Agents of Tissue Damage

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Questions and Answers

What is the role of fibroblasts during the inflammatory response in cornea repair?

  • They produce collagen essential for tissue structure. (correct)
  • They produce antibodies to fight infections.
  • They stimulate nerve growth in the cornea.
  • They migrate to clear toxins from the injured area.

What is a consequence of irregular collagen deposition in cornea repair?

  • Disruption of tissue transparency and formation of scars. (correct)
  • Enhanced tissue flexibility and strength.
  • Improved visual acuity and clarity.
  • Regeneration of epithelial layers without scarring.

What triggers the proliferation of retinal pigment epithelium (RPE) cells after retinal detachment?

  • Release of insulin-like growth factors.
  • Presence of nerve growth factors.
  • Exposure to light.
  • Inflammatory response from the injury. (correct)

What happens to endothelial cells during cornea repair?

<p>They undergo hyperplasia to replace lost cells. (C)</p> Signup and view all the answers

What is a common outcome of scarring in tissue repair?

<p>Permanent disruption of normal tissue structure and function. (C)</p> Signup and view all the answers

What causes amaurosis fugax?

<p>Transient vision loss due to ocular artery involvement (D)</p> Signup and view all the answers

In sympathetic ophthalmia, what triggers the immune response in the unaffected eye?

<p>Exposure of antigens due to trauma or surgery in one eye (C)</p> Signup and view all the answers

What is a primary cause of dry eye syndrome in Sjögren’s syndrome?

<p>Decreased tear production due to glandular destruction (B)</p> Signup and view all the answers

What ocular complication can result from inadequate tear film?

<p>Epithelial damage and corneal ulcers (D)</p> Signup and view all the answers

What is the main effect of bilateral uveitis on vision?

<p>Photophobia, blurred vision, and potential vision loss (D)</p> Signup and view all the answers

What is the primary consequence of ischemia in tissues?

<p>Reduced blood flow and nutrients (C)</p> Signup and view all the answers

Which structure is most affected by blunt trauma leading to lens subluxation?

<p>Lenticular zonules (C)</p> Signup and view all the answers

What role does the central retinal artery play in the eye?

<p>Supplies blood to the inner layers of retina (A)</p> Signup and view all the answers

Which of the following best describes the effect of UV rays on the lens?

<p>They form free radicals damaging lens proteins (C)</p> Signup and view all the answers

What is a potential effect of extreme cold on the cornea?

<p>Induces scarring and adhesion for retinal detachment treatment (A)</p> Signup and view all the answers

How does radiation primarily damage cells?

<p>By stripping electrons from atoms (C)</p> Signup and view all the answers

What effect does thermal burn have on the cornea?

<p>Leads to opacity and vision loss (D)</p> Signup and view all the answers

What is the main therapeutic use of proton beam therapy in ocular treatments?

<p>To damage cancer cell structures including DNA (B)</p> Signup and view all the answers

Which of the following pathogens is commonly associated with pyogenic bacterial infections?

<p>Staphylococcus aureus (B)</p> Signup and view all the answers

Which clinical presentation is typical of a chronic bacterial infection caused by Chlamydia trachomatis?

<p>Persistent photophobia and tearing (A)</p> Signup and view all the answers

What complication can arise from untreated Herpes Simplex Virus infections?

<p>Corneal scarring and vision loss (B)</p> Signup and view all the answers

Which fungus is a common pathogen associated with fungal keratitis?

<p>Fusarium (C)</p> Signup and view all the answers

Which of the following conditions is specifically caused by the Acanthamoeba parasite?

<p>Acanthamoeba keratitis (A)</p> Signup and view all the answers

What risk factor is commonly associated with fungal keratitis?

<p>Poor contact lens hygiene (D)</p> Signup and view all the answers

What is the causative agent of Toxoplasma gondii infections?

<p>Intracellular parasite (B)</p> Signup and view all the answers

What ocular effect is commonly associated with the Herpes Zoster Virus?

<p>Herpes zoster ophthalmicus (B)</p> Signup and view all the answers

What is a characteristic clinical presentation of granulomatous inflammation?

<p>Retinal scarring (C)</p> Signup and view all the answers

How does allergic conjunctivitis begin?

<p>Exposure to allergens (C)</p> Signup and view all the answers

Which type of autoimmune response is associated with allergic conjunctivitis?

<p>Type 1 Autoimmune Response (D)</p> Signup and view all the answers

What is the role of histamines during an immune response in allergic conjunctivitis?

<p>They dilate blood vessels (D)</p> Signup and view all the answers

Which symptom is characterized by fluid accumulation in the conjunctival tissue?

<p>Swelling and edema (C)</p> Signup and view all the answers

What is a possible effect of autoimmune antibodies targeting orbital tissues in thyroid eye disease?

<p>Conjunctival injection (C)</p> Signup and view all the answers

What triggers the release of excess mucus in allergic conjunctivitis?

<p>Goblet cell stimulation (A)</p> Signup and view all the answers

Which autoimmune disease primarily affects the eye and involves immune system activation and autoantibody production?

<p>Thyroid eye disease (B)</p> Signup and view all the answers

What is the primary result of rhodopsin accumulation in rod cells?

<p>Rod cell death leading to blindness (B)</p> Signup and view all the answers

Which autoimmune disorder is characterized by the immune system attacking the lacrimal gland?

<p>Sjogren’s Syndrome (B)</p> Signup and view all the answers

What defines necrosis in the context of cell death?

<p>Cell death due to injury (A)</p> Signup and view all the answers

What is the effect of hydropic swelling on tissue function?

<p>Disrupts tissue function (C)</p> Signup and view all the answers

How is atrophy defined in relation to cells?

<p>Decrease in cell size or number (B)</p> Signup and view all the answers

What is a common outcome of DNA damage triggering apoptosis?

<p>Programmed cell death (D)</p> Signup and view all the answers

What does hypertrophy refer to in the context of cellular response?

<p>Increase in cell size (C)</p> Signup and view all the answers

What change occurs in the conjunctiva during metaplasia due to chronic irritation?

<p>Keratinization of stratified squamous epithelium (D)</p> Signup and view all the answers

Flashcards

Hypoxia

Reduced oxygen delivery to cells, impairing function.

Ischemia

Reduced blood flow to tissues, leading to less oxygen and nutrients.

Central retinal artery occlusion

Occlusion of the central retinal artery stops blood flow, damaging retinal structures and leading to vision loss.

Lens subluxation

Blunt trauma damages the zonules, causing lens subluxation and reduced vision.

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Corneal burn

Thermal burn damages corneal proteins, causing opacity and vision loss.

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Cataract formation

UV rays form free radicals in the lens, damaging lens proteins and causing cataract formation.

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Radiation-induced cataracts

Ionizing radiation can damage lens proteins and cause cataracts.

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Proton beam therapy

Proton beam therapy targets ocular melanomas with high-energy particles, damaging cancer cells and causing their death.

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Autoimmune Disorder

When the immune system mistakenly attacks the body's own cells as foreign, causing damage and inflammation.

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Immunodeficiency Disorder

When the immune system fails to fight infections properly, leaving the body vulnerable to pathogens and tissue damage.

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Sjogren's Syndrome

A disorder where the immune system attacks the lacrimal glands, leading to dry eyes.

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Necrosis

A type of cell death that occurs due to injury or trauma, leading to cell swelling and breakdown.

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Apoptosis

A programmed cell death where enzymes break down cellular structures, triggered by DNA damage or other signals.

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Sublethal Cell Injury

Cell injury that is not severe enough to cause cell death, but may still disrupt function.

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Hydropic Swelling

A type of sublethal cell injury where loss of fluid/ionic balance causes cells to swell, affecting tissue function.

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Atrophy

A type of sublethal cell injury involving a decrease in cell size or number due to injury or lack of use.

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Scarring

The process of scar tissue formation where collagen fibers differ from healthy tissue, disrupting normal structure and function.

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Corneal Repair

The response to corneal injuries involving epithelial cell migration, immune cell activation, and fibroblast activity.

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Collagen Deposition in Corneal Repair

The process of collagen deposition in the cornea, disrupting tissue transparency and causing vision impairment.

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Fibrosis in Retina

The overgrowth of retinal pigment epithelium (RPE) cells after retinal detachment, causing fibrotic tissue and gliosis.

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Gliosis in Retina

The replacement of damaged nervous tissue in the retina by glial cells, contributing to vision loss.

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Amaurosis Fugax

A temporary loss of vision caused by a blockage in an artery supplying the eye, often resolving on its own.

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Optic Neuropathy

Damage to the optic nerve, the pathway from the eye to the brain, caused by reduced blood flow leading to permanent vision loss.

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Sympathetic Ophthalmia

An immune reaction in one eye triggered by trauma or surgery, causing inflammation in the other, healthy eye.

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Lens-Induced Uveitis

Inflammation of the uvea, the middle vascular layer of the eye, often caused by exposure to lens proteins, leading to pain, blurred vision, and potential vision loss.

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Pyogenic Infections

Bacterial infections that cause rapid inflammation, pus formation, and irritation, often with symptoms like redness and discharge.

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Bacterial Conjunctivitis

A common type of pyogenic infection caused by Staphylococcus aureus, Streptococcus pneumoniae, and Haemophilus influenzae.

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Chronic Bacterial Infections

Chronic bacterial infections that develop slowly and persist, often leading to long-term complications.

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Trachoma

A chronic bacterial infection caused by Chlamydia trachomatis, characterized by slow-developing symptoms like follicular conjunctivitis and photophobia.

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Herpetic Keratitis

A viral infection caused by Herpes Simplex Virus (HSV), with types HSV-1 and HSV-2, affecting the cornea and causing ulcers, inflammation, and potential vision loss.

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Herpes Zoster Ophthalmicus (HZO)

A viral infection caused by Herpes Zoster Virus (HZV), also known as Varicella-Zoster Virus (VZV), which is responsible for chickenpox and shingles.

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Fungal Keratitis

A fungal infection of the cornea, often caused by organisms like Fusarium, Aspergillus, and Candida, leading to corneal infiltrates or ulcers, and potential scarring.

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Endophthalmitis

A serious fungal infection of the eye, often caused by Candida species, leading to inflammation inside the eye and potential vision loss.

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Allergic Conjunctivitis

Inflammatory eye condition triggered by allergens like pollen, dust mites, or pet dander. The immune system mistakenly identifies these as foreign invaders, triggering a cascade of reactions.

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Immune Response in Allergic Conjunctivitis

Mast cells, residing in the conjunctiva, release histamine and other chemicals in response to allergens. These chemicals initiate an inflammatory process.

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Inflammatory Cascade in Allergic Conjunctivitis

Histamine causes blood vessels in the conjunctiva to widen and become leakier. This results in increased blood flow and fluid leakage into the surrounding tissues.

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Immune System Activation in Thyroid Eye Disease

The immune system produces autoantibodies that mistakenly target receptors on thyroid cells and orbital tissues. These antibodies cause inflammation and changes in the eye.

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Conjunctival Redness (Rubor) in Allergic Conjunctivitis

Inflammation in the conjunctiva causes blood vessels to dilate, resulting in redness and a bloodshot appearance.

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Swelling and Edema in Allergic Conjunctivitis

Increased permeability of blood vessels leads to fluid accumulation in the conjunctival tissues, causing swelling around the eyes.

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Itching (Pruritus) in Allergic Conjunctivitis

Histamine release causes itching, a common symptom of Allergic Conjunctivitis.

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Mucous Discharge in Allergic Conjunctivitis

Inflammation stimulates goblet cells in the conjunctiva to secrete excess mucus, resulting in stringy or mucous discharge.

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Study Notes

Agents of Tissue Damage

  • Hypoxia: Reduced oxygen delivery to cells, impairing function. Ischemia: Reduced blood flow to tissues, caused by lack of oxygen and nutrients. Both lead to tissue damage.

Reduced Oxygen in the Eye

  • Structure: Central retinal artery
  • Function: Supplies blood to the inner layers of the retina.
  • Dysfunction:
    • Occlusion of the artery stops blood flow.
    • Damage to retinal structures (RNFL, ganglion cells).
    • Inability to transmit visual signals, leading to vision loss.

Physical Agents

  • Trauma: Physical injury to cells and tissues, causing damage or death.
  • Temperature: Extreme heat or cold disrupts cell function and can cause death.
  • Light: High-energy light damages cellular structures, resulting in cell death.
  • Radiation: Strips electrons from atoms, damaging cells and DNA, impairing cell division.

Trauma (Lens)

  • Structure: Lenticular zonules
  • Function: Connect the lens to the ciliary body, assisting in accommodation.
  • Dysfunction:
    • Blunt trauma damages zonules, causing lens subluxation.
    • Results in reduced vision, accommodation, or loss of refractive power if the lens is dislocated.

Temperature (Cornea)

  • Structure: Cornea
  • Function: Provides most of the eye's refractive power.
  • Dysfunction:
    • Thermal burns damage corneal proteins, causing opacity and vision loss.
    • Extreme cold (cryotherapy) can treat retinal detachment.

Light (Lens)

  • Structure: Lens
  • Function: Contributes to refractive power.
  • Dysfunction:
    • UV rays produce free radicals in the lens.
    • Damage to lens proteins, cloudiness, and scattering of light.
    • Leads to cataract formation and vision impairment.

Radiation

  • Effect: Ionizing radiation damages lens proteins; causes cataracts.
  • Therapeutic Use: Proton beam therapy targets ocular melanomas, damaging cancer cells.

Chemicals (Acids/Bases)

  • Acids: Direct exposure causes necrosis of epithelial and stromal cells, leading to scarring and loss of corneal transparency.
  • Bases: Direct exposure causes necrosis; penetrates tissue more easily than acids. Can lead to globe rupture, lens damage, and total vision loss.

Toxins

  • Toxins are poisonous substances (plants, animals, or bacteria).
  • Toxicity is dose-dependent (some medicines have high concentrations, but helpful in small amounts).

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