27.03.2013 Views

Normal Histology, Part 2

Normal Histology, Part 2

Normal Histology, Part 2

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

• Ciliary processes (pars<br />

plicata): site of AH<br />

formation; spp variable in<br />

size and number<br />

• Iridocorneal angle (ICA)<br />

• Ciliary body musculature<br />

which extends to flattened<br />

posterior zone (pars plana)<br />

Ciliary Body


Ciliary Body Processes<br />

No. Size Form<br />

Shrew Absent (ciliary roll)<br />

Carnivores 74 – 76 Moderate Thin, Finely Convoluted<br />

Cow, Horse 100, 102 Large Thick, Broadly Convoluted<br />

Birds Numerous Small – Thin, Elongated<br />

Moderate


Ciliary Process Microanatomy<br />

• Bilayered epithelium<br />

– Inner (next to posterior<br />

chamber)<br />

• Nonpigmented<br />

– Outer (next to vasculature)<br />

• Pigmented<br />

– Both cuboidal, but columnar in<br />

some instances (horse)<br />

• Capillaries and/or venules<br />

with fenestrated endothelium<br />

• Stroma<br />

– Loose c.t. between the<br />

pigmented epithelium and<br />

vasculature


Aqueous Production at Level of<br />

• Passive diffusion and<br />

ultrafiltration (via cell<br />

membrane and tight<br />

junctions)<br />

• Active formation by<br />

selective transport<br />

systems by:<br />

Carbonic anhydrase<br />

Na/K ATPase<br />

Bilayered Epithelium


• Fills the anterior and posterior<br />

chambers<br />

• Nutrient supply for lens and<br />

cornea<br />

• Waste depository<br />

• Production and removal<br />

results in IOP<br />

• Provides clear medium<br />

• Moves from posterior chamber<br />

to anterior chamber to ICA &<br />

uveoscleral pathway<br />

Aqueous Humor


Composition Greatly<br />

Differs from Plasma


• Consists of attenuating<br />

smooth muscle, some<br />

vasculature and<br />

melanocytes<br />

• Variable in width<br />

• General widest dorsally<br />

and temporally<br />

Pars Plana


Aqueous Humor Outflow and the<br />

Iridocorneal Angle (ICA)


Principal Components<br />

• Pectinate ligament (PL)<br />

• Corneoscleral trabecular<br />

meshwork CSM)<br />

• Uveoscleral trabecular<br />

meshwork (UM)<br />

• Angular aqueous plexus<br />

(AAP)<br />

Iridocorneal Angle


Iridocorneal Angle: Aqueous Outflow<br />

Principal Components<br />

• Pectinate ligament (PL):<br />

attaches iris base to<br />

fibrous tunic and keeps<br />

ICA open<br />

• Trabecular meshworks<br />

(UM and CSM): hold &<br />

filter AH<br />

• Angular aqueous plexus<br />

(AAP): drains AH<br />

Apparatus


Pectinate Ligament: best developed in large<br />

eyes with extensive cilioscleral sinuses<br />

(ungulates, pinnipeds)<br />

Cilioscleral Sinus<br />

AC<br />

Horse ,<br />

Anterior ICA, x20<br />

Hooded seal ,<br />

Anterior ICA, x10


• Corneoscleral<br />

(filtering<br />

mechanism)<br />

• Uveal (storage<br />

area for AH)<br />

Trabecular Meshwork


Angular Aqueous Plexus (AAP): Site of<br />

greatest resistance to outflow and area<br />

most responsible for IOP formation


Flow of Aqueous Humor:<br />

Conventional and Unconventional<br />

• Posterior chamber<br />

• Anterior chamber<br />

• ICA & beyond (US –<br />

uveoscleral pathway:<br />

3% in cats, 13% in<br />

rabbits and 15% in<br />

dogs)


porcine<br />

Uveoscleral Outflow: little understood component of AH<br />

dynamics among vertebrates – each species is different<br />

bovine<br />

Sedacca KK, Samuelson DA, Lewis PA. Examination of the Anterior Uveoscleral<br />

Pathway in Domestic Species. Vet. Ophthalmol. 15 (Suppl 1): 1-7, 2012<br />

equine<br />

feline


N<br />

o<br />

r<br />

m<br />

a<br />

l<br />

G<br />

l<br />

a<br />

u<br />

m<br />

o<br />

a<br />

Uveoscleral Outflow: Canine<br />

Changes Associated with Glaucoma<br />

UT<br />

tangential sagittal elastic fibers<br />

UT<br />

Samuelson DA, Birkin-Streit A. Microanatomy of the Anterior Uveoscleral Outflow<br />

Pathway in <strong>Normal</strong> and Primary Open-Angle Glaucomatous Dogs. Vet Ophthalmol 2011;<br />

13 Sep no.943, p 1-7, Epub


Aqueous Humor Dynamics<br />

• Outflow = inflow (18 – 30 mm Hg<br />

among domestic spp: exs. 16-20<br />

in the dog; 22-26 in the horse)<br />

• Production mediated by:<br />

– Na/K ATPase pump<br />

– Carbonic anhydrase<br />

– Hydrostatic pressure against<br />

osmotic pressure gradient<br />

• Facility (outflow) mediated by:<br />

– Trabecular meshwork and AAP<br />

– Ciliary body musculature<br />

– Uveoscleral pathway


Aqueous Humor Dynamics Follow A<br />

Diurnal Cycle<br />

Canine


Ciliary Body Musclature


• Aqueous humor outflow<br />

• Lenticular<br />

accommodation<br />

Functions of the CBM


Effectiveness among domestic species: moderate<br />

in carnivores, weak in herbivores


Ciliary Body Musculature and Its<br />

Development Among Mammals<br />

Carnivore<br />

Primate<br />

Herbivore


Anterior portion of the CBM forms<br />

tendinous endings to the TM and<br />

facilitates AH Removal


Other paradigms of CBM exists within each major<br />

mammalian group (carnivores, ungulates, rodents,<br />

etc), each functioning to provide optimal ocular<br />

refraction via changes in lens or globe shape and<br />

position.<br />

squirrel<br />

pig<br />

mongoose


Lenticular Accommodation<br />

Contracted<br />

Relaxed


• Ciliary body (CB) has little to no<br />

musculature that will provide for lens<br />

accommodation.<br />

• Anterior CB and ICA possess<br />

encapsulated corpuscles (EC),<br />

believed to be pressure detectors,<br />

which could detect changes in<br />

intraocular pressure (IOP).<br />

• Postulated that changes in eye shape<br />

will result in shifting the lens axially,<br />

i.e., lenticular accommodation and<br />

cause changes in IOP detected by<br />

ECs.<br />

• IOP changes could result from<br />

combination of eyelids’ muscles and<br />

retractor bulbi muscle activity.<br />

Aquatic condition<br />

Bowhead whale;<br />

Zhu et al, Mar Mam Sci<br />

17:729, 2001<br />

encapsulated corpuscle EC<br />

within posterior ICA of pilot whale<br />

- S. Miles, UF


Ex. baleen whales


• Variable ocular<br />

refraction is<br />

performed through a<br />

combination of<br />

extensive intraocular<br />

muscles, including<br />

iridal muscles, a<br />

strong scleral<br />

baseplate and a very<br />

pliable lens.<br />

• Muscles are skeletal<br />

and may be used in<br />

an uniocular manner.<br />

Avian condition<br />

Great Horned Owl


Summary<br />

• Ciliary body functions primarily to produce and<br />

remove aqueous humor, resulting in specific IOPs<br />

• Possesses variably developed ciliary processes<br />

and iridocorneal angles for AH dynamics<br />

• Possesses variably developed musculature,<br />

smooth in mammals, skeletal in non-mammals, for<br />

lenticular accommodation and facilitation of AH<br />

removal, or just facilitation of AH removal

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!