eye anatomy physiology medical terminology diagnosis and pathology
Channel: ISHTA’s BIO ACADEMY
Date: 2021-05-06

Humans have two eyes, situated on the left and the right of the face. The eyes sit in bony cavities called the orbits, in the skull. There are six extraocular muscles that control eye movements. The front visible part of the eye is made up of the whitish sclera, a coloured iris, and the pupil. A thin layer called the conjunctiva sits on top of this. The front part is also called the anterior segment of the eye.

The eye is not shaped like a perfect sphere, rather it is a fused two-piece unit, composed of an anterior (front) segment and the posterior (back) segment. The anterior segment is made up of the cornea, iris and lens. The cornea is transparent and more curved, and is linked to the larger posterior segment, composed of the vitreous, retina, choroid and the outer white shell called the sclera. The cornea is typically about 11.5 mm (0.45 in) in diameter, and 0.5 mm (500 μm) in thickness near its center. The posterior chamber constitutes the remaining five-sixths; its diameter is typically about 24 mm (0.94 in). The cornea and sclera are connected by an area termed the limbus. The iris is the pigmented circular structure concentrically surrounding the center of the eye, the pupil, which appears to be black. The size of the pupil, which controls the amount of light entering the eye, is adjusted by the iris' dilator and sphincter muscles.

Light energy enters the eye through the cornea, through the pupil and then through the lens. The lens shape is changed for near focus (accommodation) and is controlled by the ciliary muscle. Photons of light falling on the light-sensitive cells of the retina (photoreceptor cones and rods) are converted into electrical signals that are transmitted to the brain by the optic nerve and interpreted as sight and vision.

Size
The size of the eye differs among adults by only one or two millimetres. The eyeball is generally less tall than it is wide. The sagittal vertical (height) of a human adult eye is approximately 23.7 mm (0.93 in), the transverse horizontal diameter (width) is 24.2 mm (0.95 in) and the axial anteroposterior size (depth) averages 22.0–24.8 mm (0.87–0.98 in) with no significant difference between sexes and age groups.[2] Strong correlation has been found between the transverse diameter and the width of the orbit (r = 0.88).[2] The typical adult eye has an anterior to posterior diameter of 24 mm (0.94 in), and a volume of 6 cubic centimetres (0.37 cu in).[3]

The eyeball grows rapidly, increasing from about 16–17 mm (0.63–0.67 in) diameter at birth to 22.5–23 mm (0.89–0.91 in) by three years of age. By age 12, the eye attains its full size.

Components

Schematic diagram of the human eye. It shows a horizontal section through the right eye.
The eye is made up of three coats, or layers, enclosing various anatomical structures. The outermost layer, known as the fibrous tunic, is composed of the cornea and sclera, which provide shape to the eye and support the deeper structures. The middle layer, known as the vascular tunic or uvea, consists of the choroid, ciliary body, pigmented epithelium and iris. The innermost is the retina, which gets its oxygenation from the blood vessels of the choroid (posteriorly) as well as the retinal vessels (anteriorly).

The spaces of the eye are filled with the aqueous humour anteriorly, between the cornea and lens, and the vitreous body, a jelly-like substance, behind the lens, filling the entire posterior cavity. The aqueous humour is a clear watery fluid that is contained in two areas: the anterior chamber between the cornea and the iris, and the posterior chamber between the iris and the lens. The lens is suspended to the ciliary body by the suspensory ligament (Zonule of Zinn), made up of hundreds of fine transparent fibers which transmit muscular forces to change the shape of the lens for accommodation (focusing). The vitreous body is a clear substance composed of water and proteins, which give it a jelly-like and sticky composition.[4]

Structures surrounding the eye

The outer parts of the eye.
Extraocular muscles
Main article: Extraocular muscles
Each eye has six muscles that control its movements: the lateral rectus, the medial rectus, the inferior rectus, the superior rectus, the inferior oblique, and the superior oblique. When the muscles exert different tensions, a torque is exerted on the globe that causes it to turn, in almost pure rotation, with only about one millimeter of translation.[5] Thus, the eye can be considered as undergoing rotations about a single point in the center of the eye.