I- Introduction :
L & rsquo; s eye is a sphere d & rsquo; about 25 mm.
C & rsquo; is a movable member contained within a cavity called the eyeball, which prevents him translational movement (before behind), but allows him grace rotation has muscles to d & rsquo; direct gaze in infinite directions. C & rsquo; is that & rsquo; called visual field, which can Reaching 200 °. The power of the & rsquo; eye has equaled 59 Dioptries.
The cornea is a transparent membrane that allows us to see the & rsquo; iris, colored diaphragm. The pupil is a diaphragm that allows light to pass, it can only measure 1 at 2 mm diameter to achieve intense light 8 mm in & rsquo; darkness.
l & rsquo; s eye is lined 3 slips :
- sclera : c & rsquo; is the white of the & rsquo; eye, it is surrounded d & rsquo; a very thin, transparent membrane, called conjunctiva,
- choroid : Full pigment layer which constitutes a darkroom ; it is highly vascularized,
- the retina : fabric very important and very fragile, c & rsquo; is a sensory tissue converting the luminous flux into nerve impulses.
Behind & rsquo; iris is the lens. It is surrounded by the ciliary body to which it is held by the zonule of Zinn. The lens is transparent and can lose its transparency, with & rsquo; among other age.
Between the lens and the bottom of the & rsquo; eye, the vitreous body is found which is a transparent white gelatinous mass that keeps the shape of the & rsquo; eye.
At & rsquo; before the & rsquo; Eye is delimited 2 zones :
- the anterior chamber between the cornea and the & rsquo; iris. It is filled with the & rsquo; aqueous humor.
- the posterior chamber between the & rsquo; iris and lens.
The eyelids spread the tears in their blink.
Finally, the optic nerve functions as a transmission belt to the brain.
The orbit : Situated in the upper part of the facial massif, true junction zones between the face and the skull bone, separate the & rsquo; s a & rsquo; another by the nasal cavity, the two orbital cavities contain and protect the organs of the & rsquo; machine vision, especially the eyeballs and the extraocular muscles.
Quadrangular pyramid whose base is wide open in front and narrow top located behind, each orbit is constituted by a set of & rsquo; bone juxtaposed forming the & rsquo; bony orbit, lined on its inner side d & rsquo; a fibrous membrane : the periorbital. Many holes drilled in the bone walls establish communication l & rsquo; orbit and neighboring regions and allow the passage of & rsquo; arteries, veins, nerves for the eyeball or Annexes.
It orbits made :
- 4 walls or surfaces.
- 4 angles or edges.
- a base and a top.
- upper wall: orbital vault (frontal bone and small wing of the sphenoid).
- lower wall: floor (cheekbone "zygomatic", maxilla bone and bone Palatine).
- inner wall:(maxilla, us ethmoid a sphénoïde).
- outer wall: (cheekbone "zygomatic", and greater wing of sphenoid).
- Mountain peak: superior orbital fissure.
- Base: orbital rim.
II- eyelids :
Palpebral region is located in the middle third of the face. It comes into close contact with the frontal region above (via eyebrows), the nasal region medially, Find jugale en bas et la région time latéralement. eyelids (four in number) have an important function as physiological, in protecting the eyeball (spreading the tear film on the cornea, shedding tears), aesthetic where they participate, with eyebrows, to & rsquo; expressive eyes.
- Have two sails mobile musculo-membranous that cover and protect the front of the eyeball.
- By their movements they spread on the surface of secreted tears eyeballs by the lacrimal glands.
- upper and lower eyelids separated by the palpebral fissure.
L & rsquo; lacrimal apparatus :
Formed by the lacrimal glands
- gland located under the main & rsquo; orbit.
- glands located in the eyelids, the lacrimal
- start at the punctum by two channels : upper and lower.
that will give the common tear duct that ends in the lacrimal sac and nasolacrimal canal- nose that ends in the nasal cavity.
Les muscles oculomoteurs :
In each orbit, six extraocular muscles allow the mobilization of the bulb of the & rsquo; look in different directions of gaze : four rectus muscles – medial, superior, side and bottom – and two oblique muscles – upper and lower -. Each
muscle is surrounded d & rsquo; a clean muscle fascia that s & rsquo; united front to the root sheath of the & rsquo; eye. Intermuscular fascias linking fascia adjacent muscles. L & rsquo; assembly formed by the bulb of the & rsquo; eye, extraocular muscles and fascia hangs on the walls of the orbit by a system of bays and fascial ligaments.
The four rectus muscles and their fascial limit behind the bulge of the & rsquo; look a conical space : the fasciomusculaire cone whose apex is located at the apex orbital.
The extraocular muscles are striated muscles of a particular type. Their arterial supply is important, but variable. They are innervated by cranial nerves three oculomotor : the oculomotor nerve, trochlear and abducens.
the conjunctiva :
The conjunctiva is a transparent mucous membrane, whose lid portion is continuous with the skin of the eyelids.
In the cul-de-sac, it is reflected and covering the eyeball up & rsquo; the limbus. It s & rsquo; then called bulbar conjunctiva
the sclère :
the sclera, outermost tunic of the world, very solid and very resistant, formed of collagen and elastic fibers, around four fifths of the globe later.
At its surface lie the extraocular muscles and their tendons run the neurovascular elements.
Its external diameter is 23 at 24 mm. It is perforated by the anterior ciliary arteries, four vortex veins and the two posterior ciliary arteries.
It protects against media intraocular trauma. His surgical interests is important : retinal detachment surgery or oculomotor surgery.
the cornea :
C & rsquo; is the extension most bulging of the sclera. The sclera, cornea & rsquo s border called the limbus.
The cornea is highly innervated very sensitive. It is transparent and must remain so for good vision.
She is made of 5 different layers :
- corneal epithelium : squamous cell type renewing quickly.
- membrane de Bowman : transition layer 12 microns & rsquo; thickness.
- stroma : very thick (400 microns), it represents 90% s & rsquo; total thickness of the cornea. Its very specific connective tissue includes the usual elements of connective tissue. It contains the & rsquo; water, organic substances, collagen…
- membrane de Descemet : 6 microns & rsquo; thickness.
- endothelium : 6 microns & rsquo; thickness, inner membrane, fragile, very fine. The quality and quantity of these cells varies with the & rsquo; age.
Its nutrition is provided by the tears that bring oxygen essentially, some by & rsquo; aqueous humor and blood vessels at the limbus.
the choroid :
The choroid is a highly vascular layer that provides
nutrition of & rsquo; iris and retina. It is located between the sclera and the retina.
It contains many colored pigments and thus forms a screen. It maintains the & rsquo; within the & rsquo; eye darkroom.
50 & rsquo; rainbow :
C & rsquo; is a circular diaphragm setting automatically according to the amount of light received.
When the diameter is small, there is less of & rsquo; aberrations : the rays that are too are removed by the diaphragm and & rsquo; image formed on the retina is net.
The night, it n & rsquo; there is not much light, the pupil dilates, l & rsquo; image formed on the retina n & rsquo; is sharper : c & rsquo; is nocturnal myopia.
L & rsquo; iris is responsible for the color of the & rsquo; eye. The color of the & rsquo; eye depends on & rsquo; thickness of & rsquo; range formed by the pigment lamellae and its melanin concentration. Plus, l & rsquo; range is thick and contains melanin, plus & rsquo; s eye is dark.
Nutrition s & rsquo; iris is provided by the & rsquo; aqueous humor in which she bathes, and some small arterioles.
The muscles that are responsible for the change in diameter of the & rsquo; irises :
- dilator : contract s & rsquo; iris, c & rsquo; is to say dilates the pupil,
- sphincter : reduces the diameter of the pupil.
The pupils :
Its diameter is in normal light 3 at 6 mm. L & rsquo; increasing the diameter of the pupil s & rsquo; calls : mydriase, and decreasing the diameter s & rsquo; calls : myosis.
the Lens : c & rsquo; is a transparent bi-convex lens. It is vascularized.
Can vary its courburte, d & rsquo; where variation of its power. 100 & rsquo; or L & rsquo; accommodation.
The lens bomb, it increases its power.
With the & rsquo; age, there is loss of & rsquo; elasticity of the lens. C & rsquo; is presbyopia.
If it s & rsquo; clouds, there cataract.
The lens is surrounded by a capsule. This capsule have set the fibers of the zonule of Zinn. his power is 16 dioptries.
Metabolism is ensured by & rsquo; aqueous humor.
L & rsquo; Aqueous humor :
It is produced by the ciliary process. It goes from the posterior chamber into the anterior chamber through the pupil. In the anterior chamber, she is
removed at the trabecular meshwork (in & rsquo; iridocorneal angle) or it goes into Schlemm's canal.
The trabecular meshwork is a kind of filter. If the trabecular meshwork becomes blocked (debris & rsquo; iris, excess protein), so we increased pressure d & rsquo; where glaucoma.
L & rsquo; aqueous humor was comprised primarily of & rsquo; water, but also vitamin C, de glucose, d & rsquo; lactic acid, protein. It is renewed 2-3 hours.
Its role is particularly nourishing (corneal endothelium and iris), repairer, control of intraocular pressure, and maintaining the shape of the & rsquo; eye.
The vitreous body :
C & rsquo; is a transparent connective tissue. It is surrounded by a membrane called hyaloid membrane.
C & rsquo; is a filler material. It represents 4/5 the volume of the & rsquo; eye, and is the first component of the & rsquo; eye.
Its role is to maintain the rigidity of the eye-ball, and maintain the retina in place well pressed against the back of the eyeball.
Its structure involves in maintaining pressure and intraocular allows it & rsquo; absorb the pressures to which it is subjected without altering the function of the & rsquo; eye. It consists of 95% water.
The retina :
C & rsquo; is a sensitive and delicate fabric. C & rsquo; is the innermost membrane.
She as thick 1/10 at 4/10 mm. It is highly vascularized : important network of veins and arteries.
- ACR : central retinal artery : which is a branch of & rsquo; ophthalmic artery emerges at the center of the disc and then divided into two branches and a bottom & rsquo; down each other is divided according to a dichotomous fashion.
- The veins follow the course of the arteries to form the VCR : central retinal vein.
The retina is a hypersensitive plate. It is traversed by numerous small vessels. She is
of hundreds of millions of nerve cells : the rods and cones. The role of these
cells is crucial. They allow to see the details, the lights, colors, shapes and movements.
The light that enters the & rsquo; eye must pass through the retina to reach the sensitive layer of rods and cones.
The rods and cones are the photoreceptor cells. It is these cells that capture
l & rsquo; nerve impulses and transmit the brain to decode and forming an image.
It was much sticks (130 millions) that cones (6-7 millions). The diameter of the cone is much smaller than that of the rods. The more s & rsquo; away from the central portion, more cones are scarce and their diameter increases.
The macula and the fovea :
In the central elliptical area is the maximum cones. This area allows a clear vision. This measure area 3 mm in the major axis and 2 mm in the minor axis. It s & rsquo; called the macula. The macula or yellow spot, appears located at the posterior pole of the center as a fine excavation.
The fovea is a region of the retina located in the macula, near the & rsquo; optical axis of the & rsquo; eye. This region is of utmost importance for vision. C & rsquo; is she who gives the most accurate view, in daylight, c & rsquo; is to say during the day. When we set an object, we turn our eyes to align the & rsquo; image on the part of the retina.
The fovea is the central part of the macula. It measures 1300 at 1500 microns. It contains 400 000 cones.
In an even more central vision we find the fovea. It measures 300 at 400 microns in diameter and contains 25 000 cones.
The cones need more light than the rods to be excited. The cones respond more daylight than at night lighting. The rods need much less light to react, they provide night vision.
It exists 3 kinds of cones that respond to length of & rsquo; different wave : bleu, vert, rouge. The cones are therefore responsible for color vision.
The sticks are not involved in color vision. Night work only sticks, c & rsquo; is why the night all cats are gray !
The optic nerve :
Transmits information to the brain
All the optical fibers from the visual cells converge toward a specific point on the retina : papilla. This point will therefore not contain visual cells but only the nerve fibers.
The papilla is therefore a point of & rsquo; who does not see eye. It s & rsquo; also called blind spot. At this point also opens the venous and arterial network of the retina.
The optical fibers are joined all there to form a cable called the optic nerve. It measures 4 mm diameter and 5 cm de long.
There is an optical eye by nerve, therefore 2 optical nerves in all. These 2 nerves cross in an area called the optic chiasm. At this point s & rsquo; intersects only part of the fiber : fibers from the nasal retina.
Dr Hidouci's course – Faculty of Constantine