu* *Department of Ophthalmology, Kitasato University, School of Medicine, Sagamihara, Japan; †Department of Orthoptics and Visual Science, Kitasato University, School of Allied Health Sciences, Sagamihara, Japan Purpose: To investigate the effects of botulinum toxin type A (botulinum A toxin) on the autonomic and other nonadrenergic, noncholinergic nerve terminals. Methods: The effects of botulinum A toxin on twitch contractions evoked by electrical field stimulation (EFS) were studied in isolated albino and pigmented rabbit iris sphincter and di- lator muscles using the isometric tension recording method. Results: Botulinum A toxin inhibited the fast cholinergic and slow substance P-ergic compo- nent of the contraction evoked by EFS in the rabbit iris sphincter muscle without affecting the response to carbachol and substance P. These inhibitory effects were more marked in the albino rabbit than in the pigmented rabbit. Botulinum A toxin (150 nmol/L) did not affect the twitch contraction evoked by EFS in the rabbit iris dilator muscle. Conclusions: These data indicated that botulinum A toxin may inhibit not only the acetyl- choline release in the cholinergic nerve terminals, but also substance P release from the trigeminal nerve terminals of the rabbit iris sphincter muscle. However, the neurotoxin has little effect on the adrenergic nerve terminals of the rabbit iris dilator muscle. Furthermore, the botulinum A toxin binding to the pigment melanin appears to influence the response quantitatively in the two types of irides. -
The Dark Choroid in Posterior Retinal Dystrophies
Br J Ophthalmol: first published as 10.1136/bjo.65.5.359 on 1 May 1981. Downloaded from British Journal of Ophthalmology, 1981, 65, 359-363 The dark choroid in posterior retinal dystrophies G. FISH, R. GREY, K. S. SEHMI, AND A. C. BIRD From the Professorial Unit, Moorfields Eye Hospital, City Road, London EC] V 2PD SUMMARY Many patients with heredomacular degeneration exhibit a peculiar fluorescein angiographic finding of absence of the normal background fluorescence (a dark choroid). The cause of this is unknown but may relate to the deposition of an abnormal material in the retinal pigment epithelial cells. The finding does not correlate with severity or duration ofdisease but is more frequent in patients with flecks. The finding may be useful in subdividing heredomacular degenerations into more specific disease groups. Inherited macular degeneration comprises several visual loss after 60 years of age, and those with different diseases of unknown aetiology, some of degeneration due to toxic agents were excluded. which are well recognised and believed to be single Stereo colour fundus photographs and stereo an- neurological entities, for example, Best's disease, giography were accomplished on all patients, and as polymorphous dystrophy, pseudoinflammatory mac- many as possible had electrodiagnostic studies and ular dystrophy, and central areolar choroidal testing of visual fields and colour vision. sclerosis. In the remainder the individual disorders Colour vision testing included HRR plates, are unrecognised, and attempts have been made to Ishihara places, panel D 15, and Farnsworth-Munsell subdivide and catagorise them in terms of their 100 hue. Visual fields were recorded on a Goldmann functional, genetic, and morphological character- perimeter, and electrodiagnostic tests included istics.