Vitreous body and relationships B7 Flashcards

(27 cards)

1
Q

VItreous body borders
anteriorly
peripherally
posteriorly

A

Anteriorly: posterior surface of crystalline lens and retro-zonular portion of the posterior chamber
Peripherally: pars plana, ora serrata and peripheral retina
Posteriorly: posterior retina and optic disc

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2
Q

The center of the anterior surface contains the ______________, an indentation in which the lens sits.

A

patellar fossa

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3
Q

The vitreous makes up about ____% of the entire volume of the eye.

A

80

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4
Q

All surfaces that interface with the vitreous are __________ membranes.

A

basement

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5
Q

The vitreous forms several attachments to surrounding structures. What is the strongest?

A

Strongest of these is the vitreous base, located at the ora serrata.

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6
Q

Which side of lens has most curvature?

A

posterior side

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7
Q

What are the other attachments of the vitreous: (in order of decreasing strength)

A
Vitreous base
Posterior lens
Optic disc
Macula
Retinal vessels
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8
Q

Retina is the

A

inner limiting membrane (important)

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9
Q

The vitreal fibers that form the base are embedded firmly in the basement membrane of the ___________________ of the ciliary body and the internal limiting membrane of the peripheral retina.

A

nonpigmented epithelium

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10
Q

The vitreous base extends 1.5 mm to 2 mm anterior to __________, 1 to 3 mm posterior to it and several mm into the vitreous.

A

ora serrata

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11
Q

The ______________ forms an annular attachment 1 to 2 mm wide and 8 to 9 mm in diameter between posterior surface of lens and anterior face of the vitreous.

A

Hyaloideocapsular ligament (Wieger’s ligament)

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12
Q

Within wieger’s ligament is a potential space, called ____________, which is present because lens and vitreous are juxtaposed but not joined

A

Berger’s space

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13
Q

When the annular attachment around the optic disc detaches, it can be seen and is known as ____________.

A

Weiss’ ring

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14
Q

The annular ring of attachment at the _________ is 3 to 4 mm in diameter.

A

macula

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15
Q

When the vitreal adhesions at the macula pull due to aging changes and the vitreous will not release, this tension causes wrinkling of the retinal ILM. Seen on ophthalmoscopy as cellophane.

A

Macular Pucker, can lead to macular damage called a macular hole.
(similar to pulling a tick of yer dog)

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16
Q

Where is a pre-retinal hemorrhage (boat shaped hemorrhage) located?

A

between vitreous and retina

17
Q

In a diabetic retinopathy, _________________of retinal blood vessels can grow into the _______.

A

neovascularization
vitreous
(this is bad because they are very fragile vessels and they are within the vitreous, which acts as a

18
Q

Vitreous zones

A

Outermost: vitreous cortex
intermediate zone (closer to center the collagen is less dense)
Cloquet’s canal

19
Q

Remnant of hyaloid artery is called what?

A

Mittendorf’s dot

20
Q

Vitreous cortex is also called what?

A

hyaloid surface
mostly composed of tightly packed type II collagen
Posterior cortex extends posterior to the base and is in contact with the retina

21
Q

The vitreal cortex contains transvitreal channels that appear as holes:

A

Prepapillary hole
Premacular hole
prevascular fissures

22
Q

A funnel shaped space at the optic nerve head that extends forward into the vitreous to become continuous with the canal

A

Area of Martegiani

23
Q

SPace that lies within the annular ring formed by WIeger’s ligament

A

Berger’s space

24
Q

Space formed by termination of Cloquet’s canal at the location of the vitreous-optic disc attachment.

A

Area of Martegiani

25
Shrinkage and liquefaction
Synchesis (shrinkage) and syneresis (liquefaction)
26
Blood in _____________ can be indication of blood leakage into the vitreous body from some undetected location.
berger's space
27
When the vitreous undergoes aging changes, what can happen?
Posterior Vitreous Detachment (PVD) when enough synchesis and syneresis occurs the vitreous attempts to collapse on itself. However the vitreal adhesions present early resistance but will eventually give way.