Vitreo-Retina

Myopia-cell

Retina is the third and inner coat of the eye which is a light-sensitive layer of tissue. The optics of the eye create an image of the visual world on the retina (through the cornea and lens), which serves much the same function as the film in a camera. Light striking the retina initiates a cascade of chemical and electrical events that ultimately trigger nerve impulses. These are sent to various visual centres of the brain through the fibres of the optic nerve. Neural retina typically refers to three layers of neural cells (photo receptor cells, bipolar cells, and ganglion cells) within the retina, while the entire retina refers to these three layers plus a layer of pigmented epithelial cells.

An image is produced by the patterned excitation of the cones and rods in the retina. The excitation is processed by the neuronal system and various parts of the brain working in parallel to form a representation of the external environment in the brain.

retina does not simply send a picture to the brain. The retina spatially encodes (compresses) the image to fit the limited capacity of the optic nerve. Compression is necessary because there are 100 times more photoreceptor cells than ganglion cells as mentioned above. The retina does so by “decorrelating” the incoming images in a manner to be described below. These operations are carried out by the centre surround structures as implemented by the bipolar and ganglion cells.

Diagnosis and treatment

A number of different instruments are available for the diagnosis of diseases and disorders affecting the retina. Ophthalmoscopy and fundus photography are used to examine the retina. Recently, adaptive optics has been used to image individual rods and cones in the living human retina and a company based in Scotland have engineered technology that allows physicians to observe the complete retina without any discomfort to patients.

The electroretinogram is used to measure non-invasively the retina’s electrical activity, which is affected by certain diseases. A relatively new technology, now becoming widely available, is optical coherence tomography (OCT). This non-invasive technique allows one to obtain a 3D volumetric or high resolution cross-sectional tomogram of the retinal fine structure with histologic-quality.

 Retina-OCT800

OCT scan of a retina at 800 nm with an axial resolution of 3 µm

Treatment depends upon the nature of the disease or disorder. Transplantation of retinas has been attempted, but without much success.  An implant which will bypass the photoreceptors of the retina and stimulate the attached nerve cells directly, with signals from a digital camera.

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  • Patient Comments

    • Thanks to Al-Basar

      My name is Khorshed. My father’s name is himmat Ali. I belong to misekara village in Tangail district. I am 80-year-old and I had cataract in both eyes. I heard that Al-Basar International Foundation does operation for free. First I did operation in one eye at one of its charity camp, then I did surgery of other eye in their another camp. […]

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