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Papadedes George
Consultant Ophthalmic Surgeon

Papadedes George
Consultant Ophthalmic Surgeon

Papadedes
George

Anatomy/Physiology of the human eye

Introduction

The human eye is divided into anterior and posterior segments, each of special importance for the ophthalmic function. It is situated in the orbit of the skull, which protects the eyeball, leaving uncovered only its anterior compartment. The eyeball itself is surrounded by 3 "coats". The outer and opaque "sclera", which is the white part of our eye, the middle layer - vital for nutrition - the "uvea" and the innermost layer, the "retina".


 fig.1

 fig.2

In the anterior segment of the eye (fig. 3), we initially distinguish the cornea, which is "windscreen" of the eye with significant refractive properties. Then we distinguish the pigmented part of the eye - the iris – forming the pupil in the center.The pupil changes its size allowing the light to gain access to the photosensitive posterior segment of the eye (fig.3).


  fig.3

  fig.4

The cornea with the iris form the anterior chamber of the eye filled with a special fluid,the aqueous humor. This fluid is important for the formation and nutrition of the anterior chamber and it is produced and drained out of the eye at respective rates. However, if the production is not followed by the respective drainage then the intraocular pressure increases beyond normal range which can lead to glaucoma (fig.4).

Behind the iris, we distinguish the lens that due to its transparency determines largely the sharpness of our vision. Decreasing its pupil and changing the shape of the lens, our eye can focus at close distances (through accommodation) just like an automatic photo camera. At older ages, this ability is reduced and we need glasses for near vision (presbyopia). Getting even older ,the transparency of the lens is reduced and it gradually blurs - causing cataract - significantly reducing our vision (fig.5).

Behind the lens, we distinguish the vitreous cavity of the eye that keeps its shape thanks to the gelly vitreous humor uniformly attached to the retina. This transparent and gelatinous mass under certain circumstances can either be detached from the retina (developing 'floaters' for the patient), or cause retinal holes which require urgent treatment.


  fig.5

In the retina, there are microscopic photoreceptor cells, which are responsible for our day and night time vision. (fig.8). Finally, we can distinguish our optic nerve - the 'wire' that transmits an image to the brain - and the macula, which is responsible for our central vision (fig 6.7).


  fig.8

 fig.6

 fig.7

Eye Movement

Our eyes move in all directions with the help of six extraocular muscles, which define smooth movement of the eye by acting synergistically, and in pairs. A lack of coordination between the extraocular muscles leads to ocular deviations (strabismus).


 fig.9

Digital content is courtesy of Alcon Iberia
Digital content: Credit to National Eye Institute, National Institutes of Health.