Orbits and Vision Angles in Animals

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Questions and Answers

Which factor most directly influences the size, shape, and position of the orbit?

  • Cranial nerve development
  • Ambient temperature
  • Visual activity and feeding behavior (correct)
  • Animal's age

What is the primary functional significance of the depth of the orbit?

  • Enhancing binocular vision
  • Contributing to protection and appearance (correct)
  • Regulating intraocular pressure
  • Governing visual field size

Assuming all other factors are equal, which animal would likely have the widest field of view?

  • Cat
  • Dog
  • Rabbit (correct)
  • Horse

Which of the following orbital characteristics is typical of species that are primarily predators, such as dogs and cats?

<p>Rostrolateral axis of eyes with 10-20 degrees from midline (B)</p> Signup and view all the answers

Which animal has a complete orbit?

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

For which animal does the orbital rim consist of only 3 bones?

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

In horses, the supraorbital ligament is replaced by which bone?

<p>Temporal (D)</p> Signup and view all the answers

In which species is the zygomatic and frontal bones fused, forming a complete bony rim?

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

The fusion of the orbital fissure with the foramen rotundum results in which structure in cattle?

<p>Foramen orbitorotundum (A)</p> Signup and view all the answers

What is the function of the orbital fascia?

<p>Envelopes structures within the orbit (D)</p> Signup and view all the answers

Which of the following is NOT a component of the orbital fascia?

<p>Substantia propria (B)</p> Signup and view all the answers

What is primarily separated by the three sheets of orbital fascia?

<p>Adipose tissue (A)</p> Signup and view all the answers

What is the function of the orbital fat in dogs?

<p>Surrounds the optic nerve (A)</p> Signup and view all the answers

What is the origin of the ventral oblique muscle?

<p>Originates on the palatine bone of the medial orbit (A)</p> Signup and view all the answers

Which direction does intorsion move the dorsal aspect of the globe?

<p>Medially and ventrally (D)</p> Signup and view all the answers

Which rectus muscle inserts farthest from the limbus?

<p>Lateral rectus (A)</p> Signup and view all the answers

What is the combined function of the obliques and pulley system composed of connective tissue and smooth muscle?

<p>Moving the globe medially and dorsally/ventrally (B)</p> Signup and view all the answers

Which muscle listed is NOT innervated by the oculomotor nerve?

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

What is the primary action of the retractor oculi (bulbi) muscle?

<p>Retract the globe into the orbit (C)</p> Signup and view all the answers

Which muscle is responsible for constricting the eyelids?

<p>Orbicularis oculi muscle (C)</p> Signup and view all the answers

What is the composition of the duct lining of the meibomian glands?

<p>Stratified squamous epithelium (B)</p> Signup and view all the answers

What type of fluid do the glands of Krause produce?

<p>Mucous (D)</p> Signup and view all the answers

Which ocular structure transitions from simple to stratified epithelium towards the ducts of the meibomian glands?

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

In most domestic species, the bulbar conjunctiva lacks goblet cells, with what exception?

<p>Guinea pigs (D)</p> Signup and view all the answers

What type of cartilage is found in the nictitating membrane of horses?

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

What is the method responsible primarily for moving the nictitating membrane?

<p>Contraction of the retractor oculi bulbi (C)</p> Signup and view all the answers

Which component primarily provides the antimicrobial function in the pre-corneal tear film?

<p>Middle watery layer (D)</p> Signup and view all the answers

What is the correct order of tear flow after originating from the lacrimal gland?

<p>Puncta -&gt; lacrimal sac -&gt; nasolacrimal duct (C)</p> Signup and view all the answers

What nerve provides innervation to the lacrimal gland?

<p>Trigeminal nerve (CN V) (A)</p> Signup and view all the answers

Which drug class will decrease tear secretion?

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

What is the middle layer of the globe?

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

What describes the structure that bisects the eye into anterior and posterior halves?

<p>Equatorial plane (B)</p> Signup and view all the answers

Why is the cornea transparent?

<p>Lack of blood vessels (C)</p> Signup and view all the answers

What is the approximate central corneal thickness in domestic animals?

<p>0.45-0.55 mm (A)</p> Signup and view all the answers

Which nerve innervates the cornea to maintain its transparency.

<p>Trigeminal nerve (CN V) (A)</p> Signup and view all the answers

Which layer of the cornea is primarily innervated by nerve endings?

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

Which of the following corneal layers contains pain receptors?

<p>Epithelium (D)</p> Signup and view all the answers

Which corneal layer is non-keratinized?

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

Which corneal cell type produces a lighter appearance of the cell ?

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

Which layer constitutes approximately 90% of the corneal thickness?

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

The primary support structure of the cornea is made up by

<p>Collagen fibrils, proteoglycans and GAGs and glycoproteins (A)</p> Signup and view all the answers

Which corneal layer is hydrophobic?

<p>Epithelium (D)</p> Signup and view all the answers

What is the primary function of the corneal endothelium?

<p>Pump ions to maintain corneal hydration (C)</p> Signup and view all the answers

What type of collagen is found only in Descemet's membrane and the iridocorneal angle?

<p>Type VIII (A)</p> Signup and view all the answers

Flashcards

What is the Orbit?

Bony fossa separating the eye from the cranial cavity and surroundings.

What are Tears Required For?

Provides the eye with optical integrity, maintenance, and normal function.

What is Orbital Fascia?

A thin, tough connective tissue liner that envelopes all the structures within the orbit, including the bony fossa.

What are the Globe Components?

The outer = fibrous tunic (cornea and sclera), Middle = uvea (choroid, ciliary body and the iris), Central = nervous coat (retina and associated optic nerve).

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What is the Outer Layer of the Globe?

The outer fibrous tunic is composed of the cornea and sclera.

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What is the Main Function of the Cornea?

Cornea - Transparent, avascular and refracts light.

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What is the Structure of the Cornea?

Elliptical in shape structure and provides more horizontal visual field.

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What are the Layers of the Cornea?

Epithelium, bowmans layer (rarely present), stroma, descemets membrane, endothelium.

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What is the Stroma?

Consists of transparent, structureless SHEETS of fibrous tissue which split easily into planes

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What is the role of corneal stroma's collagen fibrils?

Act as the principal support structure of the cornea.

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What are the Location of the corneal endothelial metabolic pump and barrier?

Located along the lateral membranes and carbonic anhydrase along the apical margins

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What are features of Bowman's Layer?

Bowman's Layer is non-elastic and tough.

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What Happens When Corneal Endothelium Reaches decompensation?

The endothelial decompensation occurs as endothelial cells become stretched so that remaining lat. membranes are inadequate. 800-500cells/mm2.

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What is the Episclera?

Dense, highly vascular, fibrous layer that binds to Tenon's capsule.

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What is the Lamina Fusca?

Transition Between the sclera and the outer layers of the choroid and ciliary body.

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What is the Sclera Composition?

Bulk of the sclera is the sclera proper, Similar to limbus on histo.

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What Blends into the scleral stroma?

Are a part of collagen fibers

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What is the Role of Channels within the Sclera?

Provides routes for infection and neoplasia to enter or leave the eye.

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What are the Long posterior ciliary arteries?

Enters near the optic nerve and pass anteriorly around the eye to the ciliary body

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What is the Uvea?

Is a uveal of choroid, ciliary body and iris, it is HIGHLY vascular and usually pigmented.

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What is the Iris?

Iris originates from the anterior portion of the ciliary body and extends centrally to form a diaphragm in front of the lens

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What is the Location?

is Located in the lower border for Granula Iridica herbivores.

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What is The Major Arterial circle?

The structure that lies over the lens is: PERIPHERAL IRIS ROOT/ ANTERIOR CILLARY BODY

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What are 1.ANTERIOR border= 2 cell

These are from different types and made with 2cell a and they fibroblasts, melanin.

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Capillary endothelium is?

a membrane that is not penetrated, and contains intercellular junctions varying with species

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What is Iridal sphincter?

This muscle consists of a Flat band of thin, circular bundles of smooth muscle fibres

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What is the Ciliary Body's main Goal?

Provides nutrition for the ciliary body.

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What is this Description?

The structure that's shape is Triangular in shape and apex continues into the choroid.

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What mammals use ciliary?

Attaches the mammalian ciliary body to lens zonules and connects to lens equator

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what are flat processes?

Flat, extends from the posterior termination of the processes and ends at the peripheral termination of the retina (ora ciliaris retinae)

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2 .Carnivores

Wide spaces full of AH with cords pf connective tissue

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Does what base or iris of anterior what?

Base or iris or anterior ciliary body

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Behind the ligaments what in What?

Is a matrix of loose tissue strands = trabecular meshwork, cross work of collagen cords that are covered by cells

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Where are the Beams

Smaller and smaller comes from its beams in what?

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What is CHOROID?

Thinner, Variably pigmented vascular tissue that Joins the ciliary body anteriorly

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What are Retina is conected with?

Retina and the optic nerve, they're connected to the brain

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Why Lens Epithelium

Maintains a dehydrated state in lens for clarity. highy susceptible to dangerous conditions.

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When a Fiber meets?

Is when The fibres meet other fibres from opposite sides to form LENS SUTURES, that from a Y shape,

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Study Notes

Orbit

  • It is a bony fossa separating the eye from the cranial cavity and surrounding areas.
  • The size, shape, and positioning link to visual activity and feeding behavior
  • The orbit's depth contributes to protection and appearance
  • The location of the orbit's governs the visual field

Axis and Vision Angles in Domestic Animals

  • Dogs' and cats' rostrolateral axes are 10-20 degrees from midline, providing enhanced binocular vision suitable for predators.
  • Horses have laterally placed orbits, set 40 degrees from midline for strong monocular vision, aiding prey animals.
  • Ruminants have laterally placed orbits approximately 50 degrees from midline, offering strong monocular vision as prey animals.
  • Rabbits have laterally placed orbits up to 85 degrees from the midline, providing broad peripheral vision.

Orbit Type

  • Complete orbits are found in horses, pigs, and ruminants, providing full bony enclosure.
  • Incomplete orbits are present in cats and dogs, with segments not fully enclosed by bone.

Bones in the Orbit

  • Cat orbits have six bones
  • Dog orbits have 5/6 bones
  • Horse orbits have 5 bones (no maxilla)
  • Bovine orbits have 5 bones

Orbital Rim Composition in Cats and Dogs

  • Made up of 4 bones: frontal, lacrimal, maxilla, and zygomatic
  • Supplemented by the supraorbital ligament between zygomatic and frontal bones
  • Cats possess a smaller orbital rim compared dogs

Equine Orbital Rim

  • Includes four bones: frontal, lacrimal, zygomatic, and temporal bones
  • The temporal bone replaces the supraorbital ligament in other species

Bovine Orbital Rim

  • The rim consists of three bones that are frontal, lacrimal, and zygomatic bones
  • The bovine rim has a complete bony structure with fused zygomatic and frontal bones, lacking a separate ligament

Other Orbit Bones

  • The palatine and sphenoid bones form part of the orbit structure.

Orbital Foramina

  • Structures pass from most rostral to caudal
  • Ethmoidal (CN 5, Ethmoidal nerve and vessels, Branch of trigeminal)
  • Optic canal (CN 2, Optic nerve, Internal ophthalmic artery)
  • Orbital fissure (CN 3, 4, 5, 6; Oculomotor, Trochlear, Abducens, Trigeminal nerve)
  • Rostral alar foramen (CN 5, Trigeminal nerve, Maxillary branch, lower eyelid, and lacrimal gland. Round foramen → alar canal → rostral alar foramen)
  • *The orbital fissure is fused with foramen rotundum foramen orbitorotundum in cattle Occulomotor and trochlear (CN 3, 4, 5, 6, Retinal and internal maxillary arteries)

Cavernous Sinus/Middle Cranial Fossa Contains

  • CNIII
  • CNIV
  • CNV (ophthalmic and maxillary branch)
  • CNVI

Orbital Fascia Composition

  • It consists of a thin, strong connective tissue liner, surrounding orbital structures including the bony fossa
  • Subdivided into three entities:
  • Periorbita
  • Fascia bulbi
  • Tenon’s capsule

Orbital Fascia

  • 3 sheets of orbital fascia are divided by adipose tissue creating a cushion for the eye and adjacent muscles
  • Birds and reptiles don't have much fat in the orbit
  • It's possible orbital fat helps position the globe in manatees due to the absence of the retractor oculi muscle
  • In dogs, orbital fat surrounds the optic nerve, creating a cone to separate it from the retractor muscles

Extraocular Muscles (EOMs)

  • The eye has four recti, two oblique, and retractor bulbi muscles

Eye Muscles

  • Dorsal rectus
  • Ventral rectus
  • Medial rectus
  • Lateral rectus

EOM Origin

  • Originate from the orbital apex, specifically the annulus of Zinn

Ventral Oblique Muscle Origin

  • Originates from the palatine bone of the medial orbit

Rectus Muscle Insertion

  • Insert anterior to the globe's equator

Rectus Muscle Insertion Distances

  • Insert approximately 5mm posterior to the limbus medially, 6mm ventrally,7mm dorsally, and 9mm laterally

Oblique Muscle Insertion Point

  • Insert posterior to the equator of the globe

Dorsal Oblique

  • It passes through the trochlea near the medial canthus, turns acutely, and continues dorsolaterally over the globe
  • This causes intorsion that moves the dorsal aspect medially and ventrally

Ventral Oblique

  • Passes beneath the eye
  • Crosses the ventral rectus tendon
  • Action is extorsion resulting in moving the ventral globe medially and dorsally
  • Both obliques are located through a pulley sling of connective tissue and smooth muscle

Retractor Oculi (Bulbi)

  • Forms a cone around the optic nerve retracting the globe into the orbit
  • Function is abduction
  • Retractor oculi is absent in birds and snakes

LR6SO4 Mnemonic

  • Lateral rectus is controlled by the abducens nerve, and the superior oblique is innervated by the trochlear nerve.

Eyelids

  • Closure is achieved through contraction of the orbicularis oculi muscle
  • Opening occurs via the relaxation of the orbicularis oculi and contraction of the levator palpebrae superioris

Eyelid Functions

  • Protection
  • Exclusion of light
  • Production of tears
  • Spreading the tear film

Eyelid Structure

  • The upper and lower eyelids are divided into four parts:
    • Outermost skin layer
    • Orbicularis oculi muscle layer
    • Tarsal plate and stromal layer
    • Palpebral conjunctiva (innermost)
  • Large cilia roots link to sebaceous glands(Zeis) and modified sweat glands (Moll)

Meibomian Glands

  • Conjunctival surface of both eyelids
  • Parallel rows of lobules with openings close to the lid margin
  • Ducts are stratified squamous epithelium
  • Polar and non-polar lipids are contained

Accessory Lacrimal Glands Exist Including

  • Glands of Wolfring that line the posterior of upper and lower lids

Glands of Krause

  • Glands exist at conjunctival fold.
  • Is a mucus producer.
  • Ducts are well developed making it part of CALT

Conjunctiva

  • Continuous structure with two portions
    • Palpebral (simple to stratified epithelium)
    • Bulbar(junction between palpebral and bulbar conj)
      • This is contiguous with limbal and corneal epithelia
      • Very thin and clear
      • The epithelium transitions to more complex near the Meibomian glands, changing from columnar to stratified columnar.
  • Conjunctival fornix (Pseudostratified columnar to stratified cuboidal very thin, and transparent. Junction between palpebral and bulbar conj)

Goblet Cells

  • The number of goblet cells rises
  • Distribution of cells is inconsistent within the dog species
    • In the dog species they often have very high density
  • Most species lack goblet cells except guinea pigs

Conjunctiva Layers

  • Substantia propria has 2 layers
  • Superficial adenoid layer, contains lymphatic follicles and glands
  • Deep fibrious layer, contains nerves and vessles

Conjunctiva Associated Lymphoid Tissue (CALT)

  • CALT arranged across 2 layers
  • CD8 positive suppressor/cytotoxic cells prevelany
  • Lymphatics drain through eyelids to the commissure

Nictitating Membrane

  • This is the third eyelid covered in conjunctiva from the medial canthus
  • It rests over the front the globe
  • It is made of a cartilage plate, rich in vessels.

Nictitating Cartilage Plate

  • T Shaped plate with parallel leading edge.
  • Cats very smooth
  • Dogs, grooves formed by the surface
  • Accessory lacrimal has a high prescreens
    • Serous- horse -Mixed animals- cattle/ cats/ dogs/ exotics
    • mucous only - pig

Eyelid Cartilage Composition

  • Elastic cartilage in horses,
  • Hyaline cartilage in dogs and cats
  • Shape is species dependent
  • Cats are reverse S shaped
  • Dogs are crescent moon
  • Horses hooks

Harderian Gland

  • Found in rabbits and pigs
  • Immunologic/ Photo Protection
  • Thermoregulation.
  • Osmoregulation.
  • Reproduction and pheromones

Movement

  • Is indirect.
  • Due to retractor oculi bulbi and contractions of the globe.
  • Manatees can move third eyelid via paired scleral muscles and lack retractor oculi
  • Birds and non mammals also lack

T.E/ TEL

  • T. The loop is moved by the pyramidalis muscle.
    • Passing through quadratus muscles

Lacrimal/ Nasolacrimal System

  • Tears are needed for optical integrity, normal function
  • Pre corneal film function- removal of outer material provides nutrition and removes matter
  • Antimicrobial function has three intermixed layers outer, middle and inner

Pre Corneal Layers

  • The outer layer is oily and thin from the glands of Zeis. This reduces aqueous evaporation protecting from flowing over face
  • The middle later is aqueous based made up of Krause, 61% lacrimal 35% TEL uptake required for Oxygen and normal health
  • The inner layer is Mucin from goblet, cells. Glycocalyx provides the most mucous function

Tear Flow

  • Excess travels the inferior Col de sac pumped through the pontic
  • The blinking of the eyes, surrounded and works in coordination with the eyelids.
  • Prevents excess of the lacrimal fluid.

Tear Flow (Path)

  • Vertically leaves margins turns medially passes through the orbita.
  • Joining each at the lacrimal sacs of the lacrimal bone empties at the ducts
  • Short NLDS passage into nasal cavities opening one Cm from the naris

Glands And Inner Vations

  • Glands are dorso-lateral innervated cranial nerve v, sympathetic and parasympathetic.
  • Cholinergic and pilocarpine will stimulate antisecretions, and will drop

Components And Layers of The Globe (Eye)

  • 3 layers
  • Outer, fibrous, tunic -Shape determines form
  • Middle (uvea) heavily vessels contain internal lights provide nutrition and remove waste. Retine
  • Inner with photoreceptors. Shape is based on variation and 2/3 main, 3/1 topog

Variable Size

  • (Posterior, anterior),
  • (Horizontal, Transverse)
  • Variable by species

Variable Dimensions

  • Cow and horse are the same dimensions.
    • Top is equatorial
    • Equator goes the previous line
    • Media is on anterior

Optic Nerve

  • Positioned lower and the posterior is coated in ciliary nerves and arteries
  • Short length ciliary equal is 12
  • 7 outter, 5 vented
  • Goes through the vessels and choroidal space
  • The long has 2 cilliary Enter the scerla from the optic nerve. Cat arteries and retina Have lots if vassles

Conrea Structure

  • Transparent allows refraction function requires contents.
  • 41 to 42 percent allows light.

Cornea-Aqueous Humor-Tears

  • Nourishes and cleans.
  • eyelids are protection.
  • Elliptical horizontal and vertical diameter high

Thick

  • Central .45/.55 peripherally .57/.65 aging males .8/.6 females .6/45
  • Sensory supplies
    • Pain+
    • Myelinated+
  • Intervated by long cellary and CNV ophthalmic Trigeminal nerve

Limbus

  • Anastomotic is umyelinated becoming a blade pattern.
  • Stromal intervals different only the small levels are

Transparency

  • Vessels of blood
  • Nonkeratinized stays moisturized has cells has nuclei

Dehydrated

  • Size and arrangement of corneal and vessels
  • Onion = layers= bowman’s endothelium

Inner

  • Non keratin surface
  • (25/40 un domestic
  • 2/3 of this amount in the ungulates.
  • Simple has 2/4 layers to the squamous

Cartilage

  • Cells organized
  • Well basement

Corneal Epithelium Cell Characteristics

  • Tall and cylindric —Mitosis close to basal cells stratum cells are more villa and micro and scatter
  • It scatter electrons is lighter produces pre taunt
  • Corner central has more products attached / and various movements
  • Lipbus is in all areas but not

Stroma

  • 90% of thickness Transparent sheets with cells has the lenses keratin is the form form in some Transform myo-blast and is is not is to be transported
  • 999 in one aea
  • 789 in another with leukocytes

The Collagen

  • made of 5 even types
    • 1 small even straights
    • 6 form matrix function role
    • and cell reactions is to repair
    • 5 type with 1 25 NM.
  • 15/10 Supports structures clear because of dehydration with other tissues Hydro
    • 75/85% water

The Corneal Layers

  • Epithelium with hydrophobia The pumps act on the Gags. Pumps remove the volume Changes cause Bowmans anier most. This zone is made up of many cells and fibril This tough and elastin does non animals Acellular 3000/2-3

Descements A-CELLULAR

  • Basement, stained w PAS if cut rolls more tension similar to ICA
  • The endo has regenerative active is hexa.
  • The 1/4 for each shape ibr in eyes
    • zonules
    • loss from the edges comp

Reaging

  • the cell mitosis and regin.
  • A good effect. — Cell do not to the cells easily in. Heredity can do what Then goes into glaucoma Etc

Scleara Tissue

  • The reminded fibrous 3 are layerd
  • Epi
  • Stroma
  • Laum Fusca.
  • The top is tigh vascular and bings to the tenons capsule — Collagen in into the
  • Thickens and links at the conjuctivas has the cells more arranged hence and transparent
  • Fusca runs to cillary

The Tissue Contains

  • Stroma changes when its thick
    • the blue color
    • Yello is fat
    • Lamium and brown

Components

  • The bulk looks like the his to.
  • Vessels is blood and channel
    • Size is different depending on globe. And the near equator — Varies with species
      • 5
      • to EOM.
  • In thick aquatic it very think prevents change

Scerala Nerves and Vessels

  • Many channel for infection the rear pole
    • reduced can effect nerves, to get glaucoma

Scerla Inner-Vations

  • Cillary pass body
  • Interacting network with veins and outers or cilliary

Uvea (3 Parts)

  • Chorid, cillary body, and Iris
  • Vessels attached to the surface Iris cilliary (extends)

The Body

  • Diaprahm is a pupil the size is from species too And round
  • Herbivores oval with Granual irides and limits The have extensions of pigments Improve effectiveness

Pupllies

  • Controls the segments.
  • Reduction of the light Reduce the peripheral

Dilaterod

  • More light for simulation organization
  • Center periphery demonetar
  • Hairs

The Eye

  • Border is 2 cells
  • Lots have cells but no b Breaks frequently The Stroma
  • Is arranged the sheath Has spacing for vessels and melanin shaprs are

Sphinc ter = 2

  • Constructor are connected parasites in the vessel dilator smooth sympathetic
  • Bindes

Main Cillary

Root

The Inner

  • The cells NOT fenstrated junctions a and c and have 4/5 is radial

Mucsle Strutcre

  • Strumcir circular and located near pil and connects and are para
  • Is radial or peri contains pigment
  • Well derbep and the horse low has

Functions

  • Heavy pigement
  • The Nurtruiments — 72/9 processes made uo of fluid some has higher chambers processes have
  • Milla pro

Cillary Body

  • carnibore Blade like
  • ungulate ridge tops
  • Part posterior

Lies with the fibers Enables visual Mussels helps get body shape

Herbovi

  • Common angle

Has inner and outter layaers can cilliary be cut then leads to the exterm

Canivourious

  • 2 layers a slit in the middle

Bird have some type

Vasculartoty

  • From vessels is devided in 2 then
  • The Bales

Ica from chamber

  • 3 regions with the side cell

Cilleary Attachments from the zone

  • The cillaries is the process
  • and by the cells

Vitreous

  • Is larger
  • gelatunios

Zone

  • It is concave paterlla

Made from Hylolid and tertriaty that first formed with thhe body where the vessels go

The body is 4 zones

  • From anertriot
  • Posteriori — Central

Space

From optic to vessels

  • The the

Structure

  • Mostly water collagen and cells.

Connects to the disc and capalreus is The fluid may syn and and after

  • Tissue form badns and detachd vascular has no flow. — Then The vision has to to long

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