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  • 00:00

    welcome to this first in the series of guided  meditation with srp asmr. for today's episode  

  • 00:10

    we're going to think about the human eye its  features structures anteriorly internally and  

  • 00:21

    externally. so first things first just ensure  you are lying down in the supine position  

  • 00:31

    the eyes are closed and you're  just breathing naturally.  

  • 00:37

    so let's think about the human right eye your  right eye probably going to start anteriorly  

  • 00:48

    i'm not going to think about the  lids and lashes today but just the  

  • 00:53

    globe itsel.f so at the front we're  going to think about the transparent  

  • 01:02

    window to the eye if you like and  it's understood there are five layers  

  • 01:11

    to this window of the eye known medically  as the cornea so thinking about the layers  

  • 01:22

    the most external layer the one in contact  with the atmosphere is the epithelium then  

  • 01:33

    we go to the thin Bowman's membrane the  middle and thickest layer is the stroma  

  • 01:43

    and then we have Descemet's membrane  and then the final and the fifth layer  

  • 01:51

    is the corneal endothelium this is the  layer in contact with the aqueous humour,  

  • 02:00

    but we'll come to this a little bit later so bring  your way back to the front surface of the cornea

  • 02:11

    if we move to the left as we're facing your eye  notice that we have an ocular muscle there known  

  • 02:21

    as the lateral rectus on the opposite side the  opposing ocular muscle there is the medial rectus

  • 02:33

    12 o'clock top of the eye the superior  rectus, six o'clock is the inferior rectus,  

  • 02:41

    located nearby is the inferior oblique and then  back to the top it's working its way under the  

  • 02:49

    superior rectus is the superior oblique ocular  muscle, so that's six extra ocular muscles  

  • 03:00

    attached to the eye to allow up and down left  right, diagonal and rotational ocular movements

  • 03:13

    now we're considering the white of  the eye, this is known as the sclera  

  • 03:21

    this is the outer tunic of the eye  the eye is formed of three tunics

  • 03:33

    so the sclera gives the eye shape and strength  and i'm thinking about the visible area if i'm  

  • 03:42

    facing you directly i want to think about the  thin conjunctival membrane the thin conjunctival  

  • 03:51

    membrane where you will find things such as goblet  cells the mast cells and covering the cornea and  

  • 04:02

    the conjunctiva would be the tear film which has  immunological properties, keeps your eye hydrated,  

  • 04:15

    it washes away any debris that can then exit  through the tear ducts upper and lower puncta

  • 04:30

    so that is a little bit about the  more external areas of the eye,  

  • 04:39

    obviously if we just switch to the back  of the eye if we rotate your right eye

  • 04:48

    welcome to the optic nerve, the optic  nerve is cranial nerve number two  

  • 04:54

    the central retinal artery and the central retinal  vain we have some vessels piercing the back of the  

  • 05:05

    optic nerve the posterior ciliary arteries and  you may see some veins traveling behind the eye  

  • 05:18

    piercing forming the vortex  veins that we can visualize  

  • 05:25

    when performing ophthalmoscopy of the eye, we  might see the vortex veins in the peripheral zones

  • 05:37

    it doesn't matter whether you are thinking  about whether the eye is hyperopic, myopic  

  • 05:45

    or astigmatic, it can just be any eye in the  world so going back to the front of your right eye  

  • 05:58

    and the area in front of the iris  but behind the corneal endothelium

  • 06:10

    is the anterior chamber which is  where you will find the aqueous humour

  • 06:20

    and then we talked about the iris there briefly,  doesn't matter whether the iris is blue,  

  • 06:28

    brown, hazel two tone or pigmented, it can  be any iris you want it to be so the iris

  • 06:44

    is the part of the eye that controls  how much light enters the eye,  

  • 06:51

    we'll find the sphincter and the  dilator muscles within the iris  

  • 07:00

    so looking at the anterior portion  of the iris you have your collarets  

  • 07:08

    you have your crypts. as we said we might see some  pigmentation of the iris and on the slit lamp we  

  • 07:19

    may see some little vessels close to the anterior  part of the iris best visualized on the slit lamp

  • 07:36

    the iris has a hole in the  center this is known as the pupil  

  • 07:45

    it doesn't matter whether the pupil is  two millimeters or a very large dilated  

  • 07:54

    eight millimeter pupil, it doesn't matter  whether it's dilated or a miotic pupil,  

  • 08:02

    it can be any size you want it to be

  • 08:07

    the space between the edge of the iris and the  sclera is where the majority of aqueous humour  

  • 08:16

    drains from the eye through the trabecular  meshwork, that's the area running 360  

  • 08:29

    to the edge of the iris the sclera in the  anterior chamber is the trabecular work,  

  • 08:40

    we have a nice little drainage system  in the eye, a nice drainage system

  • 08:52

    so we're going to go through the  pupil now and then we will hit  

  • 08:57

    the anterior crystalline lens, the  anterior surface the crystalline lens,,  

  • 09:06

    then we will migrate to the  edges of the crystalline lens  

  • 09:11

    where we shall find the lens zonules  attached in a 360 degree pattern  

  • 09:20

    which are then attached to the ciliary  body attached to the ciliary body

  • 09:30

    the ciliary body is a producer of aqueous  humour that will travel past the posterior  

  • 09:40

    iris and the anterior lens surface, through  the pupil and into the anterior chamber  

  • 09:48

    that will drain the majority, will  drain through the trabecular meshwork

  • 09:58

    so the ciliary body forms part of the middle  tunic of the eye, this tunic is a vascular layer  

  • 10:10

    known as the choroid, it's known as the choroid

  • 10:18

    now if we are working our way through the  

  • 10:21

    crystalline lens we're going to travel  from the anterior to the posterior surface  

  • 10:31

    through the other side and we're into the large  hollow space of the eye, the dome. this is an area  

  • 10:47

    you will find yourself in the vitreous humour,  you are now in the vitreous humour of the eye  

  • 10:59

    which normally, it has a nice framework  it is pressed against the retina  

  • 11:07

    very nicely and you will find hyaluronic acid  in the jelly of the eye in the vitreous humour

  • 11:22

    okay with your right eye, imagine it's straight,  i'm going to go straight through the pupil  

  • 11:27

    the crystalline lens, dead straight,, and we  shall hit the central vision part of the eye  

  • 11:38

    this is known as the macula this  is the macular region, your central  

  • 11:46

    vision area picks up fine details  and colours nice and sharply

  • 11:56

    it's concentrated mainly of cones,  a specific type of photoreceptor  

  • 12:05

    located in the retina, forming a part of the  retina. the centre of the macula is the fovea

  • 12:19

    and then if this is your right eye, moving  slightly to the right of the macula where  

  • 12:29

    we shall find the head of the optic nerve  approximately one to 1.2 million nerve fibers  

  • 12:41

    all congregate to form the head the optic  nerve. these nerve fibers carry the messages  

  • 12:51

    all the way to the back of the brain, the  visual cortex area, giving you the perception  

  • 13:00

    that you require in order to see the world, so  you actually see with your brain and not the eye

  • 13:11

    coming back to the head of the  optic nerve this should be pink  

  • 13:17

    and defined, might be some  cupping on the optic nerve

  • 13:24

    and we will see the blood vessels on the surface  and veins migrating out and draining the eye back  

  • 13:40

    through the centre, through  the central retinal vein

  • 13:46

    so now we've found the macula and the optic nerve  we're going to just explore the peripheral retina  

  • 13:58

    that's where we see lots of blood vessels and  the vortex veins that we discussed earlier.  

  • 14:07

    the retina should be clear, flat but there  might be some normal findings of pigmentation

  • 14:20

    there may be some atrophic retinal holes

  • 14:30

    on the retina we do not want to see any tears,  we don't want to see any detachments, we don't  

  • 14:39

    want to see any haemorrhaging on the retina  including that on the macula, the optic nerve,  

  • 14:49

    we don't want to see any  oedema at the macula either

  • 14:56

    so the retina wraps all around the back inner  portion of the eye which capture the light signals  

  • 15:09

    then convert it to chemical energy,  

  • 15:13

    travel congregate the nerve fibres the optic  nerve head and then travel off on their journey

  • 15:26

    so that's the end of the guided ocular meditation,  

  • 15:33

    let's take a few moments to  relax now keep the eyes closed

All

The example sentences of CILIARY in videos (8 in total of 15)

the determiner ciliary adjective body noun, singular or mass is verb, 3rd person singular present a determiner producer noun, singular or mass of preposition or subordinating conjunction aqueous adjective humour noun, singular or mass that wh-determiner will modal travel verb, base form past adjective the determiner posterior noun, singular or mass
sclera proper noun, singular , choroid proper noun, singular , cornea proper noun, singular , iris proper noun, singular , pupil proper noun, singular , eye proper noun, singular lens noun, singular or mass , ciliary proper noun, singular muscles noun, plural , suspensory proper noun, singular ligaments noun, plural , aqueous proper noun, singular humor noun, singular or mass , retina proper noun, singular , vitreous proper noun, singular humor noun, singular or mass , optic proper noun, singular nerve noun, singular or mass , blind proper noun, singular spot noun, singular or mass
now adverb this determiner thickened verb, past tense part noun, singular or mass is verb, 3rd person singular present called verb, past participle ciliary adjective body noun, singular or mass and coordinating conjunction all determiner vascular adjective layer noun, singular or mass behind preposition or subordinating conjunction it personal pronoun is verb, 3rd person singular present called verb, past participle
there existential there is verb, 3rd person singular present a determiner constant adjective and coordinating conjunction delicate adjective interplay noun, singular or mass among preposition or subordinating conjunction the determiner muscles noun, plural and coordinating conjunction ligaments noun, plural of preposition or subordinating conjunction the determiner ciliary adjective body noun, singular or mass .
but coordinating conjunction the determiner crystalline noun, singular or mass lens noun, singular or mass is verb, 3rd person singular present under preposition or subordinating conjunction the determiner influence noun, singular or mass of preposition or subordinating conjunction a determiner muscle noun, singular or mass inside preposition or subordinating conjunction the determiner eye noun, singular or mass called verb, past participle the determiner ciliary adjective body noun, singular or mass and coordinating conjunction when wh-adverb this determiner muscle noun, singular or mass
a determiner cap noun, singular or mass opener noun, singular or mass a determiner four cardinal number position noun, singular or mass wrench noun, singular or mass a determiner butterfly noun, singular or mass wrench noun, singular or mass a determiner saw verb, past tense blade noun, singular or mass direction noun, singular or mass and coordinating conjunction ciliary adjective indicator noun, singular or mass
inside preposition or subordinating conjunction the determiner eye noun, singular or mass called verb, past participle the determiner ciliary adjective body noun, singular or mass so adverb that preposition or subordinating conjunction we personal pronoun can modal get verb, base form a determiner more adverb, comparative accurate adjective prescription noun, singular or mass
the determiner contraction noun, singular or mass and coordinating conjunction relaxation noun, singular or mass of preposition or subordinating conjunction ciliary adjective muscles noun, plural that determiner control noun, singular or mass the determiner shape noun, singular or mass of preposition or subordinating conjunction our possessive pronoun eye noun, singular or mass lens noun, singular or mass .

Definition and meaning of CILIARY

What does "ciliary mean?"

/ˈsilēˌerē/

adjective
relating to or involving cilia.
noun
Concerning the ciliary body and associated structures of the eye; of or relating to cilia projecting from the surface of a cell; of or relating to the human eyelash.