EOMs Flashcards

1
Q

What type of eye movements have to do with the Z axis?

A

Adduction and abduction.

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2
Q

What type of eye movements have to do with the X axis?

A

Elevation and depression.

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3
Q

What type of eye movements have to do with the Y axis?

A

Intorsion and extorsion.

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4
Q

Where do the rectus muscles originate?

A

The common tendinous ring (Annulus of Zinn)

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5
Q

What is another name for the Annulus of Zinn?

A

Common tendinous ring.

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6
Q

Where do the rectus muscles insert?

A

on the Spiral of Tillaux.

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7
Q

What is meant by the term “Spiral” of Tillaux?

A

Beginning with the medial rectus muscle and moving around clockwise (as looking at the eye), the distance between the muscle insertion and limbus progressively grows larger

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8
Q

Where does the medial rectus muscle originate?

A

The common tendinous ring and the optic nerve sheath.

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9
Q

Where does the medial rectus muscle insert?

A

Anterior globe.

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10
Q

What is the action of the medial rectus muscle?

A

Adduction.

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11
Q

Where does the lateral rectus muscle originate?

A

The common tendinous ring and the greater wing of the sphenoid.

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12
Q

Where does the lateral rectus muscle insert?

A

Anterior globe.

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13
Q

What is the action of the lateral rectus muscle?

A

Abduction.

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14
Q

What nerve innvervates the lateral rectus muscle?

A

The abducens nerve (CN VI).

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15
Q

Where does the superior rectus muscle originate?

A

Common tendinous ring and optic nerve sheath.

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16
Q

Where does the superior rectus muscle insert?

A

Superior, anterior globe.

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17
Q

What nerve innvervates the medial rectus muscle?

A

Inferior division of oculomotor nerve (CN III).

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18
Q

What is the action of the superior rectus muscle?

A

Primary action is elevation. Secondary actions are adduction and intorsion.

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19
Q

Where does the inferior rectus muscle originate?

A

Common tendinous ring

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20
Q

Where does the inferior rectus muscle insert?

A

Inferior, anterior globe.

21
Q

What is the action of the inferior rectus muscle?

A

Primary action is depression. Secondary actions are adduction and extorsion.

22
Q

What nerve innvervates the inferior rectus muscle?

A

Inferior division of oculomotor (CN III).

23
Q

Where is the superior oblique muscle located?

A

The muscle belly lies superior to the muscle cone and makes an angle of approximately 55 degress with the Y axis.

24
Q

Where does the superior oblique muscle originate?

A

Anatomic: Lesser wing of the sphenoid.Physiologic: Trochlea

25
Q

Where does the superior oblique muscle insert?

A

Superior, posterior, lateral globe.

26
Q

What is the action of the superior oblique muscle?

A

Primary action is intorsion. (Contraction causing the globe to move toward the trochlea.)Secondary actions are depression and abduction.

27
Q

What nerve innervates the superior oblique muscle?

A

The trochlear nerve (CN IV).

28
Q

Where is the inferior oblique muscle located?

A

Inferior to the muscle cone.

29
Q

Where does the inferior oblique muscle originate?

A

Medial maxillary bone.

30
Q

Where does the inferior oblique muscle insert?

A

Inferior, posterior, lateral globe.

31
Q

What is the action of the inferior oblique muscle?

A

Primary action is extorsion. Secondary actions are elevation and abduction.

32
Q

What nerve innervates the inferior oblique muscle?

A

Inferior division of oculomotor (CN III).

33
Q

In the sarcomere, what portion is the I band?

A

Where there are only thin fibers.

34
Q

In the sarcomere, what portion is the H zone?

A

Where there are only thick fibers.

35
Q

In the sarcomere, what portion is the A zone?

A

Where the thin and thick fibers overlap.

36
Q

What nerve innvervates the superior rectus muscle?

A

Superior division of oculomotor (CN III).

37
Q

How long is the medial rectus tendon?

A

3.7 mm

38
Q

How long is the inferior rectus tendon?

A

5.5 mm

39
Q

How long is the lateral rectus tendon?

A

8.8 mm

40
Q

How long is the superior rectus tendon?

A

5.8 mm

41
Q

How far from the limbus is the tendon of the medial rectus muscle?

A

5.5 mm

42
Q

How far from the limbus is the tendon of the inferior rectus muscle?

A

6.5 mm

43
Q

How far from the limbus is the tendon of the lateral rectus muscle?

A

6.9 mm

44
Q

How far from the limbus is the tendon of the superior rectus muscle?

A

7.7 mm

45
Q

What is meant by secondary position?

A

Adducted or abducted.

46
Q

Who came up with the law of reciprocal innervation?

A

Sherrington.

47
Q

Who came up with the law of equal innervation?

A

Hering.

48
Q

What is the purpose of the check ligaments?

A

They connect the EOMs to the bones of the orbit, and may acts to limit movement.

49
Q

Why are the CT sleeves or pullys in the orbits important?

A

They help attach the EOMs to the orbital wall or to Tenon’s capsule; they also help refine coordination of binocular movements. Displacement can clinically mimic oblique dysfunction.