Essentials of Veterinary Ophthalmology. Kirk N. Gelatt

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СКАЧАТЬ The human corneal stroma has a refractive index of 1.376. Because this value is slightly higher than the refractive index of the tear film, passage of light from the tear film into the anterior layers of the cornea results in an additional 5 D of refractive power. However, these 5 D are “lost” when light passes from the posterior cornea into the AH, which has a refractive index nearly identical to that of the tears. When combined, the PTF and the cornea of humans contribute a net refractive power of 43 D.

Another factor affecting the refractive power of the cornea, besides the refractive index, is its curvature. Because the cornea converges light, it acts as a convex lens. As stated earlier, the refractive power of such a lens depends to a large extent on its curvature radius. Therefore, in large eyes, which are characterized by flat corneas, the refractive power of the cornea is reduced. Conversely, in small eyes with spherical corneas, its power is increased.

Table 2.13 Refraction constants in the human eye.

Structure	Refractive index	Refractive power (D)	Reference
Tears	1.336	43.0a	Montes‐Mico et al. (2004)
Cornea	1.376	42.3a	Duke‐Elder (1970); Naeser et al. (2016)
Anterior surface	1.401	48.2	Patel et al. (1995)
Posterior surface	1.373	−5.9	Patel et al. (1995)
Lens	1.41	21.9	Duke‐Elder (1970); Chang et al. (2017)
Anterior surface		8.4	Millodot (1982)
Posterior surface		14.0	Millodot (1982)
Vitreous/aqueous	1.336		Duke‐Elder (1970)
Retina	1.363		Millodot (1982)

      ^a The refractive power of the cornea and tears is not additive. Rather, that of the former arises from the latter, and from its interface with air. The net power of the tears and the anterior and posterior cornea is 43 D.

      Lens

      As noted, the refraction that occurs as light passes from the cornea into the AH and during its passage through the aqueous has little overall significance. Therefore, the next significant refractive structure through which light passes after the cornea is the lens. As in the case of the cornea, the refractive power of the lens is determined by both its refractive index and its curvature. In humans and in many nonaquatic species, the refractive index of the lens nucleus is about 1.41; it decreases gradually toward the cortex, forming a bell‐shaped refractive index curve known as the gradient index. In humans, the calculated refractive power of the lens is approximately 22 D.

The second factor determining lenticular refractivity, the lens curvature, also differs between aquatic and nonaquatic species. Generally, it can be said that the lens is spherical in fish and aquatic mammals, while it is more discoid (i.e., less spherical) in terrestrial species. Therefore, the lens will have a higher refractive power in the former compared to the latter (Table 2.14). The reason for the increased refractive index and lens curvature in aquatic species is the loss of corneal refractive power underwater. Of course, the curvature (and, hence, the refractive power) of the lens can also be changed actively through a process termed accommodation.

      Vitreous

The next refractive tissue is the vitreous. Though there is little refraction as light passes from the lens into the vitreous (due to their similar refractive indices), the vitreous plays an important role in refractive development of the eye. Vitreous elongation increases the axial length of the eye, thereby increasing the refractive path of light and inducing myopia, or nearsightedness (Figure 2.11). In certain fish, this mechanism serves to increase ocular refraction and compensate for loss of corneal refractive power. In different goldfish strains, for example, the vitreous body can contribute anywhere from 37% to 70% of the total axial length of the eye.

Table 2.14 Eye size (ascending order) and corneal power (descending order) in selected animal species.

Species	Axial length (mm)	Corneal power (D)	References
Goldfish	4.2	129 (in air)	Hughes (1977)
Rat	6.3	112.7	Hughes (1977)
Chicken	8.9	108	Cohen et al. (2008)
Guinea pig	8.9	83.9	Howlett & McFadden (2007)
Sea otter	14.0	59.2	Murphy et al. (1990)
Rhesus monkey (4 months)	16.3	56	Qiao‐Grider et al. (2010)
Rabbit	18.0	44.6	Hughes (1977); Wang et al. (2014)
Cat	21.3	43.0	Habib et al. (1995)
Dog	19.5–21.9	37.8–43.2a	Gaiddon et al. (1991); Nelms et al. (1994); Rosolen et al. (1995)
Ostrich	38/0	25.3	Martin et al. (2001)
Elephant	38.8	21.3	Murphy et СКАЧАТЬ В начало < 58 59 60 61 62 63 64 65 66 67 > В конец