EXTRAOCULAR MUSCLES Flashcards

1
Q

what are the 7 extra ocular muscles?

A
superior rectus
lateral rectus
medial rectus
inferior rectus
inferior oblique
superior oblique
levator palpeerde superioris
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2
Q

where does the levator palpebral superioris originate?

A

lesser wing of sphenoid bone

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3
Q

where does the levator palpebral superioris attach?

A

superior tarsal plate of upper eyelid

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4
Q

whats the action of levator palpebral superioris?

A

elevates upper eyelid

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5
Q

what innervates the levator palpebral superioris?

A

oculomotor nerve

but superior tarsal muscle is innervated by sympathetic nervous system

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6
Q

where do the recti muscles originate?

A

common tendinous ring

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7
Q

where does the superior rectus muscle attach?

A

superior and anterior region of sclera

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8
Q

whats the action of the superior rectus muscle?

A

elevates eyeball

also assists in some adduction and medial rotation

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9
Q

what innervates the superior rectus muscle?

A

oculomotor nerve

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10
Q

where does the inferior rectus muscle attach?

A

inferior anterior sclera

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11
Q

what Is the action of inferior rectus?

A

depression

assists on adduction and lateral rotation

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12
Q

what innervates the inferior rectus muscle?

A

oculomotor nerve

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13
Q

where does the lateral rectus attach?

A

anterolateral sclera

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14
Q

whats the action of lateral rectus muscle?

A

abduction

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15
Q

what innervates the lateral rectus muscle?

A

abducens nerve cn6

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16
Q

where does the superior oblique muscle originate?

A

body of sphenoid

17
Q

where does the superior oblique muscle attach?

A

sclera of the eye but posterior to superior rectus

18
Q

whats th action of the superior oblique?

A

depresses, abducts and medially rotates

19
Q

what innervates superior oblique?

A

trochlea nerve cn4

20
Q

where does the inferior oblique originate?`

A

anterior aspect of orbital floor

21
Q

where does the inferior oblique attach?

A

sclera of the eye posterior to lateral rectus

22
Q

whats the action of the inferior oblique?

A

elevates, abducts and laterally rotates

23
Q

what innervates the infeiror oblique muscle?

A

oculomotor nerve

24
Q

what would you see in an oculomotor nerve palsy?

A

eye down and out

25
Q

what would you see in a trochlear nerve palsy?

A

normal eye but diplopia and head tilt

26
Q

what would you see in an abducens nerve palsy?

A

adducted eye - due to resting tone of medial rectus

27
Q

what causes horners syndrome

A

damage to the sympathetic trunk in the neck - can be caused by Pancoast tumours, thyroid carcinomas etc

28
Q

how does horners syndrome present?

A

partial ptosis
anhidrosis on ipsilateral side
miosis

29
Q

what causes the partial ptosis in horners syndrome?

A

denervation of the superior tarsal muscle

30
Q

what causes the miosis in horners syndrome?

A

denervation of dilator papillae muscle

31
Q

what causes anhidrosis in horners syndrome?

A

denervation of sweat glands