Cornea:
Cornea is a miracle structure of our body. It is a living avascular, wet, transparent structure.
Development:
The tissue of eyeball are derived from neuroectoderm, surface ectoderm & mesoderm.
- The corneal epithelium ( non-keratinized stratified squamous epithelium ) is developed from surface ectoderm
- Stroma of cornea (rest of the layers of cornea) is developed from mesoderm
Features of cornea:
- avascular
- rich in nerve supply by long ciliary nerve - branches of ophthalmic division of trigeminal nerve
- transparent
How it get nutrition:
- aqueous humor
- tear
Histological features of cornea :
The cornea consists of five layers (outward to inward )
- Corneal epithelium: non-keratinized stratified squamous epithelium
- Bowman's membrane (anterior basement membrane)
- Corneal stroma: substantia propria
- Descemet's membrane
- Corneal endothelium
Features of corneal epithelium :
- Non-keratinized stratified squamous with five layers of cells, basal cells are low columnar and surface cells are squamous with microvilli with helps to spread tear on corneal surface
- it is continuous with conjunctiva
- it has remarkable capacity to regenerate, it correct superficial injury with 24 hrs and its turnover time: 7 days
- stem cells of cornea are situated at sclero-corneal junctions, these cells prevent conjunctivalization of corneal epithelium
- it is innervated by numerous free nerve ending, pain receptors of cornea is 300-600 times greater than the skin and 20-40 times greater than the dental pulp, so pain sensation is the only sensation in cornea
- it contain no melanin pigmentation, but corneal cancer is very rarely seen. how corneal DNA protected from UV light ?
- corneal epithelial cells nuclei contain ferritin an iron storage protein which protect DNA of corneal epithelium from UV light
What do you mean by conjunctivalization of corneal epithelium:
- the corneal epithelium become vascular
- appearance of goblet cells
- irregular and unstable cells
- Homogeneous
- collagen fibrils (no collagen fibre) of it randomly oriented
- it has no capacity to regenerate
- it support cornea
- damage of this structure causes opacity
Corneal stroma: substantia propria
- it is the thickest layer of cornea (about 90%)
- it is formed by 60 lamellae
- each lamella contain parallelly arranged collagen fibrils, this contribute transparency of cornea, this regular arrangement is lost in any injury of cornea causes opacity
- the collagen fibrils in each lamella are arranged at right angles to adjacent lamella
- fibroblasts are situated in between lamellae
Descemet's membrane :
- it is consider as basal lamina of corneal endothelium
- it has the capacity to regenerate
- it maintain curvature of cornea
Corneal endothelium
- it is formed by simple squamous epithelium
- it maintain water contain of cornea
- it has limited capacity to regenerate
- damage of it causes swelling of cornea, collagen fibrils arrangement in lost, cornea become opaque
- severely damage corneal endothelium is repaired by corneal transplantation
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