2011-2012 Basic and Clinical Science Course, Section 2: by K.V. Chalam, MD, PhD

By K.V. Chalam, MD, PhD

Presents the basic clinical grounding for present ophthalmic perform. Discussions disguise ocular anatomy, embryology, the biochemistry and metabolism of the attention and the newest advancements in eye-related molecular and medical genetics stories. comprises information regarding ocular pharmacotherapeutics, up-to-date drug info and a dialogue of the criminal features of scientific remedy. final significant revision 2009 2010.

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Extra info for 2011-2012 Basic and Clinical Science Course, Section 2: Fundamentals and Principles of Ophthalmology (Basic & Clinical Science Course)

Sample text

It is composed of compactly arranged collagen fibers and a few fibroblasts. The Tenon capsule is thickest in the area of the equator of the globe. Connections between the Tenon capsule and the periorbital tissues help suspend the globe in the orbit. The extraocu lar muscles penetrate this connective tissue about 10 mm posterior to their in sertions. The connec tive tissues form sleeves around the penetrating extraocular mus ~ cles. creating pulleys suspended from the periorbita. These pu lleys stabilize the position of the muscles relative to the orbit during eye movements.

As a piece of mod ified skin , it contains sebaceous glands and fine, colorless hairs. The surface is covered by nonkeratinized, stratified squamous epithelium. Plica semilunar;s The plica sem ilunaris is a na rrow, highl y vasc ular, crescent-shaped fold of the conjunctiva located lateral to and partly under the caruncle (see Fig 1-22). Its lateral border is free and separated from the bulbar conjunctiva, which it resembles histologically. The epithelium of the plica is rich in goblet cells. The plica's stroma contains fat and some nonstriated muscle.

The glands appear as dark gray linea r structures. } The hair bulbs of the cilia are located anterior to the tarsus and the meibomian gland orifices. Misdirection in the orientation of the eyelashes (trichiasis) or aberrant growth through the orifices of the meibomian glands (distichiasis) may occur as either a congeni tal or an acquired defect; occasionally these defects are hereditary. Conjunctiva The palpebral conjuncti va is a transparent vascularized membrane covered by a nonkeratinized epit helium that lines the inner surface of th e eyelids.

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