Essentials of Veterinary Ophthalmology. Kirk N. Gelatt

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Essentials of Veterinary Ophthalmology - Kirk N. Gelatt

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      The external boundary of the corneoscleral trabecular meshwork is formed by the sclera and a plexus of aqueous humor collector vessels. In mammals and most lower vertebrates, the aqueous humor chiefly exits the eye through the trabecular meshworks into these vessels. In most mammals, these vessels consist of a small network of veins collectively termed the AAP. These vessels have radially oriented lumens, differing from the circumferentially coursing canal of Schlemm in primates. The plexiform nature of the drainage vessels in most mammals allows removal of a substantial amount of aqueous humor.

      The size of the individual collector vessels (i.e., trabecular veins) and the tissue immediately adjacent to the AAP varies considerably among mammals. The trabecular veins in cattle, sheep, and water buffalo are large and extensive. Those associated with dogs, cats, pigs, and horses are less prominent but are still extensive.

Photo depicts cells associated with the operculum in the dog form clusters and can be linearly arranged (Schwalbe's line cells [SLC]) within the anteriormost regions of the corneoscleral trabecular meshwork.

      The area adjacent to the trabecular veins typically consists of a zone of cellular elements intermixed with irregularly arranged elastin, collagen, and basement membrane‐like material. In some species, including dogs, rats, rabbits, and humans, smooth muscle‐like cells (myofibroblastic cells) have been observed in the trabecular meshwork, especially adjacent to the aqueous humor outflow channels and along the distal or outer walls of the AAP and Schlemm's canal. In the dog, the presence of myofibroblastic cells within the ICA suggests that these cells and the smooth muscle cells of the ciliary body along the same plane of orientation function to facilitate the removal of aqueous humor and are likely to be influenced by vascular mediators.

      Uveoscleral Outflow

Schematic illustration of the majority of aqueous humor flows from the posterior chamber (PC) into the anterior chamber (AC), where it is removed via the ICA by the trabecular meshwork and AAP.

      Innervation

      As mentioned previously, the ciliary musculature is innervated both sympathetically and parasympathetically. Cholinergic and adrenergic nerve endings have been observed in the various components of the ciliary body, including the trabecular meshwork and within the ICA. In the dog, cholinergic activity is most intense in the musculature, ciliary processes, and epithelium.

      Choroid

Photo depicts located between the ciliary body meshwork and the sclera, the supraciliary meshwork likely represents a major pathway for aqueous humor drainage in the horse via uveoscleral outflow.

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