Podcast
Questions and Answers
Which layer of the cornea is mainly responsible for the barrier function?
Which layer of the cornea is mainly responsible for the barrier function?
What is the average horizontal diameter of an adult cornea?
What is the average horizontal diameter of an adult cornea?
How thick is the corneal epithelium?
How thick is the corneal epithelium?
What structure primarily contributes to the cornea's transparency?
What structure primarily contributes to the cornea's transparency?
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Which type of cell in the cornea is responsible for maintenance of the tear film?
Which type of cell in the cornea is responsible for maintenance of the tear film?
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Which membrane is described as an amorphous collagen layer?
Which membrane is described as an amorphous collagen layer?
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What is the approximate refractive power of the cornea?
What is the approximate refractive power of the cornea?
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Where is the corneal thickness greatest?
Where is the corneal thickness greatest?
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What type of collagen primarily composes the stromal collagen fibrils?
What type of collagen primarily composes the stromal collagen fibrils?
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What is the primary function of keratocytes within the corneal stroma?
What is the primary function of keratocytes within the corneal stroma?
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How does the organization of the stromal collagen fibrils contribute to corneal transparency?
How does the organization of the stromal collagen fibrils contribute to corneal transparency?
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What happens to Descemet’s membrane over a person's lifetime?
What happens to Descemet’s membrane over a person's lifetime?
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Which property of endothelial cells is affected by aging?
Which property of endothelial cells is affected by aging?
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Where are keratocytes primarily located in the corneal stroma?
Where are keratocytes primarily located in the corneal stroma?
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What structure serves as the basement membrane of the Corneal endothelium?
What structure serves as the basement membrane of the Corneal endothelium?
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What potential condition may result from excessive keratocyte cell death?
What potential condition may result from excessive keratocyte cell death?
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What is the primary function of the tight junctions (zonula occludens) in the corneal epithelium?
What is the primary function of the tight junctions (zonula occludens) in the corneal epithelium?
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What is the characteristic feature of Bowman's Layer?
What is the characteristic feature of Bowman's Layer?
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Which type of junction connects wing and basal cells in the corneal epithelium?
Which type of junction connects wing and basal cells in the corneal epithelium?
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What is the predominant composition of the stroma in the cornea?
What is the predominant composition of the stroma in the cornea?
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How thick is Bowman's Layer in the cornea?
How thick is Bowman's Layer in the cornea?
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Which component is primarily secreted by the plasma membrane of surface epithelial cells to bind mucin?
Which component is primarily secreted by the plasma membrane of surface epithelial cells to bind mucin?
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What type of cells can be found in the stroma of the cornea?
What type of cells can be found in the stroma of the cornea?
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What is the primary role of intercellular junctions in the corneal epithelium?
What is the primary role of intercellular junctions in the corneal epithelium?
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Study Notes
Cornea Structure and Function
- The cornea is a transparent, avascular connective tissue with a smooth surface.
- It's approximately 0.54-0.7mm thick (540-700µM)
- It's the main structural barrier against infections.
- It is part of the eye's principal refracting component, working alongside the tear fluid.
- It is continuous with the conjunctiva and sclera.
- Its transparency is due to various physiological features.
Cornea Physiology
- Acts as a refracting surface for the eye.
- Protects the intraocular contents.
- Absorbs drugs.
- Creates a barrier function between the epithelium and endothelium.
- Utilizes active pumps, such as Na/K ATP'ase, for maintaining appropriate function.
Cornea Layers (Structure)
- Epithelium: The outermost layer composed of corneal epithelial cells. It is 5-7 cells thick and approximately 50µM thick, containing multiple layers of cells. The cells are replaced about every seven days.
- Bowman's Membrane: A smooth, acellular, non-regenerating layer, located between the epithelium and stroma. 8-15µM thick and made of a sheet of randomly arranged collagen fibers, not bundled.
- Stroma: The thickest layer (90% of the cornea's total thickness; ~500µM), composed primarily of type I collagen fibrils and keratocytes (fibroblast-like cells). It's organized in lamellae, which are sheets of parallel collagen fibrils, and ~30nm in diameter. This structure is crucial for the transparency and strength of the cornea. Keratocytes are important in maintaining the stroma's homeostasis.
- Descemet's Membrane: A lattice-work of collagen fibrils, produced continuously by the endothelium. Is 10–15µM thick. It thickens throughout life and ends at the limbus (Schwalbe's line).
- Endothelium: The innermost layer, featuring a single layer of hexagonal cells. ~5µM thick, it is metabolically active, containing numerous mitochondria. Cells in this layer do not divide and replicate. The density of these cells declines with age.
Corneal Embryology
- Epithelium develops from surface ectoderm.
- Bowman's membrane and stroma originate from mesenchyme (neural crest tissue, 7 weeks).
- Endothelium also comes from neural crest tissue.
- Descemet's membrane is synthesized by endothelial cells.
Other Key Facts
- The cornea provides approximately 2/3rds of the eye's total refractive power.
- Refractive Power = 43 Diopters, Refractive Index = 1.33
- The anterior surface is roughly convex and elliptical/oval shaped in form.
- Horizontal diameter is typically 11-12 mm (average 11.7mm)
- Vertical diameter is approximately 1mm smaller than the horizontal diameter.
- Corneal thickness at the center is ~0.5mm and in the periphery ~1mm; center is thinner than the periphery.
- The radius of curvature for the central cornea is 7.8mm, and at the posterior surface is 6.5mm.
- At birth, the corneal diameter is 9.8mm (75-80% of the adult human size).
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Description
Test your knowledge about the structure and physiology of the cornea. This quiz covers aspects such as the cornea's layers, functions, and its role in eye health. Dive into the details of how the cornea protects the eye and maintains vision.