ВНУТРЕННИЕ МЫШЦЫ ГЛАЗНОГО ЯБЛОКА [ intraocular (intrinsic) muscles of the eye ] Внутренние мышцы глазного яблока - это органы глаза, часть органа зрения, совокупность поперечно-полосатых мышц, обеспечивающих его функции.
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The iris arises from the anterior border of the ciliary body
(Fig. 24.7) and is attached to the sclera about 2 mm posterior
to the corneoscleral junction. The pupil is the central aperture
of this thin disc. The iris is pushed slightly forward as it
changes in size in response to light intensity. It consists of
highly vascularized connective tissue stroma that is covered
on its posterior surface by highly pigmented cells, the posterior
pigment epithelium (Fig. 24.8). The basal lamina of
these cells faces the posterior chamber of the eye. The degree
of pigmentation is so great that neither the nucleus nor character
of the cytoplasm can be seen in the light microscope.
Located beneath this layer is a layer of myoepithelial cells, the
anterior pigment myoepithelium. The apical (posterior)
portions of these myoepithelial cells are laden with melanin
granules, which effectively obscure their boundaries with the
adjacent posterior pigment epithelial cells. The basal (anterior)
portions of myoepithelial cells possess processes containing
contractile elements that extend radially and collectively
make up the dilator pupillae muscle of the iris. The contractile
processes are enclosed by a basal lamina that separates
them from the adjacent stroma.
Constriction of the pupil is produced by smooth muscle
cells located in the stroma of the iris near the pupillary margin
of the iris. These circumferentially oriented cells collectively
compose the sphincter pupillae muscle.
The anterior surface of the iris reveals numerous ridges
and grooves that can be seen in clinical examination with the
ophthalmoscope. When this surface is examined in the light
microscope, it appears as a discontinuous layer of fibroblasts
and melanocytes. The number of melanocytes in the stroma
is responsible for variation in eye color. The function of these
pigment-containing cells in the iris is to absorb light rays. If
there are few melanocytes in the stroma, eye color is derived
from light reflected from the pigment present in the cells of
the posterior surface of the iris, giving it a blue appearance.
As the amount of pigment present in the stroma increases,
the color changes from blue to shades of greenish blue, gray,
and, finally, brown.
The sphincter pupillae is innervated by parasympathetic
nerves; the dilator pupillae muscle is under sympathetic
nerve control.
The size of the pupil is controlled by contraction of the
sphincter pupillae and dilator pupillae muscles. The process
of adaptation (increasing or decreasing the size of the pupil)
ensures that only the appropriate amount of light enters the
eye. Two muscles are actively involved in adaptation:
• The sphincter pupillae muscle, a circular band of
smooth muscle cells (Plate 106, page 924), is innervated
by parasympathetic nerves carried in the oculomotor
nerve (cranial nerve III) and is responsible for reducing
pupillary size in response to bright light. Failure of the
pupil to respond when light is shined into the eye—
“pupil fixed and dilated”—is an important clinical sign
showing lack of nerve or brain function.
• The dilator pupillae muscle is a thin sheet of radially
oriented contractile processes of pigmented myoepithelial
cells constituting the anterior pigment epithelium of the
iris. This muscle is innervated by sympathetic nerves from
the superior cervical ganglion and is responsible for increasing
pupillary size in response to dim light.
Just before ophthalmoscopic examination, mydriatic
agents such as atropine are given as eye drops to cause dilation
of the pupil. Acetylcholine (ACh) is the neurotransmitter of
the parasympathetic nervous system (it innervates the sphincter
pupillae muscle); the addition of atropine blocks muscarinic
acetylcholine receptors, temporally blocking the action
of the sphincter muscle and leaving the pupil wide open and
unreactive to light originating from ophthalmoscope.
The ciliary body is the thickened anterior portion of the
vascular coat and is located between the iris and choroid.
The ciliary body extends about 6 mm from the root of the
iris posterolaterally to the ora serrata (see Fig. 24.2). As seen
from behind, the lateral edge of the ora serrata bears 17 to 34
grooves or crenulations. These grooves mark the anterior
limit of both the retina and the choroid. The anterior third of
the ciliary body has about 75 radial ridges or ciliary processes
(see Fig. 24.7). The fibers of the zonule arise from the
grooves between the ciliary processes.
The layers of the ciliary body are similar to those of the iris
and consist of a stroma and an epithelium. The stroma is
divided into two layers:
• An outer layer of smooth muscle, the ciliary muscle,
makes up the bulk of the ciliary body.
• An inner vascular region extends into the ciliary processes.
The epithelial layer covering the internal surface of the ciliary
body is a direct continuation of the two layers of the retinal
epithelium (see Fig. 24.1).
The ciliary muscle is organized into three functional portions
or groups of smooth muscle fibers.
The smooth muscle of the ciliary body has its origin in the
scleral spur, a ridgelike projection on the inner surface of the
sclera at the corneoscleral junction. The muscle fibers spread
out in several directions and are classified into three functional
groups on the basis of their direction and insertion:
• The meridional (or longitudinal) portion consists of the
outer muscle fibers that pass posteriorly into the stroma of
the choroid. These fibers function chiefly in stretching the
choroid. It also may help open the iridocorneal angle and
facilitate drainage of the aqueous humor.
• The radial (or oblique) portion consists of deeper muscle
fiber bundles that radiate in a fanlike fashion to insert
in the ciliary body. Its contraction causes the lens to flatten
and thus focus for distant vision.
• The circular (or sphincteric) portion consists of inner
muscle fiber bundles oriented in a circular pattern that
forms a sphincter. It reduces the tension on the lens,
causing the lens to accommodate for near vision.
Examination of a histologic preparation does not clearly
reveal the arrangement of the muscle fibers. Rather, the
organizational grouping is based on microdissection
techniques.
Таблица. Внутренние мышцы глазного яблока = Intrinsic muscles of the eye. c. 613. Модификация: Gray H., (1821–1865), Drake R., Vogl W., Mitchell A., Eds. Gray's Anatomy for Students. Churchill Livingstone, 2007, 1150 p. см.: Анатомия человека: Литература. Иллюстрации. |
№ |
Muscle |
Location |
Innervation |
Function |
1 |
Ciliary |
Muscle fibers in the ciliary body |
Parasympathetics from the oculomotor nerve [III] |
Constricts ciliary body, relaxes tension on lens, lens become more rounded |
2 |
Sphincter pupillae |
Circularly arranged fibers in the iris |
Parasympathetics from the oculomotor nerve [III] |
Constricts pupil |
3 |
Dilator pupillae |
Radially arranged fibers in the iris |
Sympathetics from the superior cervical ganglion (T1) |
Dilates pupil |
|
Таблица.
Эмбриональные источники развития отдельных структур глаза. Модификация: Ross M.H., Kaye G.I., Pawlina K.W., Eds. Histology: A Text and Atlas. 4th ed., Lippincott Williams & Wilkins, 2002, 864 p., см.: Гистология человека: Литература. Иллюстрации.
|
№ |
Источник |
№ |
Производное |
I |
Поверхностный эктодерм |
1 |
Хрусталик |
2 |
Эпителий роговицы, конъюнктива, слёзные железы и их вспомогательные структуры
структуры |
II |
Нейроэктодерм |
1 |
Стекловидное тело (развивается частично из нейроэктодерма чаши глазного
яблока, а частично из мезенхимы) |
2 |
Эпителий сетчатки, радужки и ресничного тела |
3 |
Мышцы сфинктера зрачка и дилататора зрачка |
4 |
Зрительный нерв |
III |
Мезодерм |
1 |
Склера |
2 |
Строма роговицы, ресничное тело, радужка, хороидеа |
3 |
Внешние мышцы глазного яблока |
4 |
Веки (за исключением их эпителия и конъюнктивы) |
5 |
Гиалоидные структуры (большая часть дегенерирует до рождения) |
6 |
Оболочки зрительного
нерва |
7 |
Соединительные ткани и кровеносные сосуды глаза, костная орбита глаза,
стекловидное тело |
|
Таблица.
Эмбриональные источники развития отдельных структур глаза. Модификация: Ross M.H., Kaye G.I., Pawlina K.W., Eds. Histology: A Text and Atlas. 4th ed., Lippincott Williams & Wilkins, 2002, 864 p., см.: Гистология человека: Литература. Иллюстрации.
|
№ |
Источник |
№ |
Производное |
I |
Поверхностный эктодерм |
1 |
Хрусталик |
2 |
Эпителий роговицы, конъюнктива, слёзные железы и их вспомогательные структуры
структуры |
II |
Нейроэктодерм |
1 |
Стекловидное тело (развивается частично из нейроэктодерма чаши глазного
яблока, а частично из мезенхимы) |
2 |
Эпителий сетчатки, радужки и ресничного тела |
3 |
Мышцы сфинктера зрачка и дилататора зрачка |
4 |
Зрительный нерв |
III |
Мезодерм |
1 |
Склера |
2 |
Строма роговицы, ресничное тело, радужка, хороидеа |
3 |
Внешние мышцы глазного яблока |
4 |
Веки (за исключением их эпителия и конъюнктивы) |
5 |
Гиалоидные структуры (большая часть дегенерирует до рождения) |
6 |
Оболочки зрительного
нерва |
7 |
Соединительные ткани и кровеносные сосуды глаза, костная орбита глаза,
стекловидное тело |
|
Схема. Пути доставки медикаментов при местном их применении.
Модификация: Levin L.A., Nilsson Siv F.E., Ver Hoeve J., Wu S., Kaufman P.L., Alm A., Eds. Adler's Physiology of the Eye, 11th ed., Elsevier, 2011, 820 p. см.: Физиология человека: Литература. Иллюстрации. |
 |
Примечание:
|
A. Diagram of the eye with common drug delivery routes (solid arrows) and clearance pathways (dotted arrows) illustrated. The numbers refer
to the following processes: (1) transcorneal route from the tear film across the cornea into the anterior chamber, (2) transconjunctival route across the
conjunctiva, sclera, and anterior uvea into the posterior chamber, (3) intrastromal route directly into corneal stroma, (4) intracameral route directly into
anterior chamber, (5) subconjunctival route from the anterior subconjunctival space across the sclera and anterior uvea into the posterior chamber or across
the sclera, choroid, RPE, and retina into the anterior vitreous, (6) intravitreal drug injection directly into the vitreous, (7) sub-Tenon route from the posterior
sub-Tenon space across the sclera, choroid, RPE, and retina into the posterior vitreous, (8) elimination of drug in the aqueous humor across the trabecular
meshwork and Schlemm’s canal into the systemic vascular circulation, (9) elimination of drug in the aqueous humor across the uvea into the systemic
vascular circulation, (10) elimination of drug in the vitreous humor across the blood-retinal barrier to the systemic vascular circulation, (11) drug elimination
from the vitreous across anterior hyaloid face to the posterior chamber or vice versa , (12) drug elimination from subconjunctival and/or episcleral space to
systemic lymphatic or vascular circulation. B. Pharmacokinetics of topical eye drop drug delivery. |
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«Я У Ч Е Н Ы Й И Л И . . . Н Е Д О У Ч К А ?» Т Е С Т В А Ш Е Г О И Н Т Е Л Л Е К Т А
Предпосылка: Эффективность развития любой отрасли знаний определяется степенью соответствия методологии познания - познаваемой сущности. Реальность: Живые структуры от биохимического и субклеточного уровня, до целого организма являются вероятностными структурами. Функции вероятностных структур являются вероятностными функциями. Необходимое условие: Эффективное исследование вероятностных структур и функций должно основываться на вероятностной методологии (Трифонов Е.В., 1978,..., ..., 2015, …).
Критерий: Степень развития морфологии, физиологии, психологии человека и медицины, объём индивидуальных и социальных знаний в этих областях определяется степенью использования вероятностной методологии.
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