Top Banner
Anatomy and Physiology of the Retina Associate Professor Trevor Sherwin Department of Ophthalmology University of Auckland
39

Anatomy and Physiology of the Retina - cdn.auckland.ac.nz · Optic Nerve 21. Optic Nerve 22. Blood supply to the Retina Choroid supplies 85% Mainly outer retina Photoreceptors Central

May 28, 2019

Download

Documents

ngokiet
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Page 1: Anatomy and Physiology of the Retina - cdn.auckland.ac.nz · Optic Nerve 21. Optic Nerve 22. Blood supply to the Retina Choroid supplies 85% Mainly outer retina Photoreceptors Central

Anatomy and Physiology of the Retina

Associate Professor Trevor SherwinDepartment of Ophthalmology

University of Auckland

Page 2: Anatomy and Physiology of the Retina - cdn.auckland.ac.nz · Optic Nerve 21. Optic Nerve 22. Blood supply to the Retina Choroid supplies 85% Mainly outer retina Photoreceptors Central

Light entering the Eye

2

Page 3: Anatomy and Physiology of the Retina - cdn.auckland.ac.nz · Optic Nerve 21. Optic Nerve 22. Blood supply to the Retina Choroid supplies 85% Mainly outer retina Photoreceptors Central

Eye Exam

3

Page 4: Anatomy and Physiology of the Retina - cdn.auckland.ac.nz · Optic Nerve 21. Optic Nerve 22. Blood supply to the Retina Choroid supplies 85% Mainly outer retina Photoreceptors Central

The retina

4

Page 5: Anatomy and Physiology of the Retina - cdn.auckland.ac.nz · Optic Nerve 21. Optic Nerve 22. Blood supply to the Retina Choroid supplies 85% Mainly outer retina Photoreceptors Central

Function of the retina

-Transmit electrical impulse to the brain via ganglion cells

- To absorb photons of light

- Translate light into a biochemical message

- Translate biochemical message into electrical impulse

5

Page 6: Anatomy and Physiology of the Retina - cdn.auckland.ac.nz · Optic Nerve 21. Optic Nerve 22. Blood supply to the Retina Choroid supplies 85% Mainly outer retina Photoreceptors Central

Sagittal section of the retina

6

Page 7: Anatomy and Physiology of the Retina - cdn.auckland.ac.nz · Optic Nerve 21. Optic Nerve 22. Blood supply to the Retina Choroid supplies 85% Mainly outer retina Photoreceptors Central

Cellular detail of the retina

7

Page 8: Anatomy and Physiology of the Retina - cdn.auckland.ac.nz · Optic Nerve 21. Optic Nerve 22. Blood supply to the Retina Choroid supplies 85% Mainly outer retina Photoreceptors Central

Octopus Retina

8

Page 9: Anatomy and Physiology of the Retina - cdn.auckland.ac.nz · Optic Nerve 21. Optic Nerve 22. Blood supply to the Retina Choroid supplies 85% Mainly outer retina Photoreceptors Central

Octopus Retina

9

Page 10: Anatomy and Physiology of the Retina - cdn.auckland.ac.nz · Optic Nerve 21. Optic Nerve 22. Blood supply to the Retina Choroid supplies 85% Mainly outer retina Photoreceptors Central

Layers of the retina

10

Page 11: Anatomy and Physiology of the Retina - cdn.auckland.ac.nz · Optic Nerve 21. Optic Nerve 22. Blood supply to the Retina Choroid supplies 85% Mainly outer retina Photoreceptors Central

Cell bodies and synapses

All vertebrate retinas are composed of three layers of cell bodies and two layers of synapses

Cell bodies of rods/cones

Cell bodies of bipolar cells

Cell bodies of ganglion cells

11

Page 12: Anatomy and Physiology of the Retina - cdn.auckland.ac.nz · Optic Nerve 21. Optic Nerve 22. Blood supply to the Retina Choroid supplies 85% Mainly outer retina Photoreceptors Central

Neuropil layers

Photoreceptor -bipolar synapse

12

Page 13: Anatomy and Physiology of the Retina - cdn.auckland.ac.nz · Optic Nerve 21. Optic Nerve 22. Blood supply to the Retina Choroid supplies 85% Mainly outer retina Photoreceptors Central

Neuropil layers

Bipolar – ganglion synapse

13

Page 14: Anatomy and Physiology of the Retina - cdn.auckland.ac.nz · Optic Nerve 21. Optic Nerve 22. Blood supply to the Retina Choroid supplies 85% Mainly outer retina Photoreceptors Central

Photoreceptors

14

Page 15: Anatomy and Physiology of the Retina - cdn.auckland.ac.nz · Optic Nerve 21. Optic Nerve 22. Blood supply to the Retina Choroid supplies 85% Mainly outer retina Photoreceptors Central

Photoreceptors

15

Page 16: Anatomy and Physiology of the Retina - cdn.auckland.ac.nz · Optic Nerve 21. Optic Nerve 22. Blood supply to the Retina Choroid supplies 85% Mainly outer retina Photoreceptors Central

Photoreceptors

16

Page 17: Anatomy and Physiology of the Retina - cdn.auckland.ac.nz · Optic Nerve 21. Optic Nerve 22. Blood supply to the Retina Choroid supplies 85% Mainly outer retina Photoreceptors Central

Rhodopsin and photoreceptor cells

17

Page 18: Anatomy and Physiology of the Retina - cdn.auckland.ac.nz · Optic Nerve 21. Optic Nerve 22. Blood supply to the Retina Choroid supplies 85% Mainly outer retina Photoreceptors Central

Rhodopsin

18

Page 19: Anatomy and Physiology of the Retina - cdn.auckland.ac.nz · Optic Nerve 21. Optic Nerve 22. Blood supply to the Retina Choroid supplies 85% Mainly outer retina Photoreceptors Central

Central and peripheral retina

19

Page 20: Anatomy and Physiology of the Retina - cdn.auckland.ac.nz · Optic Nerve 21. Optic Nerve 22. Blood supply to the Retina Choroid supplies 85% Mainly outer retina Photoreceptors Central

Central and peripheral retina

20

Page 21: Anatomy and Physiology of the Retina - cdn.auckland.ac.nz · Optic Nerve 21. Optic Nerve 22. Blood supply to the Retina Choroid supplies 85% Mainly outer retina Photoreceptors Central

Optic Nerve

21

Page 22: Anatomy and Physiology of the Retina - cdn.auckland.ac.nz · Optic Nerve 21. Optic Nerve 22. Blood supply to the Retina Choroid supplies 85% Mainly outer retina Photoreceptors Central

Optic Nerve

22

Page 23: Anatomy and Physiology of the Retina - cdn.auckland.ac.nz · Optic Nerve 21. Optic Nerve 22. Blood supply to the Retina Choroid supplies 85% Mainly outer retina Photoreceptors Central

Blood supply to the Retina

Choroid supplies 85%Mainly outer retinaPhotoreceptors

Central retinal artery supplies 15%Inner retinal layer

23

Page 24: Anatomy and Physiology of the Retina - cdn.auckland.ac.nz · Optic Nerve 21. Optic Nerve 22. Blood supply to the Retina Choroid supplies 85% Mainly outer retina Photoreceptors Central

IV Fluorescein Angiogram

24

Page 25: Anatomy and Physiology of the Retina - cdn.auckland.ac.nz · Optic Nerve 21. Optic Nerve 22. Blood supply to the Retina Choroid supplies 85% Mainly outer retina Photoreceptors Central

IV Fluorescein Angiogram

25

Page 26: Anatomy and Physiology of the Retina - cdn.auckland.ac.nz · Optic Nerve 21. Optic Nerve 22. Blood supply to the Retina Choroid supplies 85% Mainly outer retina Photoreceptors Central

IV Fluorescein Angiogram

26

Page 27: Anatomy and Physiology of the Retina - cdn.auckland.ac.nz · Optic Nerve 21. Optic Nerve 22. Blood supply to the Retina Choroid supplies 85% Mainly outer retina Photoreceptors Central

IV Fluorescein Angiogram

27

Page 28: Anatomy and Physiology of the Retina - cdn.auckland.ac.nz · Optic Nerve 21. Optic Nerve 22. Blood supply to the Retina Choroid supplies 85% Mainly outer retina Photoreceptors Central

The foveaFoveal pit + foveal slope + parafovea + perifovea

= Macula

28

Page 29: Anatomy and Physiology of the Retina - cdn.auckland.ac.nz · Optic Nerve 21. Optic Nerve 22. Blood supply to the Retina Choroid supplies 85% Mainly outer retina Photoreceptors Central

Eagle Vision

29

Page 30: Anatomy and Physiology of the Retina - cdn.auckland.ac.nz · Optic Nerve 21. Optic Nerve 22. Blood supply to the Retina Choroid supplies 85% Mainly outer retina Photoreceptors Central

Photoreceptor cell diameter

Rods (IS) – 2 microns

Cones (IS) – 6 microns

However, in the foveaCones (IS) – 1.5 microns

30

Page 31: Anatomy and Physiology of the Retina - cdn.auckland.ac.nz · Optic Nerve 21. Optic Nerve 22. Blood supply to the Retina Choroid supplies 85% Mainly outer retina Photoreceptors Central

Photoreceptor cell diameter

Rods (IS) – 2 microns

Cones (IS) – 6 microns

However, in the foveaCones (IS) – 1.5 microns

31

Page 32: Anatomy and Physiology of the Retina - cdn.auckland.ac.nz · Optic Nerve 21. Optic Nerve 22. Blood supply to the Retina Choroid supplies 85% Mainly outer retina Photoreceptors Central

Photoreceptor density

32

Page 33: Anatomy and Physiology of the Retina - cdn.auckland.ac.nz · Optic Nerve 21. Optic Nerve 22. Blood supply to the Retina Choroid supplies 85% Mainly outer retina Photoreceptors Central

Acuity of the retina

33

Page 34: Anatomy and Physiology of the Retina - cdn.auckland.ac.nz · Optic Nerve 21. Optic Nerve 22. Blood supply to the Retina Choroid supplies 85% Mainly outer retina Photoreceptors Central

The Macula Lutea

Xanthophyll caratenoids –zeaxanthin & luteinTapetum

34

Page 35: Anatomy and Physiology of the Retina - cdn.auckland.ac.nz · Optic Nerve 21. Optic Nerve 22. Blood supply to the Retina Choroid supplies 85% Mainly outer retina Photoreceptors Central

Colour Absorbancy

35

Page 36: Anatomy and Physiology of the Retina - cdn.auckland.ac.nz · Optic Nerve 21. Optic Nerve 22. Blood supply to the Retina Choroid supplies 85% Mainly outer retina Photoreceptors Central

Colour Blindness

Red/green colour blindness - X linked

Males only have a single X chromosome

Almost all genes on the X have no counterpart on the Y

Any gene on X, even if recessive in females will be expressed in males

36

Page 37: Anatomy and Physiology of the Retina - cdn.auckland.ac.nz · Optic Nerve 21. Optic Nerve 22. Blood supply to the Retina Choroid supplies 85% Mainly outer retina Photoreceptors Central

Summary of photoreceptors

Rods - Low light levels (scotopic)Peripheral visionSlow response

Cones - Visual acuityColour visionFast response

37

Page 38: Anatomy and Physiology of the Retina - cdn.auckland.ac.nz · Optic Nerve 21. Optic Nerve 22. Blood supply to the Retina Choroid supplies 85% Mainly outer retina Photoreceptors Central

Clinical examination of photoreceptors

Form & spatial vision, measured by visual acuityReflects rod & cone distribution

Colour vision testing is indicative of cone function and associated processing of the signal

38

Page 39: Anatomy and Physiology of the Retina - cdn.auckland.ac.nz · Optic Nerve 21. Optic Nerve 22. Blood supply to the Retina Choroid supplies 85% Mainly outer retina Photoreceptors Central

Vision and Movement

39