The Eye E-Book -  John V. Forrester,  Andrew D. Dick,  Paul G McMenamin,  Fiona Roberts,  Eric Pearlman

The Eye E-Book (eBook)

Basic Sciences in Practice
eBook Download: PDF | EPUB
2015 | 4. Auflage
548 Seiten
Elsevier Health Care - Lehrbücher (Verlag)
978-0-7020-5553-9 (ISBN)
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The Eye: Basic Sciences in Practice provides highly accessible, concise coverage of all the essential basic science required by today's ophthalmologists and optometrists in training. It is also essential reading for those embarking on a career in visual and ophthalmic science, as well as an invaluable, current refresher for the range of practitioners working in this area.

This new fourth edition has now been fully revised and updated in line with current curricula, key research developments and clinical best practice. It succinctly incorporates the massive strides being made by genetics and functional genomics based on the Human Genome Project, the new understanding of how the microbiome affects all aspects of immunology, the remarkable progress in imaging technology now applied to anatomy and neurophysiology, as well as exciting new molecular and other diagnostic methodologies now being used in microbiology and pathology. All this and more collectively brings a wealth of new knowledge to students and practitioners in the fields of ophthalmology and visual science.

  • The only all-embracing textbook of basic science suitable for trainee ophthalmologists, optometrists and vison scientists - other books concentrate on the individual areas such as anatomy.
  • Attractive page design with clear, colour diagrams and text boxes make this a much more accessible book to learn from than many postgraduate textbooks.
  • Presents in a readable form an account of all the basic sciences necessary for an understanding of the eye - anatomy, embryology, genetics, biochemistry, physiology, pharmacology, immunology, microbiology and infection and pathology.
  • More on molecular pathology.
  • Thorough updating of the sections on pathology, immunology, pharmacology and immunology.
  • Revision of all other chapters.
  • More colour illustrations.

Ganglion cells

The cell bodies of most ganglion cells are located in the innermost nucleated layer of the retina (ganglion cell layer) situated between the nerve fibre layer and the inner plexiform layer (Figs 1-29 and 1-32); however, ‘displaced’ ganglion cells have been identified in the inner nuclear layer. Ganglion cells are the last neuronal link in the retinal component of the visual pathway (Fig. 1-32B). Their axons form the nerve fibre layer on the innermost surface of the retina and synapse with cells in the lateral geniculate nucleus of the thalamus. The axons form bundles separated and ensheathed by glial cells (Fig. 1-34E). The bundles leave the eye to form the optic nerve. Upon exiting through the lamina cribrosa, the axons become myelinated with oligodendrocytes. There are up to seven layers of ganglion cell bodies in the central retina or fovea (ganglion cell layer is 60–80 µm thick) and as few as one cell layer in the peripheral retina (10–20 µm thick). There are approximately 1.2 million ganglion cells per retina; thus, theoretically, there are approximately 100 rods and four to six cones per ganglion cell. While they are functionally diverse, ganglion cells are characterized morphologically by a large cell body, abundant Nissl substance (arrays of rough endoplasmic reticulum) and a large Golgi apparatus (Fig. 1-34E). They are classified into different types on the basis of cell body size, dendritic tree spread, branching pattern and branching level in the five strata of the inner plexiform layer (Fig. 1-32B,C). Some ganglion cells in the macular area may contain yellow (xanthophyll carotenoid) pigment in the cytoplasm, although the cone axons and Müller cells are thought to also contain these pigments in the macular region. Impulses are received primarily from bipolar cells and amacrine cells via axodendritic and axosomatic synapses, the former occurring predominantly in the inner plexiform layer (Fig. 1-32B) where their dendrites repeatedly branch to form the ‘dendritic tree’, whose form and size varies considerably and may be correlated with location in the retina and therefore function (receptive field size) (Fig. 1-34B,C). The morphological diversity of ganglion cells (up to 25 types in mammalian and 18 types in human retinas) has prompted classification of these cells into categories, α, β and γ, or X, Y and W types, predominantly based on research in the cat.

Recently a non-rod, non-cone photoreceptive pathway, arising from a population of retinal ganglion cells, was discovered first in nocturnal rodents and then in primates. These ganglion cells express the putative photopigment melanopsin and by signalling gross changes in light intensity serve the subconscious, ‘non-image-forming’ functions of circadian photoentrainment and pupil constriction. The primate retina, in addition to being intrinsically photosensitive, is strongly activated by rods and cones to signal irradiance over the full dynamic range of human vision. Thus, in the diurnal trichromatic primate, ‘non-image-forming’ and conventional ‘image-forming’ retinal pathways are merged, and the melanopsin-based signal might contribute to conscious visual perception.

Midget ganglion cells.

These cells synapse exclusively with amacrine cells and one midget bipolar cell (and thus usually one cone) (Fig. 1-32B). Dendritic spread is around 5–10 µm in diameter in the central retina; however, this increases 10-fold in a zone of 2–6 mm eccentricity and attains a maximum of over 100 µm (Fig. 1-34C). Neighbouring midget ganglion cell dendritic fields do not overlap but form mosaics. In humans they are also known as P-cells because they project to the parvocellular layer of the lateral geniculate nucleus (LGN).

Diffuse (parasol) ganglion cells.

These comprise a large synaptic field with all types of bipolar cells except midget bipolar cells. They occur in the central retina and their cell bodies (soma) are 8–16 µm in diameter with 30–70 µm dendritic fields, these being smaller nearer the fovea than the periphery. They are also known as M-cells because they project to the magnocellular layer of the LGN.

The finding that midget ganglion cells synapse exclusively with the midget bipolar cells, and that both are common near the fovea, provides the anatomical basis for the observation of small receptive fields and high visual acuity in this region. There are five types of diffuse ganglion cell, classified on the basis of morphology. The anatomical basis of antagonistic fields surrounding receptive fields is complex, although they do not appear to vary much in size from within an 8 mm radius of the fovea. The basis of the antagonist field may be the lateral extensions of the amacrine cell, with its extensive interconnections with ganglion cell dendrites and bipolar cells as well as fellow amacrine cells.

Association neurones (amacrine and horizontal cells) (Figs 1-32B and 1-34A,B)

Horizontal cells.

These cells derive their name from the extensive horizontal extensions of their cell processes. There are two distinct morphological varieties in the retina of most species, of which the cat is the most extensively studied: type A is a large sturdy axonless cell with stout dendrites that contact only cones; type B has a smaller bushier dendritic tree that contacts cones exclusively but, in addition, has an axon up to 300 µm in length that ends in extensive arborization that is postsynaptic only to rods (Figs 1-32B and 1-34B). Type A cells have much larger receptive fields than type B. In primates it appears that the two types of horizontal cell, HI (approximates to type B) and HII (approximates to type A), both possess axons. A third type (HIII) has been described in the human retina. Each rod has connections with at least two horizontal cells and each cone with three or four horizontal cells of each type. In primates the stout dendrites of HI cell soma processes contact around seven cones near the fovea (dendritic tree covering 15 µm); this number increases to as many as 18 further from the fovea (dendritic tree covering 80–100 µm). The axon from HI cells passes laterally and terminates up to 1 mm away in a thickened axon terminal bearing a fan-shaped protrusion of lollipop-like endings in rod spherules (up to 100) (Fig. 1-34B). HII dendritic trees are more spidery and contact about twice as many cones. Their axons are generally shorter (100–200 µm) and contact cone pedicles by small wispy terminals. The manner of their insertion is depicted in Figure 1-32B. Their cell bodies are located primarily in the outer part of the inner nuclear layer. They have few distinctive cytoplasmic organelles except the crystalloids, a series of densely stacked tubules with associated ribosomes. Their processes ramify in the outer plexiform layer close to the cone pedicles. The overlap between horizontal cells is considerable and any one area of retina may be served by up to 20 horizontal cells. Horizontal cells have an integrative role in retinal processing and release inhibitory neurotransmitters, mainly γ-aminobutyric acid (GABA). Recent evidence suggests that there is some colour-specific wiring for the three types of horizontal cells in the human retina.

Amacrine cells (Figs 1-32B and 1-34D).

These association neurones were thought to lack axons; however, recent studies have shown that some do indeed possess an axon. They are located in the vitread or inner aspect of the inner nuclear layer (bipolar cell layer) and are distinguishable as a result of their larger size (12 µm) and oval shape. They display a remarkable degree of diversity. There are at least 25 different types in the monkey and human retina. Their cell body is usually flask-shaped and the numerous dendritic processes of these cells ramify and terminate predominantly in the synaptic complexes formed by the bipolar and ganglion cell processes, namely the inner plexiform layer. The shape of their dendritic fields is highly variable and a few examples are shown in Figure 1-34A,B. They can be divided into subtypes on several criteria such as the stratification of their dendrites in the inner plexiform layer or their shape; for example, diffuse, starburst and stratified. Diffuse types can cover narrow fields (approximately 25 µm wide), their fibres being cone-shaped. Other types may spread their axon-like processes several millimetres. They may also be classified on the basis of their neurotransmitters. Amacrine cells may be GABAergic and dopaminergic or can release acetylcholine indicating, together with their morphology, that these cells play a role in modulation (most probably inhibitory) of signals reaching ganglion cells. A subclass of amacrine cells are also thought to be the principal source of the peptide somatostatin, an important neuroactive peptide, in the retina. It may function as a neurotransmitter, neuromodulator or trophic factor.

Retinal neuroglia

Astrocytes.

Astrocytes are not the principal or predominant glial cell in the retina. This role is fulfilled by Müller cells, which are analogous to central nervous system oligodendrocytes. Astrocytes are predominantly located in the nerve fibre layer, ganglion cell layer, inner plexiform layer (site of cell bodies), and their outer limit is the vitread aspect of the inner nuclear layer in humans. They...

Erscheint lt. Verlag 19.2.2015
Sprache englisch
Themenwelt Medizin / Pharmazie Allgemeines / Lexika
Medizin / Pharmazie Gesundheitsfachberufe
Medizin / Pharmazie Medizinische Fachgebiete Augenheilkunde
ISBN-10 0-7020-5553-0 / 0702055530
ISBN-13 978-0-7020-5553-9 / 9780702055539
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