Conjunctiva in the context of "Ophthalmology in medieval Islam"

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⭐ Core Definition: Conjunctiva

In the anatomy of the eye, the conjunctiva (pl.: conjunctivae) is a thin mucous membrane that lines the inside of the eyelids and covers the sclera (the white of the eye). It is composed of non-keratinized, stratified squamous epithelium with goblet cells, stratified columnar epithelium and stratified cuboidal epithelium (depending on the zone). The conjunctiva is highly vascularised, with many microvessels easily accessible for imaging studies.

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👉 Conjunctiva in the context of Ophthalmology in medieval Islam

Ophthalmology was one of the foremost branches in medieval Islamic medicine. The oculist or kahhal (کحال), a somewhat despised professional in Galen's time, was an honored member of the medical profession by the Abbasid period, occupying a unique place in royal households. Medieval Islamic scientists (unlike their classical predecessors) considered it normal to combine theory and practice, including the crafting of precise instruments, and therefore found it natural to combine the study of the eye with the practical application of that knowledge. The specialized instruments used in their operations ran into scores. Innovations such as the "injection syringe", a hollow needle, invented by Ammar ibn Ali of Mosul, which was used for the extraction by suction of soft cataracts, were quite common.

Muslim physicians described such conditions as pannus, glaucoma (described as "headache of the pupil"), phlyctenulae, and operations on the conjunctiva. They were the first to use the words "retina" and "cataract".

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Conjunctiva in the context of Trachoma

Trachoma is an infectious disease caused by bacterium Chlamydia trachomatis. The infection causes a roughening of the inner surface of the eyelids. This roughening can lead to pain in the eyes, breakdown of the outer surface or cornea of the eyes, and eventual blindness. Untreated, repeated trachoma infections can result in a form of permanent blindness when the eyelids turn inward.

The bacteria that cause the disease can be spread by both direct and indirect contact with an affected person's eyes or nose. Indirect contact includes through clothing or flies that have come into contact with an affected person's eyes or nose. Children spread the disease more often than adults. Poor sanitation, crowded living conditions, and insufficient clean water and toilets also increase spread.

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Conjunctiva in the context of Pallor

Pallor is a pale color of the skin that can be caused by illness, emotional shock or stress, stimulant use, or anemia, and is the result of a reduced amount of oxyhaemoglobin and may also be visible as pallor of the conjunctivae of the eyes on physical examination.

Pallor is more evident on the face and palms. It can develop suddenly or gradually, depending on the cause. It is not usually clinically significant unless it is accompanied by a general pallor (pale lips, tongue, palms, mouth and other regions with mucous membranes). It is distinguished from similar presentations such as hypopigmentation (lack or loss of skin pigment) or simply a lightly-melanated complexion.

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Conjunctiva in the context of Ointment

A topical medication is a medication that is applied to a particular place on or in the body. Most often topical medication means application to body surfaces such as the skin or mucous membranes to treat ailments via a large range of classes including creams, foams, gels, lotions, and ointments. Many topical medications are epicutaneous, meaning that they are applied directly to the skin. Topical medications may also be inhalational, such as asthma medications, or applied to the surface of tissues other than the skin, such as eye drops applied to the conjunctiva, or ear drops placed in the ear, or medications applied to the surface of a tooth. The word topical derives from Greek τοπικός topikos, "of a place".

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Conjunctiva in the context of Nasal mucosa

The nasal mucosa lines the nasal cavity. It is part of the respiratory mucosa, the mucous membrane lining the respiratory tract. The nasal mucosa is intimately adherent to the periosteum or perichondrium of the nasal conchae. It is continuous with the skin through the nostrils, and with the mucous membrane of the nasal part of the pharynx through the choanae. From the nasal cavity its continuity with the conjunctiva may be traced, through the nasolacrimal and lacrimal ducts; and with the frontal, ethmoidal, sphenoidal, and maxillary sinuses, through the several openings in the nasal meatuses. The mucous membrane is thickest, and most vascular, over the nasal conchae. It is also thick over the nasal septum where increased numbers of goblet cells produce a greater amount of nasal mucus. It is very thin in the meatuses on the floor of the nasal cavities, and in the various sinuses. It is one of the most commonly infected tissues in adults and children. Inflammation of this tissue may cause significant impairment of daily activities, with symptoms such as stuffy nose, headache, mouth breathing, etc.

Owing to the thickness of the greater part of this membrane, the nasal cavities are much narrower, and the middle and inferior nasal conchæ appear larger and more prominent than in the skeleton; also the various apertures communicating with the meatuses are considerably narrowed.

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Conjunctiva in the context of Conjunctivitis

Conjunctivitis, also known as pink eye, is inflammation of the conjunctiva, the thin and clear layer that covers the white surface of the eye and the inner eyelid. It makes the eye appear pink or reddish. Pain, burning, scratchiness, or itchiness may occur. The affected eye may have increased tears or be stuck shut in the morning. Swelling of the sclera may also occur. Itching is more common in cases that are due to allergies. Conjunctivitis can affect one or both eyes.

The most common infectious causes in adults are viral, whereas in children bacterial causes predominate. The viral infection may occur along with other symptoms of a common cold. Both viral and bacterial cases are easily spread among people. Allergies to pollen or animal hair are also a common cause. Diagnosis is often based on signs and symptoms. Occasionally a sample of the discharge is sent for culture.

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Conjunctiva in the context of Stratified columnar epithelium

Stratified columnar epithelium is a rare type of epithelial tissue composed of column-shaped cells arranged in multiple layers. It is found in the conjunctiva, pharynx, anus, and male urethra. It also occurs in embryo.

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Conjunctiva in the context of Epiblepharon

Epiblepharon is a condition characterised by a congenital horizontal fold of skin near the margin of the upper or lower eyelid caused by the abnormal insertion of muscle fibres. This extra fold of skin redirects the lashes into a vertical position, where they may contact the globe of the eye, affecting the cornea or the conjunctiva. This is found most commonly in Asian individuals, especially children. One estimate puts the percentage of affected Asian children aged 7–14 years old at 12.6%.

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Conjunctiva in the context of Allergic conjunctivitis

Allergic conjunctivitis (AC) is inflammation of the conjunctiva (the membrane covering the white part of the eye) due to allergy. Although allergens differ among patients, the most common cause is hay fever. Symptoms consist of redness (mainly due to vasodilation of the peripheral small blood vessels), edema (swelling) of the conjunctiva, itching, and increased lacrimation (production of tears). If this is combined with rhinitis, the condition is termed allergic rhinoconjunctivitis (ARC).

The symptoms are due to the release of histamine and other active substances by mast cells, which stimulate dilation of blood vessels, irritate nerve endings, and increase secretion of tears.

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