The vitreous body lies at the back of the eye, between the lens and the retina.
The vitreous body is the clear gel that fills the space between the lens and the retina of the eyeball of humans and other vertebrates. It is often referred to as the vitreous humour or simply "the vitreous".
The vitreous humor is a transparent, colorless, gelatinous mass that fills the space in the eye between the lens and the retina. It is surrounded by a layer of collagen called vitreous membrane separating it from the rest of the eye. it makes up four-fifths of the volume of the eyeball. The vitreous humour is fluid-like near the centre, and gel-like near the edges.
The vitreous humour is in contact with the retina. It does not adhere to the retina, except at the optic nerve disc and the ora serrata (where the retina ends anteriorly), at the Wieger-band, the dorsal side of the lens. It is not connected at the macula, the area of the retina which provides finer detail and central vision.
- Patella fossa: Shallow saucer-like concavity anteriorly, in which the lens rests, separated by Berger's space
- Ligamentum hyaloideocapsulare (Wieger's ligament): Circular thickening of vitreous 8-9mm in diameter, delineates the patella fossa
- Anterior hyaloid: Vitreous surface anterior to ora serrata. Continuous with and invests in the zonular fibres, and extends forward between the ciliary processes
- Vitreous base: Denser cortical area of vitreous. Firmly attached to the posterior 2mm of the pars plana, and the anterior 2-4mm of retina
- Posterior hyaloid surface: Closely applied to retinal internal limiting membrane. Firm attachment sites: Along blood vessels and at sites of retinal degeneration
- Space of Martegioni: A funnel shaped space overlying the optic disc with condensed edge
- Cloquet's canal: A 1–2 mm wide canal within the vitreous, from the space of Martegioni to the space of Berger, along an S-shaped course mainly below the horizontal.
- Mittendorf's dot: A small circular opacity on the posterior lens capsule, which represents the site of attachment of the hyaloid artery before it subsequently regressed.
- Bergmeister's papilla: A tuft of fibrous tissue at the optic disc, which represents a reminant of the sheath associated with the hyaloid artery before it subsequently regressed.
Internal structures of the vitreous
- The vitreous body at birth is homogenous with a finely striated pattern.
- With early aging the vitreous develops narrow transvitreal "channels".
- The cortex is denser than the centre with development.
- From adolescence, vitreous tracts form from anterior to posterior.
- These vitreous tracts are fine sheet-like condensations of vitreous.
- Retrolental tract: Extends posteriorly from the hyaloideocapsular ligament into central vitreous
- Coronary tract: External to the retrolental tract, and excluding posteriorly from a circular zone overlying the posterior 1/3rd of the ciliary processes
- Median tract: Extends back from a circular zone external to the coronary tract, at the anterior margin of the vitreous base
- Preretinal tract: Extends back from the ora serrata and vitreous base
Its composition is similar to that of the cornea, but the vitreous contains very few cells. It is composed mostly of phagocytes, which remove unwanted cellular debris in the visual field, and hyalocytes, which turn over the hyaluronan.
The vitreous humour contains no blood vessels, and 98–99% of its volume is water (as opposed to only 75% in the cornea). In addition to water, the vitreous consists of salts, sugars, vitrosin (a type of collagen), a network of collagen type II fibrils with glycosaminoglycan, hyaluronan, opticin, and a wide array of proteins. Despite having little solid matter, the fluid is substantial enough to fill the eye and give it its spherical shape. The lens, on the other hand, is tightly packed with cells. The vitreous humour has a viscosity two to four times that of water, giving it a gelatinous consistency. It has a refractive index of 1.336.
|Inorganic ion content of vitreous body|
|Organic content of vitreous body|
|Physical properties of the vitreous body|
The vitreous fluid is not present at birth (the eye being filled with only with the gel-like vitreous body), but found after age 4-5, and increases in size thereafter.
The nature and composition of the vitreous humour changes over the course of life. In adolescence, the vitreous cortex becomes more dense and vitreous tracts develop; and in adulthood, the tracts become better defined and sinuous. Central vitreous liquefies, fibrillar degeneration occurs, and the tracts break up (syneresis).
Coarse strands develop with ageing. The gel volume decreases with age, and the liquid volume increases. Cortex may disappear at sites, leading to liquid vitreous extruding into the potential space between vitreous cortex and retina (vitreous detachment)
Unlike the fluid in the frontal parts of the eye (aqueous humour) which is continuously replenished, the gel in the vitreous chamber is stagnant. Therefore, if blood, cells or other byproducts of inflammation get into the vitreous, they will remain there unless removed surgically. These are known as floaters. If the vitreous pulls away from the retina, it is known as a vitreous detachment. As the human body ages, the vitreous often liquefies and may collapse. This is more likely to occur, and occurs much earlier, in eyes that are nearsighted (myopia). It can also occur after injuries to the eye or inflammation in the eye (uveitis).
The collagen fibres of the vitreous are held apart by electrical charges. With aging, these charges tend to reduce, and the fibres may clump together. Similarly, the gel may liquefy, a condition known as synaeresis, allowing cells and other organic clusters to float freely within the vitreous humour. These allow floaters which are perceived in the visual field as spots or fibrous strands. Floaters are generally harmless, but the sudden onset of recurring floaters may signify a posterior vitreous detachment or other diseases of the eye.
Postmortem and forensic
After death, the vitreous resists putrifaction longer than other body fluids. The vitreous potassium concentration rises so predictably within the hours, days and weeks after death, that vitreous potassium levels are frequently used to estimate the time since death (post-mortem interval) of a corpse.
The metabolic exchange and equilibration between systemic circulation and vitreous humour is so slow that vitreous humour is sometimes the fluid of choice for postmortem analysis of glucose levels or substances which would be more rapidly diffused, degraded, excreted or metabolized from the general circulation.
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These data suggest that Muller cells play a prominent role in the water handling in the retina and that they direct osmotically driven water flux to the vitreous body and vessels rather than to the subretinal space
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The vitreous does not undergo a regular formation and drainage process like the aqueous humor. Instead, it stays permanently in the vitreous body of the eye
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The jelly does not naturally replace itself and is substituted with one of the following
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