An avascular, transparent elliptic structure that aids in focusing light rays on the retina
Crystalline lens
Located within the posterior chamber, anterior to the vitreous chamber and posterior to the iris
Mechanism that causes an increase in lens power is accommodation, which allows near objects to be focused on the retina
Posterior lens surface is attached to the anterior vitreous face by the hyaloid capsular ligament, a circular ring adhesion
The lens is biconvex, with the posterior surface having the steeper curve
The anterior radius of curvature measures 8 to 14 μm, and the posterior surface radius of curvature measures 5 to 8 μm
The centers of the anterior and posterior surfaces are called the poles, and the lens thickness is the distance from anterior to posterior pole
The thickness of the unaccommodated lens is 3.5 to 5 mm and it increases 0.02 mm each year throughout life
The lens diameter is the nasal-to-temporal measurement and in the infant is 6.5 mm; the diameter reaches 9 mm during the teenage years and does not change significantly from that
The equator is the largest circumference of the lens at a location between the two poles
Refractive power of the unaccommodated lens
Approximately 20 diopters (D)
Factors affecting refractive power of the lens
Surface curvatures
Refractive index
Change in index between the lens and surrounding environment
Length of the optical path
The power of the lens increases in accommodation, with the maximum accommodative amplitude, 14 D, reached between ages 8 and 12 years
Accommodation decreases with age, approaching zero after 50 years
Embryologic development of the lens
1. Lens vesicle forms
2. Posterior cells differentiate and elongate, forming the primary lens fibers
3. Center of the sphere fills as fibers grow and reach the anterior cells
4. Adult lens has no posterior epithelium because it was used to form these first lens fibers
Lens capsule
Transparent envelope that surrounds the entire lens
Thickness varies with location, being thinnest at the poles and equator and thickest in an annular area around the anterior pole
Consists primarily of collagen, no elastic fibers but highly elastic due to lamellar arrangement of fibers
Encloses all lens components and helps to mold the shape of the lens
Zonular fibers insert into the capsule, merging with it in an area from the equator to near both poles
Provides some barrier function preventing large molecules from entering the lens
Anterior lens capsule is produced by the anterior epithelium and thickens with age, posterior capsule changes minimally
Lens epithelium
Adjacent to the anterior lens capsule is a layer of cuboidal epithelium
No posterior epithelium present as it was used during embryologic development to form the primary lens fibers
Basal aspect of epithelial cells adjacent to the capsule, apical portion oriented inward toward the center
Lateral membranes of epithelial cells joined by desmosomes and gap junctions
Germinal zone
Band of cells in the pre-equatorial region that lies just anterior to the equator, location of cell mitosis
Lens fiber formation
1. Cell division continues throughout life, each newly formed cell elongates with basal aspect stretching toward posterior pole and apical aspect toward anterior pole
2. Fibers stretch toward the poles from all aspects of the lens periphery
3. Elongated cell loses all cellular organelles and becomes a lens fiber
4. Anterior end of lens fiber insinuates itself between the epithelial layer and underlying lens fibers
5. All fibers formed from mitosis in the germinative zone are called secondary lens fibers
Lens fibers
Lens fiber production continues throughout life, with new fibers being laid down outer to the older fibers
Fiber length is approximately 8 to 10 nm
Each fiber has a long crescent shape, with broad sides parallel to the lens surface and narrow sides at an angle to the surface near the lens poles
Lens fiber cytoplasm contains a high concentration of proteins called crystallins, which contribute to the gradient refractive index
Crystallin concentration varies from 15% in the cortex to 70% in the nucleus
Cytoskeletal network of microtubules and filaments provides structure and stability
Fibers joined by desmosomes
Junctions along the lateral membranes have a distinct morphology comparable to gap junctions but with different protein connexon forming the channels
Ciliary zonules
Transparent, stiff, non-elastic fibers 0.35 to 1.0 u in diameter, made of microfibrils 8-40nm in diameter
Different types of zonular fibers: wavy fibers near vitreous, thin flat fibers, and fine circular fibers
Fibers arranged in orbiculo-post capsular, orbiculo-anterior capsule, cilio-posterior capsular, and cilio-equatorial configurations
Epithelium-fiber interface (EFI)
The border between the apical membrane of the anterior epithelium and the apical membrane of the elongating fiber
Nutrients and ions are exchanged across the EFI
Gap junctions usually found on the lateral cell membrane, not the EFI
Minimal coupling between epithelium and fibers in the central zone, but increases toward the germinative zone
Division of the lens
Embryonic nucleus (primary lens fibers)
Fetal nucleus (fibers formed before birth)
Adult nucleus (fibers formed between birth and sexual maturation)
Lens cortex (fibers formed after sexual maturation)
The lens cortex has the lowest and the embryonic nucleus has the highest index of refraction
As the lens fibers reach the poles they meet with the other fibers in the lens sutures
Division of Lens
1. Primary lens fibers from elongating posterior epithelium form embryonic nucleus
2. Cell mitosis begins in pre equatorial region, new cells elongate to form secondary lens fibers
3. Fibers laid down around embryonic nucleus before birth are fetal nucleus
4. Fibers formed between birth and sexual maturation are adult nucleus
5. Lens cortex contains fibers formed after sexual maturation
Lens Sutures
1. Fibers reach poles and meet other fibers, forming anterior and posterior sutures
2. Fibers formed during embryologic development meet in three branches, forming Y sutures
3. As lens grows, sutures become asymmetric and dissimilar
Biomicroscopic stratification of the lens
Capsule
Superficial cortex: alpha C1, beta C2
Deep cortex: C3 & C4
Nucleus
Zonules (of Zinn)
Threadlike fibers that attach the lens to the ciliary body
Primary zonules attach to the lens capsule
Secondary zonules join the primary zonules or connect processes to each other or the pars plana