Adenexa and Anatomy of Eyelid Flashcards

1
Q

What muscles move the eyebrows?

A

Frontalis, corrugator, procerus, orbicularis

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2
Q

What effect does frontalis have on the eyebrow?

A

Elevation (as in surprise)

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3
Q

What effect does corrugator have on the eyebrow?

A

Pulls medial sides of eyebrows together (as in concentration)

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4
Q

What effect does procerus have on the eyebrow?

A

Pulls medial eyebrow down and medially (as in agression)

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5
Q

What effect does orbicularis have on the eyebrow?

A

Lowers eyebrow

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6
Q

The palpebral sulci divide each eyelid into what two portions?

A

Orbital portion (from sulcus to brow or cheek); tarsal portion (from sulcus to lid margin)

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7
Q

What is the plica semiluminaris, and what is its function?

A

A fold of conjunctiva at the medial canthus that allows for lateral globe movement without stretching the conjunctiva. It also forms the floor of the lacrimal lake.

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8
Q

Define caruncle

A

A mass of modified skin at the medial canthus; it forms the medial wall of the lacrimal lake.

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9
Q

Name the muscles of the eyelid

A

Orbicularis oculi, superior palpebral levator, superior tarsal muscle (of Muller), inferior tarsal muscle (of Muller)

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10
Q

What is the action of the orbital portion of the orbicularis oculi?

A

A sphincter-type contraction (runs from medial palpebral ligament to medial palpebral ligament)

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11
Q

Into what two muscles is the palpebral portion of the orbicularis oculi divided?

A

Horner’s muscle (around lacrimal canalliculi for tear drainage); Riolan’s muscle (along lid margin to adhere lid to globe)

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12
Q

What is the origin of the superior palpebral levator?

A

Lesser wing of sphenoid

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13
Q

What is the insertion of the superior palpebral levator?

A

Tarsal plate and dermis of eyelid

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14
Q

What is the aponeurosis?

A

A fan-shaped tendon of insertion of the superior palpebral levator

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15
Q

Name the two portions of the aponeurosis.

A

Medial horn and lateral horn (the lateral horn divides the lacrimal gland into an orbital portion and a palpebral portion)

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16
Q

What is the origin of the superior tarsal muscle?

A

Levator

17
Q

What is the insertion of the superior tarsal muscle?

A

Superior tarsal plate

18
Q

What is the origin of the inferior tarsal muscle?

A

Sheath of inferior rectus

19
Q

What is the insertion of the inferior tarsal muscle?

A

Lower tarsal plate or CT of eyelid

20
Q

What is the action of the orbicularis oculi?

A

Spontaneous blinking (palpebral portion); forceful blinking (orbital portion)

21
Q

What is an epicanthus?

A

A fold of lid tissue that “hides” the medial canthus; can give the appearance of esotropia.

22
Q

What is an ectropion?

A

A turned-out lid margin

23
Q

What is an entropion?

A

A turned-in lid margin

24
Q

What is blepharospasm?

A

Forced, involuntary closure of the lids