408 Comparative Anatomy and Histology proportionately smaller than it is in humans. The vitreous exterior surface is termed the anterior hyaloid face and is behind the lens, whereas the posterior hyaloid face lies just anterior to the retina. The vitreous is firmly attached at the vitreous base located at the ora serrata. Additional firm attachments exist at the optic nerve head, overlying retinal vessels, and near the fovea, which is the region corresponding to highest visual acuity in humans. FIGURE 24 The mouse lens equator. The capsule is thickest anteriorly (arrow) where the lens epithelial nuclei bend inward. The histologic appearance of the lens is similar to that of the human lens. The clefting present in the lens is a fixation artifact. FIGURE 25 Posterior mouse lens. The posterior capsule is thinner (arrow), and normally no nuclei are present. CP S PE ONH R 0.5 mm FIGURE 26 Cross section (5 µm) through a mouse eye stained with Richardson’s stain. Clearly visible are the optic nerve head (ONH), pigment epithelium (PE), choroidal plexus (CP), and sclera (S). Unlike the human retina, the mouse retina (R) does not show any regional specialization such as a fovea; however, the nerve fiber and ganglion cell layers become thin peripherally. Source: Figure provided by Dan Possin. C h a p t e r 2 1 Special Senses: Eye Retina Gross Anatomy The retina is a complex tissue with multiple layers of cells responsible for absorption of light and transmission of this signal to the brain. The retina has a dual vascular supply that is similar between the two species. The central retinal artery—a branch of the ophthalmic artery—and its branches 409 supply the anterior two-thirds of the neurosensory retina. The outer one-third of the retina is supplied by the choriocapillaris (described previously). In humans, the central retinal artery exits the optic nerve and branches into four arterial arcades near the anterior surface of the retina. In mice, there are usually four to six retinal arterioles, but this is highly variable. The venous drainage follows a similar vascular pattern. l Need-to-know n The outer nuclear layer is usually twice as thick as the inner layer in normal mice. FIGURE 27 Cross section (5 µm) of a mouse retina stained with Richardson’s stain. Three cellular layers and two synaptic layers of the retina are apparent. Cellular layers are the ganglion cell layer (GCL), inner nucleus layer (INL), and outer nuclear layer (ONL). Synaptic layers are the inner plexiform layer (IPL) and outer plexiform layer (OPL). Photoreceptor inner and outer nerve fibers (NF) are indicated. Sclera (S), pigment epithelium (PE), choroid plexus (CP), and photoreceptor inner (IS) and outer (OS) segments are indicated. Source: Figure provided by Dan Possin. 410 Comparative Anatomy and Histology Histology The layers of the neurosensory retina from inner (vitreous side) to outer are as follows: internal limiting membrane, nerve fiber layer, ganglion cell layer, inner plexiform layer, inner nuclear layer, outer plexiform layer, outer nuclear layer, external limiting membrane, and photoreceptor layer (Figures 26–30). External to the neurosensory retina is the RPE, which is separated from the choroid by Bruch’s membrane. Bruch’s membrane consists of the basement membranes of the RPE and the choriocapillaris. Between these two basement membranes are layers of collagen surrounding an elastic tissue. Bruch’s membrane is less prominent in mice than in humans. The internal limiting membrane is a PAS-positive basement membrane formed by the footplates of glial cells that span the normal retina and whose cell bodies lie within the inner nuclear layer (Müller cells). The nerve fiber layer is a collection of unmyelinated ganglion cell axons. In mice, this layer thickens toward the optic nerve and can be indistinct peripherally. These axons become myelinated as they exit the globe through the lamina cribrosa. The average human has 1–1.2 million ganglion cell axons; mice have approximately one-tenth this number, but it is highly variable between inbred strains. The most striking difference between mouse and human retina is that human retina utilizes a specialized area called the macula, which is responsible for central vision. The macula is defined histologically as the region of retina with more than one cell layer of ganglion cell bodies within the ganglion cell layer. In humans, this region is located within the temporal retinal vascular arcades. A depression at the center of the macula marks the location of the fovea. At the center of the fovea, the retina is avascular and consists primarily of photoreceptors (Figure 30). In mice and in the human nonmacular peripheral ganglia cell layer, there is one layer of cell bodies. The highest density of ganglion cells in mice is temporal to the optic nerve with decreasing density toward the dorsal and peripheral retina. The inner plexiform layer consists of synapses between bipolar and ganglion cells as well as amacrine and bipolar cells. The inner nuclear layer contains the nuclei of bipolar, Müller, horizontal, and amacrine cells and is usually 6–9 layers thick. The overall human retinal thickness is variable depending on its relationship to the fovea. The retinal layers up to the inner third of the inner nuclear layer are nourished by the retinal arteries, whereas the outer retinal layers, beginning at the outer twothirds of the inner nuclear layer, are nourished by the choroidal vessels. The outer plexiform layer has synaptic processes between the horizontal and bipolar cells. In the macula, the outer plexiform layer is thick, and the axons are oriented obliquely. This region of the outer plexiform layer is known as Henle’s layer. The outer nuclear layer has photoreceptor (cone and rod) nuclei. In mice, this layer is 10–12 layers thick. Rods account for approximately 95% of photoreceptors in both species. Humans have three types of cones, each specialized to detect short, medium, or long wavelengths of light, whereas mice have only two types of cones. The external limiting membrane is not a true basement membrane but is formed by the tight junctions between Müller cells and photoreceptors. It serves as an anatomic landmark that separates the photoreceptor nuclei from the photoreceptor inner and outer segments. These segments have differential staining: the photoreceptor broad inner segments are more densely packed and stain more intensely than the thin outer segments, which are modified cilia. Connecting the two segments is a thin cilium visualized by electron microscopy. C h a p t e r 2 1 Special Senses: Eye 411 C ONL OPL H B INL IPL GCL G NF Vitreous 10µm FIGURE 28 Mouse retina. The major cell types of the mouse retina are visualized by a combination of transgenic cell-labeling methods and immunostaining procedures. Shown here is a vibratome section (60 µm) of paraformaldehyde-fixed retina from an adult mouse. Cone photoreceptors (C) are immunoreactive for cone arrestin; horizontal cells (H), a subset of amacrine cells, and ganglion cells (G) are immunoreactive for calbindin. One subtype of retinal bipolar cell (B) is labeled in this retina from a transgenic mouse in which the metabotropic glutamate receptor 6 promoter drives expression of green fluorescent protein. The retinal layers (see Figure 27 legend) are indicated. Reproduced from Morgan JL, Dhingra A, Vardi N, Wong RO (2006). Nat. Neurosci. 9:85–92 (cover). 412 Comparative Anatomy and Histology Retinal Pigment Epithelium Histology S FIGURE 29 Mouse retina. Note the lack of fovea and the relatively thin, heavily pigmented choroid (arrowheads) adjacent to the posterior sclera (S). l Need-to-know n Mice have two lacrimal glands: intra- and exorbital. The RPE is a monolayer of cells that lies subjacent to the retina and extends from the optic disc to the ora serrata, where it is contiguous with the pigmented epithelium of the ciliary body. The apical aspect of RPE cells abuts the photoreceptor outer segments, whereas the RPE basement membrane forms the inner lamella of Bruch’s membrane (Figures 26 and 27). RPE cells have intercellular junctional complexes (zonulae occludentes) that make up the outer blood–retina barrier. Numerous round pigment granules (melanosomes) are visible within the RPE cytoplasm, particularly in pigmented individuals. Albino mice have unpigmented melanosomes. In albino humans, there is a variable amount of pigmentation depending on the subtype of oculocutaneous or ocular albinism. At the human fovea, RPE cells are tall and thin with numerous melanosomes. In the periphery, the RPE cells are l Need-to-know n The macula is the center of visual acuity in humans and is lacking in mice. Albino mice and humans with Hermansky-Pudlak syndrome do not have pigmented melanosomes. n FIGURE 30 Human retina. The center of the macula marks the location of the fovea, which is the region corresponding to highest visual acuity in humans. At the fovea center (foveola), the retina is avascular and consists primarily of photoreceptors. The thick choroid is well-vascularized with prominent stroma (arrowhead). C h a p t e r 2 1 Special Senses: Eye 413 shorter, broader, and less pigmented. The RPE has numerous functions: it metabolizes vitamin A, forms the outer blood-retina barrier, phagocytoses photoreceptor outer segments, absorbs light, and actively transports fluid out of the subretinal space to maintain adhesion of the neurosensory retina. Optic Nerve Gross Anatomy The human optic nerve is on average 40 mm in length and can be divided into intraocular (~1 mm), intraorbital (25 mm), intracanalicular (4–10 mm), and intracranial (10 mm) sections. The optic nerve diameter within the human eye is 1.5 mm. The mouse optic nerve is divided into the optic nerve head, the lamina cribosa region, and unmyelinated and myelinated regions. Posterior to the fenestrated portion of the sclera (lamina cribosa), the optic nerve becomes myelinated, which increases the diameter. Upon exiting the posterior globe, the optic nerve becomes enveloped in a sheath (meninges) consisting of three layers: dura mater (outer), arachnoid (center), and pia mater (inner) (Figure 31). The intraorbital optic nerve in both species is surrounded by connective tissue, fat, and the rectus muscles. In mice, the Harderian gland also covers the optic nerve. The optic nerve is a continuation of the optic tract, covered in meninges with direct extension to the central nervous system. Intraocular Optic Nerve Histology In humans, the optic nerve consists of the 1–1.2 million axons that originate in the ganglion cell layer and terminate in the lateral geniculate nucleus of the thalamus. The portion of the optic nerve visible by ophthalmoscopy is termed the optic disc. In humans, the optic disc measures approximately 1.5 mm horizontally and 1.75 mm FIGURE 31 Human optic nerve. vertically. A normal optic disc has a temporallydisplaced depression termed the optic cup. The central retinal artery and vein traverse through the center of the cup. As ganglion cell axons enter the optic disc, they are divided into fascicles by intervening astrocytic glial cells. When the optic nerve sustains physiologic damage, supporting glial cells may be lost; this may manifest as an enlargement of the optic cup. Immediately posterior to the optic nerve head is the lamina cribrosa (Figure 32), a collection of connective tissue plates composed of collagen, elastin, laminin, and fibronectin, with pores that transmit the optic nerve axons. Posterior to the lamina cribrosa, the optic nerve becomes myelinated by oligodendrocytes. Extraocular Muscles Gross Anatomy The extraocular muscles are similar between the two species; however, in mice, a retractor bulbi muscle is internal to the four rectus muscles and surrounds the optic nerve. The Harderian gland surrounds the extraocular muscles (Figure 33). The inferior oblique may be used for orientation of the globe in histologic sections of enucleated eyes as it inserts on the posterior sclera. Details on the insertions and innervations of the mouse 414 Comparative Anatomy and Histology S l Need-to-know n The optic nerve in mice has 10-fold fewer axons than that of humans. Axon number varies greatly between inbred strains. n The retractor bulbi muscle is not present in humans. n A FIGURE 32 Human lamina cribosa. The lamina cribosa is a fenestrated collection of horizontal connective tissue plates (arrows) with pores that transmit the optic nerve axons (A). In mice, the lamina cribosa is also easily identified. Sclera (S) is indicated. extraocular muscles may be found in Smith et al. (see Further Reading). M Histology M The extraocular muscles of both mice and humans are skeletal (Figure 34). H M M ON H Eyelids Gross Anatomy Both human and mouse eyelids consist of four layers (from outer to inner): skin, skeletal muscle, tarsus, and palpebral conjunctiva. The eyelid is often divided into two leaflets termed the anterior and posterior lamellae. The anterior lamella consists of skin and concentric skeletal muscle that functions in eyelid closure (orbicularis oculi). The posterior lamella consists of tarsus and palpebral conjunctiva. Eyelid skin is the thinnest skin on the human body. At the eyelid margin, the eyelashes (cilia) project through the skin anteriorly. In humans, a “gray line” can be visualized at the lid margin posterior to the cilia that represents the muscle of Riolan, an extension of the orbicularis oculi. This structure is not seen in mice. Posterior to the gray line, both mice and humans have Meibomian gland orifices, which are M FIGURE 33 Mouse posterior orbit. The orbital muscles (M) are surrounded by the Harderian gland (H). The optic nerve (ON) is indicated. S M FIGURE 34 Mouse posterior orbit. The extraorbital muscles are typical skeletal muscle (M) and attach to the sclera (S). The Harderian gland (H) is indicated. The retina is artifactually detached from the retinal pigmented epithelium (arrow). C h a p t e r 2 1 Special Senses: Eye 415 FIGURE 35 Mouse eyelid. In both species, the external eyelid is covered by a thin keratinizing (“cornified”) stratified squamous epithelium (arrow) that transitions to the noncornified palpebral mucosa at the mucocutaneous junction (thin arrow) located anterior to the sebaceous glands. * openings of sebaceous glands embedded within the tarsus. In humans, the skin transitions from keratinizing stratified squamous epithelium to nonkeratinizing conjunctiva at a location termed the mucocutaneous junction, posterior to the Meibomian glands. In mice, the mucocutaneous junction occurs anterior to the Meibomian gland orifices, so these glands open onto conjunctiva. The medial aspects of both superior and inferior lids contain the lacrimal puncta, which are a conduit for tear drainage. Histology FIGURE 36 Human eyelid. Note the prominent tarsal plate (arrow) with embedded sebaceous glands. The gray line, the muscle of Riolan (asterisk), is absent in mice. The mucocutaneous junction (thin arrow) is indicated. In both humans and mice, the external eyelid is covered by a thin keratinizing (“cornified”) stratified squamous epithelium (Figures 35 and 36). Deep to the epidermis and dermis of the anterior eyelid are the skeletal muscle fibers of the orbicularis oculi. Deep to the orbicularis of the upper lid lies the levator palpebrae superioris, a muscle that inserts onto the superior anterior margin of the tarsus to elevate the eyelid. Posterior to these skeletal muscles is a dense platelike collection of fibrous connective tissue known as the tarsal plate (Figures 37 and 38). Within the 416 Comparative Anatomy and Histology M MG C FIGURE 37 Mouse Meibomian glands (MG) within the tarsal plate. The glands are embedded within a dense connective tissue. Note the transition from palpebral noncornified epithelium to the conjunctiva with numerous goblet cells (arrow). Cornea (C) and palpebral muscles (M) are indicated. MG l Need-to-know n In mice, the mucocutaneous junction occurs anterior to the Meibomian gland orifices, so the Meibomian glands open onto the conjunctiva. FIGURE 38 Human sebaceous (Meibomian) glands (MG) within the tarsal plate. Notice that—as with other human tissues— the connective tissue stroma is much more prominent than in mice. tarsal plate are multiple Meibomian glands that empty at the lid margin to contribute a lipid layer to the tear film. The Meibomian glands are more numerous in the upper lid than in the lower lid. Additional sebaceous glands of Zeis exist more anteriorly; these connect to the cilia at the eyelid margin. Mice have Meibomian and glands of Zeis; they lack eccrine sweat and lacrimal glands within the palpebra. Deep to the tarsal plates is the palpebral conjunctiva. As described previously, the conjunctival epithelium has goblet cells that provide the mucin layer to the tear film. C h a p t e r 2 1 Special Senses: Eye 417 L H FIGURE 39 Mouse intraorbital lacrimal gland (L) and Harderian glands (H). Mice have an additional exorbital lacrimal gland that is adjacent to the salivary glands. Mice have two lacrimal glands: intra- and exorbital. FIGURE 40 Human lacrimal gland is an eccrine gland. The cuboidal acinar cells are arranged in lobules and have a characteristic basophilic granular cytoplasm. The clear areas are adipose tissue. The human lacrimal gland is divided into two lobes; orbital and palpebral. Lacrimal Gland and Drainage System sac passes down the nasolacrimal duct before emptying into the inferior meatus of the nose in both species. Gross Anatomy The lacrimal glands are responsible for the bulk of aqueous tear production. Mice have two paired lacrimal glands. The smaller is the intraorbital gland located superficially at the lateral canthus where both the lacrimal and Harderian gland ducts open. The larger exorbital gland is often seen in histologic sections of salivary glands due to its location at the anteroventral base of the ear adjacent to the parotid salivary gland (see Chapter 11). In humans, the lacrimal gland is located at the superotemporal aspect of the orbit and consists of two contiguous lobes: a larger and more superficially located orbital lobe and a smaller palpebral lobe. The lacrimal gland ducts from the larger orbital lobe pass through and join with ducts from the palpebral lobe prior to emptying into the superior fornix. In both species, the tears flow across the ocular surface and drain via punctal openings at the medial lid margin. In humans, the puncta are 2 mm in length and connect to the 8-mm-long canaliculi, which merge to form the common canaliculus in 90% of the population. The remaining 10% have individual canaliculi connecting to the nasolacrimal sac. The fluid within the nasolacrimal Histology The human lacrimal gland is an eccrine gland that consists of acinar cells and myoepithelial cells (Figures 39 and 40). The cuboidal acinar cells are arranged in lobules that line the lumen of the gland, whereas the myoepithelial cells contain flattened nuclei and surround the acinar cells and the ducts; the mouse lacrimal gland is similarly structured. Human acinar cells have a characteristic basophilic granular cytoplasm. Mouse acinar cells have basophilic basilar cytoplasm with pale-staining apical regions and moderate nuclear pleomorphism that may increase with age. The lacrimal drainage systems of humans and mice are similar and are both located inferonasal to the globe. The lacrimal puncta and canaliculi are lined by nonkeratinizing stratified squamous epithelium. The substantia propria consists of both collagenous and elastic tissue. The lacrimal sac is lined by pseudostratified columnar epithelium with goblet cells and occasional cilia. The lacrimal sac wall is highly vascularized.