CHAPTER 17         SPECIAL SENSES

General senses such as touch and pain were discussed in Chapter 16. The special senses include: smell, taste, vision, hearing, and equilibrium . Receptors are highly 6specialized and located only in certain areas of the body.

 

I.          OLFACTORY SENSE       (SMELL)

This is a complicated sense that we do not fully understand (we are just realizing how complicated it really is). It is a chemical sense--odorant molecules interact with smell receptors, which are located in a specific area of the nasal epithelium lining the nose (high in the nasal cavity). Humans have 10 million to 100 million receptors concentrated in about 1 square inch.                           

 

Olfactory epithelium (the area of the nasal lining containing the receptors) contains 3 kinds of cells:

 

1. Olfactory receptors-bipolar neurons with a knob-shaped dendrite. Cilia called olfactory hairs protrude from the dendrite and these hairs are the parts that actually come in contact with and have binding sites for specific odorant molecules. These cells usually live only about 1 month and then are replaced.

 

2. Supporting cells--columnar epithelium of the mucous membrane lining the nose.

 

3. Basal stem cells--these lie between the supporting cells. These are stem cells that are capable of producing new olfactory cells, which is an exception to the rule of “no new neurons.”

 

Within the CT deep to the olfactory epithelium are olfactory (Bowman's) glands, which produce mucus that moistens the epithelium and provides a medium in which gases dissolve.

 

PHYSIOLOGY OF SMELL

We now know that there are certain scents that are primary smell sensations and interact with a particular type of receptor on the plasma membrane of olfactory receptors specific to that primary sensation. Other olfactory receptors would react only to their own primary sensation. If the thing being smelled is a mixture of several primary sensations (most things will be), then a combination of receptors would react. We are uncertain just exactly how many different primary smell sensations and therefore how many different types of specific olfactory receptors exist, but it is probably  several hundred or more.

 

Adaptation occurs rapidly in this sense and the threshold is very low.

 

For a substance to be smelled, these steps must occur:

1.   Substance must enter a gaseous state

2.   Gaseous particles enter nostrils

3    Particles dissolve in nasal mucus

4.   Molecules attach to specific receptors in the plasma membrane of their own specific type of olfactory receptor and this attachment causes depolarization and generation of a nerve impulse. We now believe that this occurs without the odorant molecule ever actually entering the receptor cell.

 

OLFACTORY PATHWAY

                                          Olfactory hairs

                                                                              ¯

                                                      Dendrite of olfactory neuron

                                                                              ¯

                                                               Olfactory neuron

                                                                                     ¯     

                                                        Axon of olfactory neuron

                                                                                     ¯

                                Axons unite passing through foramina of cribriform plate and form:

                                                                                      ¯

                                                             Olfactory nerves (I)

                                                                                 ¯

                         Olfactory bulbs--located on ventral aspect of frontal lobes of cortex

                                                                                       ¯

                                                            Olfactory tracts-deeper into brain

 

             Limbic system                                                                      Thalamus

                       ¯                                                                                                                  Frontal lobes   

Emotional responses to smell.                                  Temporal  lobes of cortex           of cortex

May evoke strong feelings and memories              (Lateral olfactory area)   

and memories                                                                                           ¯                           ¯

                                                                                                              Conscious perception and

                                                                                                                        identification

 

 

II.    GUSTATORY SENSATIONS    (TASTE)

This is also a chemical sense--substance being tasted comes in contact with gustatory (taste) receptors.  These are located in taste buds, which are mostly on the tongue but also on the soft palate, larynx and pharynx. Each taste bud is an oval body with 3 kinds of epithelial cells:

 

1. Supporting cells-form a capsule with taste receptors inside (protection)

 

2. About 50 gustatory receptor cells (which are not neurons, but epithelial cells)--a single process called a gustatory hair projects from the receptor cell through  an opening called a taste pore and comes in contact with the substance being tasted (which is dissolved in saliva).

 

3. Basal cells--epithelial cells which produce new gustatory receptors.

 

Taste buds are found mostly in elevations on the tongue called papillae (these are the bumps you can see and feel, the taste buds themselves are microscopic). There are 4 types of papillae:

1. Vallate (circumvallate)--large, rounded and form a V on the back of the tongue.

2. Fungiform--mushroom-shaped and found on the tip and sides of the tongue

3. Foliate—in trenches on lateral margins of tongue—their taste buds degenerate in childhood

4. Filiform--thread-like and cover the anterior surface of the tongue—no taste buds

 

Circumvallate and fungiform contain taste buds

 

 

PHYSIOLOGY OF GUSTATION

 

1. Substance (tastant) enters mouth and dissolves in saliva.

2. Dissolved substance touches gustatory hair.

3. Neurotransmitter contained in gustatory receptor cells is released in response and

generates a nerve impulse in associated sensory neurons.

 

There are 5 primary taste sensations:

                           Sour                Sweet                    Umami (meaty taste)

                           Salty               Bitter

 

Taste receptors respond to these primary taste sensations in several different ways, but the end result is always release of neurotransmitter. Each type of taste receptor reacts most strongly with a certain one of the primary sensations, but most receptors respond to some extent to others also. Certain areas of the tongue react most strongly with each of these.

 

All tastes other than the 5 primary sensations are combinations of these 5 plus olfactory sensations. What we call taste is really a little taste and a lot of smell. Gaseous particles from substances in the mouth pass up the nasopharynx to reach the olfactory receptors.

 

Adaptation occurs rapidly, and the threshold varies, with bitter tastes having the lowest.

 

GUSTATORY PATHWAY

                                  Gustatory receptors

                                                 ¯

                                    Sensory neurons

                                                 ¯

                                                                                 Facial VII-anterior 2/3 of tongue

                                 1 of 3 cranial nerves            Glossopharyngeal IX-posterior 1/3

                          Vagus X-pharynx

                                                 ¯

                               Medulla

                                                 ¯

                                         Thalamus

                                                 ¯

             Primary gustatory area in parietal lobe of cortex

 

III.    VISUAL SENSATIONS

 

Ophthalmology is study of the eye.

 

A.  Accessory structures of the eye

      1. Eyelids

      2. Eyebrows

      3. Eyelashes

      4. Lacrimal (tear) apparatus

      5. Extrinsic eye muscles

 

1. Eyelids (palpebrae)—protection . Each eyelid consists of epidermis, dermis, subQ tissue, muscle fibers (orbicularis oculi), tarsal plate, tarsal glands, conjunctiva.

 

Tarsal plate--thick fold of CT that gives form and support to the eyelid. Each tarsal plate contains a row of modified sebaceous glands called tarsal (Meibomian glands) which produce an oily secretion that prevents eyelids from sticking together.

 

The conjunctiva is a thin mucous membrane. Palpebral conjunctiva lines the inside of the eyelids; bulbar conjunctiva passes from the eyelids to the anterior surface of the eyeball (conjunctival sac). Irritation of the conjunctiva causes dilation of its blood vessels-bloodshot eyes.

 

2. Eyebrows--protection

 

3.   Eyelashes--also protection. Sebaceous glands called sebaceous ciliary glands or

glands of Zeis are located at the base of the hair follicles of the lashes and pour a

lubricating fluid into the follicles. Infection of these is a sty.

 

4.   Lacrimal apparatus--structures that produce and drain tears.

 

Lacrimal glands--1 for each eye located above the lateral canthus or commissure (canthus = area where upper and lower lids meet, "corner"). Size and shape of an almond and secretes tears, which travel through 6 - 12 excretory lacrimal ducts and empty onto the upper conjunctiva. The tears then travel across the anterior surface of the eye and drain as shown:

 

 

 

 

 

 

 

 

Lacrimal fluid (tears)--watery solution containing salts, mucus, and an enzyme, lysozyme, which kills bacteria. Tears clean, lubricate and moisten the eyeball. Blinking helps spread tears across the surface of the eye and about 1 ml per day is normally produced.

 

Irritating substances cause increased tear production. This may result in tears spilling out of the eye, as may also occur if the nasolacrimal duct is blocked (swelling from a cold, etc.) and in crying.

 

5. Extrinsic eye muscles--these skeletal muscles attach to the outer surface of the eyeball and point the eyes in the proper direction. They are innervated by cranial nerves III, IV, VI.

4 rectus muscles: superior, medial, lateral, inferior

                    2 oblique muscles--inferior & superior

 

 

   B. Eyeball

Hollow sphere, measures about 1" in diameter. Its walls consist of 3 layers called coats or tunics.

     1. Fibrous tunic--this outermost layer consists of 2 parts:

         a. Sclera--the white of the eye. It is dense CT that gives shape to the eyeball and protects its inner parts. An opening in the sclera at the back allows the exit of the optic nerve.

         b. Cornea--this is a thin, transparent, avascular, curved covering of the anterior surface of the eyeball (1/6). We must have a clear window to allow light rays to enter. The outer surface of the cornea is an epithelial layer that is continuous with the bulbar conjunctiva. It contains a large number of nerve endings and is very sensitive.

 

The area where cornea and sclera meet is the limbus.

 

      2. Vascular layer (uvea)--middle layer

         a. Choroid--thin dark tissue layer that lines the posterior 3/4 of the eyeball. It is highly vascular and nourishes the retina. Dark color is from melanin and allows it to absorb light rays after they once strike the retina.

          b. Ciliary body--as the choroid approaches the anterior potion of the eyeball, it becomes the ciliary body, which consists of:

            1) Ciliary processes--folds of the ciliary body with capillaries that secrete aqueous humor

            2) Ciliary muscle--circular band of smooth muscle to which the lens is attached. It alters the shape of the lens to adjust for near and far vision.

         c. Iris--colored portion of the eye visible through the transparent cornea. It is

shaped  like a flat doughnut and suspended between the cornea and the lens. A central

opening appears black and is called the pupil. Muscles of the iris adjust the

size of the pupil according to the amount of light -present. The iris contains 2 layers of muscle fibers:

            1) Circular (constrictor) muscles--contract and decrease the diameter of the pupil

             2) Radial (dilator) muscles--contract and increase the diameter of the pupil

 

      3. Nervous tunic (retina)--lines the posterior 3/4 of eyeball and this is the area where

vision actually begins. The edge of the retina ends in a jagged anterior margin called the ora

serrata, which is located where the choroid changes to form the ciliary body. The retina

consists of a pigmented epithelial portion next to the choroid and the neural (visual) portion.

The neural portion contains 3 layers of neurons:

                                       1) Photoreceptor neurons

                                       2) Bipolar neurons

                                       3) Ganglion neurons

2 additional types of neurons, horizontal cells and amacrine cells, are also found in the retina. Synapses occur between the various neurons and a good bit of processing of visual information is done in the retina (before it is sent to the brain). The axons of the ganglion neurons form the optic nerves.

 

Photoreceptor neurons are of 2 types, rods and cones. Each retina contains 6 million cones and 120 million rods. Rods give black & white vision in dim light, as well as detecting shape and movement. Cones function only in brighter light and give color vision and sharpest vision.

 

The exact center of the retina is an area known as the macula lutea. In the center of it is a small depression, the central fovea. This contains cones only (no rods) and is the area of absolute sharpest vision. Rods appear and increase in number towards the periphery of the retina as cones thin out.

 

An area in the retina slightly off center (medial) called the optic disc or blind spot is where the optic nerve leaves the eyeball. In this small area no vision occurs. 

 

LENS

The interior of the eyeball is divided into 2 cavities (anterior and posterior) by the lens. The lens is located just behind the pupil and iris. It is made of layers of special proteins called crystallins, arranged like the layers of an onion. A normal lens has no blood supply and is transparent. It is enclosed in a CT capsule and held in place by suspensory ligaments (zonular fibers) attached to the ciliary body. Its function is focusing light rays for clear vision.

 

If the lens becomes cloudy (due to changes in lens proteins) this is a cataract. Surgery involves removal and replacement of the lens with an artificial one.

 

INTERIOR OF THE EYEBALL      

1. Anterior cavity--behind the cornea and anterior to the lens--relatively small area

   a. Anterior chamber---behind cornea and anterior to iris

   b. Posterior chamber---behind iris and in front of lens

The anterior cavity contains a fluid called aqueous humor, which is continuously secreted by the ciliary processes and flows throughout the anterior cavity. It drains out through a

venous sinus, the canal of Schlemm.  Functions:

         1) Nourishes the lens and cornea

         2) Contributes to intraocular pressure, which maintains the shape of the eyeball and keeps the retina applied to the choroid. Variations in the amount of aqueous humor present can cause the pressure to vary. If this pressure rises, this is glaucoma and can lead to blindness.

 

   2. Posterior cavity (vitreous chamber)—lies between the lens and retina (most of the area inside the eyeball). This cavity is filled with the vitreous body, a jellylike substance which forms during embryonic development and is not replaced.  Functions of the vitreous:

         1) Contributes to intraocular pressure—this is constant and doesn't vary

         2) Presses retina firmly against the choroids, which maintains the blood supply and gives a smooth "screen"  for the image to form on

 

The hyaloid canal is a narrow channel that runs through the vitreous from the optic disc to the lens. It was occupied by an artery during fetal development.

                                   

                                        MAJOR EYE PARTS & FUNCTIONS

 

REFRACTS AND FOCUSES LIGHT RAYS

IRIS

REGULATES ENTRANCE OF LIGHT; COLORED PART OF EYE

PUPIL

ADMITS LIGHT

CHOROID

ABSORBS STRAY LIGHT, NOURISHES RETINA

SCLERA

PROTECTS EYEBALL

CORNEA

REFRACTS LIGHT RAYS; COVERS IRIS & PUPIL

AQUEOUS HUMOR

WATER FLUID; FILLS FRONT OF EYEBALL

CILIARY BODY

HOLDS LENS IN PLACE, ACCOMMODATION

RETINA

CONTAINS RECEPTORS FOR SIGHT

RODS

BLACK & WHITE VISION IN DIM LIGHT

CONES

COLOR VISION, SHARP VISION IN BRIGHT LIGHT

OPTIC NERVE

TRANSMITS IMPULSES TO BRAIN

OPTIC DISC

EXIT OF OPTIC NERVE, NO VISION

MACULA LUTEA AND  FOVEA CENTRALIS 

AREA OF SHARPEST VISION (ALL CONES)

VITREOUS BODY

THICK GELATINOUS MATERIAL THAT FILLS BACK OF EYEBALL

 

 

 

IMAGE FORMATION

Everything we see must either give off light (like a light bulb) or reflect light rays. (No

light rays, no vision). The cornea and lens focus these light rays on the retina to form a tiny

image of the object. Image formation involves these basic processes:

          1. Refraction (bending) of light rays

          2. Accommodation of the lens

          3. Constriction of the pupil

 

1. Refraction of light rays—when light rays pass from one transparent substance to another

transparent substance of different density, their speed changes and the rays are

bent(refracted).  In the eye, light rays are bent as they move through:

1 ) Cornea

2) Aqueous humor

3) Lens

4) Vitreous body

The eye is designed so that the end result of all this bending (refraction) is the exact focusing of the light rays on the retina--if this does not occur, vision will be blurred. From a distant object only the nearly parallel rays will enter the eye and less refraction is required. From a near object light rays from many angles will enter and more refraction is needed.  About 75% of refraction occurs at the cornea. The lens fine-tunes the focus as it changes shape for near and far vision. The fluids of the eye do only a little refraction.

 

As light rays are focused on the retina, a tiny image of the object is formed on the retina. The image is upside down (inverted) and right and left are reversed. We perceive the image right-side-up) and right-side-around because early in life the brain learns to turn the visual image.

 

2. Accommodation of the lens--the lens must change shape for focusing rays from  near or far objects (cornea and fluids remain constant, so the lens is the adjustable part). Clear focus for distant objects requires that the lens become thinner and less curved. For near objects, it needs to become thicker, shorter and more curved (see Fig. 17-11 P. 589).  A condition called presbyopia occurs when the lens loses its elasticity with age and cannot accommodate for near vision. It also may not stretch as well for far vision.

 

The near point of vision is the minimum distance at which an object can be clearly focused, using maximum accommodation. This will be about 4 inches in a young person with good vision.

 

A normal eye that focuses clearly is called an emmetropic eye.  Glasses mostly are worn to correct errors of  refraction (Fig. 16-12 P. 541).

 

l) Myopia (near-sightedness)--eyeball longer from front to back or lens unusually thick. The best efforts of the refraction system still result in all light rays except those coming from near the eye being focused in front of the retina.

2) Hypermetropia (far-sightedness)--eyeball shorter from front to back or lens unusually thin. All light rays except those coming from a distance are focused behind the retina.

      3) Astigmatism--irregular curvature of cornea or lens

 

 

 

3. Constriction of the pupil--this adjusts the diameter of the pupil and regulates the amount of light entering the eye. In bright light, the pupil constricts and light rays are prevented from passing through the periphery of the lens, where they cannot be properly refracted. In dim light the pupil dilates to allow all possible light rays to enter. This tends to blur vision, but vision is not really sharp with rods anyway.

 

Refraction by the lens and constriction of the pupil both are controlled by the intrinsic eye muscles, which are smooth muscle fibers of the ciliary muscle and iris.

 

Another important process in human vision is called convergence. In humans both eyes focus on one set of objects--binocular vision. As we look straight ahead at a distant object, this type of vision occurs without special adjustment, but as we move the object closer both eyes must rotate medially so both eyeballs are directed at the object being viewed. This is done by the extrinsic eye muscles.

 

To achieve what we often refer to as depth perception, we use two factors related to vision.

     1. We judge whether the eyes are pointed straight ahead or inward to allow both retinas to have the object focused in the same place on both retinas

     2. How curved is the lens to give us a clear focus on the object.

Putting these two things together, we are able to judge how far or near the object is.

 

PHYSIOLOGY OF VISION

An image focused on the retina stimulates the photoreceptor neurons, which generate a nerve impulse that is passed along the visual pathway. The photoreceptor neurons are called rods and cones, which are named according to shape—see Fig.  17.12  P. 590

 

The light rays forming the image are absorbed by special pigments of the rods & cones called photopigments. Photopigments are integral proteins in the cell membranes of the outer segments of the photoreceptor neurons. Photoreceptor neurons have 2 main parts:

     1. Outer segment, which sort of corresponds to the dendrite since this is where the action begins—outer segments of cones have their plasma membranes in pleats; outer segments of cones have the  pleats pinched off to form a stack of discs.

     2. Inner segment—rest of neuron (cell body and axon)

 

All phototpigment molecules contain 2 parts, a glycoprotein  called an opsin and a Vitamin A derivative, retinal. When no light is striking a dendrite, the 2 parts of its photopigment molecules are chemically joined. The energy in light rays striking a photopigment molecule causes the 2 parts to break apart and this results in generation of a nerve impulse.

                                                                                                                                      

Four different types of opsin molecules are found in normal human eyes. Rhodopsin is the opsin of all rods. There are 3 different types of cones,  each containing one of the following opsins, which responds to light rays of a certain wave length (color):

      Erythrolabe--red light

      Chlorolabe--green light

      Cyanolabe--blue light

If any kind of cone is lacking or deficient in number, we do not see that color.

When light of the proper intensity and wave length strikes the photopigment molecule, it undergoes a chemical breakdown called bleaching (because when separated the 2 parts of the photopigment molecule appear colorless). The 2 parts of the photopigment molecule are torn apart, and this generates a nerve impulse.  An enzyme regenerates the photopigment molecules (puts the 2 parts back together). Photopigments of cones only break down in bright light and the enzyme that reforms them works very quickly. Photopigments of rods break down in dimmer (less intense) light and are reformed more slowly. Rhodopsin of rods is also broken down by bright light as well as dim. In fact, bright light breaks down most all of the rhodopsin at once, and since it is only slowly put back together, the rods have little ability to produce vision in bright light.

Eyes adjust in several ways to the amount of light present:

LIGHT-ADAPTED EYES

DARK ADAPTED EYES

PUPILS CONSTRICTED

PUPILS DILATED

VISION MOSTLY DUE TO CONES

VISION MOSTLY DUE TO RODS

SHARP VISION; COLOR VISION

VISION LESS SHARP; NO COLOR

LESS SENSITIVE OVERALL TO LIGHT

MORE SENSITIVE OVERALL TO LIGHT