A5 Eye Flashcards
Eyelids
Moveable folds covered externally by skin and internally by conjunctiva
Conjunctiva
transparent mucous membrane
Palpebral
covers the inner surface of the eyelid
bulbar
continuous with the palpebral conjunctiva and covers the sclera
contains blood vessels
conjunctival sac
space bounded by the palpebral and and bulbar conjunctiva
obicularis oculi
muscle around the eye the allows for facial expression
superior and inferior tarsi
dense band of connective tissue
tarsal glands
secretes lipids to lubricate the eyelid
lacrimal apparatus
contains the lacrimal gland, duct, and canaliculi
lacrimal gland
produces tears
lacrimal canaliculi
takes tears from the lacrimal lake to the lacrimal sac to the nasolacrimal duct to nasal cavity
lacrimal lake
pinkish yellow reservoir of tears
levator palpebrae superioris
raises the upper eyelid
oculomotor n. (CN III)
parasympathetic innervation to lacrimal apparatus
secretomotor innervation from CNVII
sympathetic innervation to the lacrimal apparatus
vasoconstrictive innervation from superior cervical ganglion
Name the extra ocular rectus muscles
superior rectus
inferior rectus
medial rectus
lateral rectus
Name the extra ocular oblique muscles
superior oblique
inferior oblique
innervation of the rectus muscles
oculomotor n. (CN III)
abducent n. (CN VI) - innervates the lateral recuts
innervation of the oblique muscles
IO - oculomotor n. (CNIII)
SO - trochlear n. (IV)
There is movement around three axes. What are they?
vertical
transverse
anteroposterior
Vertical movement of the eye
moves the eye medially and laterally
aka ABduction/ADDuction
Transverse movement of the eye
moves the eye superiorly and inferiorly
AKA elevation/depression
Anteroposterior movement of the eye
moves the posterior pole of the eye superiorly and inferiorly
AKA intorsion/extorsion
Superior rectus movements
elevation, adduction, intorsion
inferior rectus movements
depression, adduction, extorsion
medial rectus
adduction
lateral rectus
abduction
superior oblique
depression, abduction, intorsion
inferior oblique
elevation, abduction, extorsion
Layers of the eyeball
Fibrous
Vascular
Inner: retina
Components of the fibrous layer
sclera and cornea
Sclera
white of the eye; dense connective tissue
cornea
clear anterior surface of the eye; continuous with the sclera
components of the vascular layer
choroid
ciliary body
iris
choroid
dense vascular bed
ciliary body
muscular and vascular, connects choroid to iris
What controls the thickness of the lens (focus)?
contraction and relaxation of the ciliary body
iris
thin, contractile diaphragm with a central hole (pupil) –> transmits light
Retina layers
neural: light receptive, contains rods and cones
Pigmented: reduces light scatter
ocular fundus
posterior part of the retina where light is focused
optic disc
where the optic nerve hits the back of the eye
macula lutea
“yellow spot” apparent only when examined with red-free light
fovea centralis
area of most acute vision
Detached retina
Usually results from fluid seepage between neural and pigmented layers of retina after trauma
Presents as flashes of light or floating specks
pneumatic retinopexy
gas bubble pushes retina back in place, laser to seal hole
types of accommodation
distant vision
near vision
distant vision
absence of nerve stimulation meaning:
ciliary muscle relaxed
zonular fibers tense
lens stretched thin
near vision
parasympathetic stimulation via CN III causes:
ciliary muscle contract
relaxation of zonular fibers
lens becomes more spherical
what is the default shape of the lens?
round
what happens to the lens with age?
thickness of lens increases
ability to accommodate is restricted (after age 40)
require reading glasses
Optic nerve (CNII)
Special sensory (vision) Right and left cross at optic chiasm and exits cranial cavity through optic canal
Pupillary light reflex
- Lightstimulatesretina,CNII:Optic n.
- AfferentsfromOpticn.pass through optic chiasm, synapse at pretectal nuclei
- PretectalneuronssignalEdinger- Westphal nucleus
- EWNsendsparasympathetic signals through CN III: Oculomotor n. (efferent) to sphincter pupillae m.
Pupil dilation is under what control?
sympathetic control
Horner’s syndrome
lack of sympathetic activity which manifests as:
pupil constriction
drooping of superior eyelid
vasodilation
absence of sweating
Arteries of orbit
Mostly from ophthalmic a.
Central retinal a. branches off ophthalmic and runs in optic n. to eyeball
Veins of orbit
superior and inferior ophthalmic veins -> superior orbital fissure to cavernous sinus