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Special senses
Neurophthalmology
Lateral inhibition by horizontal pathway
• Rods are more abundant than
cone (20:1)
Roads are more than danger cones
Photosensitive pigment present in outer
segment
Na channel present in outer segment
Cones are more abundant in fovea &
abundant in peripheral retina
Cones  3 subtypes for 3 primary colours
440nm 535nm 570nm 505 nm
Maximum
sensitivity for
blue colour at
dark for rod
S4 (s cone 440nm)
• Rods (120 million)
• Cones (6 million)
• 1.2 million fibres in optic N
• 1000 times more neurons in
visual cortex than fibres in
pathway
Central lesion of optic chiasm(pituitary
adenoma) bitemporal hemianopia
Ophthalmic A crosses obliquely over
intracanalicular part
Optic chiasm & pituitary
Refraction of light by eye
• Maxmm refraction by anterior
surface of cornea  44D
• Refraction by lens 20 D
• Action potentials are generated in ganglion cells
Upper visual field 
Lower half of retina 
Lateral geniculate body
Lateral fibres of optic
radiation(Meyers loop
through temporal lobe)
Lowerlip of calcarine
sulcus (LLLL)
Lower field  upper retina 
medial part of LGB medial
fibres of optic
radiation(parietal fibres)
upper lip of calcarine sulcus
Macular sparing
• Fibres from macula lutea  project on posterior lip of calcarine
fissure (last damaged) macular sparing
Light reflex
EW nucleus --.
Parasympathetic N of
ocuomotor N
ARP
• A Marcus Gunn pupil is a pupil that does not respond very well to
light when the light is shined that eye. For example, when light is
shined in one normal eye (only), both pupils will constrict or get
smaller. If the light is then moved rapidly to the affected, Marcus
Gunn, eye even though the light is shining in the affected eye BOTH
pupils dilated or get larger. The patient usually does not know that
he/she has a Marcus Gunn pupil.
• Holmes-Adie syndrome or disease is a tonic pupil combined with
reduced deep tendon reflexes. A tonic pupil is one that does not
chance very much with changes with brightness or illumination.
Typically, the pupils constrict in brightness and dilate or grow larger in
darkness. In Holmes-Adie syndrome, the pupil(s) don't react to
changes in illumination. There may also be problems with
accommodation - close-up objects may appear blurry.
• Argyll Robertson pupils are bilateral small pupils that constrict when
the patient focuses on a near object (they “accommodate”), but do
not constrict when exposed to bright light (they do not “react” to
light).
• A pupil that fails to respond to light but does respond to
accommodation and is also very small (an Argyll Robertson pupil) is
an important diagnostic sign of central nervous system disease—
often syphilis.
Fibres terminating in visual cortex
• All fibres of optic radiation
terminate in layer 4 of primary
visual cortex
• Except colour vision fibres terminate
in layer 2 & 3
• Terminate in layer 2 & 3 (BLOBS)
Colour blindness
• Trichromats
• Normal person with 3 cones but weakness of any one cone
• Protanomaly  red cones are weak
• Deutranomaly weak green cones
• Tritanomaly  weak blue cone
• Dichromats
• Have only 2 functional cones one is absent
• Protanopia absent red cone
• Deutranopia absent green cone
• Tritanopia  absent blue cones
• Deutranopia
• Green blind
• when defective
deutranomaly
• Protanopia (most common)
• Red blind
• When vision is
defective(appreciate colour
but weak)  protanomaly
• Tritanopia (rare)
• Blue blind
• Whwn defective
Red green colour blindness
• Most common type of colour blindness
• Unable to differentiate b/w red & green colours
• Congenital color blindness or achromatopsia occur in two forms;
• total and partial.
• Total form
• rare and is associated with nystagmus and central scotoma.
• All colors appear grey with different brightness.
• partial form
• is seldom discovered unless special tests are made because the patient compensates
the defect by giving attention to shape, texture and by experience.
• Gross cases occurs in 3-4% of males but is rare in females.
• Slighter cases are more common in males. In most cases red and green Q colors
are confused.
• It can be tested by Ishihara chart.
• Color vision V8 area
• Lesions of V8 achromatopsia
• Color blindness à x-linked recessive disorder
Hearing
• Endolymph is rich in K by striae
vascularis
• Potential difference b/w
endolymph & perilymph
+80mV
• Potential difference b/w
endolymph & hair cell 140
mV
• Inner hair cells
• RMP = - 60mV
• Inner hair cells are sensory
• Inner hair cells are responsible
for hearing
• Not in contact with tectorial
membrane
• Single row
• Outer hair cells are motor in
touch with tectorial membrane
 moves tectorial membrane
to dampen waves
• 3 rows  modulation of sound
Only sterocilia in inner hair cells
But stereocilia & kinocilia in hair cells of
membranous labyrinth
• The outer hair cells, on the other hand, respond to sound like the
inner hair cells, but depolarization makes them shorten and
hyperpolarization makes them lengthen. They do this over a very
flexible part of the basal membrane, and this action somehow
increases the amplitude and clarity of sounds.
• These changes in outer hair cells occur in parallel with changes in
prestin, a membrane protein, and this protein may well be the motor
protein of outer hair cells
Utricle & saccule respond to linear
acceleration
Ampulla responds to rotational acceleration
Gustatory pathway
• Maximum number of taste receptors in circumvallate papillae (abt
100)
• Fungiform (5 /papillae)
• Taste receptors are absent in filiform papillae
• Ionotropic
• Salty & sour
• Metabotropic
• Sweet
• Bitter
• umami
Olfaction
• Olfactory receptor itself is a
neuron
• Olfactory receptor has cilia
projecting in nasal mucosa
acting as receptor for olfaction
• Dendrites of neuron among
supporting cells
• Axons form olfactory nerve & pierce cribriform plate & terminates in
olfacrory bulb
• Synapses with mitral cells to form olfactory glomeruli
• Mitral cells are principal out put neurons & axons of mitral cells form
olfactory tract
Olfactory tranduction
G protein
coupled
receptor
cAMP is the
second
messenger
Synapse with 5 different regions of brain
• Processing of olfaction
Anterior olfactory nucleus
• Emotional response to olfaction
Amygdala
• Sniffing
• Well developed in dogsPyriform cortex
• Processing of olfactory nerves
Entorrhinal cortex
• Final processing of smell
Orbitofrontal cortex
Special senses physiology revison topics

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Special senses physiology revison topics

  • 3.
  • 4.
  • 5.
  • 6.
  • 7. Lateral inhibition by horizontal pathway
  • 8.
  • 9.
  • 10.
  • 11. • Rods are more abundant than cone (20:1) Roads are more than danger cones
  • 12. Photosensitive pigment present in outer segment
  • 13. Na channel present in outer segment
  • 14. Cones are more abundant in fovea & abundant in peripheral retina
  • 15.
  • 16.
  • 17.
  • 18. Cones  3 subtypes for 3 primary colours 440nm 535nm 570nm 505 nm Maximum sensitivity for blue colour at dark for rod
  • 19. S4 (s cone 440nm)
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29. • Rods (120 million) • Cones (6 million) • 1.2 million fibres in optic N • 1000 times more neurons in visual cortex than fibres in pathway
  • 30.
  • 31.
  • 32. Central lesion of optic chiasm(pituitary adenoma) bitemporal hemianopia
  • 33.
  • 34.
  • 35. Ophthalmic A crosses obliquely over intracanalicular part
  • 36. Optic chiasm & pituitary
  • 38. • Maxmm refraction by anterior surface of cornea  44D • Refraction by lens 20 D
  • 39.
  • 40. • Action potentials are generated in ganglion cells
  • 41.
  • 42. Upper visual field  Lower half of retina  Lateral geniculate body Lateral fibres of optic radiation(Meyers loop through temporal lobe) Lowerlip of calcarine sulcus (LLLL) Lower field  upper retina  medial part of LGB medial fibres of optic radiation(parietal fibres) upper lip of calcarine sulcus
  • 43.
  • 44.
  • 45.
  • 46.
  • 47.
  • 48. Macular sparing • Fibres from macula lutea  project on posterior lip of calcarine fissure (last damaged) macular sparing
  • 50.
  • 51.
  • 52.
  • 53. EW nucleus --. Parasympathetic N of ocuomotor N
  • 54.
  • 55.
  • 56.
  • 57. ARP
  • 58. • A Marcus Gunn pupil is a pupil that does not respond very well to light when the light is shined that eye. For example, when light is shined in one normal eye (only), both pupils will constrict or get smaller. If the light is then moved rapidly to the affected, Marcus Gunn, eye even though the light is shining in the affected eye BOTH pupils dilated or get larger. The patient usually does not know that he/she has a Marcus Gunn pupil.
  • 59. • Holmes-Adie syndrome or disease is a tonic pupil combined with reduced deep tendon reflexes. A tonic pupil is one that does not chance very much with changes with brightness or illumination. Typically, the pupils constrict in brightness and dilate or grow larger in darkness. In Holmes-Adie syndrome, the pupil(s) don't react to changes in illumination. There may also be problems with accommodation - close-up objects may appear blurry.
  • 60. • Argyll Robertson pupils are bilateral small pupils that constrict when the patient focuses on a near object (they “accommodate”), but do not constrict when exposed to bright light (they do not “react” to light). • A pupil that fails to respond to light but does respond to accommodation and is also very small (an Argyll Robertson pupil) is an important diagnostic sign of central nervous system disease— often syphilis.
  • 61.
  • 62.
  • 63.
  • 64.
  • 65. Fibres terminating in visual cortex • All fibres of optic radiation terminate in layer 4 of primary visual cortex • Except colour vision fibres terminate in layer 2 & 3 • Terminate in layer 2 & 3 (BLOBS)
  • 66.
  • 67.
  • 68.
  • 69. Colour blindness • Trichromats • Normal person with 3 cones but weakness of any one cone • Protanomaly  red cones are weak • Deutranomaly weak green cones • Tritanomaly  weak blue cone • Dichromats • Have only 2 functional cones one is absent • Protanopia absent red cone • Deutranopia absent green cone • Tritanopia  absent blue cones
  • 70. • Deutranopia • Green blind • when defective deutranomaly • Protanopia (most common) • Red blind • When vision is defective(appreciate colour but weak)  protanomaly • Tritanopia (rare) • Blue blind • Whwn defective
  • 71.
  • 72. Red green colour blindness • Most common type of colour blindness • Unable to differentiate b/w red & green colours
  • 73. • Congenital color blindness or achromatopsia occur in two forms; • total and partial. • Total form • rare and is associated with nystagmus and central scotoma. • All colors appear grey with different brightness. • partial form • is seldom discovered unless special tests are made because the patient compensates the defect by giving attention to shape, texture and by experience. • Gross cases occurs in 3-4% of males but is rare in females. • Slighter cases are more common in males. In most cases red and green Q colors are confused. • It can be tested by Ishihara chart.
  • 74. • Color vision V8 area • Lesions of V8 achromatopsia • Color blindness à x-linked recessive disorder
  • 76.
  • 77.
  • 78.
  • 79.
  • 80.
  • 81.
  • 82.
  • 83.
  • 84. • Endolymph is rich in K by striae vascularis • Potential difference b/w endolymph & perilymph +80mV • Potential difference b/w endolymph & hair cell 140 mV • Inner hair cells • RMP = - 60mV
  • 85.
  • 86.
  • 87.
  • 88. • Inner hair cells are sensory • Inner hair cells are responsible for hearing • Not in contact with tectorial membrane • Single row • Outer hair cells are motor in touch with tectorial membrane  moves tectorial membrane to dampen waves • 3 rows  modulation of sound
  • 89. Only sterocilia in inner hair cells But stereocilia & kinocilia in hair cells of membranous labyrinth
  • 90.
  • 91. • The outer hair cells, on the other hand, respond to sound like the inner hair cells, but depolarization makes them shorten and hyperpolarization makes them lengthen. They do this over a very flexible part of the basal membrane, and this action somehow increases the amplitude and clarity of sounds. • These changes in outer hair cells occur in parallel with changes in prestin, a membrane protein, and this protein may well be the motor protein of outer hair cells
  • 92.
  • 93.
  • 94.
  • 95.
  • 96.
  • 97.
  • 98. Utricle & saccule respond to linear acceleration
  • 99.
  • 100.
  • 101.
  • 102.
  • 103. Ampulla responds to rotational acceleration
  • 104.
  • 105.
  • 106.
  • 107.
  • 109.
  • 110.
  • 111. • Maximum number of taste receptors in circumvallate papillae (abt 100) • Fungiform (5 /papillae) • Taste receptors are absent in filiform papillae
  • 112. • Ionotropic • Salty & sour • Metabotropic • Sweet • Bitter • umami
  • 113.
  • 114.
  • 115.
  • 116.
  • 117.
  • 118.
  • 120.
  • 121. • Olfactory receptor itself is a neuron • Olfactory receptor has cilia projecting in nasal mucosa acting as receptor for olfaction • Dendrites of neuron among supporting cells
  • 122. • Axons form olfactory nerve & pierce cribriform plate & terminates in olfacrory bulb • Synapses with mitral cells to form olfactory glomeruli • Mitral cells are principal out put neurons & axons of mitral cells form olfactory tract
  • 123.
  • 125.
  • 126.
  • 127.
  • 128. Synapse with 5 different regions of brain • Processing of olfaction Anterior olfactory nucleus • Emotional response to olfaction Amygdala • Sniffing • Well developed in dogsPyriform cortex • Processing of olfactory nerves Entorrhinal cortex • Final processing of smell Orbitofrontal cortex