Anatomy & Physiology Eye: By: DR Abdul Salim Ismail Ophthalmology Department Hospital Pulau Pinang 8 July 2015

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ANATOMY & PHYSIOLOGY EYE

By: Dr Abdul Salim


Ismail
Ophthalmology
Department

Shape/Size

Eye Cavity

pear-shaped
30cc volume
35mm height,
45mmwidth
40-45mm depth

Formation
margin
roof/floor
lateral/medial wall
periorbital sinuses

JPG File

JPG File

Blow-Out Fracture
Results in antero-posterior

compression
Simultaneous expansion in

the equatorial plane


Impact primarily absorbed:
lens-iris diaphragm
vitreous base
Damage :
anterior segment
posterior segment

Blunt Trauma

Eye Lids

Skin

fine hairs/various
glands
Margin
Subcutaneous
connective tissue
Orbicularis oculi
muscle
Orbital septum
Levator/mullers
muscle

JPG File

GIF File

GIF File

Lacrimal System

JPG File

Epiphora
Acute Dacryocystitis

Extraocular Muscles

High contents
of nerve axon
unlike skeletal
muscle

Origin from
orbital apex

Insertion on
anterior scleral
layer

Single/share
nerve/blood

Extraocular Muscles

Skeletal muscles in that they are made

up of 2 different types of muscle cells.


Each muscle cell is composed of groups
of myofibrils called sarcomeres

Total six muscles


superior rectus
inferior rectus
medial rectus
lateral rectus
superior oblique
inferior oblique

Eye Globe

24mm in
diameter
AP
diameter
21-26mm
conjuctiva
e-retina

Conjunctivae
outermost layer
palberal/bulbar

parts
nonkeratinizing
squomous
epithelium with
numerous goblet
cells

Sclera

opaque and white


eye ball integrity
JPG File

Cornea
avascular and transparent
12x11 mm in size
consist of 5 layers
epithelium
Bowmans layer
stroma
descements membrane
endothelium
main refractive element
70%

Lasik surgery

Cornea Ulcer

Keratoconus

Corneal Transplant

Aqueos humour
produced by ciliary
bodies epithelium
provides nutrients
needs for cornea/lens
drains endly into
schemms canal
production/outflow
directly influence IOP
PNG File

JPG File

Angle Structures
Iridocorneal angle

Gonioscopy

Acute angle closure attack

Uveal tract
main vascular
compartment of
the eye
consists of
iris
ciliary body
choroid

Iris
anterior extension of
uveal tract
made up of connective
tissue/blood vessels
melanocytes/pigments
cells give various colour
central opening(pupil)
for for visual axis
dilator/sphinter muscles
important for
accommodative

Ciliary body
triangular in shape
and mainly formed
by epithelium/stroma
layer
Also contents of
ciliary muscles
aqueous humor
production and lens
accomodation

Choroid
posterior portion
of uveal tract
0.25mm in
diameters
main vascular
supply to
posterior eye
component

Lens
bioconvex avascular
structre and located
just behind iris
9-10mm in
diameter
held in place by
zonular fibers of
ciliary body
function as
refractive
+accomodation

Phacoemulsification

Vitreous
transparent gel like
structure due to content
of mucopolysaccharide
hyaluronic acid
4ml in volume with 99%
water content
important for metabolism
intra ocular tissue such
as lens,ciliary body and
retina
firmly adhered to retina
at periphery and
presence of traction can
lead to retinal tear

Retina
thin transparent
structure
main light
receptors structure
consists of 10
layers
red reflex due to
transmission of
light reflected from
capillary bed of
the choroid

JPG File

JPG File

Retinal Breaks
Leads to retinal

detachment

Macula (anatomic

macula)
4.5mm-6mm diameter
centered on the fovea
bordered by superior and
inferior temporal arcades
Macula (fovea centralis)
3mm temporal and 1mm
inferior to disc
yellow configuration
given by presence of
xantophyll

1-umbo
2-foveala
3-fovea
4-parafovea
5-perifovea

Optic nerve
second
cranial
nerve
contents of
1 million
axons that
originated
from
ganglion
cell layer of
retina

JPG File

Visual Pathway

Thank You

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