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Exam (elaborations)

MCPHS Anterior Seg Cornea Exam Questions And Accurate Answers

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MCPHS Anterior Seg Cornea Exam Questions And Accurate Answers...

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  • October 31, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • MCPHS Anterior Seg Cornea
  • MCPHS Anterior Seg Cornea
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MCPHS Anterior Seg Cornea Exam Questions And
Accurate Answers


Corneal Innervation

Derived from ciliary nerves that penetrate cornea in deep peripheral stroma, lose
myelination shortly after entering cornea. Terminate in wing cells of epi



Cornea: Epithelium

surface layer, 55um, barrier function (block debris, bacteria, foreign), constantly
regenerated + sloughed



Cornea: Bowman's Layer

Basement membrane, 5um, prevents forward corneal swelling



Cornea: Stroma

Majority of the cornea, 485um, strength + elasticity



Cornea: Dua's Layer

Newly discovered, 10-15um, Unknown fxn



Cornea: Descemet's Layer

basement membrane, 10um, health of endothelial cell



Cornea: Endothelium

Innermost layer, 5um = 1 cell thick, barrier pump maintaining appropriate corneal
hydration

, Arcus Senilis

Degenerative change involving deposition of lipid in peripheral cornea. Gray/white arc
progresses into a ring with sharp peripheral border and diffused central border. Limbal
intervening zone.



Fish-Eye Disease

LCAT deficiency -- progressive arcus which begins in adolescence. May result in
complete opacification. Usually asymptomatic besides cosmesis.



Lipid Degeneration

Dense yellow-white opacity that may fan out with feathery edges. Deposits consist of
cholesterol, fats, phospholipids. Two types: (primary + secondary)



Spheroidal Degeneration

Clear to yellow-gold spherules seen in subepithelium, within Bowmans, or in superficial
corneal stroma. They may darken with age. Three types: (primary corneal involvement,
corneal involvement 2^ to underlying, conj involvement)



Amyloid Degneration

Groups of proteins with starch-like characteristics. Stains with Congo Red, birefingence
in polarized light, and dichromism in green light. Primary of secondary forms



Salzmann's Nodular Degeneration

Yellow-white to blue elevated lesions on cornea. Usually annular pattern in
mid-periphery. Adjacent to corneal scars or pannus. F>>M.



Terrien's Marginal Degeneration

Non-inflammatory peripheral thinning with pannus. White/grey band 1-2mm that starts
superonasally and spreads circumferentially. A gutter forms between opacity and
limbus (depression)

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