Conjunctiva Flashcards

(30 cards)

1
Q

what is the conjunctival sac

A

a potential space between the bulbar and palpebral conjunctiva

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2
Q

what is the conjunctiva

A

a thin, transparent, mucus membrane, lines the inner surface of the eyelids

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3
Q

what are the three regions of the conjunctiva

A

bulbar, forniceal (cul-de-sac) and palpebral

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4
Q

what are the two layers of the palpebral conjunctiva

A

nonkeratinized stratified squamous epithelium and stratified columnar epithelium

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5
Q

where is the nonkeratinized stratified squamous epithelium located

A

near the mucocutaneous juntion

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6
Q

where is the stratified columnar epithelium located

A

the posterior surface of the lid

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7
Q

where is the source of stem cells for the epithelium of the palpebral conjunctiva

A

the mucocutaneous junction

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8
Q

what does the stratified columnar epithelium contain

A

goblet cells that produce the mucus layer of the tear film

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9
Q

what is the substantia propria

A

the connective tissue the epithelium of the palpebral conjunctiva rests on

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10
Q

what is the forniceal conjunctiva

A

a transitional area between the palpebral and bulbar conjuntiva

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11
Q

why is the substantia propria loose in the fornices

A

permits accumulation of fluid during infection (edema)

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12
Q

what cells are found in the substantia propria

A

lymphocytes and plasma cells

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13
Q

where does the bulbar conjunctiva attach with the epithelium of the cornea

A

1mm anterior to the corneoscleral limbus

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14
Q

what is the plica semilunaris

A

cresent-shaped fold of conjunctiva, sits lateral and under the caruncle

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15
Q

what is the caruncle

A

a small mound of tissue in the lacus lacrimalis, contains accessory glands

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16
Q

What is the histology of the conjunctiva at the limbus

A

stratified squamous epithelium (continues as the corneal epithelium)

17
Q

what is on the apical surface of the conjuctival epithelium

A

microvilli and microplicae, covered with glycocalyx

18
Q

what cell is the most numerous in the inferonasal conjunctiva

19
Q

what is the conjunctival submucosa

A

fine delicate connective tissue, superficial layer are the most lymphocytes

20
Q

where does the blood supply come from for the palpebral conjunctiva

A

two palpebral arches in each eyelid (marginal and peripheral)

21
Q

what is the blood supply to the forniceal conjunctiva

A

the peripheral arcade

22
Q

what supplies the bulbar conjunctiva with blood

A

the peripheral arcade continues under the bulbar conjunctiva turning into the posterior conjunctival arteries

23
Q

what becomes red and inflamed in a disease of the cornea

A

the superficial pericorneal plexus

24
Q

what becomes red and inflamed in a disease of the iris or ciliary body

A

the deep periconrneal episcleral plexus (they are deeper than the superficial pericorneal plexus)

25
what sensory innervates the bulbar conjunctiva
long ciliary nerves from the nasociliary nerve of the ophthalmic branch of the trigeminal nerve
26
what sensory innervates the superior fornix and the superior palpebral conjunctiva
from lateral to medial: lacrimal, supraorbital, supratrochlear branches of the ophthalmic branch of the trigeminal nerve
27
what innervates the inferior fornix and inferior palepbral conjunctiva
lacrimal branch of the ophthalmic (trigeminal)
28
what innervates the medial portion of the inferior palpebral conjunctiva
the infraorbital branch of the maxillary division of the trigeminal nerve
29
where does the lateral conjunctiva lymph drain
into the parotid (preauricular) lymph nodes
30
where does the medial conjunctiva lymph drain
into the submandibular lymph nodes