Cornea Anatomy Flashcards
(38 cards)
Corneal Functions*
- Transparent: smooth optical surface, avascular
- Major refractive surface: 2/3 refractive power of eye
- mechanical strength - collagen: protection, maintain ocular contour
- barrier - ocular biodefense system
- Protection: highly innervated, barriers, and mechanical strength
corneal-scleral junction is called ______
aka limbus
richly vascularized transition zone
cornea radius of curvature
anterior surface: 7.8 mm (steep center, flatter peripheral)
post sufrace: 6.5 mm (steeper than anterior)
optical zone: 4.mm
cornea refractive power
~43 D
Cornea diameter?*
anterior surface - oval: 10.6 mm vertical and 11.7 mm horizontal
posterior surface - round: 11.7 mm around
megalocornea and microcornea
megalocornea: cornea diameter > 13 mm
microcornea: cornea diameter < 10 mm
Thickness of cornea*
center average: 544 +/- 34 um
periphery: 670 um
hydration determines thickness of cornea
thickness fluctuates on diurnal basis -> AM thicker
Layers of the cornea*
- Epithelium
- Bowman’s membrane
- Stroma
- Decemet’s membrane
- Endothelium
(mnemonic: erect penises blasting organisms stopped the doctors exam needlessly)
Epithelium*
non-keratinized stratified squamous (4-6 layers thick)
superficial cells exfoliate (7-10 day lifespan)
barrier function and light transmission
Epithelium - squamous layer*
terminally differentiated cells: 2-3 layers thick
no mitosis
less active metabolically: fewer organelles
most superficial (slough off 7-10 days)
epithelium squamous layer surface modifications*
microplicae and microvilli
glycocalyx: interacts with mucin layer of tear film
- maintain hydrophilic properties of epithelium, enhance tear film stability, barrier against pathogens
barrier: tight jxn, desmosomes, gap jxn
- anterior corneal barrier, lost when cell exfoliate
fluorescein dye
evaluate barrier jxn,
focal epithelial defects allow penetration of dye: spk (superficial punctate keratitis)
epithelium - wing cells
extensive interdigitations: desmosomes, gap jxns,
highly innervated
2-3 cell layers
cytokeratins: abundant intermediate filaments
- influences shape of wing cells
epithelium - basal cells*
single layer
desmosomes
mitotically active: originate from stem cells, transient amplifying layer
metabolically active: glycogen granules, metabolic pumps, secretes basal lamina
dendritic cells and lymphocytes
adherence of epithelial cells (hemidesmosome send anchoring fibers to lamina densa of BM) – essential to wound healing
hemidesmosomes, anchoring fibrils (7): penetrate to stroma, anchoring plaques
epithelium - dendritic langerhans cells
antigen-presenting cells:
immune response cells in cornea
numerous in periphery of cornea - “professional”
central cornea - “immature”
epithelial regeneration*
constantly state of turn-over with exfoliating apical cells being replaced by underlying cells in a weekly basis
basal cells are only epithelial cells capable of mitosis
during normal apical cell exfoliation basal cell proliferates and replace lost cells in 7-14 days
loss of basal cells and defective regeneration will lead to corneal scar formation
how is BM connected to bowman’s layer*
2 part process: cell attached to BM and BM to bowman’s to secure epithelium to stroma
anchoring fibrils and anchoring plaques running from lamina densa to bowman’s layer
Bowman’s layer*
anterior limiting lamina
no cells, no orgnization to fibrils, and thin
8-14 um thick
randomly arranged, small diameter collagen: 1,3,5,6
-not ordered into bundles - dense fibrous sheet
acellular - modified condensation of the anterior stroma
secured to stroma -> hard to penetrate and prevents shearing
-provides shears strength (stromal resistance to sublayer sliding)
barrier
striated collagen fibrils from anterior and sometimes deeper stroma become contiguous with bowman’s layer
-anchor bowman’s layer to stroma: strong attachment
bowman’s layer can not be stripped away from cornea
stroma
made of collagen (lamallae), fibroblasts (keratocytes), corneal connective tissue (substantia propia)
stroma lamallae*
sheets of collagen fibers
~200-300 lamellae
unique arrangement of collagen fibrils in adjacent lamellae (more disorganized anteriorly and peripherally)
extend limbus to limbus
tensile strenght
stable shape
transparency importance
collagen: type 1 and type 5 collagen heterodimers
collagen fibers are uniform and regular in diameter
distance between fibers is consistent (fibrils surrounded by EC matrix)
stroma keratocytes*
fibroblasts that sandwich between lamallae
- connected to each other by gap jxn and tight jxn
- form a fxnal synctium: (communicating network) tight junction, gap junction
majority in intralaminar space
sig. degree of mobility when activated: can migrate to wound margins and synthesize collagen GAGs, and MMPs
synthesize intracellular crystallins
some leucocytes also found in stroma
circumcorneal annulus
approaching limbus (1.5 - 2.0 mm wide)
believed to maintain curvature of cornea
collagen fibrils within a lamellae turn and run circumferentially around the cornea
Stroma - non collagenous proteins *
hydrophilic mucopolysaccharide in ground substance
- proteoglycans: protein with GAG side chain
- highly negatively charged
- surround collagen fibrils to create uniform spaces between fibrils
corneal crystallin in keratocytes
stroma - transparency of cornea*
regularity of collagen fibers thickness
regularity of distance between collagen fibers
lamellar arrangement in stroma (any disruption (edema, scarring) loss of transparency)