Exam3Lec4/5EyeandEar Flashcards
What is the orbit?
“eye socket” made up of 6 bones
What are the 6 bones of the orbit?
- Frontal
- Sphenoud
- Zygomatic
- Maxillary
- Lacrimal
- Ethmoid
What are the eyelid structures?
- orbiularis oculi m.
- Levator palpabrae superioris (LPS) m.
- Inferior tarsal plate (tarsus)
- Tarsal gland
- Lacrimal grand
What does the orbicularis oculi m. do?
closes eyelid
impt
What does the levator palpabrae superioris (LPS) m. do and what is its innervation?
open eyelid
inn: oculomoter n. (CNIII=3)
What does the inferior tarsal plate (tarsus) do?
gives eyelid strength
not high yield
What does the tarsal gland do?
helps keep the eye moist
low yield
What does the lacrimal gland do? What is its location and its release pathway?
secretes the fluid swept across the eye
Location: supero-lateral
Pathway: Punctum, lacrimal canaliculi, lacrimal sac, lacromcal duct
high yield
helps produce tears
What are the external structures of the eye?
- Sclera: whites of the eyes, continues w/ cornea
- Cornea: transparent part of the eye, covers iris + pupil
- Iris: eye color
- Pupil: black hole w/in iris
- Conjunctiva: internal lining of the eyelid, covers sclera
What are the interal structures of they eye?
- choroid: middle eye (vascular) layer
- Retina: inner eye layer
- Fovea (macula): area of greatest visual acuity
contains only cones, giving us color vision - Optic disk: blind spot (where optic n. enters)
What can be seen on the “anterior” aspect of the eye?
Covered by the orbicularis oculi m (eyelid)
Contains the** trochlea**=cartilage on the frontal bone of the orbit (eye socket)
location: supero-medial
fxn: attachment site for the superior oblique m
contains brs from trigeminal n. (CNV-5)–> supraorbiral n. (V1) +supratrochelar n. (V1) + infraorbital n (V2)
-trochlea fxn and cadaver image is high yield
-note for the nerves, these are just housed in socket, and provied innervation to the orbit, not the muscles
-V1=opthalmic br
-V2: maxillary br
What can be seen on the “superior” aspect of the eye?
- Levator palpebrae superioris (LPS) m.: most sup.
- Superior rectus m.: deep to LPS
- Medial + Lateral rectus m.: inferior to the superior rectus
- Superior Oblique m.: deep to superior rectus–> runs throough the trochlea
all the rectus muscles connect to a common tendinous ring
these are just to give us idea where they are so we can identify in the cadaver image
What is the arterial suppy for the eye?
Internal carotid artery—> opthalmic artery (has 6 branches)
very low yield
only the scalp+ eye have arterial supply from the internal carotid artery, everything else is either external carotid or subclavian artery
What are the 6 branches of the opthalmic artery?
1. Supraorbital art.
2. Supratrochlear art.
3. Lacrimal art.
4. Ethmoidal art.
5. Anterior + Posterior Ciliary art.
6. Doral Nasal art.
only 1 and 2 we talked about
What innervates the eye?
- Optic n. (CN II=2)
- Oculomotor n. (CN III=3)
- Trochlear n. (CN IV=4)
- Abducens n. (CN VI =6)
- Ciliary ganglia–>short ciliary n.
- Long ciliary n.
the trigeminal n. (CN=5) gives off the opthalmic br (V1) which inn the eye orbit and NOT the actual eye muscles
Optic n. (CN II=2)
sensory (sight)
Oculomotor n. (CN III=3)
innervation to
superior eye=LPS +superior rectus m.
Inferior eye= medial rectus + inferior rectus + inferior oblique m
Trochlear n. (CN IV=4)
innervation to superior oblique m.
note that damage to this (trochlear nerve palsy) can cause torticollis
Abducens n. (CN VI =6)
innervation to lateral rectus m.
Ciliary ganglia–>short ciliary n.
innervation to Ciliary body + iris
Provides sympathetic + parasympatheic inn
Long ciliary n.
innervates cornea, iris, dilator pupillae
* provides symp inn to pupil
* provides sensory inn to cornea + iris
What are the eye muscles?
- Levator palpabrae superioris (LPS)
- Superior oblique
- Inferior oblique
- Inferior rectus
- Medial rectus
- Lateral rectus
know all muscles, innervation, and action
What is the innervation and action of LPS?
Inn: oculmotor n. (CN3=3) superior division
actions: elevation of superior eyelid
What is the innervation and action of superior oblique?
Inn: trochelar n. (CN4)
actions: abduction + depression
What is the innervation and action of inferior oblique?
Inn: oculomotor n. (CN 3) inferior division
actions: abduction + elevation