Nerve fiber layer
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| Nerve fiber layer | |
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| Section of retina. (Stratum opticum labeled at right, second from the top.) | |
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| Plan of retinal neurons. (Stratum opticum labeled at left, second from the top.) | |
| Gray's | subject #225 1015 |
| Dorlands/Elsevier | l_05/12480766 |
The retinal nerve fiber layer (nerve fibre layer, stratum opticum, RNFL) is formed by the expansion of the fibers of the optic nerve; it is thickest near the porus opticus, gradually diminishing toward the ora serrata.
As the nerve fibers pass through the lamina cribrosa sclerae they lose their medullary sheaths and are continued onward through the choroid and retina as simple axis-cylinders.
When they reach the internal surface of the retina they radiate from their point of entrance over this surface grouped in bundles, and in many places arranged in plexuses.
Most of the fibers are centripetal, and are the direct continuations of the axis-cylinder processes of the cells of the ganglionic layer, but a few of them are centrifugal and ramify in the inner plexiform and inner nuclear layers, where they end in enlarged extremities.
Patients with retinitis pigmentosa have abnormal thinning of the RNFL which correlates with the severity of the disease[1]. However the thickness of the RNFL also decreases with age and not visual acuity[2]. The sparing of this layer is important in the treatment of the disease as it is the basis for connecting retinal prostheses to the optic nerve, or implanting stem cells that could regenerate the lost photoreceptors.
[edit] References
- ^ Walia S, Fishman GA, Edward DP, Lindeman M. Retinal nerve fiber layer defects in RP patients. Invest Ophthalmol Vis Sci. 2007 Oct;48(10):4748-52. PMID: 17898300
- ^ Oishi A, Otani A, Sasahara M, Kurimoto M, Nakamura H, Kojima H, Yoshimura N. Retinal nerve fiber layer thickness in patients with retinitis pigmentosa. Eye. 2008 Mar 14, online advance publication. PMID: 18344951
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This article was originally based on an entry from a public domain edition of Gray's Anatomy. As such, some of the information contained herein may be outdated. Please edit the article if this is the case, and feel free to remove this notice when it is no longer relevant.
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