EXTRAOCULAR MUSCLES Flashcards

1
Q

SPIRAL OF TILLAUX

A
  • rectus muscles pass through tenon’s capsule + insert into the sclera
  • muscles insert at different distances from the cornea
  • insertion pattern is a spiral with medial rectus closest to the cornea (5.5mm) + superior rectus furthest away (7.4mm)
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2
Q

TENON’S CAPSULE

A
  • bulk of orbital fascial system
  • forms envelope in which the eyeball moves
  • fuses post. with optic nerve sheath
  • fuses ant. with inter-muscular septum
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3
Q

ANNULUS OF ZINN

A
  • ring of fibrous tissue surrounding optic nerve (ophthalmic artery + vein)
  • all EOM arise from here except IO
  • cone shaped structure behind eye
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4
Q

TROCHLEA

A
  • loop of fibrous tissue that SO tendon passes through

- exerts pressure used in pulley system

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5
Q

ORIGIN OF INFERIOR OBLIQUE

A

behind lacrimal fossa

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6
Q

ORIGIN OF SUPERIOR OBLIQUE

A

lesser wing of sphenoid bone

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7
Q

SUPERIOR OBLIQUE CN

A

trochlear nerve (IV)

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8
Q

WHERE DO OBLIQUES INSERT INTO?

A

posterior aspect of sclera

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9
Q

THICK FIBRES

A
  • striated muscle
  • singly innervated
  • motor end plate
  • fast + slow twitch fibres
  • all or none contraction
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10
Q

THIN FIBRES

A
  • striated muscle
  • multiply innervated (many branches, 1 nerve)
  • en grappe end plate
  • slow sustained (tonic)
  • graded contraction
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11
Q

MOTION OF EYE

A

X axis - nasal -> temporal
Y axis - anterior -> posterior
Z axis - superior -> inferior

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12
Q

SACCADES

A

eye movement - quick jumps

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13
Q

SMOOTH TRACKING

A

combined head + eye tracking

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14
Q

WHAT INNERVATES THE LATERAL RECTUS?

A

abducens - cranial nerve VI

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15
Q

WHAT DOES CRANIAL NERVE III INNERVATE?

A

(oculomotor nerve)

  • levator palpebrae
  • superior rectus
  • medial rectus
  • inferior rectus
  • inferior oblique
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16
Q

LEVATOR PALPEBRAE SUPERIORIS

A
  • eyelid elevation

- originates above annulus of zinn

17
Q

INFERIOR OBLIQUE

A
  • EXTORSION
    (abduction, elevation)
  • originates behind lacrimal fossa
18
Q

SUPERIOR OBLIQUE

A
  • INTORSION
    (abduction, depression)
  • originates superior to annulus of zinn
  • trochlear nerve
19
Q

SLIM

A

superior - 7.4mm
lateral - 6.9mm
inferior - 6.7mm
medial - 5.5mm

20
Q

WHAT MUSCLES ABDUCT?

A
  • inferior oblique
  • superior oblique
  • lateral rectus