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Descemet's membrane

From Wikipedia, the free encyclopedia
Membrane in the cornea of the eye
Descemet's membrane
Vertical section of human cornea from near the margin. (Waldeyer.) Magnified.
  1. Epithelium
  2. Anterior elastic lamina
  3. substantia propria
  4. Posterior elastic lamina.
    (Descemet's membrane)
  5. Endothelium of theanterior chamber
  1. Oblique fibers in the anterior layer of thesubstantia propria
  2. Lamellae, the fibers of which are cut across, producing a dotted appearance
  3. Corneal corpuscles appearingfusiform in section
  4. Lamellae, the fibers of which are cut longitudinally
  5. Transition to thesclera, with more distinct fibrillation, and surmounted by a thickerepithelium
  6. Small blood vessels cut across near the margin of thecornea
Details
PronunciationEnglish:/ˈdɛsəm/
LocationCornea ofeye
Identifiers
Latinl. limitans posterior corneae
MeSHD003886
TA98A15.2.02.021
FMA58309
Anatomical terms of microanatomy

Descemet's membrane (or theDescemet membrane) is thebasement membrane that lies between the corneal proper substance, also calledstroma, and theendothelial layer of thecornea. It is composed of different kinds of collagen (Type IV and VIII)[1] than the stroma. The endothelial layer is located at the posterior of the cornea. Descemet's membrane, as the basement membrane for the endothelial layer, is secreted by the single layer of squamous epithelial cells that compose the endothelial layer of the cornea.

Structure

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Its thickness ranges from 3 μm at birth to 8–10 μm in adults.[2]

The corneal endothelium is a single layer of squamous cells covering the surface of the cornea that faces theanterior chamber.

Clinical significance

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Copper disposition on corneal Descemet's membrane

Significant damage to the membrane may require a corneal transplant. Damage caused by the hereditary condition known asFuchs dystrophy (q.v.)—where Descemet's membrane progressively fails and the cornea thickens and clouds because the exchange of nutrients/fluids between the cornea and the rest of the eye is interrupted—can be reversed by surgery. The surgeon can scrape away the damaged Descemet membrane and insert/transplant a new membrane harvested from the eye of a donor.[3] In the process most of the squamous cells of the donor membrane survive to dramatically and emphatically reverse the corneal deterioration (seeDMEK surgery).

Descemet's membrane is also a site of copper deposition in patients withWilson's disease or other liver diseases, leading to formation ofKayser–Fleischer rings.

History

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It is also known as theposterior limiting elastic lamina,lamina elastica posterior, andmembrane of Demours. It was named after French physicianJean Descemet (1732–1810).

See also

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References

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  1. ^"Tissue Distribution of Type VIII Collagen in Human Adult and Fetal Eyes"(PDF). Investigative Ophthalmology and Visual Science. 1991-08-01. Retrieved2014-08-17.
  2. ^Johnson DH, Bourne WM, Campbell RJ: The ultrastructure of Descemet's membrane. I. Changes with age in normal cornea. Arch Ophthalmol 100:1942, 1982
  3. ^Stuart AJ, Virgili G, Shortt AJ (2016)."Descemet's membrane endothelial keratoplasty versus Descemet's stripping automated endothelial keratoplasty for corneal endothelial failure".Cochrane Database Syst Rev (3) CD012097.doi:10.1002/14651858.CD012097.

Histology A text and atlas. Michael H.Ross and Wojciech Pawlina 5th Edition 2006

External links

[edit]
Anatomy of theglobe of thehuman eye
Fibrous tunic
(outer)
Sclera
Cornea
Uvea / vascular
tunic
(middle)
Choroid
Ciliary body
Iris
Retina (inner)
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Cells
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Anatomical regions
of the eye
Anterior segment
Posterior segment
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