Anat II Test 2 Flashcards
What bone separates the two orbits?
Ethmoid Bone
What forms the medial walls of each orbit?
Sides of Ethmoid Bone
What angle are the lateral walls at?
90
Right Angle
The Axes of the orbits diverge at what degree?
45
What axes are for sight?
Optical Axes
Are the Optical Axes parallel or perpendicular?
Parallel
What are the functions of the orbits?
Contain- eyeball and accessory organs
Guard- protect eyeball
What are the 6 accessory structures of the orbit?
- Eyelid
- Extraocular M
- Nerves and Vessels
- Orbital Fascia
- Mucous Membrane
- Orbit Fat
Number or walls, bases and apex of Orbit?
4 Walls
1 Base
1 Apex
What is the base of the Orbit?
Orbit Margin is the outline of the base
The margin is strong because of its thickness
What is the Superior Wall of the Orbit?
Formed by the Orbital Part of the Frontal Bone and Lesser Wing of Sphenoid Bone
Separates the orbit from the anterior cranial fossa
What is the Fossa for the Lacrimal gland? Where is it located in relation to the Superior wall of the orbit?
It is a shallow impression
Located anterolaterally to the Superior Wall of the Orbit
What is the Medial Wall of the Orbit?
Formed by the Frontal, Lacrimal, Ethmoid, and Sphenoid bones (from front to back)
What structures are on or next to the Medial Wall?
Ethmoid Sinuses are next to this wall
The Lacrimal Groove, Fossa and sac are on this wall
What is the Inferior Wall of the Orbit?
Formed by the Maxilla, Zygomatic and Palatine Bones
What divides the Inferior Wall from the Lateral Wall of the Orbit?
Inferior Orbital Fissure
What is the Lateral Wall of the Orbit?
Formed by the Frontal Process of the Zygomatic Bone and Greater WIng of the Sphenoid Bone
This wall is easily injured
What is the Apex of the Orbit?
At the Optic Canal on the lesser wing of the Sphenoid Bone
What is the function of the eyelid?
Protect eyeballs from irritating strong light and dust with help from the lacrimal fluid
What is the function of Extraocular Muscle?
Move eyeballs and eyelids
What is the function of Nerves and Vessels of the orbit?
To supply nutrition
What is the function of the Orbital Fascia?
Protect eyeballs and muscles
What is the funciton of the Mucous Membrane?
Lubricate the eyeballs
What is the function of Orbit Fat?
Matrix for eyeballs
What covers the eyelids on the inside?
Palpebral Conjunctiva
Superior and Inferior parts
What is the Bulbar Conjunctiva?
It covers the surface of the eyeball
Continuous with the palpebral conjunctiva
What is the Palpebral Fissure?
Opening of the eye
What is the superior and inferior fornics?
Space formed when pulling eyelid up or down
If eyes are closed this space is called CONJUNCTIVA SAC
(page 31 no set definition)
What are the soft bones of the eye?
Superior and Inferior Tarsi
What is the Tarsal Gland? Where is it?
Provides the lipid secretion to eye for lubrication
Located in the Tarsi
What kind of glands are located at the root of the eye lashes?
Sebaceous Glands
What is a Chalazia?
When the sebaceous glands are clogged due to infection and become swollen
(Stye)
The conjunction of the superior and inferior eyelids is called?
Medial and Lateral Palpebral Commissures
AKA Canthi
What ligament connects the Tarsi to the bone of the orbit?
Medial Palpebral Ligament
Lateral Palpebral Ligament (not as strong b/c other tissues help)
What aids the Lateral Palpebral Ligament in holding the eye/eyelid in orbit?
Orbital Septum
What 5 things does the Lacrimal Apparatus Include?
- Lacrimal Gland
- Lacrimal Duct
- Lacrimal Canaliculi
- Lacrimal Sac
- Nasolacrimal Duct
What is the function of the Lacrimal Gland?
Secretes Lacrimal Fluid
Fluid is bacteriocidal and nutrient/oxygen rich
What nerve supports the Lacrimal Gland?
Lacrimal Nerve- Ophthalmic N (V1)
What kind of Nerve or Nerves are in the Lacrimal Nerve?
Parasympathetic and Sympathetic
In the Lacrimal Nerve, where do the Presynaptic Parasympathetic Fibers originate?
Facial Nerve
What Ganglion do the Presynaptic Parasympathetic Fibers of the Lacrimal Nerve synapse in?
Pterygopalatine Ganglion
What kind of Fibers are sent out of the Pterygopalatine Ganglion that make the Lacrimal Gland secrete less fluid?
Postsynaptic Parasympathetic Fibers
What is the Path of the Sympathetic fiber that makes the Lacrimal Gland secrete more fluid?
Presynaptic Sympathetic Fibers go to the Superior Cervical Ganglion then to the Pterygopalatine Ganglion and into the Zygomatic Nerve
What nerve do the Sympathetic Fibers of the Lacrimal Gland travel in?
Zygomatic Nerve
What are Lacrimal Ducts?
Several small ducts from the Lacrimal Gland
What part of the Lacrimal Apparatus collects tears from the Lacrimal Lake?
Lacrimal Punctum
Lacrimal Papilla
(tear holes on eyelids)
What transports the tears from the Lacrimal Lake to the Lacrimal Sac?
Lacrimal Canaliculi
What does the Nasolacrimal Duct do?
Leads the tears to the nose so they can be swallowed
What occupies most of the anterior part of the orbit?
The eyeball
What part of the eye is filled with all supporting material for the eyeball?
Posterior part of the Orbit
What is the Loose CT (connective tissue) that surrounds the eyeball?
Fascial Sheath (outermost layer around eyeball)
What is the posterior part of the Fascial Sheath called?
Bulbar Fascia
AKA Tenon’s Fascia
What does the Bulbar or Tenon’s Fascia do?
Forms the socket for the eyeball
What are the three layers of the eyeball?
- Outer- Fibrous Layer
- Middle- Vascular Layer
- Inner
What 2 parts make up the Outer Fibrous Layer of the Eyeball?
Sclera and Cornea
What is the name of the Middle Vascular Layer of the Eyeball?
Uvea or Uveal Tract
What makes up the Inner Layer of the Eyeball?
Retina
What is the Sclera?
Tough Fibrous Layer
White and Opaque
AKA the white of the eye
What is the Cornea?
Transparent
Occupies 1/6 of the eyeball
Why is the Sclera white and the Cornea Clear?
Their fibers are arranged differently
What are the 3 parts of the Uvea?
Choroid
Ciliary Body
Iris
What are the two parts of the Retina?
Optic Part- Visual Part
Non-Visual Part
What color is the Choroid? What layer of the eyeball is it in?
Dark Reddish Brown Membrane
Uvea or Uveal Tract
Where does the Choroid get it’s color from?
Pigmented cells
Rich in blood vessels
What is the large blood vessel layer of the Choroid called?
Vascular Lamina
What layer of the Choroid is the Vascular Lamina?
Outer layer
How many layers does the Choroid have?
3
What layer of the Choroid is the middle layer?
Capillary Lamina
What does the Capillary Lamina do?
Contacts the Retina
Provides Nutrition directly to the Retina
What is the innermost layer of the Choroid?
Light- Sensitive Layer of the Retina
What does the Light Sensitive Layer of the Retina do?
Accepts light
Does not have any blood vessels
What does the Choroid stick to very well?
Retina
Easily stripped from the Sclera
What is the Ciliary Body?
Smooth Muscle and Blood Vessels
Located Anterior to the Choroid
What layer of the eyeballs is the Ciliary Body in?
Middle, Vascular Layer
Uvea
What parts of the Ciliary Body provide attachment for the lens?
Ciliary Process
Zonular Fibers
What happens to the lens when changing from long distance vision to short distance vision?
Lens becomes thicker
B/c Ciliary body m. contracts
What are the folds behind the Ciliary Body that secrete Aqueous Humor?
Ciliary Processes
What is Aqueous Humor?
Liquid Fills Anterior and Posterior Chamber Balances Pressure for the eye Provides Nutrition to the eye Has no blood vessels
Where is the Anterior Chamber?
Space btw Cornea and Iris/Pupil
Where is the Posterior Chamber?
Space btw the Iris/Pupil and the Lens/Ciliary Body
What is the Iris?
Contractile Diaphragm with an opening in the center (Pupil)
What is the Pupil used for?
Transmitting light
What are the 2 involuntary smooth muscles located in the Ciliary Body?
- Sphincter Pupillae
2. Dilator Pupillae
What kind of nerve controls the Sphincter Pupillae?
Parasympathetic Nerve
What kind of nerve controls the Dilator Pupillae?
Sympathetic Nerve
What happens to the pupil when the Sphincter Pupillae contracts?
Pupil becomes small
happens in bright places so the eye isn’t overwhelmed by light
What happens to the pupil when the Dilator Pupillae contracts?
The pupil becomes larger
Happens in the dark so we can take in as much light as possible
Which of the 3 layers of the eyeball is the most important?
Retina
What does the Retina do?
Receives images and sends them to the brain
How many layers is the Retina divided into in Ophthalmology?
10
What part of the Retina is light sensitive?
Optic Part
What are the 2 layers of the Optic Part of the Retina?
- Neural Layer
2. Pigment Layer
Which layer of the Optic part is light receptive?
Neural Layer
What is the Pigment Layer of the Optic Part?
Contains a single layer of pigmented cells, so it’s black
Absorbs the extra light
What is the Non-Visual Part of the Retina?
Layer of Pigmented cells
Continuous with the Pigment Layer of the Optic Part of the Retina
Covers the back of the Ciliary Body/ Iris
Does the Non-Visual Part of the Retina accept images? Why or Why not?
No, it cannot because light doesn’t reach it
Where and what is the Ora Serrata?
Located btw Non-Visual Part and Pigmented Layer
Irregular border/line separating the Non-Visual Part from the Optic Part
Where is the Fundus located?
Posterior to the eyeball
What part of the Fundus is round and depressed?
Optic Disc
Optic Papilla
What goes through the Optic Disc/Optic Papilla?
Fibers exit the Retina
Blood Vessels enter the Retina
What is the name of the blind spot of the eye? Why is it blind?
Optic Disc/ Papilla
No photoreceptors
What is lateral to the Optic Disc?
Macula (Lutea)
What part of the eye is an acute place for vision due to many special photoreceptors?
Macula
What is at the center of the Macula?
Fovea Centralis
What is the Fovea Centralis
Most acute vision place
1.5mm in diameter
What is at the center of the Fovea Centralis?
Foveola
What is the Foveola?
Center part of Fovea Centralis
Sharpens Vision
No capillaries
What Artery supplies the Retina?
Central Artery of the Retina
Branch of the Ophthalmic Artery
What 4 structures must lightwaves pass thru to get to the Retina?
- Cornea
- Aqueous Humor
- Lens
- Vitrous Humor
What part of the eye is responsible for light refraction?
Cornea
What is the Cornea innervated by?
CN V1
Ophthalmic Nerve
Where does the Aqueous Humor go to?
Sclera Venous Sinus
AKA Canal of Schlemm
Where is the Canal of Schlemm/ Sclera Venous Sinus Located?
Iridoconeal Angle
It’s a circular Vessel
What is a Glaucoma caused by?
A blockage in the Canal of Schlemm
Old Humor cannot leave and produces a high pressure
Where is the Lens located?
Posterior to the Pupil
What makes up the Lens?
High Elastic outer layer
Capsule of the lens is attached via Zonular Fibers (from the Ciliary Body)
Changing the shape of the Lens changes what?
Refraction of light
What has the power to change the shape of the Lens?
Ciliary Muscle
What is Vitrous Humor?
Jelly like Material
Where is the Vitrous Humor Located?
Posterior to the Lens
What does the Vitrous Humor do?
Transmits light and supports the eyeball
Especially, the Retina and Lens
What are the 7 muscles of the orbit?
- Levator Palpebra Superioris m.
- Superior Rectus m.
- Medial Rectus m.
- Lateral Rectus m.
- Inferior Rectus m.
- Superior Oblique m.
- Inferior Oblique m.
What does rectus mean?
Straight
What is the Levator Palpebral Superioris used for?
Elevate the Superior Eyelid
What are the Rectus and Oblique m. used for?
Move eyeballs
What does Opposition mean?
The opposing m. on the same eye should always cooperate with the action of the opposite side in order to maintain balance
How many layers does the Levator Palpebral Superioris m. have?
2
Where do the 2 layers of the Levator Palpebral Superioris m. go?
- Skin of the eyelid
2. Superior Tarsal (Muller’s Muscle)
What kind of nerves supply Muller’s Muscle?
Sympathetic Fibers
What nerve supplies the layer of the Levator Palpebral Superioris that goes to the skin?
Oculomotor Nerve
What is the Origin of the 4 Rectus m.?
Common Tendinous Ring
What does the Common Tendinous Ring do?
Attaches the Optic Canal and part of the Superior Orbital Fissure
Many Nerves and Vessels penetrate to go into Orbit
In what way does the Superior Rectus m. move the pupils?
Superior
Medial
What m. balances the Medial movement of the Superior Rectus m.?
Superior Oblique m.
What m. helps the Superior Rectus m. move the pupil superiorly?
Inferior Oblique m.
What is Intorsion and Extorsion?
Movements around the Anteroposterior Axis
Intorison means what?
Medially
So, Medial Rotation
Extorsion means what?
Laterally
So, Lateral Rotation
Rotation around the Transverse Axis moves pupil how?
Superiorly- Elevation
or
Inferiorly- Depression
Rotation around the Vertical Axis moves the pupil how?
Medially- Adduction
or
Laterally- Abduction
Levator Palpebral Superioris m. Main Action
Elevates superior eyelid
M/D p. 900
Superior Oblique m. Main Action
Abducts
Depresses
Medially Rotates
(M/D p. 900)
Inferior Oblique m. Main Action
Abducts
Elevates
Laterally Rotates
(M/D p. 900)
Superior Rectus m. Main Action
Elevates
Adducts
Medially Rotates
(M/D p. 900)
Inferior Rectus m. Main Action
Depresses
Adducts
Laterally Rotates
(M/D p. 900)
Medial Rectus m. Main Action
Adducts
M/D p. 900
Lateral Rectus m. Main Action
Adducts
M/D p. 900
What is a Yoke Muscle?
Muscles that work together to make both eyes view one object
R. Lateral Rectus and L. Medial Rectus
What are the 5 Nerves of the Orbit?
- CN II
- CN III
- CN IV
- CN V1
- CN VI
CN II is what nerve?
Optic
CN III is what nerve?
Oculomotor
CN IV is what nerve?
Trochlear
CN V is what nerve?
Trigeminal
CN V1 is what nerve?
Ophthalmic
CN VI is what nerve?
Abducent
What two holes do the nerves of the orbit travel through from the cranial cavity to the orbit?
Superior Orbital Fissure
Optic Canal
Which of the Orbital Nerves travels in the Optic Canal?
CN II- The Optic Nerve
Which CN support the extraocular m. of the orbit?
CN III
CN IV
CN VI
LR6SO4AO3
Lateral Rectus- Abducent
Superior Oblique- Trochlear
All Others- Oculomotor
What does LR6SO4AO3 mean?
LR6 Lateral Rectus- Abducent SO4 Superior Oblique- Trochlear AO3 All Others- Oculomotor
What orbital nerves travel through the Superior Orbital Fissure to supply the Lacrimal Gland and Eyelids?
Ophthalmic (CN V1)- Frontal, Nasociliary and Lacrimal
Ciliary Ganglion belongs to what nerve?
Oculomotor (CN III)
Ciliary Ganglion is associated with what nerve?
Trigeminal (CN IV)
What makes up the Ciliary Ganglion?
Small group of postsynaptic parasympathetic nerve cell bodies
Where is the Ciliary Ganglion located?
Btw Optic Nerve and Lateral Rectus
What is the most important function of the Ciliary Ganglion?
Parasympathetic neurons to change from pre to post
What 3 nerves enter the Ciliary Ganglion?
- Sensory Fibers from the Trigeminal (CN V1)
- Presynaptic Parasympathetic fibers from the Oculomotor (CN III)
- Postsynaptic Sympathetic Fibers from the Internal Carotid Plexus
How do the Sensory fibers of the Trigeminal Nerve get to the Ciliary Ganglion?
Communicating branch of the Nasociliary Nerve
AKA Sensory Root
AKA Nasociliary Root of Ciliary Ganglion
How do the Presynaptic Parasympathetic Fibers get to the Ciliary Ganglion?
Oculomotor Root of Ciliary Ganglion
AKA Parasympathetic Root
How do the Postsynaptic Sympathetic FIbers get to the Ciliary Ganglion?
Sympathetic Root of the Ciliary Ganglion
come from a sympathetic ganglion in neck
What are the 4 nerves sent out of the Ciliary Ganglion?
- Short Ciliary Nerves
- Parasympathetic Fibers
- Sympathetic Fibers
- Sensory Fibers
Where do the Short Ciliary Nerves go to?
Iris
Ciliary Body
Cornea
Where do the Parasympathetic Fibers that exit the Ciliary Ganglion go to?
Spincter Pupillae
Ciliary Muscle
Makes pupil small
Makes Lens thick
Where do the Sympathetic FIbers that exit the Ciliary Body go to?
Dilator Pupillae
Makes pupil large
Where do the Sensory Fibers that exit the Ciliary Ganglion go to?
Cornea to receive sensation
Where does Horner Syndrome come from?
Injury of the Cervical Sympathetic Trunk
What happens in Horner Syndrome?
Ipsilateral (same side) Sympathetic Function lost
No stimulating can be induced
Therefore, nerve died
If nerve is dead then m, organ, tissue will not work agian
What are the 4 Signs of Horner Syndrome?
- Constriction of the pupil (miosis)
- Drooping of the Superior Eyelid (ptosis)
- Redness and Increased Temperature of the skin (visodilation)
- Absence of sweating (anhydrosis)
Miosis means?
Constriction of the Pupil
Why would the pupil become constricted?
Sympathetic nerves stops working (it dilates) so work is finished by parasympatheic n.
Parasympathetic n controls the sphincter pupillae (makes pupil small).
Therefore, pupil becomes constricted
Why would the Superior Eyelid Droop?
Superior Tarsal m. (Mueller’s Muscle) is paralyzed
This is b/c the sympathetic n that supplies the m. doesn’t work
m. stops working, eyelid goes down
Ptosis means?
Drooping of the Superior Eyelid
Blood supply of the orbit is mainly from what artery?
Ophthalmic Artery- from Internal Carotid Artery
and
Infraorbital Artery- from External Carotid Artery
How many branches does the Ophthalmic a. have?
He said 11 in class (don’t worry about Dorsal Nasal)
Notes have 12
What are the 12 Branches of the Ophthalmic?
- Central a. of the Retina
- Short Posterior Ciliary
- Long Posterior Ciliary
- Anterior Ciliary
- Muscular Branches
- Lacrimal
- Supraorbital
- Supratrochlear
- Dorsal Nasal
- Anterior Ethmoid*
- Posterior Ethmoid*
- Infraorbital
Central a. of the Retina
From Ophthalmic
Runs in Optic n until the Optic Disc
Divides into 4 ending branches
Provides nutrition to the internal layer of the Retina
Short Posterior Ciliary Arteries
6
Branch in Choroid
Send nutrition to external layer of Retina through extracellular fluids
(Notes p. 41 top)
Long Posterior Ciliary Arteries
2
Supply Ciliary Body + Iris
Anterior Ciliary Arteries
Sent out by Muscular Branches (anastomosis with Long Posterior Ciliary a.)
What are the 2 veins of the Orbit?
- Superior Ophthalmic Vein
2. Inferior Ophthalmic Vein
Where do the 2 Orbital veins pass through to enter the cranial cavity?
Superior Orbital Fissure
What do the 2 Orbital veins connect with inside the skull?
Cavernous Sinus
What do the 2 Orbital veins communicate with?
Pterygoid Venous Plexus
Facial Vein
Scleral Venous Sinus (AKA Canal of Schlemm)
Very special to eye
Circular vein around the anterior chamber
*Through this sinus the Aqueous Humor returns to Blood Circulation
What is the Superior Border of the Parotid Region?
Zygomatic Arch
What is the Inferior Border of the Parotid Region?
Angle and Inferior border of Mandible
What is the Anterior Border of the Parotid Region?
Anterior border of Masseter m.
What is the Posterior Border of the Parotid Region?
External Ear
Anterior Border of the SCM m.
What is the Medial Border of the Parotid Region?
Ramus of the Mandible
Which gland is the largest of the 3 Salivary glands?
Parotid Gland
What encloses the Parotid gland within a tough facial capsule?
Parotid Fascia
Where does the Parotid Fascia come from?
Investing layer of deep cervical Fascia
What shape is the Parotid Gland?
Triangular