Embryology of the eye, retinal structure and phototransduction
How the eye develops from neuroectoderm, surface ectoderm and neural crest, the layers and dual blood supply of the retina, the rhodopsin-transducin-PDE6 cascade, and how these explain the cherry-red spot, night blindness, retinitis pigmentosa and the visual effects of sildenafil, digoxin and hydroxychloroquine.
Tier 2Medical sciences concept
Written with AI assistance and fact-checked against the sources below. For exam study, not clinical decisions. How notes are made
At a glance
- The retina and optic nerve are outgrowths of the forebrain (diencephalon). The lens and corneal epithelium come from surface ectoderm. Neural crest mesenchyme forms the corneal stroma, sclera, choroid and iris stroma.
- The retina has a dual blood supply: the central retinal artery feeds the inner two-thirds; the choriocapillaris feeds the photoreceptors and the RPE.
- Phototransduction is a G protein cascade: photon, rhodopsin, transducin, PDE6, fall in cGMP, closure of cation channels, hyperpolarisation, less glutamate.
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Sources
- Principles of Neural Science (6th ed.)McGraw Hill (Kandel, Koester, Mack and Siegelbaum, 2021), 2021
- Guyton and Hall Textbook of Medical Physiology (14th ed.)Elsevier (Hall and Hall, 2021), 2021
- Marmor MF et al. Special AAO report: recommendations on screening for hydroxychloroquine retinopathy (2025 revision). Ophthalmology 2026;133:439-50American Academy of Ophthalmology, 2025 revision (published online November 2025)
- Marmor MF et al. Recommendations on screening for chloroquine and hydroxychloroquine retinopathy (2016 revision). Ophthalmology 2016;123:1386-94American Academy of Ophthalmology, 2016 (superseded)
- Russell S et al. Efficacy and safety of voretigene neparvovec in patients with RPE65-mediated inherited retinal dystrophy. Lancet 2017;390:849-60The Lancet, 2017
- VIAGRA (sildenafil) US prescribing information, section 12.1US Food and Drug Administration (DailyMed), accessed November 2026
- CIALIS (tadalafil) US prescribing information, section 12.1US Food and Drug Administration (DailyMed), accessed November 2026
- Last updated
- 14 November 2026
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