Anatomy, Physiology, and Disorders of the Spectacle, Subspectacular Space, and Its Lacrimal Drainage System in Squamates

SIMPLE SUMMARY: Various snake and lizard species have transparent and fused eyelids that make up a spectacle. From an evolutionary point of view, it is assumed that ancestral snakes developed this structure to protect the eye as an adaptation to their burrowing, underground existence. Between the spectacle and the eye lies a narrow subspectacular space that is filled with a tear-like fluid that drains to the roof of the mouth via the lacrimal duct. Although disorders of the eye are relatively uncommon in squamates with a spectacle, disorders of the spectacle, the subspectacular space, and its drainage system are frequently encountered in veterinary practice. As the spectacle is an integral part of the skin it is renewed with each shedding cycle. Retention of the old layers of the spectacle may occur because of infectious as well as non-infectious causes. Besides inflammation and trauma of the spectacle, overfilling due to blockage of the drainage system (pseudobuphthalmos) as well as bacterial and parasitic infection of the subspectacular space (subspectacular infection) are undoubtedly the most frequently observed disorders in snakes and spectacled lizards. An adequate diagnostic approach often allows the establishment of a successful treatment for these conditions. ABSTRACT: Various squamate species have completely fused eyelids that make up a transparent spectacle. The spectacle is a continuation of the integument that is renewed with each shedding cycle and creates a narrow subspectacular or corneospectacular space that is filled with lacrimal fluid. The latter is considered as the analogue of the conjunctival sac in other vertebrates. Almost all reptiles that have a spectacle lack a nictitating membrane, bursalis muscle, and lacrimal glands. The lacrimal fluid in the subspectacular space is secreted by the Harderian gland. The features of the spectacle and its lacrimal drainage system are an illustration of the enormous variation of the morphological adaptations that are seen in reptiles and one of the most distinguishable traits of snakes and most gecko species. Whereas ocular disease in squamates with a spectacle is infrequently seen in practice, disorders of the spectacle and the subspectacular space are commonly encountered. In order to apply an adequate diagnostic and therapeutic approach for these conditions, a sound knowledge and understanding of the anatomical and physiological peculiarities of the spectacle, subspectacular space, and lacrimal drainage system are fundamental.