VISION
[Link].K
PROFESSOR&HEAD
DEPT OF PHYSIOLOGY
GMC MANGERY
FUNCTIONAL ANATOMY
ORBIT
EXTRAOCULAR MUSCLES
CONJUNCTIVA
LACRIMAL GLAND----TEARS
The bony orbits are quadrangular
truncated pyramids situated between the
anterior cranial fossa above and maxillary
sinus [Link] bones take part in its
formation.
ORBIT
EYEBALLS EACH BEING SUSPENDED
BY EXTRAOCULAR MUSCLES AND
FASCIAL SHEATHS IN A
QUADRILATERAL PYRAMID SHAPED
BONY CAVITY CALLED ORBIT
EYELIDS
EYE BROWS
CONJUNCTIVA and
LACRIMAL APPARATUS collectively called
appendages of the eye
Appendages of the eye
Dimensions of adult Eyeball
Anteroposterior diameter 24mm
Transverse diameter 23.5mm
Vertical Diameter 23mm
Circumference 75mm
Volume 6.5ml
Weight 7gm
THE EYE BALL
1)The outer fibrous coat
Anterior 1/6th of fibrous coat is transparent
and is called CORNEA
Posterior 5/6th is opeque and is called
SCLEERA.
Junction of Cornea and Sclera is called
limbus
COATS OF THE EYEBALL
[Link] vascular coat;Also known as uveal
tract. From anterior to posterior can be
divided in to three parts
a)IRIS
b)Ciliary body
c)Choroid
Iris :Iris is a coloured ,circular diaphragm
with a central aperture of 3-4 mm [Link]
is [Link] pupil regulates the light
reaching the [Link] pupil constricts
and dilates by the contraction of sphincter
pupillae and dilator pupillae muscles of
the
iris respectively.
Ciliary body ;It is the middle part of the
uveal [Link] cut section,it is triangular in
shape with base [Link],the
iris is attached to about the middle of the
base of ciliary [Link] the ciliary
body becomes continuous with the
[Link] body is devided in to two
parts.
Anterior—Pars plicata
Posterior---Pars plana
Ciliary body contains a non striated
muscle supplied by parasympathetic
[Link] is called ciliary [Link]
muscle take part in the process of
accommodation of the eye.
There are about 70-80 finger like
projections from pars plicata part of the
ciliary [Link] are called ciliary
processes and are the site of aquous
humour production.-a watery fluid which
maintains the intraocular pressure of the
eyeball.
Choroid--It is a dark brown highly
vascular
layer situated in between sclera and
[Link]
supplies nutrition to the outer layers of
[Link] inflammations of choroid involves
the underlying retina also.
Inner nervous coat—Retina ,the innermost
tunic is a thin delecate,transparent
membrane it is concered with the visual
functions.
Anterior chamber
Posterior Chamber
Anterior and posterior chambers
communicate through PUPIL.
Anterior and posterior chambers contain
Aqueous humour
INTERIOR OF EYEBALL
Lens is a transparent ,biconvex,
crystalline structure placed between the
Iris and vitreous.
It is suspended from the ciliary body by
the suspensory ligaments or Zonules of
ZINN.
It is avascular structure and derives its
nutrition from Aqueous humour.
Refractive power –15----16D
CRYSTALLINE LENS
It is an inert transparent jelly like
structure that fills the posterior 4/5 th of
the cavityof eye ball.
It serves the optical [Link]
consists of 90% water,some salts,and
mucoproteins
VITREOUS HUMOUR
The two eyebrows are arched structures
placed horizontally over the superciliary
ridge of the frontal bone seperated from
each other by a smooth hairless prominent
area known as glabella.
Extraocular muscles
Appendages and orbit
EYELIDS are mobile tissue curtains
placed in front of the [Link] act as
shutters protecting the eyes from
injuries and excessive [Link] also
helps to spread the tearfilm over the
cornea and conjunctiva.
Conjunctiva;It is a translucent mucous
membrane which lines the posterior surface
of eyelids and anterior aspect of eyeball up
to limbus.
Conjunctiva consists of following parts
[Link]-On the posterior surface of the
eyelids
[Link]- Covers anterior part eyeball up to
the limbus.
Fornices—At the junction of palpebral and
bulbar conjuctiva.
PLICA SEMILUNARIS-Pinkish crescentic
folds of
conjuctiva present in the medial canthus
Lacrimal apparatus comprises the
structures concerned with the
formation(Main lacrimal gland and
accessory lacrimal glands)
and drainage(LACRIMAL PASSAGES;)
puncta,canaliculi,lacrimal sac and
nasolacrimal duct.)of tears.
LACRIMAL APARATUS
It is the main prerequisite for visual
[Link] structures forming refractive
media of the eye from anterior to posterior
Are;TEAR FILM,CORNEA,AQUOUS
HUMOUR,CRYSTALLINE LENS and
VITREOUS HUMOUR
Maintanance of clear
refractive media of the eye
It is the fluid covering the cornea and
[Link] are composed of 98%
water and 1.5% sodium chloride,
Antibacterial substances like lysozym,
betalysin and lactoferrin.
The pericorneal tear film consist of
3LAYERS
Mucous layer
Aquous layer
Lipid layer
[Link] FILM
FUNCTIONS OF TEAR FILM
Keep the cornea and conjenctiva moist
It provides oxygen to the corneal
epithelium
It washes away debris and noxious
irritants
It prevents infection due to presence of
antebacterial substances.
It facilitates movements of the lids over
the globe
Cornea forms the main refracting medium
of the [Link] is a transparent watchglass
like
[Link] surface bathed with tears
and endothelial surface bathed in aqueous
humour.
[Link]
LAYERS OF CORNEA
Epithelium-Stratified squamous
Bowman’s membrane
Stroma(substantia propria)-It forms the
90% of corneal [Link] fibrils
arranged in lamellae embedded in ground
[Link] consists of ACID
MUCOPOLYSACCHARIDES,CHONDROITIN
SULPHATE,KERATIN SULPHATE,In between
the lamellae keratocytes,
wandering leucocytes and macrophages
are scattered.
Descemets membrane-Secreted by
endothelium and forms the basement
membrane.
Endothelium-Consist of a single layer of
flattened polygonal cells.
Avascularity of cornea
Absence of pigment in the cornea
Demyelinated nerve supply
Regular arrangement,nonkeratinisation
and homogenisity of refractive index of
corneal epithelium
Peculiar arrangement of stromal lamellae
Paucity of cells in the stroma and regular
arrangement of endothelium.
FACTORS RESPONSIBLE FOR
CORNEAL TRANSPARENCY
[Link] factors
[Link] dehydration of stroma
Stromal
swellingpressure(60mmHg)excerted by
glycosaminoglycans)
Epithelium act as barrier which is
impermeable to water.
Endothelial active pump system pumps fluid
and electrolytes from the stroma to the
[Link] includes Na+K+ATPase.
Special inter cellular junctions in the
endothelium act as barrier.
Optimum intraocular pressure to control
fluid transport in the cornea.
Source of Nutrition—Peripheral cornea
receives it’s nutrients via the blood stream
of
perilimbal [Link] cornea is
avascular and nutrients enter either by
simple diffusion or active transport through
aquous [Link] is derived directly
from air through tear film.
METABOLISM-Mainly of glucose.65% of
metabolism via glycolysis and remaider by
way of Krebs cycle and HMP shunt.
It is a clear watery fluid filling the
anterior chamber(0.25 ml)and posterior
chamber(0.06ml) of the eye ball.
Functions---Maintain a proper intraocular
pressure
Provides substrates and remove
metabolites from the avascular cornea
and lens.
AQUEOUS HUMOUR
Constituents of Normal aqueous humour
Water—99%
Proteins---0.04%
Na+,K+,Cl-,Glucose,Lactic acid,
Aminoacids,Inocitol
Rate of production---2.3ml/mt
Mechanism---Diffusion,Ultrafiltration and
secretion(active transport)
Ultrafiltration-The filtrate accumulates
behind the non-pigment epithelium of
ciliary process
Secretion-Tight junctions between cells of
pigment epithelium creates blood aqueous
[Link] transport occures by Na+K+
ATPase pump and Carbonic anhydrase
enzyme system.
Diffusion is responsible for movement of
water into posterior chamber by osmotic
effect
DIURNAL VARIATION
VASOPRESSIN& AND ADYNYL CYCLASE
HAVE A ROLE IN ACTIVE TRANSPORT
OF Sodium
BPin Ciliary capillaries
Plasma osmotic pressure
LEVEL OF INTRAOCULAR PRESSURE
Control of aquous formation
Aqueous humour flows from posterior
chamber into the anterior chamber
through PUPIL against some physiological
[Link] anterior chamber the
aqueous drained out by 2 ROUTES
[Link] out flow
[Link] outflow
DRAINAGE OF AQUEOUS
HUMOUR
90 % of total aqueous drained out via
this route.
Aqueous outflow system includes the
trabecular meshwork ,canal of Schlemm,
collector channels ,aqueous veins and
episcleral veins.
Trabecular outflow
[Link] meshwork----It is a seive-
likestructure through which aqueoushumour
leaves the [Link] consists of three portions.
Uveal meshwork
Corneoscleral meshwork and
Juxtacanalicular meshwork
[Link] of Schlemm—This is an endothelial
lined oval channel present
circumferentially in the scleral [Link]
Endothelial cells of its inner wall are
irregular spindle-shaped and contain giant
[Link] outer wall of the canal is
lined by smooth flat cells and contains the
openings of collector channels.
Free flow of aqueous occurs from trabecular
meshwork up to inner wall of SCHLEM’S
canal which appears to provide some
resistance to outflow.
Vacuolation theory—It is the most
accepted [Link] to it transcellular
spaces exist in the endothelial cells
forming inner wall of Schlemm’s
[Link] open as a system of
VACUOLES and pores,prymarily in
response to pressure and transport the
aqueous from juxtacanalicular connective
tissue to Schlemm’s canal.
Mechanism of aqueous
transport across inner wall of
Schlemm’canal
[Link] channels—These, also called
intrascleral aqueous vessels are about
25-35 in number and leave the Schlemm’s
canal at oblique angles to terminate in to
episcleral veins in laminated [Link]
intra-sceral aqueous vessels can be divided
in to two systems
The larger vessels(aqueous veins) run a
short intrascleral course and terminate
directly into episcleral veins(direct system)
Many smaller collector channels form an
intra scleral plexus before eventually
going in to episcleral veins (indirect
system).
From Schlemm’s canal the aqueous is
transported via external collector channels
in to the episcleral veins by direct and
indirect systems.A pressure gradient
between intra ocular pressure and intra
scleral venous pressure
(about 10mm of HG)is responsible
for unidirectional flow of aqueous.
It is responsible for about 10% of total
aquous [Link] passes across
the ciliary body into the suprachoroidal
space and is drained by the venous
circulation in the ciliarybody,choroid and
sclera.
[Link] outflow
The IOP refers to the pressure excerted
by intraocular fluids on the coats of the
eyeball.
Normal value---10 to21 mm Hg
Normal level of IOP maintained by
equilibrium between the formation and
outflow of the aqueous humour.
Maintanance of intraocular
pressure
FACTORS INFLUENCING IOP
[Link] of aqueous formation
[Link] to aqueous outflow
[Link] episcleral venous pressure
[Link] of pupil
[Link] Factors like-----Heridity
Age,sex,diurnal variation,Postural
variation,Blood pressure,Osmotic pressure
of blood and general anaesthetics
GLAUCOMA-IOP is raised resulting in a
damage optic nerve head and irreversible
visual field defect.
TYPES;Congenital and developmental
;Prymary:Without any cause
above40 years
Secondary;Increased IOT
secondary to any other ocular
causes
Anatomy:Diameter -9 to10 mm
Thickness -3.5mm at birth
-5mm (at extreme age)
LAYERS
[Link] capsule
[Link] epithelium
[Link] fibers
[Link] ligaments of LENS
CRYSTALLINE LENS
Avascularity
Tightly packed nature of lens cells
Arrangement of lensprotein
Semipermeable character of lens capsule
Same index of refraction in all parts of the
lens
Pump mechanism regulating electrolyte
and water balance in the lens maintain
relative dehydration
FACTORS RESPONSIBLE FOR
LENS TRANSPARENCY
Auto-oxidation,high concentration of
reduced glutathione in the lens maintain the
lens proteins in a reduced state and
ensures
the integrity of the cell membrane pump.
Lens requires energy supply
[Link] of nutrient supply to
lens is chemical exchange with aqueous
humour.
Metabolic pathways of Glucose
-HMP shunt
-Krebs’ citricacid cycle
SORBITOL pathway important in production
of cataract in diabetic and galactosaemic
patients.
LENS-METABOLISM
Any opacity in the lens or its capsule is
called CATARACT.
3 Basic mechanisms which cause cataract
are
[Link] to the lens capsule that changes
its membranous properties
[Link] in the lens fibre protein synthesis
[Link] lens hydration
PATHOGENISIS OF CATARACT
[Link] SENILE CATARACT
Its main biochemical features are
-Decreased levels of total proteins,
aminoacids and potassium associated with
increased concentration of sodium and
marked hydration of the lens followed by
coagulation of proteins
Mechanism of loss of
transparency
[Link] senile cataract----
In it the usual degenerative change is
intensification of the age-related nuclear
sclerosis associated with dehydration and
compaction of the nucleus resulting in a
hard [Link] is accompanied by a
significant increase in water insoluble
proteins.
But the total protein content and
distribution of cations are normal. There
may or may not be associated deposition
of pigment urochrome and /or melanin
derived from the amino acids in the lens.
Vitreous humour is an inert,
transparent,colourless jelly-like structure
that fills the posterior 4/5th of the cavity
of eye ball and is about 4ml in volume.
VITREOUS HUMOUR
Vitreous contain random collagen fibers
interspersed with numerous spheroidal
macromolecules of hyaluronic [Link]
vitreous body divided into 2 parts.
[Link]
[Link]
The vitreous gel mainly serves the optical
[Link] stabilises the shape and
volume of globe and is a pathway for
nutrients to reach the lens and retina.
FUNCTIONS
Optic disc----It is a well defined, circular
pink coloured disc of 1.5mm [Link]
has only nerve fiber layer, so it does not
excite any visual response.
It produces blind spot in the field of vision.
Macula leutea(YELLOW SPOT)---It is a
comparatively dark area situated at the
posterior pole temporal to the optic disc.
Its central depressed area 1.5 mm in
diameter is called FOVEA [Link] is
the most sensitive part of RETINA
RETINA
The retina extends anteriorly almost to
the ciliary [Link] is organized in 10
LAYERS.
It is the innermost TUNIC of the eyeball
and is a thin transparent membrane.
Retina exibits 3 distinct areas grossly
Optic disc
Macula lutea
Peripheral retina
Optic disc-It is a well defined,circular pink
coloured disc of 1.5mm [Link] has
only nerve fibre layer, so it does not excite
any visual response .It produces blind spot
in the field of vision.
Macula lutea(Yellow spot)—It is a
comparatively dark area situated at the
posterior pole temporal to the optic [Link]
central depressed area 1.5mm in
diameteris
called fovea [Link] is the most
sensitive
part of the retina.
ORA SERRATA—It is the anterior serrated
margin where the retina ends.
MICROSCOPIC PICTURE
Retina consists of ten layers, which from
with out inwards are
[Link] of pigment epithelium---It is a
single layer of hexagonal cellls containing
melanin pigments.
FUNCTIONS
1) ABSORBS STRAY LIGHT AND REDUCES
LIGHT SCATTER
2)PHAGOCYTOSE THE ENDS OF THE OUTER
SEGMENTS OF RODS WHICH ARE
CONTINUOUSLY SHED
[Link] THE METABOLISED
PHOTOPIGMENTS IN TO A FORM THAT
CAN BE REUSED AFTER IT IS
TRANSPORTED BACK TO
PHOTORECEPTORS
[Link] JUNCTION BETWEEN THE CELLS
FORM OUTER BLOOD –RETINAL BARRIER
Functions
[Link] OF RODS AND CONES
It consist of the outer segments of the
photoreceptors(Rods and cones).
Photoreceptors are the end orgens of
vision.
[Link] OF RODS AND CONES
It consist of the outer segments of the
photoreceptors(Rods and cones).
Photoreceptors are the end orgens of
vision.
[Link] limiting membrane---It is not a
separate membrane. Numerous
connections made between Muller cells and
inner segments of photoreceptors give the
appearance of a continuous membrane
under light microscopy.
[Link] nuclear layer; This layer contains
the nuclei of rods and cones.
[Link] plexiform layer—This layer contains
presynaptic and post synaptic elements of
synapses that exist between the
photoreceptors,bipolar cells and horizontal
cells.
[Link] nuclear layer---It contains the
cellbodies and nuclei of bipolar
cells,amacrine cells and horizontal cells
[Link] plexiform layer---It is the layer of
synapse between bipolar cells,ganglion
cells and amacrine cells.
[Link] cell layer—It consists of
ganglioncells which are the output cells of
the [Link] transmit visual
information to the brain
[Link] fiber layer– It consists of the axons
of ganglion cells which pass through
lamina cribrosa to form the optic
[Link] fibers remain unmyelinated in
the retina,but become myelinated in the
optic nerve.
[Link] limiting membrane---It is formed
by projections of the mullers cells and
seperates the retina from vitreous
Foveal regeon has the highest visual
resolution.
RODS ARE ABSENT ,CONE DENSITY
MAXIMAM
Foveal cones have unusually long and thin
outer [Link] Shape allows a high
packing density.
STRUCTURAL CHARECTORISTIC OF
FOVEA CENTRALIS
All inner layers of retina are pushed aside
in this [Link] arrangement allows light to
reach the cones without having to pass
through the inner layers of retina,and there
by reduces distortion of the [Link]
ACUITY is MAXIMUM at this POINT.
The most central part of fovea is devoid of
even capillaries, while the rest of fovea
contains fine capillaries but no large
vessels which encircle this area.
There is no convergence of efferents of
foveal [Link] foveal cone relays to
single ganglion [Link] there is
disproportionate large representation of
the fovea in visual cortex
RODS AND CONES
Rods contain photosensitive pigment present
in
The disks of the RODs called
RHODOPSIN(VISUAL PURPLE) . It is
OPSIN-
SCOTOPSIN+RETININE 1(The aldehyde of Vit
A)
Cones contain photosensitive pigment
resembling RHODOPSIN called IODOPSIN
which is Opsin --- photopsin+retenin-1
PHOTORECEPTORS
Photo sensitive compounds in the RODs
are made up of Opsin called scotopsin and
retinene 1 the aldehyde of Vit.A1
Rods are extremely sensitive to light and
are
the receptors for night vision also called
SCOTOPIC vision
According to absorption spectrum of
Rhodopsin peak sensitivity to light lies with
in 493-505 [Link] absorbs prymarily
YELLOW wave length of [Link] transmits
violet and red to appear PURPLE by
transmitted light.
The cones have a much higher
THRESHHOLD but greater ACUITY and is
responsible for VISION in bright light.
Called PHOTOPIC VISION.
Also responsible for COLOUR VISION.
There are 3 Kinds of cones in primates.
Cone pigments are responding to specific
wave lengths giving rise to colour vision.
The peak absorbance wave lengths of
cones for
Blue---435nm
Green---535 nm and
Red----580 nm
DUPLICITY THEORY
2 kinds of inputs to CNS FROM eye
working maximally under different
conditions of illumination is called
duplicity theory
MELANOPSIN ----Small number of
photoreceptors contain melanopsin
rather than RHODOPSIN OR cone
pigments.
They project to suprachiasmatic nuclei and
lateral geniculate nuclei controlling
pupillary responses to light.
Circadian photo entertainment and part of
Pupillary reflex are controlled by this
system.
RODS----AND ----CONES
STRUCTURE
—OUTER SEGMENT
---INNER SEGMENT INCLUDING
NUCLEAR REGEON
---SYNAPTIC ZONE
Outer segments are modified
cilia
and made of regular stacks of
flattened saccules or disks
composed of membrane.
These sacules and disks contain
the photosensitive compounds
that react to light initiating action
potentials in the visual pathways.
Unlike ROD the inner segment of cone
become directly continuous with its
Nucleus and lie in the outer nuclear LAYER
The cone outer segment is conical in
shape, much shorter than that of rod and
contains [Link]’s opsin part is called
PHOTOPSIN
The lamellar discs are narrower than rods
which are infoldings of plasma
membrane.
Each cone cell is 40—80 Micrometer [Link]
is largest at the fovea(80micrometers) and
shortest at the periphery(40micrometer).
In cones the saccules are formed in the
outer segments by infoldings of the cell
membrane
In rods the disks are seperated from the
cell membrane
Renewal of cones is a diffuse process
,occur at multiple sites.
Rods outer segments renewed from inner
edge of the [Link] disks are
phagocytosed from outer lip by cells of
pigment epithelium
Rods are predominent in the extrafoveal
portions of RETINA.
Cones predominate in fovea
Extrafoveal portions there is a good deal
of convergence.
Flat bipolar cells make synaptic contact
with several cones
Rod bipolar cells make synaptic contact
with several rods
There are approximately 6 million cones
and
120 million rods in each human eye.
Only1.2 million nerve fibers in each optic
nerve
So overall convergence of receptors through
bipolar cells on ganglion cells is about
105:1
FROM THIS POINT THERE IS
DIVERGENCE------ There are twice the
fibers in geniculocalcarine tracts as in the
optic nerves.
In visual cortex the number of neurons
concerned with vision is 1000 TIMES the
number of fibers in the optic nerve.
SYNAPTIC ZONE---
In the case of ROD it forms rod spherule
and for cone it is the cone [Link] lie in the
Outer plexiform [Link] cells
connect receptor cells to the other receptor
cells in the outer plexiform layer.
The RODs and CONEs which are next to
the CHOROID synapse with bipolar cells
Bipolar cells synapse with ganglion cells
The axons of the ganglion cells converge
and leave the eye as the optic nerve.
Amacrine cells connect ganglion cells to
one another in the inner plexiform layer.
The receptor layer of retina rests on the
pigment epithelium next to choroid ,light
rays
must pass through the ganglion and bipolar
cell layers to reach the RODsand CONES
The neural elements of RETINA are bound
together by glial cells called Muller cells.
The processes of Mullers cells form internal
Limiting membrane on the inner surface of
RETINA and external limiting membrane in
the RECEPTOR ZONE.
RETINAL DETACHMENT---Pigment layer
detached from [Link] retinal vessels
supply the bipolar and ganglion cells.
But receptors are nourished mostly from
capillary plexus in the [Link] retinal
detachment is damaging to RECEPTOR
CELLS.
PHOTO RECEPTOR
MECHANISM
ACTION OF LIGHT ON PHOTOSENSITIVE
SUBSTANCES IN THE RODS AND CONES
GENERATE ACTION POTENTIALS IN THE
RETINA.
WHEN LIGHT IS ABSORBED BY THESE
SUBSTANCES, THEIR STRUCTURE
CHANGES AND TRIGGERS A SEQUANCE
OF EVENTS THAT INITIATES NEURAL
ACTIVITY.
ELECTRICAL RESOPNSES
Receptor potentials of the photoreceptors and
electrical responses of other neural elements
are local graded potentials.
It is only in the ganglion cells that all or none
action potentials transmitted over appreciable
distances are generated.
Responses of the rods cones and horizontal
cells are hyperpolarising
responses of bipolar cells---Hyperpolarising or
depolarising
Amacrine cells—Depolarisig potentials &spike
that
result in generator potentials
Cone receptor potentials have sharp onset
and offset.
Rod receptor potential has a sharp onset
and a slow offset.
Amplitude of receptor potentials compared
to Stimulus intensity
In the case of rods responses are
proportionate to stimulus intensity at level
of illumination that are below threshold for
[Link] rods are much more sensitive.
RECEPTOR POTENTIALS
Cone responses are proportionate
to stimulus intensity at high levels
of illumination when the rod
responses are maximal and can
not [Link] is why cones
generate good responses to change
in light intensity above background
but do not represent absolute
illumination well whereas rods detect
absolute illumination well.
Visual pigments are those substances
which have the property of absorbing
light.
These include
RHODOPSIN
CONE PIGMENT
VISUAL PIGMENTS
It is the photo sensitive visual pigment
present in the discs of ROD OUTER
SEGMENTS
It consists of a protein OPSIN(SCOTOPSIN)
and a CAROTENOID called RETINAL or
retenine1
Molecular weight----40000
Absorption spectrum of RHODOPSIN has a
peak sensitivity with [Link]
absorbs primarily yellow wave length of light
transmitting VIOLET &RED to appear purple
RHODOPSIN(VISUAL PURPLE)
CONE PIGMENTS
3 Kinds of cones in primates.
Cone pigments differ from RHODOPSIN
in that they respond to specific
WAVELENGTHS of light giving rise to
Colourvision.
These differences are in OPSIN portion
of the molecule where as the chromophore
11-cis-retinal remains the same.
The peak absorbance wave -length of the
blue, green and red sensitive cones lie
at about 440,535 and 565nm respectively.
Light induced changes or photochemical
changes trigger a sequence of events that
cause PHOTO TRANSDUCTION .The photo-
-chemical changes occurring in the rods
and cones are similar,but they have been
studied in detail in the RODs and is
described as
Rhodopsin bleaching
Rhodopsin regeneration
Visual cycle
Light-induced changes
Rhodopsin
Light energy
BATHMO RHODOPSIN
OPSIN
LUMIRHODOPSIN
11 CIS- RETINAL
ISOMERASE METAHRODOPSIN-1
RHODOPSIN REGENERATION
ALL TRANS Metarhodopsin-ii
RETINAL
ISOMERASE
11 Cis- retinal All trans RETINAL
NADH
NADH
NAD
NAD
Isomerase
11CIS RETINOL All TRANS-RETINOL(VIT A)
The light absorbed by the Rhodopsin
converts its 11-cis-retinal into
all –trans-retenal.
This light induced isomerization occurs
through formation of many intermediates
which exist for a transient period.
RHODOPSIN BLEACHING
Isomerization of all trans-retinal back to
11 cis retinal is catalised by the enzyme
retinal [Link] for regeneration
is supplied by metabolic pool of
photoreceptor outer [Link] the outer
segment 11 cis retinal reunites with the
opsin to form rhodopsin.
Bleaching occurs under the influence of
light.
Regeneration process is independent of
light proceeding equally well in light and
darkness.
Amount of rhodopsin in the rods varies
inversely with incident light.
Conversion of light energy in to nerve
impulse involving a cascade of
biochemical reactions.
[Link] of rhodopsin to form
metarhodopsin 11
[Link] of transducin—The activated
rhodopsin activate many molecules of
[Link] gets replaced by
GTP and the α subunit seperates
PHOTOTRANSDUCTION
Rhodopsin
Light energy
( minutes)
Bathmorhodopsin(ns)
opsin
LUMIRHODOPSIN (μs )
Metarhodopsin I( ms)
scotopsin
Metarhodopsin1I(s)
11-CIS RETINAL isomerase ALL TRANS RETINAL
NADH NADH alcohol
dehydrogenase
NAD NAD
11-CIS-RETINAL ALL TRANS-RETINOL
isomerase (vitaminA)
Light induced changes in rhodopsin
[Link] of cGMP to GMP leading to
reduction in the concentration of cGMP
within the photoreceptor
[Link] of receptor potential
In dark the Na+ channels in the cell
membrane of outer segment of
photoreceptor are kept open by cGMP.
This is responsible for DARK CURRENT
(influx of Na+) which is responsible for
state of depolarisation of the receptor
[Link] Na+ [Link] kept at a
steady state by sodium pump located in
the inner segment.
[Link] light strikes the photoreceptor the
amount of cGMPin the photoreceptor is
reduced,and some of the Na+ channels
are [Link] result in a hyperpolarising
receptor potential.
[Link] polarisation(Local graded potential)
leads to Decreased release of synaptic
transmitter and produces response in
bipolar cells and other neural elements.
The receptor potential generated in the
photoreceptors is trasmitted by electrotonic
conduction.(direct flow of electric current,not
AP) to other cells of RETINA viz horizontal
cells,amacrine cells and ganglion cell.
GANGLION CELLS transmit the visual signels
by means of ACTION POTENTIAL to the
neurons of lateral geniculate body and the
later to the primary visual cortex.
Processing and transmission of
visual impulse in retina
ROLE OF VITAMIN A IN THE FORMATION
OF RHODOPSIN
Vitamin A is present both in the
cytoplasm of RODS and in the pigment
layer of [Link] A is normally
avilable always to form new retinal when
[Link] there is excess retinal in the
retina the excess is converted back to
Vit A, thus reducing the amount of light-
sensitive pigment in the retina .
When rod is exposed to light the rod
becomes [Link] rhodopsin
decomposes,it decreases the membrane
conductance for Na+ions in the outer
segment of the [Link] causes
hyperpolarization of the entire rod
membrane.
Excitation of the ROD when
rhodopsin is activated
It occurs in any person with severe
vitamin A [Link] reason for this
is that not enough quantities of Vitamin A
is then avilable to form adequate
quantities of [Link] fore the
amount of rhodopsin that can be formed
becomes severely [Link]
condition is called night blindness because
the amount of light avilable at night is too
little to permit adequate vision,although in
daylight the cones can be still excited
despite reduction of their colour
NIGHT BLINDNESS
pigments as well.
The cones have a much higher
THRESHHOLD but greater ACUITY and is
responsible for VISION in bright light.
Called PHOTOPIC VISION.
Also responsible for COLOUR VISION.
MECHANISM OF VISION
It convey the impulses generated in the
retina to the occipital region of ceribral
cortex where they produce SENSATION
OF VISION
OPTIC NERVE AND
CONNECTIONS
CORNEA---Refractive index(1.37)
AQUEOUS HUMOUR—1.33
LENS----1.42
VITREOUS HUMOUR—1.33
Total diopteric power of the eye---+60D.
In this+44D is contributed by cornea and
+16D by lens.
Refracting structures in the eye
Studied by LISTING and GUASS
For homocentric lens system there are
3pairs of cardinal points
---2 Principal foci
----2 principal points
----2 nodal points
All situated on the principal axis of the
system
SCHEMATIC EYE
Total diopteric power +58D of which
cornea contributes + 43D and lens +15D
The principal foci F1 and F2 lie 15.7mm in
front of and 24.4mm behind the cornea.
CARDINAL DATA
The principal points P1 and P2 lie in the
anterior chamber 1.35mm and1.60mm
behind the anterior surface of cornea
The nodal points N1and N2 lie in the
posterior part of lens 7.08mm and 7.33mm
behind the anterior surface of cornea
respectively.
Simplified by [Link] a single
principal point(P) and single nodal
point(N) lying midway between
2 Principal points and
2 nodal points respectively.
This is called LISTING’S REDUCED EYE
REDUCED EYE
Total diopteric power----+60 D
The principal point lies 1.5 mm behind the
anterior surface of cornea
The nodal point is situated 7.2mm behind
the anterior surface of cornea.
The anterior focal point is 15.7mm in front
of the anterior surface of the CORNEA
DATA OF REDUCED EYE
The posterior focal point (on the retina) is
24.4 mm behind the anterior surface of
cornea.
Anterior focal length
is17.2mm(15.7+1.5)and
posterior focal length is 22.9mm(24.4-
1.5)
The eye has 3 principal axes
[Link] optical axis is the line passing
through the Center of cornea(P)
Centre of lens(N)
And meets the retina(R) on the nasal
side of the fovea
AXES OF THE EYE
[Link] visual axis—is the line joining the
fiixation point(o),Nodal point (N) and the
Fovea(F).
[Link] fixation axis is the line joining the
Fixation point(o) and center of rotation(c).
In an emmetropic eye parallel rays of light
coming from infinity are brought to focus
on the retina.’with accommodation at
rest.
Our eyes have been provided with a
unique mechanism by which we can focus
the diverging rays coming from a near
object in the [Link] mechanism is
called ACCOMMODATION.
In it there occurs increase in the power of
the crystalline LENS
ACCOMMODATION
ACCOMMODATION
The distant point at which small objects
can be seen clearly is called FAR point.
The nearest point at which small objects
can be seen clearly is called NEAR POINT.
The RANGE OF ACCOMMODATION --The
distance between the near point and the
FAR point is called the RANGE OF
ACCOMMODATION
AMPLITUDE OF ACCOMMODATION
The difference between the diopteric
power needed to focus at near point and
to focus at far pointis called AMPLITUDE
OF ACCOMMODATION.
FAR POINT and NEAR POINT of the eye
vary with the static refraction of the
[Link] hypermetropic eye far point is
virtual and lies in front of the eye.
In an emmetropic eye far point is at
infinity and near point varies with age.
It is about 7cm at the age 10 years
25cm at the age of 40 years
33cm at the age of 45years.
Thus the amount that the eye can alter its
refraction is greatest in childhood and
slowly decreases until it is lost in middle
age.
RELAXATIN THEORY: This theory is first
proposed by
THOMAS YOUNG
Elaberated by HELMHOLZ in 1885
Importance given to the lens capsule was
emphasized by Fincham
Mechanism of accomodation--
Theories
When the eye is at rest the malleable
substance of young lens is compressed in
its capsule by tension of the ZONULE.
The surfaces of the compressed lens are
less curved and these change the diopteric
power in lens.
Zonules are kept under tension by a pull
executed on them by the elastic choroid.
However, recently it is being assumed that
zonules are kept under tension by the
relaxation of fibers of the ciliary muscle.
Contraction of the ciliary muscle causes
the
ciliary ring to shorten and move forward
the equator of the [Link] also pulls the
choroid [Link] a result the zonules are
relaxed,the tension on the capsule is
relieved and the lens attains a more
Spherical shape.
.As the refractive index of lens(1.39) is
more than the refractive index of aqueous
and vitreous,increase in convexity of the
lens increases its diopteric power and thus
allows the near objects to be focused
clearly on the retina.
[Link] of the Zonules—Zonules are
normally tense and keep the lens [Link]
slaken during accommdation due to
contraction of ciliary muscle.
Ocular changes in
accommodation
[Link] in the curvature of lens surface
At rest the radius of curvature of the
anterior surface of the lens is 11mm and
that of posterior surface is [Link]
accommodation the curvature of posterior
surface remains almost same.
During strong accommodation it’s radius of
curvature becomes about 6 mm in the
periphery and 3mm in the central part
which bulges more because the anterior
capsule is thinner here as compared to the
peripheral part.
The central part of the anterior surface
bulges more because the anterior capsule
is thinner here as compared to the
peripheral [Link] posterior capsule is the
thinnest region and so the posterior surface
has a greater curvature even in the
unaccommodated lens..
3. Anterior pole of the lens moves forward
Carrying the iris with it ,resulting in
shallowing of the anterior chamber in the
center.
[Link] thickness - of lens is increased
owing to forward movement of the
anterior pole(posterior pole remaining
fixed)
[Link] in the tension of lens capsule
have also been [Link]
accommodation the anterior capsule
becomes slack.
[Link] sinks down---Because the
accommdated lens is held less firmly by its
zonular attachment,it is influenced by the
force of gravity and tends to sink within
the globe.
[Link] within the lens substance– In
addition to the changes in curvature of
lens,the changes in the lens substance
also create a change in the refractive
power of lens.
[Link] constriction and convergence of
[Link] addition to the changes in the lens
and zonular system the pupil constricts and
the eyes converge,almost
[Link] changes occur
to achieve clear vision for near objects.
9. The ora serrata moves forward about
. 05mm with each diopter of accommdation.
[Link] aberrations ---Spherical
aberrations occur owing to the fact that
spherical lens refracts peripheral rays more
strongly than paraxial rays which in the
case of a convex lens brings the more
peripheral rays to focus closer to the lens.
OPTICAL ABBERATINS OF THE
EYE
The factors which contribute in
diminishing the spherical aberations of
human eye are
Peculiar curvature of cornea ie flatter
periphery than the centre
Peculiar structure of the crystalline lens in
which the central portions have a greater
density and are arranged in layers of
greater curvature than the peripheral
portion
Iris blocks the peripheral rays to enter
the eye and in ordinary circumstances
Refraction of only paraxial rays of light
takes place.
Chromatic abberations result owing to the
fact that the index of refraction of any
transparent medium varies with the
wavelength of incident light.
In human eye which optically acts as a
convex lens blue light is focussed slightly
in front of the [Link] otherwords the
emmetropic eye is hypermetropic for red.
CHROMATIC ABERRATIONS
Myopic for blue and green rays.
Emmetropia can be defined as a state of
refraction when the parallel rays of light
coming from infinity are focussed at the
sensitive layer of retina with the
accommodation being at rest
Emmetropia
Ametropia(A condition of refractive error)
is defined as a state of refraction,when
the parallel rays of light coming from
infinity are focused behind the retina in
one or both the meridia.
The ametropia includes myopia hyper
metropia and astigmatism.
Ametropia
Hypermetropia (HYPEROPIA)or(LONG
SIGHTED NESS)
It is the refractive state of the eye where
in parallel rays of light coming from
infinity are focussed behind the retina
with accommodation being at rest.
HYPERMETROPIA
[Link] hyper metropia---axial shortening of
eyeball.
ABOUT Imm shortening of anteroposterior
diameter of eye results in 3DIOPTERS OF
hypermetropia.
Mechanism of production
Curvatural hypermetropia is the condition
in which the curvature of cornea,lens or
both is flatter than the normal.
About 1 mm increase in the radius
of curvature results in 6 diopters of
hyper metropia.
Index hypermetrpia ;occurs due to change
in refractive index of the lens in old age.
Eg Diabetes under treatment
Positional hypermetropia
Absence of crystalline lens-Either
congenitally or aquired(following surgical
removal or posterior dislocation) leading
to aphakia
Features---FAR SIGHTEDNESS
-REECEEDING OF NEAR
POINT
-ASTHENOPIC Symptoms(headache,eye
ache ,tieredness,discomfort in reading.
Accommodative divergent squint.
Optical correction;
CONVEX LENSES(PLUS LENS)
MYOPIA; It is a refractive error in which
parallel rays of light coming from infinity
are focussed in front of RETINA when
accommodation is at rest.
Mechanism of production---
Axial myopia
Curvatural myopia
Positional myopia
Index myopia
Accommodation; in uncorrected myopia is
not developed normally,since they need
not accommodate to see the near objects
clearly.
For this reason they may suffer from
convergence insufficiency.,exophoria and
early presbyopia as they grow older.
Optical correction
CONCAVE (MINUS) LENSES
Astigmatism is a type of refractive errror
Where in the refraction varies in the
different
[Link] convergent rays of light
entering the eye cannot converge to a point
focus,but form focal lines.2TYPES
Regular
Irregular
Astigmatism
REGULAR ASTIGMATISM
Refractive power changes uniformly from
one meridian to another.
IRREGULAR ASTIGMATISM;
Irregular changes of refractive power in
different [Link] are multiple meridia
which admit no geometrical analysis
Presbyopia(Eye sight of old age)-It is not
an error of [Link] is a physiological
insufficiency of accommodation, leading to
failing of near vision.
Upto age of 40 years we can read book by
keeping at about 25 [Link].
After the age of 40 NEAR POINT OF
ACCOMMODATION RECEDES beyond the
normal reading range.
PRESBYOPIA
Decresed elasticity and plasticity of the
crystalline lens(age related sclerosis
Age related decrease in the power of
Ciliary muscles
Pathophysiolgy of presbyopia
Symptoms
Difficulty of near VISION to start with in
evening later even in good light
Asthenopic symptoms due to fatigue of
the ciliary muscles after reading or near
work.
TREATMENT
Convex glasses for near work
Role of different cells in the
processing of retinal Image
Concept of receptive field
The receptive field is defined as the
influence area of a sensory [Link] is
circular in [Link] light falling in
the receptive field hyperpolarises the cell.
In the dark,ie when the photoreceptor is
depolarized a neurotrasmitter (glutamate)
is released from its [Link]
hyperpolarised ,the photoreceptor will
release less neurotransmitter.
HORIZONTAL CELLS have very large
receptive field in comparison to the
photoreceptor cell. A Horizontal cell
transmits signels horizontally in the outer
plexiform layer from rods and cones to
the bipolar [Link] main function is to
enhance the visual contrast by causing
lateral inhibition ie they play a role in
processing of spatial information.
BIPOLAR CELLS
There are two types of bipolar
cells,one type inhibited by
glutamate are depolarised
while other (excited by glutamate)
are hyperpolarized when the
photoreceptors are excited.
Thus the two different
types of bipolar cells
Provide opposing EXCITATORY and
INHIBITRY signels in the
VISUAL PATHWAY.
Receptive field of the bipolar cell is also
circular ,but shows a center surround
[Link] the case of centre
depolarising cell(on cell),the light striking
the centre of receptive field activates and
the light striking the surround inhibits
bipolar cell [Link] reverse occurs in
the center hyperpolarising cell(off cell).
The size of the centre of the bipolar cell
receptive field is determined by the reach
of it’s dentrites that of much larger
surround is determined by the spread of
interconnected horizontal ell
This provides reciprocal relationship
between the depolarizing and bipolar cells
is that it provides a second mechanism for
lateral inhibition.(spacial information
processing).
In addition,this reciprocal relationship
allows half of the bipolar cells to transmit
positive signels and the other half to
transmit negative signels ;both have a
useful role in
Transmitting visual information to brain.
AMACRINE CELL
Amacrine cells receive information at the
synapse of bipolar cell axon with ganglion cell
dendrite and use this information for temporal
[Link] receive input from different
combinations of on-centre and off centre bipolar
cells.
The receptive fields of amacrine cells are
mixture of on centre and off centre regeon
Amacrine cells produce transient
depolarising potentials and spikes at the
onset and offset of visual [Link]
cells are the first cells in the visual pathway to
generate the impulse
GANGLION CELLS :The electrical
response of bipolar cells
(local graded potential) after modification
by the
amacrine cells
is transmitted to the ganglion cells which in
turn transmit their signals by means of
Action potential to brain
RECEPTIVE FIELD OF GANGLION CELLS
They also has got a centre surround
antagonism.
Functionally the ganglion cells are of 2
types
M ganglion cells(also called large ganglion
cells or Y cells)are concerned with
movement and stereopsis.
P ganglion cells (also called small ganglion
cells or X cells are concerned with
shape,colour and texture of the image