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Sense Organ Head & Skull

Fovea Centralis

fovea centralis

The fovea is a small pit about 1.5 mm across at the centre of the macula. Here the inner retinal layers are pushed aside so light falls directly on tightly packed cones. Its very centre, the foveola, has only cones and no rods, and lies within an area free of retinal blood vessels.

Anatomical Data

Structure & Supply

LocationCentre of the macula, on the visual axis
Parts
Nerve SupplyGanglion cell axons in the papillomacular bundle
Blood SupplyChoriocapillaris (the foveal avascular zone has no retinal capillaries)
Biomechanics

Function & Actions

Gives the sharpest detailed vision and best colour discrimination in the visual field.

Clinical Relevance

Clinical Notes

The fovea is where we point our gaze, so damage here sharply reduces visual acuity. A full-thickness macular hole at the fovea causes a central blind spot and distortion and can be closed by vitrectomy. In central retinal artery occlusion the fovea shows a cherry-red spot because its thin retina lets the underlying choroid show through.

Pathology

Common Injuries & Conditions

Macular Hole

A full-thickness defect at the fovea, often from vitreous traction in older adults. It causes central vision loss and distortion.

Solar Retinopathy

Light damage to the foveal photoreceptors from looking at the sun, for example during an eclipse, causing a small central blind spot.

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