anatomy Flashcards
what is another name for the limbus
corneoscleral junction
name the 3 main layers of the eye
fibrous outer layer
vascular middle layer
inner photosensitive layer
what does the fibrous outer layer consist of
the sclera and the cornea
role of the sclera
attachment site for most of the extraocular muscles
role of the cornea
provides 2/3 of the refractive power of the eye
what does the vascular middle layer consist of
iris
ciliary body
choroid
anatomical position of the iris
lies on the anterior surface of the lens
role of the iris
controls pupil diameter to control the amount of light that reaches the retina
what are the 2 main components of the ciliary body
ciliary muscle attached to the lens by the ciliary process
name the 3 main roles of the ciliary body
adapts the shape of the lens
anchors the lens
produces aqueous humour
what is the choroid
a dense vascular bed covering most of the sclera
role of the choroid
nutrition and gas exchange to the outer layers of the retina
what is another name for the inner photosensitive layer of the eye
retina
what is the fundus
posterior area of the eye where light is focused
name the 3 main parts of the fundus
optic disc
macula
fovea
what causes a blind spot at the back of the eye
optic disc
what is the macula
centre of the retina where there is the greatest density of cones
what is the fovea
a depression at the centre of the macula
role of the fovea
high acuity vision
name the 3 main layers of the retina (from outwards in)
photoreceptors
ganglion cells
axons of the ganglion cells
where does the anterior segment of the eye lie
in front of the lens
what can the anterior segment be divided into
anterior and posterior chamber
where is the anterior chamber of the eye
between the cornea and iris
where is the posterior chamber of the eye
between the iris and suspensory ligaments
what fills the anterior segment
aqueous humour
where is the posterior segment found
behind the lens
what is found in the posterior segment
vitreous body which contains vitreous humour
where is the most common location for floaters
vitreous body
describe the flow of aqueous humor (4)
- ciliary body secretes it
- circulates in the posterior chamber to nourish the lens
- passes through the pupil into anterior chamber to nourish cornea
- reabsorbed into scleral venous sinus
what is another name for the scleral venous sinus
canal of schlemm
where is the scleral venous sinus found
at the iridocorneal angle
primary arterial supply of the eyeball
ophthalmic artery
arterial supply of the retina
central artery of the retina
what does the infraorbital artery supply
structures in the floor of the orbit
venous drainage of the eye
superior and inferior ophthalmic veins
venous drainage of the retina
central vein of the retina
what are meninges
protective coverings of the brain and spinal chord
name the 3 layers of meninges in the brain
dura mater
arachnoid mater
pia mater
sensory supply of the dura mater
CN V
role of the dural mater
encloses dural venous sinuses
role of dural venous sinuses
drain deoxygenated blood from the brain back towards the internal jugular vein
what is the subarachnoid space
the space between the arachnoid mater and pia mater
what does the subarachnoid space contain
circulating CSF (and blood vessels)
role of CSF
completely surrounds the brain and the spinal chord and provides protection
how can we obtain a sample of CSF
lumbar puncture at L3/4 or L4/5 disc levels
where in the spinal chord does CSF end
inferiorly at vertebral level S2
role of the pia mater
completely adheres to the brain
what is the largest venous sinus
superior sagittal sinus
role of the intraventricular foramina of monroe
connects lateral ventricles to the third ventricle
role of the cerebral aqueduct of sylvius
connects third ventricle to fourth
role of the foramen of magendie and luschka
connect 4th ventricles to subarachnoid space
where is CSF produced
in the choroid plexus
what does the choroid plexus develop from
walls of the ventricles
where is light from the left visual field processed
in the right primary visual cortex
where is light from the right visual field processed
in the left primary visual cortex
mnemonic for remembering the innervation of the extraocular muscles
LR 6 SO4 R3
how many extraocular muscles do we have
7
name the 3 main groups of extraocular muscles
recti and oblique muscles
levator palpebrae superioris
role of recti and oblique muscles
eye movement
role of levator palpebrae superioris
superior eyelid movement
name the 7 muscles of the eye
levator palpebrae superioris
superior oblique
inferior oblique
superior rectus
medial rectus
lateral rectus
inferior rectus
where do the recti muscles originate from
common tendinous ring
where do recti muscles insert on the eye
onto the sclera
where does the superior oblique originate from
sphenoid bone
where does the inferior oblique originate from
orbital plate of the maxilla
origin of the levator palpebrae superioris
lesser wing of the sphenoid
insertion of the levator palpebrae superioris
skin and tarsus of the superior eyelid
what assists the levator palpebrae superioris in opening the eye
Mueller’s muscle
innervation of Mueller’s muscle
superior cervical chain
role of the vertical axis of the eye
abduction and adduction
role of the transverse axis of the eye
elevation and depression
role of the anteroposterior axis of the eye
intorsion and extorsion of the eye
role of the lateral rectus muscle
abduction of the eyeball
role of the superior rectus muscle
elevates when in abduction
role of the inferior rectus
depresses when in abduction
role of the medial rectus
adducts the eyeball
role of the inferior oblique
elevates when in adduction
role of the superior oblique
depresses when in adduction
what forms the roof of the orbit
frontal bone and lesser wing of the sphenoid bone
what forms the floor of the orbit
maxilla, palatine and zygomatic bones
what forms the medial wall of the orbit
ethmoid, maxilla, lacrimal and sphenoid bones
what forms the lateral wall of the orbit
zygomatic and greater wing of the sphenoid
what does the optic canal transmit
optic nerve and the ophthalmic artery
what does the superior orbital fissure transmit
lacrimal, frontal, trochlear, oculomotor, naso-ciliary and abducens nerves, also carries the superior ophthalmic vein
what does the inferior orbital fissure transmit
zygomatic branch of the maxillary nerve
inferior ophthalmic vein
sympathetic nerves
what supplies sensory innervation of the face
branches of CN V
what is another name for CN V1
ophthalmic nerve
what is another name for CN V2
maxillary nerve
what is another name for CN V3
mandibular nerve
what is supplied by the ophthalmic nerve
upper eyelid, conjunctiva, cornea
what is supplied by the maxillary nerve
skin of the lower eyelid
skin over the maxilla
what is supplied by the mandibular nerve
skin over the mandible and TMJ
what is the exception to innervation by the mandibular nerve
angle of the mandible
what is the corneal reflex
involuntary blinking of the eyelids elicited by stimulation of the cornea
why do we have the corneal reflex
protects the eyes from foreign bodies and bright lights
what is afferent
sensory
what is efferent
motor
sensory limb of the corneal reflex (3)
- action potentials conducted from cornea via CN V1 branches
- to trigeminal ganglion
- then along CN V to pons
motor limb of the corneal reflex
action potentials conducted via CN VII to eyelid part of the orbicularis oculi
sympathetic reflex of the eye
opens eye wider to get more light in
parasympathetic reflex of the eye
protects the retina from bright light or when asleep
reflex lacrimation
what allows wide eye opening of the eye
mueller’s muscle being sympathetically innervated
what is a mydriatic pupil
a non-physiologically enlarged pupil
what is a miotic pupil
non-physiologically restricted pupil
give an example of when we may see a miotic pupil
horners syndrome
when may we see a fixed pin point pupil
opiate drug use
when may we see a fixed dilated (blown) pupil
CN III pathology
describe the light reflex pathway
- light is shined in one eye
- action potentials reach pretectal nuclei
- stimulates both sides of eddinger-westphal nucleus
- generates action potentials through R+L oculomotor nerves causing both pupils to constrict
what happens to ciliary muscle in far vision
relaxes causing ligament to tighten and lens to flatten
what happens to ciliary muscle in near vision
contracts causing ligament to relax and lens to become spherical
what are the 3 types of tears
basal, reflex and emotional
role of basal tears
involved in corneal health
role of reflex tears
extra tears in response to mechanical or chemical stimulation
role of the vestibulo-ocular reflex
turns the eyes in the opposite direction to a head movement
what is the oculocardiac reflex
reflex bradycardia in response to tension on extraocular muscles or pressure on the eye