EOM Flashcards
What embryology origin is EOM?
Mesodermal
When does EOM development begin? When are they in their final anatomical positions?
- 3 weeks of gestation
- 6 months of gestation (continues enlarging throughout gestation)
How are EOMS different from other skeletal muscles?
EOM have denser blood supply
- connective tissue has more elastic fibers
- have fewer fibers per unit, so more fine movements
Due to a unique combination of white and red muscle fibers, what are EOMS?
Fast and fatigue resistant
What are the two layers of EOM?
- Orbital layer: superficially near the orbital wall (inserted on a pulley)
- Globar layer (located deeper, becomes contiguous with tendon to insert on the globe)
What is the primary action of medial rectus? Lateral rectus?
Medial:ADDuction
Lateral:ABDuction
List primary, secondary, and tertiary actions of SR
1: Elevation
2. Intorsion
3. ADDuction
List the primary, secondary, and tertiary functions of IR
1: depression
2. Extorstion
3. ADDuction
List the primary, secondary, and tertiary actions of SO
- Intorsion
- Depression
- ABDuction
List the primary, secondary, and tertiary actions of IO
- Extortion
- Elevation
- ABDuction
Where do all recti muscles originate?
Annulus of Zinn
List the annulus of Zinn tendon attachments
SR: upper limb annulus
MR: upper and lower limbs
IR: lower limb
LR: upper and lower limbs
Annulus encloses the oculomotor foramen, what passes through this?
- oculomotor nerve
- optic nerve
- ophthalmic artery
- abducens nerve
- nasociliary nerve
What is the spiral of tillaux?
-where recti muscles insert onto the sclera
Name the recti muscles in their order from closest to limbus to furthest
- Medial rectus
- inferior
- Lateral
- superior
What is the shortest muscle?
Inferior oblique
What is the longest and thinnest muscle?
Superior oblique
Where does the levator palpebrae superioris originate?
Orbital surface of lesser wing of sphenoid
What does the superior lamina of the lesser palpebrae superioris do? Inferior lamina?
Superior: voluntary to skin and upper eye lid
Inferior: involuntary to upper margin of superior tarsus
Name the superior muscles in order from superior to inferior
Levator
SR
SO
What is the strongest EOM and most eye turns are because of this?
Medial rectus
What is the only EOM to have it an atomic organ in the ANTERIOR orbit?
inferior oblique
What is the action of the check ligaments?
Provide stops to excessive movements
What are check ligaments?
Dense connective tissue network that connects EOM sheath to one another
MR is anchored to periorbita by what? LR?
MR: medial check ligaments
LR: lateral check ligaments
What is the suspensory ligament of lockwood?
Hammock between the medial and lateral check ligaments that suspends the globe
-inferior rectus and inferior oblique contribute
What is primary gaze?
Eyes aligned around Sagittarius and horizontal plane, head erect, focus at infinity
What is secondary gaze?
Rotation around a single flick axis
What is tertiary gaze?
Rotation around both horizontal and vertical axes
What is the X axis?
Horizontal axis (elevation and depression)
What is the y axis?
Anterior to posterior. Torsion movements
What is Z axis?
Vertical axis, adduction and abduction
What are functions?
Movement involving one eye
How many duction movements are there?
6
What are versions?
Conjugate movement of both eyes in the same direction
How many positions of gaze with version movements are there?
8 (9 cardinal positions of gaze)
What is vergences?
Disjunctive movement of both eyes (in opposite direction
What is convergence?
Both eyes looking inward
What is divergence?
Both eyes looking outward
What is the movement of IO?
-looking laterally and upward
What is the movement of SO?
Looking laterally and down
What si the movement of LR?
Looking laterally
What is the movement of MR?
Looking medially
What is the movement of SR?
Looking up and medially
What is the movement of the IR?
Looking down and medially
Which EOM is innervates by superior division of oculomotor
SR
Which EOM are innervates by inferior division of oculomotor?
MR,IR,IO
Lateral rectus innervation
6
Superior oblique innervation
4
Which EOM get blood supply from superior lateral branch of ophthalmic artery>
SR, LR, SO
Which EOM get blood from inferior branch of ophthalmic artery?
IO,IR,MR
What EOM get drained by superior ophthalmic vein?
SR and MR (even though its the biggest vein)
What EOMs get drained by inferior ophthalmic vein?
MR,IR,IO