2. Tear Film
Functions
• Form a smooth optical surface by filling
irregularities of corneal epithelium
• Keeps the cornea and conjuctiva moist
• Serves as a lubricant for lids
• Transfer air to the cornea
• Prevent infections
• Washes away debris and irritants
• Provides pathway to WBC in case of injury
4. 1 MUCIN LAYER
• Deepest layer, 0.02-0.05 μm
• Secreted by conjunctival goblet
cells, crypts of Henle, gland of
• Stabilizes tear film, Semisolid
state, highly hydrated
• Lubricates ocular and palpebral
2 AQUEOUS LAYER
• The middle layer, Secreted by • Macromolecular muco3 LIPID LAYER
Tear Film
5. 1 MUCIN LAYER
• Deepest layer, 0.02-0.05 μm
• Secreted by conjunctival goblet
cells, crypts of Henle, gland of
Manz and also by main Lacrinal
gland
• Made of glycoprotein, mixed
with lipids, anchored by micro
villi
• Stabilizes tear film, Semisolid
state, highly hydrated
• Lubricates ocular and palpebral
surfaces and reduces friction
• Slippery coating over foreign
bodies and protecting cornea
and conjuctiva against abrasive
effects
Tear Film
6. 2 AQUEOUS LAYER
• The middle layer, Secreted by
lacrinal glands and accessory
glands of Krause and Wolfring
• 10 μm, It forms a uniform layer
• Lysozyme, lactoferin, tear
specific prealbumin and
immunoglobulin A
• Bicarbonate and proteins give
bufffering capacity to tears
• Macromolecular muco
glycoproteins determine the
surface tension of fluid
• Provides atmospheric O2 to
epithelium
• Washes away debris and
irritants
Tear Film
7. 3 LIPID LAYER
• Outer most oily layer,
derived from Meibomian,
Ziess and Moll glands
• Contains lipids with low
polarity such as wax and
cholesterol esters
• Fluid layer
•Triglycerides, FFA,
phospholipids are present in
low amounts
• Prevents overflow & reduce
evaporation of tears
Tear Film
8. Tear Film
Chemical composition
Water
• Major component, 98.2%
• With salts dissolved Na+, K+, Cl-, HCO3-, Ca2+
Proteins
• Un-stimulated tears: 2gm/100ml
• Stimulated tears: 0.3-0.7 gm/100ml
• Group A: 15% of proteins, IgG, Albumin,Transferrin, Alpha-1
antitrypsin, Alpha1-antichymotripsin, beta-2-microglobulins.
• Group B: synthesized by tear glands, also known as rapid migrating
proteins. Lysozyme, IgA
Albumin
Tear specific protein (prealbumin)
• Acidic protein, exact function is unknown, might be stabilizing thin
tear film
9. Tear Film
Chemical composition
Immunoglobulins
• IgA is most prominent
• Produced by plasma cells in
conjuctiva
• defense against viral or bacterial
antigens.
• IgM and IgE are also found.
Lysozyme
• a proteolytic enzyme, net
positive charge
• Produced by acinar cells of
lacrinal gland
• work against bacterial infections
• lysis of bacterial cell wall
Glycolytic enzymes, lactate
dehydrogenase
Betalysin: antibacterial agent
Mucopoly saccharides
Glycoproteins
Amino acids
Lipids
Metabolites: glucose, lactate,
pyruvate, urea
Electrolytes: Na+, K+, Ca2+
10. Aqueous Humour
entire volume of fluid in the
anterior chamber is replaced 12
times a day, i.e. once every 2
hours
11. Aqueous Humour
Functions
• Maintenance of intraocular pressure
• They also have metabolic role
1. Cornea – takes glucose and oxygen, release
lactic acid and carbon dioxide
2. lens – use oxygen, glucose, amino acids and
potassium and release lactate, pyruvate and
sodium
• optical function : act as a diverging lens of low
power
• Clearing functions
12. Aqueous Humour
Biochemical composition
• Water 99.9%
• Proteins - colloid content
1. 5- 16mg/100ml
(plasma 6-7gm/100ml)
because of blood
aqueous barrier
2. IgM and IgG but NO
IgD and IgA
3. Growth factors like
FGF, TGF beta, IGF-1
4. Free amino acids
• Non colloidal contents –
dissolved solids
1. High vitamin C
2. High Pyruvate and
lactate
3. Na, K, Ca, Mg, Cl, HCO3
4. low glucose and urea
compared to plasma
13. Aqueous Humour
Biochemical composition
Anterior chamber
• Lesser bicarbonate
• Higher chloride
• Lesser ascorbate
• pH 7.6
Posterior Chamber
• Higher bicarbonate
• Lower chloride
• Higher ascorbate
• pH 7.57
The difference is due to
diffusional exchange across
the iris
Iris vessels are permeable to
anions and non electrolytes
35. Visual Cycle : formation of nerve impulse
1. Rhodopsin changes to metarhodopsin in light
2. Metarhodopsin activates Transducin
3. Transducin activates enzyme phospodiesterase
4. Decreased intracellular cGMP
5. Closure of Na+ channel
6. Hyperpolarisation of rod cells
7. Decreased release of neurotransmitter
8. Response in bipolar cells
9. Signals to optic nerve and then to brain
Steps
36. • Collagen is the main content of insoluble proteins in
vitreous humor
• Hyaluronic acid is glycosaminoglycan. It adds viscosity
to the gel. It forms a water binding meshwork around
collagen fibers
• Soluble proteins has mainly glycoprotein and albumin
• Sugar
• Ascorbic acid
• Amino acids
• Electrolyte
Vitreous Humor