extraocular muscles Flashcards

1
Q

where are the extraocular muscles located?

A

within the orbit, but are extrinsic and separate from the eyeball itself

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2
Q

relationship between eyeball and extraocular muscles?

A

E. muscles are extrinsic and separate from the eyeball itself

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3
Q

what do the extraocular muscles function to do?

A

They act to control the movements of the eyeball and the superior eyelid

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4
Q

how many extraocular muscles are there?

A

seven extraocular muscles

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5
Q

what are the 7 extraocular muscles?

A

the levator palpebrae superioris, superior rectus, inferior rectus, medial rectus, lateral rectus, inferior oblique and superior oblique

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6
Q

functionally, how can the 7 extraocular muscles be divided?

A

Responsible for eye movement

Responsible for superior eyelid movement

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7
Q

what are the muscles responsible for eye movement?

A

Recti and oblique muscles

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8
Q

what are the muscles responsible for superior eyelid movement?

A

Levator palpebrae superioris

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9
Q

what is the levator palpebrae superioris (LPS) muscle involed in?

A

the only muscle involved in raising the superior eyelid

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10
Q

what does a small portion of the LPS muscle contain?

A

a collection of smooth muscle fibres – known as the superior tarsal muscle

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11
Q

in contrast to the LPS, what is the superior tarsal muscle innervated by?

A

the sympathetic nervous system

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12
Q

origin of of LPS?

A

Originates from the lesser wing of the sphenoid bone, immediately above the optic foramen

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13
Q

attachment of LPS?

A

superior tarsal plate of the upper eyelid (a thick plate of connective tissue)

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14
Q

action of LPS?

A

Elevates the upper eyelid

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15
Q

innervation of LPS?

A

by the oculomotor nerve (CN III)

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16
Q

where is the superior tarsal muscle located?

A

within the LPS

17
Q

what is the superior tarsal muscle innervated by?

A

the sympathetic nervous system

18
Q

what is Horner’s syndrome?

A

a triad of symptoms produced by damage to the sympathetic trunk in the neck

19
Q

what is the triad of symptoms within Horner’s syndrome?

A

partial ptosis
miosis
anhydrosis

20
Q

what is partial ptosis?

A

dropping of eyelid

21
Q

why does partial ptosis occur?

A

due to denervation of superior tarsal muscle (within LPS)

22
Q

what is miosis?

A

pupillary constriction

23
Q

why does miosis occur?

A

due to denervation of dilator pupillae muscle

24
Q

what is anhydrosis?

A

absence of sweating

25
Q

where does anhydrosis occur within Horner’s syndrome?

A

on the ipsilateral side of the face

26
Q

why does anhydrosis occur?

A

denervation of sweat glands

27
Q

what can Horner’s syndrome represent?

A

serious pathology:
tumour of apex of lung (Pancoast tumour)
aortic aneurysm
thyroid carcinoma