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Fovea centralis

Small pit in the retina of the eye responsible for all central vision

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Through Visual perception, Reading and Nerve

The fovea is responsible for sharp central vision (also called foveal vision), which is necessary in humans for activities for which visual detail is of primary importance, such as reading and driving. The fovea is surrounded by the parafovea belt and the perifovea outer region.

The parafovea is the intermediate belt, where the ganglion cell layer is composed of more than five layers of cells, as well as the highest density of cones; the perifovea is the outermost region where the ganglion cell layer contains two to four layers of cells, and is where visual acuity is below the optimum. The perifovea contains an even more diminished density of cones, having 12 per 100 micrometres versus 50 per 100 micrometres in the most central fovea. That, in turn, is surrounded by a larger peripheral area, which delivers highly compressed information of low resolution following the pattern of compression in foveated imaging.

Approximately half the nerve fibers in the optic nerve carry information from the fovea, while the remaining half carry information from the rest of the retina. The parafovea extends to a radius of 1.25 mm from the central fovea, and the perifovea is found at a 2.75 mm radius from the fovea centralis.

The term fovea comes from Latin fovea 'pit'.

The fovea centralis was named by German histologist Carl Bergmann.

Structure

The fovea is a depression in the inner retinal surface, about 1.5 mm wide, the photoreceptor layer of which is entirely cones and which is specialized for maximum visual acuity. Within the fovea is a region of 0.5mm diameter called the foveal avascular zone (an area without any blood vessels). This allows the light to be sensed without any dispersion or loss. This anatomy is responsible for the depression in the center of the fovea. The foveal pit is surrounded by the foveal rim that contains the neurons displaced from the pit. This is the thickest part of the retina.

The fovea is located in a small avascular zone and receives most of its oxygen from the vessels in the choroid, which is across the retinal pigment epithelium and Bruch's membrane. The high spatial density of cones along with the absence of blood vessels at the fovea accounts for the high visual acuity capability at the fovea.

The center of the fovea is the foveola – about 0.35 mm in diameter – or central pit where only cone photoreceptors are present and there are virtually no rods. The central fovea consists of very compact cones, thinner and more rod-like in appearance than cones elsewhere. These cones are very densely packed (in a hexagonal pattern). Starting at the outskirts of the fovea, however, rods gradually appear, and the absolute density of cone receptors progressively decreases.

In 2018, the anatomy of the foveola was reinvestigated, and it was discovered that outer segments from the central foveolar cones of monkeys are not straight and twice as long as those from the parafovea.

Size

The size of the fovea is relatively small with regard to the rest of the retina. However, it is the only area in the retina where 20/20 vision is attainable, and is the area where fine detail and colour can be distinguished.

Properties

  • Anatomical macula / macula lutea / area centralis (clinical: posterior pole):
    • Diameter = 5.5 mm (~3.5 disc-diameters) (about 18 deg of VF)
    • Demarcated by the superior and inferior temporal arterial arcades.
    • Has an elliptical shape horizontally.
    • Histologically the only region of the retina where GCL has >1 layer of ganglion cells
    • Yellowish appearance = luteal pigments (xanthophyll and beta-carotenoid (beta-carotene) in the outer nuclear layers inward.
  • Anatomical perifovea:
    • Region between parafovea (2.5 mm) and edge of macula
    • GCL has 2–4 layers of cells.
    • 12 cones / 100 μm
  • Anatomical parafovea:
    • Diameter = 2.5 mm.
    • GCL has >5 layers of cells, and highest density of cones
  • Anatomical fovea / fovea centralis (clinical: macula)
    • Area of depression in the centre of the macula lutea.
    • Diameter = 1.5 mm (~1 disc-diameter) (about 5 deg of VF)
  • Foveal avascular zone (FAZ)
    • Diameter = 0.5 mm (about 1.5 deg of VF)
    • Approximately equal to the foveola
  • Anatomical foveola (clinical: fovea)
    • Diameter = 0.35 mm (about 1 deg of VF)
    • the central floor of depression of fovea centralis
    • 50 cones / 100 μm
    • Highest visual acuity
  • Anatomical umbo
    • Represents the precise center of the macula
    • Diameter = 0.15 mm
    • Corresponds to the clinical light reflex

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