exam 1 Flashcards

(56 cards)

1
Q

what is the average size of optic nerve

whats considered small, large?

A

1.99 X 1.77
horizontally: 1.77
vertical: 1.99

small: <1.5
large: >2.22

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2
Q

axons from what cell form nerve fiber layer?
what about the optice nerve?

A

ganglion axons for both

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3
Q

whats the conversion factors when using slitlamp slit to measure optic nerve size

A

60 lens 1
78 lens1.1
90 lens 1.3

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4
Q

in mal inserted optic nerve what is raised or flat

A

temporal is flat nasal raised

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5
Q

Optic nerve is located in what cell layer

A

ganglion cell layer

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6
Q

what is the paillomacular bundle

whats its significance to GLC

A

bundle of macular fibers that enter temporally of the ON
damage occurs here before optic nerve

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7
Q

meninges

which meninges is made of
- thin collagen
-vascular CT
-dense CT

what space holds CSF

A

which meninges is made of
- thin collagen
arachnoid
-vascular CT
pia mater
-dense CT
dura matter

sub arachnoid space holds CSF

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8
Q

what nerve fibers decussates at the optic chiasm

A

nasal

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9
Q

intraocular segment

starts where and ends where?
whats its 2 sections
-where do these 2 sections start and end?

which section has glial or astrocytes bundles

A

intraocular segment

starts where and ends where?
ONH to the lamina cribosa

whats its 2 sections
1. prelaminar
HAS GLIAL AND ASTROCYTES
2. Laminar
-where do these 2 sections start and end?
1. prelaminar
optic nerve head to lamina crib
2. Laminar
globe to lamina cribosa

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10
Q

what ON segment is S shaped

A

intraorbital

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11
Q

what ON segment starts to be mylinated with what cells

A

intraorbital with oligodendrocytes

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12
Q

muscle attatchment occurs in what ON segment and what muscles

A

intraorbital MR SR

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13
Q

purpose of astrocytes

A

ion concention regulator
structure
glycogen storage

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14
Q

what ON segment goes through optic canal

A

intracanalicular

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15
Q

Intracranial ON segment extends from what to where

what is its surrounding structures

A

Intracranial ON segment extends from what to where

optic canal to the optic chiasm

what is its surrounding structures
-internal carotid art
-sphenoid sinus
-ACA anterior cerebral artery

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16
Q

list the shortest to longest ON structures

A
  1. intraocular
  2. intracanalicular
  3. intracranial
  4. intraorbital
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17
Q

name the blood supply to the optic nerve segments

A
  1. intraocular
    -short posterior cilliary arteries
    -circle of zinn haller

2.intraorbital
-pial
-central retinal artery

  1. intracranial
    -anterior communicating art
    -anterior cerebral artery
    -internal carotid
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18
Q

ON sheath meningioma occurs in what segments

A

introrbital intracanalicular

f>M
optociliary shunt vssels (collaterals
ON head edema and atrophy
painless

tx radiation or excise or monitor

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19
Q

What ventricle is superior to optic chiasm

where is the pituitary in relation to the optic chiasm

A

3rd

pituitary is 1 cm below optic chiasm

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20
Q

where is the compression located with a pituitary adenoma

what kind of VF defect can occur

A

near decussation

bitemporal

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21
Q

LGN

location

function

shape

what cells synapse here

Binocular processing (Y/N)?

A

LGN

location
-thalamus

function
-process and filter to send to visual cortex
-NO BINOCULAR PROCESSING

shape
-cone

what cells synapse here
-ganglion

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22
Q

what layers of the LGN are
mangocellular
parvocellular
koniocelular

what cells are ipsi and contralateral

A

what layers of the LGN are
mangocellular
1-2
parvocellular
3-6
koniocelular
all

“see I , I see, I see/ CIICIC”
Contralateral - 1,4,6
ipsilateral - 2,3,5

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23
Q

where does binocular processing occur

what layer receives input and what layer fives inhibitory feedback

A

Brodman area 17 primary visual cortex

layer 4 recieves input from LGN
Layer 6 gives inhibitory feedback to LGN

there are 6 layers total

24
Q

the primary visual cortex is seperated by what fissure.
what gyrus is inferior and superior

A

calcarine
cuneus gyrus upper portion
Lingual gyrus lower portion

25
what is the blood supply for the following optic chiasm optic tract LGN Optic radiations Visual Cortex
optic chiasm -circle of willis optic tract -anterior choroidal art LGN -anterior choroidal art -posterior cerebral art Optic radiations -anterior coroidal -posterior cerebral art -middle cerebral Visual Cortex -posterior cerebral art -middle cerebral
26
V1 sends basic stimuli to what? where is this located
V2-V5 lateral aspects of the occipital lobe
27
name the layers of buches membrane
1. BM of choriocapillaris 2. outer collagenous zone 3. elastic 4. inner collagenous zone 5. BM of RPE
28
the uvea attaches to what 3 things
1. scleral spur 2. vortex veins 3. optic nerve
28
29
suprachoroid space holds what
long posterior ciliary nerves and art
30
what layer of the choroid are hallers and sattlers layer in? distinguish difference bewteen them
hallers -large BV that go into smaller bv that form sattlers sattlers -small bv that form capillary bed all in choroid stroma
31
what layer of the choroid is associated with -loose CT -LPCA LPCN -single layer of anastomosing fenestrated capillaries -thin -controlled by autonomic nervous system (explain symp and parasymp effects) -fuses with retina -denses at macula -increase in thickness with age -decreases in thickness with age -hallers and scattlers layer
-----loose CT ---- choroidal stroma -----LPCA LPCN--- suprachoroid lamina -----single layer of anastomosing fenestrated capillaries ---------- choriocapilaris ------thin---------- buchs membrane ------controlled by autonomic nervous system (explain symp and parasymp effects) ------- choroidal stroma - sympathetic vaso constrics and para vaso dilates -----fuses with retina ---- bruches ------denses at macula------ choroidal capillaries ------increase in thickness with age ---- bruches ----decreases in thickness with age---- choroidal capillaris ----hallers and scattlers layer----- choroidal stroma
32
how many vortex veins per eye? what layer of choroid
4-6
33
where does the choroidal capillaris terminate? what do capillaries of this layer contain
ONH 1. pericytes 2. BM (lamina) 3. endothelial cells
34
DM damages what cells and in what layer
in the choroid pericytes and endothelial cells
35
what does pericytes do they are associated with what layer of the choroid
they are located in the choriocapilaries layer of the choroid regulated local blood flow
36
buches membrane includes two layers that are BM what what other layers of the choroid
choriocapillaries and RPE
37
RPE cell... where does it face basal side apical side
basal side is facing bruches apical (cilliary processes) side faces sensory photoreceptors
38
what 2 layers are commonly separated in a RD what caused this
RPE and neural (sensory), due to embryological development
39
what layer forms blood brain barrier
RPE
40
what layer of the retina has lots of melanosomes
RPE
41
what disease is related to impaired tyrosinase enzym activity? this results in missing or loss of what
albinism loss of RPE
42
what is lipofuscin where does it accumulate what disease is this
incomplete phagocytosed particles in lysosomes of the cell stargardts diesase inherited macular dystrophy
43
what are halocytes and where are they found
they are cells that release antiangiogenic factors in the vitreous humor they are phagocytic
44
what is shafer signs
tabacco dust in anterior vitreous that are rpe cells that could mean hole/RD
45
where is the weakest and strongest attachments for anterior vitreous where else does it attach too where is the most common location of detattchment what layers of the vitreous fibers does it attach to
weakest: blood vessels strongest: near orra serrata (vit base) optic disc, macula, posterior lens RD common at vitreous base because even though it is the strongest it tugs attaches to nonpigmented ciliary epi internal limiting membrane
46
what is wiegers ligament? whats the space inside of it? what is annular ring of attachment?
ring of attachment of anterior vit to posterior lens space inside it is bergers space or rentrrenticular space what is annular ring of attachment? attachment of vit to macula
47
list areas of attachment of vitreous from strongest to weakest
1. vitreous base 2. posterior lens 3. optic disc 4. macula 5. blood vessels
48
what is cloquet canal
it is the canal that is a remnant of the hyaloid artery during development it supported the early development of the lens it is in the central zone of vitreous
49
what zone of the vitreous has the least amount of collagen? what zone has tighlty packed collagen
least amount in central tightly packed is cortex
50
what is bergmeisters papillae
glial tissue on the optic disc posterior attachment of hyaloid artery
51
what are epicapsular stars
remnants of tunica vasculosa lentis gold flakes on anterior lens
52
asteroid hyalosis is made of collection of what symptoms? one or both eye?
calcium pyrophosphate globules no symptoms benign unilateral
53
what is synchysis scintallans symptoms? one or both eye?
cholesterol crystals in vitreous no symptoms bilateral 3rd decade of life
54
what is moors lightening streaks
vertical lightening streaks that a pt sees temporally when moving head, it is benign
55