DEVELOPMENT OF EYE

DEVELOPMENT OF EYE

Q. 1 Embryologically corneal stroma is derived from which of the following layers?

 A Neural crest

 B

Ectoderm

 C

Mesoderm

 D

Endoderm

Q. 1

Embryologically corneal stroma is derived from which of the following layers?

 A

Neural crest

 B

Ectoderm

 C

Mesoderm

 D

Endoderm

Ans. A

Explanation:

Corneal stroma, keratocytes and endothelium is derived from the Neural crest.


Q. 2

The following ocular structure is not derived from surface ectoderm:

 A

Crystalline lens

 B

Sclera

 C

Corneal epithelium

 D

Epithelium of lacrimal glands

Ans. B

Explanation:

B i.e. Sclera

  • Neural crest cells form the mesenchyme of head & neck and contribute to most of the eye including endothelium of cornea & trabecular meshworkQ & stroma of cornea, iris, ciliary body and choroid; melanocytes of conjunctiva & uvea; ciliary muscle ganglion & nerves (Schwann cells); Orbital bones & connective tissue; connective sheath & muscle layer of orbital blood vessels; meningeal sheath of optic nerve, sclera & part of vitreous.
  • All Epithelia (except that of iris & ciliary body), the lens and the Lacrimal & Tarsal glands are derived from the surface ectoderm.Q
  • Melanocytes present in iris stroma develop from neural crest.
  • Sclera is of neural crest and mesodermal originQ

Primordial Tissues and its Ocular Derivatives

Neural Ectoderm     

Surface Ectoderm 

Mesoderm      

Neural Crest                                 

Ciliary (body) epitheliumQ

Iris epitheliumQ

Smooth muscles of iris i.e.

Conjunctival

epitheliumQ

Corneal

Extraocular

muscles

Vascular

Orbital bones

Orbital connective tissue

Connective tissue sheath & muscular layer of

– Constrictor pupillaeQ

epitheliumQ

endothelium of

ocular & orbital blood vessels.

Dilator pupillaeQ

Lacrimal glands

eye & orbit

Ciliary muscles

Part of vitreous

Tarsal glands

Corneal stroma

Ciliary ganglion

Retinal pigment epitheliumQ

lensQ

Sclera

Schwann cells of ciliary nerves

Retina (its nine sensory

 

Iiris

Meningeal sheath of optic nerve

layers)

 

Choroids

Conjunctival & Uveal melanocytes

Optic vesicle & cup

 

Part of vitreous

Sclera

Optic nerve (fibers)

 

 

Trabecular meshwork endothelium

 

 

 

Corneal stroma, keratocytes & endotheliumQ.

 

 

 

Iris stroma

 

 

 

Choroidal stroma

 

 

 

Part of vitreous


Q. 3 All of the following ocular structures are derived from the surface ectoderm except:

 A Crystalline lens

 B

Substantia propria of the cornea

 C

Conjunctival and corneal epithelium

 D

Lacrimal glands

Ans. B

Explanation:

Ans. Substantia propria of the cornea


Q. 4

All of the following ocular structures are derived embryologically from the neuroectoderm except:

 A

Epithelial layers of ciliary body and iris

 B

Sphincter and dilator pupillae muscles

 C

Optic nerve

 D

Optic nerve sheaths

Ans. D

Explanation:

Ans. Optic nerve sheaths


Q. 5

Normal visual acuity of 6/6 is achieved by the age of:

 A

2 years

 B

3 years

 C

5 years

 D

7 years

Ans. B

Explanation:

Ans. 3 years

  • Full visual acuity (6/6) is attained by 3 years of age.

Age

Visual acuity

New born 6/240
1 month 6/180- 6/90
4-6 months 618- 6/9
3 years 6/6
 

Q. 6 Lens develops from:               

 A Neural crest

 B

Mesoderm

 C

Neuroectoderm

 D

Surface ectoderm

Ans. D

Explanation:

Ans. D i.e. Surface ectoderm

Embryology of eyeball

  • Structures derived from mesoderm:
  • Corneal stroma & endothelium,
  • Only smooth muscles of iris,
  • All muscles (EXCEPT iris muscle)
  • Structures derived from surface ectoderm:
  • Conjunctival epithelium,
  • Lens

Structures derived from neuroectoderm:

  • Epithelium of iris & ciliary body,
  • Muscles of iris (constrictor & dilator pupillae)

Q. 7 Gaze fixation takes place at which age

 A 3 months

 B

6 months

 C

1 year

 D

2 years

Ans. B

Explanation:

Ans. is ‘b’ i.e., 6 months

Gaze Fixation starts developing in the first month and is completed in 6 months.

Macula is fully developed by 4 – 6 months.

Fusional reflexes, stereopsis and accommodation is well developed by 4 – 6 months.

Cornea attains normal adult diameter by 2 years of age.

Lens grows throughout life.


Q. 8 Corneal stroma is derived from 

 A Paraxial mesoderm

 B

Intermediate mesoderm

 C

Lateral plate mesoderm

 D

Ectoderm

Ans. C

Explanation:

Ans. is ‘c’ i.e., Lateral plate mesoderm

  • Corneal stroma develops from lateral plate mesoderm (somatopleuric mesoderm).

Derivatives of mesoderm

  • Mesoderm is divided into three parts :‑

1. Paraxial mesoderm : It is organized into somites which in turn gives rise to :‑

  • Sclerotomes : Form axial skeleton including vertebrae, and parts of neurocranium.
  • Myotomes : Form all voluntary (skeletal) muscles of head, trunk and limbs.
  • Dermatomes : Form dermis of skin, especially over dorsal regions.

2. Intermediate mesoderm : It gives rise to major portion of urogeninal system :‑

  1. Urinary organs : Kidney, ureters, trigone of bladder, posterior wall female urethra, posterior wall of upper half of prostatic part of male urethra, inner glandular zone of prostate.
  2. Reproductive organs : Gonads (testis and ovary), epididymis, ducts deferens, seminal vesicle, ejaculatory duct, uterus, uterine tube and upper part of vagina.

3. Lateral plate mesoderm : It forms :‑

   1.Somatopleuric mesoderm (parietal layer)

  • All connective tissues including specialized connective tissues like bone, cartilage, adipose tissue
  • Superficial and deep fascia
  • Ligaments, tendons, aponeurosis
  • Parietal pleura, parietal peritoneum and tunica vaginalis of testis
  • Dura-mater
  • Lid muscles, extraocular muscles
  • Sclera, choroid, vitreous
  • Corneal stroma, iris and ciliary body (except epithelium)

   2. Splanchnopleuric mesoderm (visceral layer)

  • Smooth muscle and connective tissue of respiratory tract, gut, blood vessels and heart
  • Adrenal cortex
  • Mesothelium (visceral layer) of pleural, peritoneal and pericardeal cavities
  • Mesenchyme surrounding pericardial coelom gives rise to myocardium and serous pericardiun
  • Spleen and lymph nodes

   3.  Spetum transversum

  • Diaphragm
  • Fibrous pericardium

   4.  Angiogenic mesoderm

  • Endocardium of heart
  • Endothelium of blood and lymphatic vessels
  • Microglia, tissue macrophages
  • Circulating blood cells

Q. 9 Normal level of visual acuity is attained at which age

 A 6 months

 B

1 year

 C

3 years

 D

6 years

Ans. C

Explanation:

Ans. is ‘c’ i.e., 3 years [Ref Khurana 4th

 Eye in postnatal period

  • Fixation starts developing by 4-6 weeks. Critical period for development of fixation reflex is 2-4 months. Development of fixation is completed by 6 months. So there are three points to remember :
  • Fixation starts developing 4-6 weeks (1-11/2 months).

Critical period for development→ 2-4 months.

  1. Fixation development is completed→  6 months.
  2. Macula is fully developed by 4-6 months.
  3. Fusional reflex, stereopsis and accomodation is well developed by 4-6 months.

Cornea attains normal adult diameter by 2 years of age.

  • Lens grows throughout life.
  • Full visual acuity (6/6) is attained by 3 years of age.

Age                          Visual acuity

New born                     6 / 240

I month                       6/180 – 6/90

4-6 months                  6/18 – 6 /9

3 Years                         6 / 6



Q. 10 Epithelium is absent in lens on ‑

 A

Anterior surface

 B

Anterior pole

 C

Posterior surface

 D

At zonular attachment

Ans. C

Explanation:

Ans. is ‘c’ i.e., Posterior surface

Anatomy of crystalline lens

  • There are three structural elements that make up lens –

1. Lens capsule

 A transparent membrane surrounding the lens like a pocket. It is thicker over the anterior surface than the posterior surface. It is thickest at pre- equator region and thinnest at the posterior pole. When an artificial lens replaces the natural lens in cataract surgery (IOL implantation), it is placed in this same capsule.

2. Lens epithelium

It is a single layer on the anterior (front) surface of the lens. There is no epithelium on posterior surface. The epithelial cells distribute fluid, ion and glucose through the entire lens. They also create new fibers through­out a person’s life.

3. Lens fibres

These are long protein fibers that arc closely packed and parallel. They make up most of the lens volume and are laid horizontally, front to back, and concentrically like layers of an onion.As the lens fibres are formed throughout the life, these are arranged compactly as nucleus and cortex of the lens.

a) Nucleus : – It is the central part containing the oldest fibres. it consists of different zones :-

  1. Embryonic nucleus :- Formed at 1-3 months of gestation, therefore consists the oldest primary fibres.
  2. Fetal nucleus : – Lies around the embryonic nucleus and is formed from 3 months of gestation till birth.
  3. Infantile nucleus :- Corresponding the lens from birth to puberty and surrounds the fetal nucleus.
  4. Adults :- Corresponds to the lens fibres formed after puberty to rest of the life.
  5. Cortex :- It is the peripheral part containg the youngest fibres.
  • The ciliary zonules (Zonules of zinn or suspensory ligaments of lens) hold the lens in position and enable the ciliary muscle to act on it. These consist essentially of a series of fibres which run from the ciliary body and fuse into the outer layer of the lens capsule around the equatorial zone.


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