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Optometry 214
Test 2 Ocular Physiology
33
Other
Not Applicable
11/03/2007

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Term
What is the palpebral conjunctiva divided into?
Definition
the marginal tarsal portion and the orbital portion
Term
Is the  conjunctiva loosely or tightly attached?
Definition
The conjunctiva is loosely attached and hence can become swollen or chemotic
Term
What is swelling of the bulbar conjunctiva forming a swelling around the iris of the eye?
Definition
chemosis
Term
What type of glands are in the lacrimal caruncle?
Definition
large sebaceous glands similar to the glands of Zeiss and Moll
Term
What are the two layers of the conjunctiva made up of?
Definition
1.  Stratified Columnar epithelium

2.  Lamina propria
      Adenoid Layer
      Fibrous Layer

See Slide 13 of Combined Test 2 Documents
Term
What does adenoid tissue in the conjunctiva do to the conjunctiva when it develops at 3 months of age?
Definition
It makes the conjunctiva highly irregular
Term
What do lymphatic follicles of the bulbar and orbital portion of the palpebral conjunctiva indicate?
Definition
Lymphatic follicles are only present in childhood and in response to inflammation (e.g. follicular conjunctivitis)
Term
What part of the conjunctiva contains the adenoid tissue of the lamina propia?
Definition
bulbar conjunctiva and the orbital portion of the palpebral conjunctiva
Term
Which portion of the conjunctiva contains the fibrous part of the lamina propia layer of the conjunctiva?
Definition
The part of the palpebral conjunctiva that is inner to the tarsal plate.
Term
Which part of the conjunctiva contains the smooth palpebral muscles of Mueller?  What type of innervation innervates the smooth palpebral muscle of Mueller?
Definition
The fibrous layer of the lamina propria which is located inner to the tarsal plate of the palpebral conjunctiva.  The smooth palpebral muscle of Mueller is sympathetically innervated.
Term
Where are the goblet cells of the conjunctiva?
Definition
Goblet cells are most often found near the fornix.  They are absent in the margin of the eyelid and the corneo-scleral limbus.  They are more frequent in the palpebral conjunctiva than the bulbar.
Term
What do the glands of Krause secrete?
Definition
aqueous, same as the lacrimal gland
Term
Where are the glands of Krause located?
Definition

Deep in the corneal stroma (substantia propria) or temporal 1/3 of the conjunctiva  and especially around the fornix

Term
What do the glands of Wolfring and Manz secrete?
Definition
a mucinous substance similar to that of the goblet cells
Term
What vessels nourish the eyelids?
Definition
The marginal arcades
Term
What does the peripheral arcade nourish?
Definition
the bulbar conjunctiva and the conjunctiva of the fornix
Term
What vessels form the superficial (conjunctival) and deep (episcleral) pericorneal plexuses?
Definition

the anterior conjunctival branches of the 7 ciliary arteries

Term
How do you differentiate the posterior conjunctival vessels from iritis?
Definition
Posterior conjunctival vessels dilate during infection and appear red because of the their superficial location and move with the conjunctiva.  You can constrict them with a vasoconstrictor to differentiate them from iritis.
Term
Which conjunctival vessel is injected during inflammations of the iris, ciliary body, and in closed angle glaucoma?
Definition
The posterior portion of the episcleral pericorneal plexus.
Term
Which conjunctival vessels is injected from corneal inflammations?
Definition
The anterior portion of the episcleral of the precorneal of the anterior ciliary areteries of the musclar arteries of the opthalmic arteries.
Term
What will severe inflammation always produce because the anterior and posterior conjunctival arteries are joined?
Definition
Injection of both ciliary and conjunctival vessels
Term
What nerve is responsible for the sensory innervation of the superior palpebral conjunctiva medially?  laterally?
Definition
The bulbar conjunctiva is innervated by the frontal nerve by way of supratrochlear nerve medially and the lacrimal nerve laterally.  Both are branches of the opthalmic nerve.
Term
What type of innervation is in the bulbar conjunctiva?
Definition

sympathetic nerves that follow the blood vessels and sensory nerves

Term
What innervates the lateral inferior palpebral conjunctiva?
Definition
the lateral branch of the lacrimal nerve (opthalmic division)
Term
What sensory innervates the medial inferior palpebral portion of the conjunctiva?
Definition
the infraorbital nerve (maxillary division)
Term
What innervates the conjunctiva in the corenoscleral limbus?
Definition
the long ciliary nerves
Term
What is the purpose of the conjunctival junction to Tenon's capsule?
Definition
to permit mobility of the globe with maintenance of the barrier
Term
What joins the conjunctiva with Bowman's layer of the cornea at the limbus?
Definition
Loose vascular stromal junciton
Term
Where is Tenon's capsule?
Definition
underneath the stroma of the conjunctiva
Term
What type of fibers make up the sclera?
Definition
The sclera is connective tissue made up fibroblasts embedded in a matrix of collagen and elastic fibers with several different types of peptidoglycans interspersed
Term
What structures are the episcleral and deep scleral plexus posterior to?
Definition
the limbus
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