Tear Secretion Review

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Questions and Answers

What is the main function of tears?

  • To express emotions
  • To nourish the eye by maintaining a balance of its ingredients (correct)
  • To produce proteins like lysozyme and serum albumin
  • To protect the eye from dust and other infectious agents

What type of proteins are found in tears?

  • No proteins are present in tears
  • Only apolipoproteins H and phospholipase A2
  • Only lipophilin C
  • Including lysozyme, serum albumin, and other proteins (correct)

What is the name of the factor present in onions that induces tear secretion?

  • Lipophilin C
  • Apolipoproteins H
  • Phospholipase A2
  • Thiopropanal S-oxide (correct)

What is the primary defence agent in tears?

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

What are the three layers of the precorneal (tear) film?

<p>Lipid, aqueous, and mucous (D)</p> Signup and view all the answers

What is the name of the disorder caused by a defect in tear secretion?

<p>All of the above (D)</p> Signup and view all the answers

Why do females tend to cry more than men?

<p>Because they have a better ability to express emotions (D)</p> Signup and view all the answers

How many types of tear secretion are there?

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

What is the function of the lipid layer in the tear film?

<p>To act as a hydrophobic barrier (D)</p> Signup and view all the answers

What percentage of the total refractory power of the eye is attributed to the tear film?

<p>Two-thirds (C)</p> Signup and view all the answers

How many square centimeters of area is covered by the tear film?

<p>1-3 square cm (B)</p> Signup and view all the answers

What is the thickness of the tear film in micrometers?

<p>2.7-11 micrometers (A)</p> Signup and view all the answers

Why is crying considered healthy?

<p>Because certain proteins are present in tears (D)</p> Signup and view all the answers

How often do women cry on average in a year?

<p>30-64 times (D)</p> Signup and view all the answers

How many microlitres of tears are secreted per minute?

<p>2 microlitres (C)</p> Signup and view all the answers

What is the width of the puncta that drain tears?

<p>0.3mm (C)</p> Signup and view all the answers

Where are the lacrimal glands situated?

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

What is the function of lactoferrin?

<p>Having antimicrobial activity (D)</p> Signup and view all the answers

What is the primary function of basal tears?

<p>To moisten the eyes (B)</p> Signup and view all the answers

What is the term for the excessive production of tears due to ocular inflammation?

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

Which type of tears is produced in response to pain or external stimulus?

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

What is the approximate duration of emotional crying in men?

<p>Two-three minutes (D)</p> Signup and view all the answers

What is the purpose of people crying?

<p>To express emotions (A)</p> Signup and view all the answers

What is the function of lysozyme?

<p>Having antimicrobial activity (C)</p> Signup and view all the answers

What is the main role of the accessory glands in the eye?

<p>To take over tear secretion in the absence of the main gland (B)</p> Signup and view all the answers

Why does an infant cry without weeping?

<p>Due to the absence of a developed nervous system (C)</p> Signup and view all the answers

What physiologically regulates tear secretion?

<p>Cholinergic fibres of the parasympathetic nervous system (A)</p> Signup and view all the answers

What is the risk prevented by the accessory glands?

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

What is the effect of cocaine on tear secretion?

<p>Stops reflex tears even when exposed to strong gases (A)</p> Signup and view all the answers

What is involved in the regulation of tear secretion?

<p>The parasympathetic nervous system, sympathetic stimulation, and certain peptides (A)</p> Signup and view all the answers

Why are reflex tears stopped even when exposed to strong gases?

<p>Due to the presence of cocaine (B)</p> Signup and view all the answers

What is necessary for normal functioning of the eye?

<p>Either the main gland or the accessory glands (D)</p> Signup and view all the answers

What is dry eye caused by?

<p>Less tears, viral infection, excess evaporation of tears, variation in composition of tears (A)</p> Signup and view all the answers

Who is the author of the article 'Tear biochemistry: a review'?

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

What is the title of the journal where the article 'Diagnostic and Prognostic Features of Sjögren’s Syndrome' is published?

<p>National Journal of Pharmacy (D)</p> Signup and view all the answers

What is the title of the article written by Monica Alves, Rodrigo Nogueira Angerami, and Eduardo Melani Rocha?

<p>Dry eye disease caused by viral infection: review (C)</p> Signup and view all the answers

What is the title of the article written by J.Murube, L.Murube, and A.Murube?

<p>Origin and types of emotional tearing (C)</p> Signup and view all the answers

Who are the authors of the article 'Evaluation of various risk factors of dry eye'?

<p>Renu Magdum, Atreyee K Pradhan, Dhavat P Sukharamwala, Khevna Patel (A)</p> Signup and view all the answers

What is the journal where the article 'Patho-physiology of lachrymal gland in old age' is published?

<p>International Digital Organization for Scientific Information (C)</p> Signup and view all the answers

Who is the author of the article 'The effects of the tear-film dynamics in healthy subjects and dry eye patients'?

<p>Erdélyi Béla MD (D)</p> Signup and view all the answers

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Study Notes

Tear Secretion

  • Tears are a fluid secreted by the lacrimal glands to moisten and nourish the eyes.
  • Tears contain various biologically active substances, including mucin, electrolytes, proteins (e.g., lysozyme, serum albumin), and other chemicals.
  • Proteins in tears have important functions, such as defense against infectious agents.

Tear Film

  • The precorneal (tear) film has three layers: lipid, aqueous, and mucous.
  • The lipid layer acts as a hydrophobic barrier, preventing overflow of tears.
  • The aqueous layer contains water and tear proteins, controlling infection and acting as a physiological barrier.
  • The mucous layer is hydrophilic, with mucin secreted by the lacrimal glands.
  • Tear film break-up time is used to check the stability of the tear film in dry eye and other disorders.

Types of Tears

  • There are three types of tear secretion: basal, emotional, and reflex.
  • Basal tears are secreted continuously to moisten the eyes.
  • Emotional tears are produced in response to emotional stimuli, such as sadness, anger, or frustration.
  • Reflex tears are produced in response to pain, external stimuli, or foreign bodies.

Tear Proteins

  • Over 60 tear proteins are known, including lactoferrin, antimicrobial molecules, and lysozyme.
  • Lactoferrin has antimicrobial activity and is a carrier protein.
  • Lysozyme has antibacterial activity.

Tear Secretion Regulation

  • Tear secretion is regulated physiologically by cholinergic fibers of the parasympathetic nervous system, sympathetic stimulation to the adrenal gland, certain peptides, and humoral factors.
  • Epidermal growth factors also control tear secretion.

Dry Eye

  • Dry eye is a symptom caused by low tear secretion, viral infection, excess evaporation of tears, or variation in tear composition.
  • Dry eye can lead to disorders such as Sjogren's syndrome and crocodile tears.

Interesting Facts

  • On average, women cry 30-64 times a year, while men cry 6-17 times a year.
  • The tear secretion rate is 2 microliters per minute or 10 ounces per day.
  • Crying is considered healthy due to the presence of certain proteins in tears.
  • Lithium carbonate and sodium valproate help decrease tear film break-up time.

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