anatomy of the orbit and the eye Flashcards

1
Q

what direction does the apex of the orbit point?

A

posteriorly

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2
Q

where is the base of the orbit situated?

A

anteriorly

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3
Q

where is the axis of the eye directed?

A

anteriorly

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4
Q

where is the axis of the orbit directed?

A

anteriolaterally

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5
Q

what bones is the roof (superior wall) of the orbit formed by?

A

frontal bone
sphenoid (lesser wing)

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6
Q

what bones is the floor (inferior wall) of the orbit formed by?

A

maxilla
palatine
zygomatic

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7
Q

what bones is the medial wall of the orbit formed by?

A

ethmoid
maxilla
lacrimal
sphenoid

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8
Q

what bones is the lateral wall of the orbit formed by?

A

zygomatic
sphenoid (greater wing)

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9
Q

what does the optic canal transmit?

A

optic nerve and ophthalmic artery

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10
Q

what does the superior orbital fissure transmit?

A

lacrimal, frontal, trochlear, oculomotor, nasociliary and abducens nerves

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11
Q

what vein does the superior orbital fissure carry?

A

superior ophthalmic

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12
Q

what does the inferior orbital fissure transmit?

A

zygomatic branch of maxillary nerve
inferior ophthalmic vein
sympathetic nerves

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13
Q

where do orbital rim fractures usually occur?

A

at sutures joining the 3 bones of orbital rim

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14
Q

what are the 3 bones of the orbital rim?

A

maxilla
zygomatic
frontal

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15
Q

what is a “blowout” fracture?

A

partial herniation of the orbital contents through one of its wall

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16
Q

what usually causes “blowout” fractures?

A

blunt force trauma to the eye

17
Q

which walls of the bony orbit are the weakest?

A

medial and inferior

18
Q

where would the contents herniate into with a blowout fracture?

A

ethmoid and maxillary sinuses

19
Q

what are the 3 parts of the orbicularis oculi muscle?

A

palpebral
lacrimal
orbital

20
Q

what is the role of the palpebral part?

A

gently closes eyelid

21
Q

what is the role of lacrimal part?

A

involved in the drainage of tears

22
Q

what is the role of the orbital part?

A

tightly closes the eyelids

23
Q

what nerve innervates the orbicularis oculi muscle?

A

CN VII (facial nerve)

24
Q

where is the orbicularis oculi muscle located?

A

deep to skin and connective tissue

25
Q

where are the tarsal plates located?

A

deep to palpebral region of the orbicularis oculi muscle

26
Q

what are the two tarsal plates?

A

superior (upper eyelid)
inferior (lower eyelid)

27
Q

what are the tarsal plates composed of?

A

dense connective tissue

28
Q

what does the superior tarsus act as?

A

attachment site of levator palpebrae superioris

29
Q

what lies in the tarsal plates?

A

Meibomian glands (tarsal glands)

30
Q

what does Meibomoian glands secrete?

A

oily lipid substance that slows evaporation of eye’s tear film and prevents eyelids sticking together when closed

31
Q

what extends from either tarsus to the orbital margin?

A

orbital septum

32
Q

what is the role of the orbital septum?

A

helps prevent spread of infection between superficial and deep parts of the orbit

33
Q

what is the role of the levator palpebrae superioris (LPS) muscle?

A

elevates the upper eyelid

34
Q

what muscle is LPS attached to?

A

superior tarsal plate

35
Q

what does the lacrimal gland produce?

A

lacrimal fluid

36
Q

what is the production of lacrimal fluid a result of?

A

parasympathetic innervation (CN VII)

37
Q

where does the lacrimal fluid push towards after secretion?

A

medial angle

38
Q

once in the medial angle where does the lacrimal fluid drain through?

A

lacrimal puncta