corneal stroma(redirected from Substantia propria)
The thickest layer of the cornea located behind Bowman's layer and in front of Descemet's membrane. It represents approximately 90% of the total corneal thickness and gives the cornea its strength. The stroma consists of about 300 lamellae of parallel collagen fibrils in the centre of the cornea reaching to nearly 500 lamellae at the limbus. In between the fibrils are proteoglycans whose core proteins bind one with keratan sulfate and the other with dermatan sulfate (chondroitin sulfate B). The orientation of the alternate lamellae differs with each other, but they are all parallel with the corneal surface. In the central part of the cornea the majority of the collagen fibrils are orientated in the inferior-superior and nasal-temporal directions, whereas at the limbus they are orientated circumferentially, providing greater resistance to forces perpendicular to the axes of the fibrils. Between the lamellae are found the elongated flattened keratocytes (corneal corpuscles) from which the collagen fibrils are produced during development. When the cornea becomes oedematous due to trauma, disease or hypoxia, some of the fibrils lose their usual uniform calibre, become displaced and fluid accumulates between the lamellae, the stroma then loses its transparency. Syn. substantia propria.
Millodot: Dictionary of Optometry and Visual Science, 7th edition. © 2009 Butterworth-Heinemann