The Corneoscleral Tunic


The corneoscleral tunic can be divided into two general regions, the cornea and the sclera. They merge at the periphery of the cornea, in the region of the limbus of the eye.


Sclera

The sclera is the tough collagenous bag which comprises the outer portion of the eye. It's composed mainly of collagen fibers oriented in all directions, but following the curve of the eyeball.

Its functions are to maintain the boundary of the eye; to serve as a protective envelope for the internal apparatus; and to provide a site of attachment of the muscles which move the eye up and down and from side to side. The sclera is also highly vascularized (since it is derived from the mesoderm of the head) and is a route for blood vessels and lymphatics. The venous drainage of the sclera carries the outflow of most of the eye's blood supply, and its lymphatic vessels carry off the excess aqueous humor. At its posterior aspect the optic nerve pierces the sclera; the epineurial covering of this nerve is continuous with the sclera and with the meninges of the brain.


Cornea

The cornea is the most important light-refracting structure of the eye. It produces the initial image and casts it onto the lens behind it; the lens is in turn responsible for accommodation of vision for different distance.

The curvature of the cornea is a major factor in the degree to which it refracts light coming into the eye, providing most of the focusing. Aberrations in the shape of the cornea have profound effects on vision, and surgical procedures to correct vision problems take advantage of this fact. It is possible to remove the cornea, alter its curvature; then stitch it back into place, with different focusing characteristics.

Because its embryonic origin is from surface ectoderm, the cornea is avascular. Therefore it's physically isolated from the blood circulatory system, and hence from the immune system. This situation also has clinical implications. The "protected" nature of the cornea makes it incapable of mounting a typical graft-rejection response, and corneal transplants have a high rate of success.

LEFT:A diagrammatic representation of the cornea's layers.


Corneal Epithelium and Endothelium

The cornea is exposed to the environment on its outer surface, and is epithelial in nature. The outermost part of the cornea is a stratified squamous layer, the corneal epithelium. This layer isn't normally keratinized; it varies in thickness among different species. The corneal epithelium is continuous at its margins with the conjunctiva of the eyelids and the eyeball. At left is an image taken from an actual specimen. Compare it to the diagram above. The cells of the corneal epithelium sit on a thick basal lamina, Bowman's membrane, (named for Sir William Bowman, 1816-1892, the English ophthalmologist, anatomist and physiologist). The inner surface of the cornea, demarcating the limit of the eye's anterior chamber has a very thin, single layer of corneal endothelium. This is a row of cuboidal cells. Between it and the substantia propria you will find Descemet's membrane the basal lamina of the endothelial cells (after Jean Descemet, 1732-1810, a French physician).


Substantia Propria

The bulk of the tissue in the cornea is the substantia propria, a thick collagenous CT in the form of regular lamellae. The regular arrangement of these fibers gives the cornea its refractile properties.


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