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Eyes glazing over: question for physicians and veretenarians

epepke

Philosopher
Joined
Oct 22, 2003
Messages
9,264
What is the mechanism that causes mammalian eyes to glaze over and become cloudy soon after death? It happens in just a few seconds, and I've seen it happen in humans and dogs.

Are there other pathologies that cause the same effect in living mammals?
 
To be honest, I've seen it happen in the minutes before death too.

This is from memory, and perhaps someone better informed will correct me or post a fuller explanation, but the cornea needs a good blood supply to remain transparent. If the circulation is really failing or has failed completely, the structure changes so that the collagen becomes translucent.

Rolfe.
 
Rolfe said:
To be honest, I've seen it happen in the minutes before death too.

This is from memory, and perhaps someone better informed will correct me or post a fuller explanation, but the cornea needs a good blood supply to remain transparent. If the circulation is really failing or has failed completely, the structure changes so that the collagen becomes translucent.

Rolfe.

I'm not entirely certain about that. The cornea actually has a pretty crappy blood supply (there are few blood vessels in its vicinity - otherwise we wouldn't be able to see through it). From my time working in a hospital, I can't say I ever noticed clouded corneas on the deceased (at least, none who had died within 24 hrs). The eyes did look somewhat dry, which made sense, which could account for something.

To be honest, I have no idea.

Athon
 
What you are actually seeing immediately is the lack of circulating blood to the sclera (the white part of the eye) shortly after death. Because we have numerous vessels in the sclera that, even when you're eyes aren't bloodshot, lend to the normal, living appearance of the eyeball, death produces a distinctive and unforgettable change to this as the circulation stops.

The true "clouding over" of the cornea doesn't occur until somewhat later on and is a result of the subsequent lack of flow of the aqueous humor underneath the cornea. This space is called the anterior chamber of the eye. Basically, the cornea is just a tough, clear, three-layered membrane of tissue, the surface of which is supplied with oxygen mainly by air and, more importantly, the undersurface of your upper eyelid (i.e., when you blink and shut your eyes for extended periods). However, the aqueous humor underneath flows constantly while alive produced from the ciliary body exiting back through the canals of Schlemm which supplies oxygen and nutrients the inner layer of cells in the cornea. Over production of aqeuous humor results in the so-called "chronic open angle" glaucoma syndrome, and a blockage of the canal of Schlemm results in "acute closed angle" glaucoma, the latter of which is a medical emergency. The middle layer of the cornea is very carefully layered extracellular collagen that doesn't actually require oxygen.

When the circulation stops at death, you eventually see a "fogging over" of the cornea as a result of the stagnation of this fluid and subsquent death of the inner layer of cells.

That's basically it. Hope that explanation helped.

-TT
 
How long does it take for the cornea to cloud over?

epepke: "It happens in just a few seconds"
Rolfe: "I've seen it happen in the minutes before death too."
Athon: "I can't say I ever noticed clouded corneas on the deceased, at least [not] within [the first] 24 hrs"
ThirdTwin: "you eventually see a "fogging over" of the cornea"

I think this site is a trustworthy source for the answer...

Forensic Science: Determining the time of death: Ocular changes after death

The cornea becomes cloudy within 2 hours or less if the deceased dies with the eyes open, closed it will be 12-24 hours. On the 3rd post mortem day, the corneas become opaque.
 
I think BillyJoe's pretty much right.

I just remember one case of a dog which had been hit by a car and seriously injured. He was still breathing by the time I got him back to the surgery, but he was obviously on the way out. I noticed the "dead" cloudy appearance to the corneas was present several minutes before he actually died.

Rolfe.
 

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