Lacrimal Apparatus

LACRIMAL APPARATUS

Q. 1

Which of the following layer of the tear film is the superficial layer which is in contact with air?

 A

Lipid layer

 B

Aqueous layer

 C

Mucinous layer

 D

None of the above

Q. 1

Which of the following layer of the tear film is the superficial layer which is in contact with air?

 A

Lipid layer

 B

Aqueous layer

 C

Mucinous layer

 D

None of the above

Ans. A

Explanation:

Layers of the tear film:

The tear film is composed of three primary layers;
  • The superficial lipid layer is a monomolecular film at the air-tear interface derived from meibomian glands. It is thought to retard evaporation and form a watertight seal when the lids are closed.
  • The middle aqueous layer is elaborated by the major and minor lacrimal glands and contains water-soluble substances (salts and proteins).
  • The deep mucinous layer is composed of glycoprotein and overlies the corneal and conjunctival epithelial cells. It is elaborated by goblet cells of the conjunctiva and also by the crypts of Henle and glands of Manz.
 
Ref: Nijm L.M., Garcia-Ferrer F.J., Schwab I.R., Augsburger J.J., Corrêa Z.M. (2011). Chapter 5. Conjunctiva & Tears. In P. Riordan-Eva, E.T. Cunningham, Jr. (Eds), Vaughan & Asbury’s General Ophthalmology, 18e. 

Q. 2

Which of the following is correct in medical meniscus tear

 A

Rotation of femur on tibia

 B

Menisci do not heal

 C

Locking and unlocking episodes

 D

All

Q. 2

Which of the following is correct in medical meniscus tear

 A

Rotation of femur on tibia

 B

Menisci do not heal

 C

Locking and unlocking episodes

 D

All

Ans. D

Explanation:

A i.e. All of the above


Q. 3

All are true regarding tear film except:

 A

Consists of aqueous, lipid & mucus layer

 B

Lipid layer is secreted by meibomian glands

 C

Aqueous layer is formed by filtration from blood capillaries

 D

Deficiency cause dry eye

Q. 3

All are true regarding tear film except:

 A

Consists of aqueous, lipid & mucus layer

 B

Lipid layer is secreted by meibomian glands

 C

Aqueous layer is formed by filtration from blood capillaries

 D

Deficiency cause dry eye

Ans. C

Explanation:

C i.e. Aqueous layer is formed by filtration from blood capillaries

Quiz In Between


Q. 4

Absence of tear film is seen in

 A

Conjunctivitis

 B

Lacrimal gland removal

 C

Herpes keratitis

 D

Kerato conjunctivitis sicca

Q. 4

Absence of tear film is seen in

 A

Conjunctivitis

 B

Lacrimal gland removal

 C

Herpes keratitis

 D

Kerato conjunctivitis sicca

Ans. D

Explanation:

D i.e. Keratoconjunctivitis sicca 

Tear film consists of mucinous (mucus) layer (secreted by goblet cells, crypts of henle, & gland of Manz), antibacterial aqueous layer (by lacrimal gland)Q and oily lipid layer (by meibomian, moll & zeiss glands)Q. It keeps conjunctiva & cornea moist protecting them from drynessQ, & infection and facilitating movements of lid over the globe. It provides oxygen to cornea & washes noxious debris.


Q. 5

Mucin layer tear flilm deficiency occurs in:

 A

Keratoconjunctivitis sicca

 B

Lacrimal gland removal

 C

Canalicular block

 D

Herpetic keratitis

Q. 5

Mucin layer tear flilm deficiency occurs in:

 A

Keratoconjunctivitis sicca

 B

Lacrimal gland removal

 C

Canalicular block

 D

Herpetic keratitis

Ans. A

Explanation:

A i.e Keratoconjunctivitis sicca


Q. 6

Innermost stratum of tear film is:

 A

Mucus layer

 B

Aqueous layer

 C

Oily layer

 D

None of the above

Q. 6

Innermost stratum of tear film is:

 A

Mucus layer

 B

Aqueous layer

 C

Oily layer

 D

None of the above

Ans. A

Explanation:

Ans. Mucus layer

Quiz In Between


Q. 7

Thickest layer of tear film is:

 A

Mucus layer

 B

Aqueous layer

 C

Oily layer

 D

None of the above

Q. 7

Thickest layer of tear film is:

 A

Mucus layer

 B

Aqueous layer

 C

Oily layer

 D

None of the above

Ans. B

Explanation:

Ans. Aqueous layer


Q. 8

Keratoconjunctivitis sicca refers to:

 A

Aqueous tear deficiency dry eye

 B

Mucin deficiency dry eye

 C

Lipid deficiency dry eye

 D

All types of dry eye

Q. 8

Keratoconjunctivitis sicca refers to:

 A

Aqueous tear deficiency dry eye

 B

Mucin deficiency dry eye

 C

Lipid deficiency dry eye

 D

All types of dry eye

Ans. A

Explanation:

Ans. Aqueous tear deficiency dry eye


Q. 9

Normal values of tear film break up time range from:

 A

5 to 10 seconds

 B

10 to 15 seconds

 C

15 to 20 seconds

 D

15 to 30 seconds

Q. 9

Normal values of tear film break up time range from:

 A

5 to 10 seconds

 B

10 to 15 seconds

 C

15 to 20 seconds

 D

15 to 30 seconds

Ans. D

Explanation:

Ans. 15 to 30 seconds

Quiz In Between


Q. 10

Tear film break-up-time is the time:

 A

Between the last blink and the appearance of first dry spot on the cornea

 B

Taken for appearance of dry spot between two blinks

 C

Taken by successive blinks to break the tear film

 D

Taken for disappearance of dry spots on the cornea

Q. 10

Tear film break-up-time is the time:

 A

Between the last blink and the appearance of first dry spot on the cornea

 B

Taken for appearance of dry spot between two blinks

 C

Taken by successive blinks to break the tear film

 D

Taken for disappearance of dry spots on the cornea

Ans. A

Explanation:

Ans. Between the last blink and the appearance of first dry spot on the cornea


Q. 11

Tear lysozyme levels are decreased in:

 A

Keratoconjunctivitis sicca

 B

Stevens Johnson syndrome

 C

Ocular pemphigoid

 D

All of the above

Q. 11

Tear lysozyme levels are decreased in:

 A

Keratoconjunctivitis sicca

 B

Stevens Johnson syndrome

 C

Ocular pemphigoid

 D

All of the above

Ans. A

Explanation:

Ans. Keratoconjunctivitis sicca


Q. 12

The normal pH of tears is:    

March 2007

 A

6.0

 B

6.5

 C

7.0

 D

7.5

Q. 12

The normal pH of tears is:    

March 2007

 A

6.0

 B

6.5

 C

7.0

 D

7.5

Ans. D

Explanation:

Ans. D: 7.5

Human tear film/ precorneal film has three distinct layers, from the most outer surface:

I. Lipid layer secreted by meibomian glands (or tarsal glands) – coats the aqueous layer; provides a hydrophobic barrier that evaporates and prevents tears spilling onto the cheek.

These glands are found among the tarsal plates.

Thus, the tear fluid deposits between the eye proper and oil barriers of the lids

II. Aqueous layer- secreted by lacrimal gland – promotes spreading of the tear film; promotes the control of infectious agents; promotes osmotic regulation

III. Mucous layer- secreted by conjunctival goblet cells – coats the cornea;provides a hydrophilic layer;allows for even distribution of the tear film; covers the cornea


Q. 13

Tear drops formed by all except ‑

 A

Glands of Manz

 B

Meibomian, Zeis and Moll glands

 C

Lacrimal glands

 D

Lacrimal puncta

Q. 13

Tear drops formed by all except ‑

 A

Glands of Manz

 B

Meibomian, Zeis and Moll glands

 C

Lacrimal glands

 D

Lacrimal puncta

Ans. D

Explanation:

Ans. is ‘d’ i.e., Lacrimal puncta

The major function of lacrimal apparatus is to secrete and drain the tear. Tear film consists of 3 layers :‑

  1. Mucous or mucin layer (innermost):- Secreted by conjunctival goblet cells, crypts of Henle, glands of Manz.
  2. Aqueous layer (intermediate) :- This forms the bulk of the tear. It is secreted by main lacrimal and accessory lacrimal glands.
  3. Lipid layer (outermost) :- Secreted by the Meibomion Zeis, and Moll glands.

Quiz In Between



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