Choriocapillaris
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Choriocapillaris
The capillary lamina of choroid or choriocapillaris is a layer of capillaries that is immediately adjacent to Bruch's membrane in the choroid. The choriocapillaris was first described in man by Hovius in 1702, although it was not so named until 1838, by Eschricht. Passera (1896) described its form as star-shaped, radiating capillaries beneath the pigment epithelium of the retina, and Duke-Elder and Wybar (1961) have emphasized its nature as a network of capillaries in one plane. The choriocapillaris serves multiple functions that include sustaining the photoreceptors, filtering waste produced in the outer retina and regulating the temperature of macula. The capillary wall is permeable to plasma proteins which is probably of great importance for the supply of vitamin A to the pigment epithelium . The choroidal blood vessels can be divided into two categories: the choriocapillaris, and the larger caliber arteries and veins that lie just posterior to the choriocapillaris (these can ...
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Bruch's Membrane
Bruch's membrane is the innermost layer of the choroid of the eye. It is also called the ''vitreous lamina'' or ''Membrane vitriae'', because of its glassy microscopic appearance. It is 2–4 μm thick. Layers Bruch's membrane consists of five layers (from inside to outside): #the basement membrane of the retinal pigment epithelium #the inner collagenous zone #a central band of elastic fibers #the outer collagenous zone #the basement membrane of the choriocapillaris The retinal pigment epithelium transports metabolic waste from the photoreceptors across Bruch's membrane to the choroid. Embryology Bruch's membrane is present by midterm in fetal development as an elastic sheet. Pathology Bruch's membrane thickens with age, slowing the transport of metabolites. This may lead to the formation of drusen in age-related macular degeneration. There is also a buildup of deposits (Basal Linear Deposits or BLinD and Basal Lamellar Deposits BLamD) on and within the membrane, primarily c ...
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Capillary
A capillary is a small blood vessel from 5 to 10 micrometres (μm) in diameter. Capillaries are composed of only the tunica intima, consisting of a thin wall of simple squamous endothelial cells. They are the smallest blood vessels in the body: they convey blood between the arterioles and venules. These microvessels are the site of exchange of many substances with the interstitial fluid surrounding them. Substances which cross capillaries include water, oxygen, carbon dioxide, urea, glucose, uric acid, lactic acid and creatinine. Lymph capillaries connect with larger lymph vessels to drain lymphatic fluid collected in the microcirculation. During early embryonic development, new capillaries are formed through vasculogenesis, the process of blood vessel formation that occurs through a '' de novo'' production of endothelial cells that then form vascular tubes. The term '' angiogenesis'' denotes the formation of new capillaries from pre-existing blood vessels and already ...
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Choroid
The choroid, also known as the choroidea or choroid coat, is a part of the uvea, the vascular layer of the eye, and contains connective tissues, and lies between the retina and the sclera. The human choroid is thickest at the far extreme rear of the eye (at 0.2 mm), while in the outlying areas it narrows to 0.1 mm. The choroid provides oxygen and nourishment to the outer layers of the retina. Along with the ciliary body and iris, the choroid forms the uveal tract. The structure of the choroid is generally divided into four layers (classified in order of furthest away from the retina to closest): *Haller's layer - outermost layer of the choroid consisting of larger diameter blood vessels; * Sattler's layer - layer of medium diameter blood vessels; *Choriocapillaris - layer of capillaries; and * Bruch's membrane (synonyms: Lamina basalis, Complexus basalis, Lamina vitra) - innermost layer of the choroid. Blood supply There are two circulations of the eye: the r ...
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Eschricht
Daniel Frederik Eschricht (18 March 1798 – 22 February 1863) was a Danish zoologist, physiologist, and anatomist known as an authority on whales. He was born in Copenhagen, and studied medicine at Frederiks Hospital, graduating in 1822. He was a student of François Magendie in Paris from 1824-1825, composing a thesis on cranial nerves, after which he studied with prominent European naturalists and anatomists, including Georges Cuvier. He joined the University of Copenhagen in 1829, becoming Professor of Anatomy and Physiology in 1836. The gray whale genus ''Eschrichtius'' was named for him a year after his death. In 1861, Eschricht dissected an orca and found thirteen common porpoises and fourteen seals inside. Jules Verne referred to the incident in the Sargasso chapter of Twenty Thousand Leagues Under the Sea. He was elected as a member of the American Philosophical Society The American Philosophical Society (APS), founded in 1743 in Philadelphia, is a scholarly organizat ...
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Stewart Duke-Elder
Sir William Stewart Duke-Elder (22 April 1898 â€“ 27 March 1978), a Scottish ophthalmologist who was a dominant force in his field for more than a quarter of a century. Life Duke-Elder was born in the manse in Tealing near Dundee. His father, Rev Neil Stewart Elder, was the village minister of the Free Church of Scotland. His mother was Isabelle Duke, daughter of Rev John Duke of the Free Church in Campsie, Stirlingshire. Duke-Elder was educated at Morgan Academy in Dundee, and was school dux for 1914–1915. Duke-Elder entered the University of St Andrews in 1915 on scholarship, and graduated in 1919 with a BSc in Physiology and MA (Hons) in Natural Sciences. He graduated from the University of St Andrews School of Medicine in 1923 with an MB ChB. In 1925, he earned an MD from St Andrews for his dissertation on 'Reaction of the eye to changes in osmotic pressure of the blood'. In 1927, Duke-Elder earned a DSc from St Andrews for his thesis on "The nature of the intr ...
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Photoreceptor Cell
A photoreceptor cell is a specialized type of neuroepithelial cell found in the retina that is capable of visual phototransduction. The great biological importance of photoreceptors is that they convert light (visible electromagnetic radiation) into signals that can stimulate biological processes. To be more specific, photoreceptor proteins in the cell absorb photons, triggering a change in the cell's membrane potential. There are currently three known types of photoreceptor cells in mammalian eyes: rods, cones, and intrinsically photosensitive retinal ganglion cells. The two classic photoreceptor cells are rods and cones, each contributing information used by the visual system to form an image of the environment, sight. Rods primarily mediate scotopic vision (dim conditions) whereas cones primarily mediate to photopic vision (bright conditions), but the processes in each that supports phototransduction is similar. A third class of mammalian photoreceptor cell was di ...
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Macula Lutea
The macula (/ˈmakjʊlə/) or macula lutea is an oval-shaped pigmented area in the center of the retina of the human eye and in other animals. The macula in humans has a diameter of around and is subdivided into the umbo, foveola, foveal avascular zone, fovea, parafovea, and perifovea areas. The anatomical macula at a size of is much larger than the clinical macula which, at a size of , corresponds to the anatomical fovea. The macula is responsible for the central, high-resolution, color vision that is possible in good light; and this kind of vision is impaired if the macula is damaged, for example in macular degeneration. The clinical macula is seen when viewed from the pupil, as in ophthalmoscopy or retinal photography. The term macula lutea comes from Latin ''macula'', "spot", and ''lutea'', "yellow". Structure The macula is an oval-shaped pigmented area in the center of the retina of the human eye and other animal eyes. Its center is shifted slightly away from ...
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Vitamin A
Vitamin A is a fat-soluble vitamin and an essential nutrient for humans. It is a group of organic compounds that includes retinol, retinal (also known as retinaldehyde), retinoic acid, and several provitamin A carotenoids (most notably beta-carotene ²-carotene. Vitamin A has multiple functions: it is essential for embryo development and growth, for maintenance of the immune system, and for vision, where it combines with the protein opsin to form rhodopsin the light-absorbing molecule necessary for both low-light ( scotopic vision) and color vision. Vitamin A occurs as two principal forms in foods: A) retinol, found in animal-sourced foods, either as retinol or bound to a fatty acid to become a retinyl ester, and B) the carotenoids alpha-carotene, β-carotene, gamma-carotene, and the xanthophyll beta-cryptoxanthin (all of which contain β-ionone rings) that function as provitamin A in herbivore and omnivore animals which possess the enzymes that cleave and conve ...
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Retinal Pigment Epithelium
The pigmented layer of retina or retinal pigment epithelium (RPE) is the pigmented cell layer just outside the neurosensory retina that nourishes retinal visual cells, and is firmly attached to the underlying choroid and overlying retinal visual cells. History The RPE was known in the 18th and 19th centuries as the pigmentum nigrum, referring to the observation that the RPE is dark (black in many animals, brown in humans); and as the tapetum nigrum, referring to the observation that in animals with a tapetum lucidum, in the region of the tapetum lucidum the RPE is not pigmented. Anatomy The RPE is composed of a single layer of hexagonal cells that are densely packed with pigment granules. When viewed from the outer surface, these cells are smooth and hexagonal in shape. When seen in section, each cell consists of an outer non-pigmented part containing a large oval nucleus and an inner pigmented portion which extends as a series of straight thread-like processes between the rods, ...
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Pericyte
Pericytes (previously known as Rouget cells) are multi-functional mural cells of the microcirculation that wrap around the endothelial cells that line the capillaries throughout the body. Pericytes are embedded in the basement membrane of blood capillaries, where they communicate with endothelial cells by means of both direct physical contact and paracrine signaling. The morphology, distribution, density and molecular fingerprints of pericytes vary between organs and vascular beds. Pericytes help to maintain homeostatic and hemostatic functions in the brain, one of the organs with higher pericyte coverage, and also sustain the blood–brain barrier. These cells are also a key component of the neurovascular unit, which includes endothelial cells, astrocytes, and neurons. Pericytes have been postulated to regulate capillary blood flow and the clearance and phagocytosis of cellular debris ''in vitro.'' Pericytes stabilize and monitor the maturation of endothelial cells by means of ...
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Angiology
Angiology (from Greek , ''angeīon'', "vessel"; and , ''-logia'') is the medical specialty dedicated to studying the circulatory system and of the lymphatic system, i.e., arteries, veins and lymphatic vessels. In the UK, this field is more often termed ''angiology'', and in the United States the term vascular medicine is more frequent. The field of vascular medicine (angiology) is the field that deals with preventing, diagnosing and treating vascular and blood vessel related diseases. Overview Arterial diseases include the aorta (aneurysms/dissection) and arteries supplying the legs, hands, kidneys, brain, intestines. It also covers arterial thrombosis and embolism; vasculitides; and vasospastic disorders. Naturally, it deals with preventing cardiovascular diseases such as heart attack and stroke. Venous diseases include venous thrombosis, chronic venous insufficiency, and varicose veins. Lymphatic diseases include primary and secondary forms of lymphedema. It also inv ...
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