Professional Documents
Culture Documents
of the eye
Imagine your
eyes as a camera
Sagital View of the eye
1. Image Focusing Refractive media
• Cornea
• Humor akuos
• Crystallin Lens
• Vitreous Body
Refractive media CORNEA
• Innervated by N
V.1 corneal
sensitivity
• Tear film
maintain the
smooth corneal
surface, and
protection effect
Refractive Media Aquos Humor
• Produced by the
ciliary body
• Refractive Media
• Nutrition and O2
supply for cornea,
lens etc.
• Maintain the
ocular pressure
• Refractive index
1.336
Refractive Media The Lens
Posterior 7.911
Lens core 2.419 1.406 4.146
Posterior Anterior -5.76 0.635 1.386 6.565
lens cortex
Rods Cones
Used for night vision Used for day vision
Very light sensitive; sensitive to scattered At least 1/10th of the rods light
light (have more pigment than cones) sensitive;sensitive only to direct light
(LGN)
Striate
Cortex
The Pathway Optic Nerve (C.N.II)
• Merupakan
Perpanjangan dari
Otak
• Terdiri dari 4 bagian
• Intra ocular, intra orbita,
intra canalicular, intra
cranial
Cortex visual Visual Perception
Area Visual Primer
Area Visual Sekunder
ciliary ciliary
ganglion ganglion
RETINA
CN 3 CN 2
CHIASM
PRETECTAL PRETECTAL
NUCLEUS NUCLEUS
EDINGER EDINGER
WESTPHAL WESTPHAL
NUCLEUS NUCLEUS
8
Neural pathways consensual reflex
RETINA
ganglion
bersilangan
CN 3 CN 2
CHIASM
.
to the Edinger-Westphal
nucleus EDINGER
WESTPHAL
EDINGER
WESTPHAL
NUCLEUS NUCLEUS
RELATIVE AFFERENT
PUPILLARY DEFECT (RAPD)
Menggambarkan adanya kelainan patologis
pada jalur afferent refleks pupil
Membandingkan refleks pupil 2 mata dengan
melihat r.c.langsung dan tidak langsung
kelainan harus unilateral
Sederhana, mudah dan obyektif
Dapat dievaluasi meskipun pasien dalam
kondisi tidak sadar
BAGAIMANA RAPD TERJADI ?
Retinal Detachment Akan timbul jika makula ablasi atau dua kuadran retina
ablasi
Severe Macular Degeneration Timbul jika keadaan berat atau unilateral
Retinal or Choroidal Tumor Timbul jika keadaan berat
Amblyopia Timbul jika keadaan berat
Refractif Error Tidak ada walau keadaan berat
Cerebral disease Tidak ada
The Supporting structure of the Eye
• Palpebra
• Conjunctiva cover most exposed part of
the eye
• Sclera the sceleton of the eye
• Uveal Tract Iris, Ciliary Body and
Choroid Nutrition, circulation, immune
system
• Lacrimal Gland tear film production
• Extra ocular muscles Ocular movement
The Extraocular Muscles
• 7 extraoculer
muscles
• 6 Ocular
Movement
Eye Movements