Eye Flashcards
thinnest part of ethmoid bone
lamina papyracea
optic canal contents
CN II and ophthalmic a.
superior orbital fissure contents
CN III, CN IV, CN V1, CN VI
and superior ophthalmic v.
what will you hit if you go straight back into the superior orbital fissure
internal carotid a.
inferior orbital fissure contents
inferior ophthalmic v.
structures inside common tendinous ring
ophthalmic a.
CN II
CN III
CN VI
nasociliary n. (branch of CN V1)
structures outside common tendinous ring
CN IV
frontal n. (branch of CN V1)
lacrimal n. (branch of CN V1)
superior ophthalmic v.
vascular layer of eye
choroid
what produces aqueous humour
ciliary body
artery of the retina that is in the choroid layer
cilioretinal a.
superficial to deep the layers of eye
sclera, choroid, retina
what 3 types of cells make up conjunctiva
stratified squamous
columnar epithelial
goblet
function of conjunctiva
lubricate eye
immunosurveillance
2 parts of conjunctiva
bulbar and palpebral
3 causes of conjunctiva:
allergies, bacteria, virus
difference b/t bacterial and viral conjunctiva
bacterial: thick discharge
viral: thin discharge
caused by increase in intraocular pressure causing blindness
glaucoma
what keeps retina against choroid
vitreous humour
when vitreous separates from retina
vitreous detachment
when retina detached from choroid
retinal detachment
causes of retinal detachment
diabetes
injury
aging
heat from surgery
when a piece of tissue is missing from structure of eye
Coloboma
2 branches of frontal nerve
supraorbital (more lateral)
supratrochlear (more medial)
95% of ocular melanomas happen here
uveal tract
uveal tract contains:
iris, ciliary body, choroid
vascular (and poor lymphatics)
a sign of melanoma (color)
orange pigment
arteries of the orbit
ophthalmic a.
internal carotid a.
veins of the orbit (and where they drain)
superior ophthalmic v.
inferior ophthalmic v.
drain in cavernous sinus
3 sensory branches of ophthalmic n.
frontal n.
lacrimal n. ( NOT to lacrimal gland)
nasociliary n.
provides all sensory info. to the eye
ophthalmic n.
ganglion in the orbit and 3 nerves associated
ciliary ganglion
short and long ciliary
nasociliary
3 motor nerves to extraocular muscles of eye
CN III
CN IV
CN VI
motor n. supplying these muscles:
levator palpebrae superioris
superior rectus
medial rectus
inferior rectus
inferior oblique
CN III (oculomotor)
the rectus muscles of eye have a secondary action of what
move eye in
the oblique muscles of eye have a secondary action of what
move eye out
trochlear n. (CN IV) innervates what muscle
superior oblique m.
abducens n. (CN VI) innervates what muscle
lateral rectus
H-Test steps for checking superior rectus and inferior rectus muscles
first: move eye out to take away the secondary action of in
second: move up or down
H-Test for lateral rectus m.
move out
H-Test for medial rectus m.
move in
H-Test steps for inferior and superior oblique muscles
first: move eye in to eliminate secondary action of out
second: move up (to check inferior) and move down (to check superior)
L oculomotor nerve palsy causes what eye position
down and out
L abducens nerve palsy causes what eye position
in
R trochlear nerve palsy causes what eye position
up and in
the 2 intrinsic ocular muscles that are innervated by parasympathetics
ciliary m.
sphincter pupillae m.
this intrinsic m. relaxes the lens and accommodates for close vision
ciliary m.
this intrinsic m. constricts pupil
sphincter pupillae m.
pathway of intrinsic muscle parasympathetic innervation:
- Edinger Westphal Nucleus
- CN III
- Ciliary ganglion
- short ciliary nerves
- intrinsic muscles of eye
preganglionic parasympathetic cell bodies are found where in the eye when discussing intrinsic eye muscles
Edinger Westphal Nucleus
sensory to side of the face
innervated by parasympathetics, NOT lacrimal n.
lacrimal gland
preganglionic parasympathetic cell bodies in the eye are found where when discussing lacrimal gland
superior salivatory nucleus
parasympathetic pathway to lacrimal gland:
- superior salivatory nucleus
- greater petrosal n. (branch of VII)
- greater wing of sphenoid (pterygoid canal)
- pterygopalatine ganglion
- infraorbital n. to lacrimal n.
- lacrimal gland
cell bodies of preganglionic sympathetics found where
superior cervical ganglion
brings sympathetics to pterygoid canal and its nerve
deep petrosal n.
tarsal plate (under eyelid) gland dysfunction can cause what
dry eyes
nerve of the pterygoid canal
Vidian n.
this muscle helps levator palpebrae superioris keep eyelid from closing
Muller’s m.
sympathetic pathway to muller’s m.
- superior cervical ganglion
- internal carotid a.
- ophthalmic a.
- muller’s m.
intrinsic ocular muscle innervated by sympathetics and causes pupil dilation
also has similar pathway as muller’s m. innervation
dilator pupillae m.
this syndrome is caused by loss of sympathetic innervation to head
Horner’s syndrome
sx’s of Horner’s syndrome:
pupil constriction
dilated blood vessels (flushing)
ptosis
anhydrosis
Corneal Reflex (blink reflex) sensory innervation
Ophthalmic n. (CN V1)
Corneal Reflex (blink reflex) motor innervation
Facial n. (CN VII)