Concept

Bowman's layer

The Bowman's layer (Bowman's membrane, anterior limiting lamina, anterior elastic lamina) is a smooth, acellular, nonregenerating layer, located between the superficial epithelium and the stroma in the cornea of the eye. It is composed of strong, randomly oriented collagen fibrils in which the smooth anterior surface faces the epithelial basement membrane and the posterior surface merges with the collagen lamellae of the corneal stroma proper. In adult humans, Bowman's layer is 8-12 μm thick. With ageing, this layer becomes thinner. The function of the Bowman's layer remains unclear and it appears to have no critical function in corneal physiology. Recently, it is postulated that the layer may act as a physical barrier to protect the subepithelial nerve plexus and thereby hastens epithelial innervation and sensory recovery. Moreover, it may also serve as a barrier that prevents direct traumatic contact with the corneal stroma and hence it is highly involved in stromal wound healing and the associated restoration of anterior corneal transparency at the morphological level. Part of the Bowman's layer is ablated by the photorefractive keratectomy refractive surgery (commonly known as PRK). As the layer is non-generative, the section of the layer ablated in the procedure is lost forever. The Bowman's layer is named after Sir William Bowman (1816–1892), an English physician, anatomist and ophthalmologist, who discovered this structure. Bowman's layer is not a true basement membrane, despite being originally referred to as such.

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Related concepts (2)
Keratoconus
Keratoconus (KC) is a disorder of the eye that results in progressive thinning of the cornea. This may result in blurry vision, double vision, nearsightedness, irregular astigmatism, and light sensitivity leading to poor quality-of-life. Usually both eyes are affected. In more severe cases a scarring or a circle may be seen within the cornea. While the cause is unknown, it is believed to occur due to a combination of genetic, environmental, and hormonal factors.
Refractive surgery
Refractive surgery is optional eye surgery used to improve the refractive state of the eye and decrease or eliminate dependency on glasses or contact lenses. This can include various methods of surgical remodeling of the cornea (keratomileusis), lens implantation or lens replacement. The most common methods today use excimer lasers to reshape the curvature of the cornea. Refractive eye surgeries are used to treat common vision disorders such as myopia, hyperopia, presbyopia and astigmatism.

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