Eye Flashcards

1
Q

What are the 3 layers of the eye and their components?

A

Outer fibrous layer - sclera and cornea
Medial vascular layer - choroid, ciliary body and iris
Inner neural layer - retina

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2
Q

How many bones contribute to the bony orbit?

A

7:

Frontal
Sphenoid
Ethmoid
Lacrimal
Maxilla
Zygomatic
Palatine
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3
Q

Describe the boundaries of the bony orbit:

A

Superior:

  • frontal
  • sphenoid (lesser wing) near apex

Inferior:

  • maxilla
  • zygomatic
  • palatine

Lateral:

  • frontal
  • sphenoid (greater wing)
  • zygomatic

Medial:

  • frontal
  • sphenoid
  • ethmoid
  • lacrimal

Apex (internal):
- lesser wing of sphenoid

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4
Q

Describe the 3 anatomical features of the external eye:

A

Palpebrae (eyelids)

  • cover anterior eyeball
  • internal surface: palpebral conjunctiva
  • protect cornea from dust and light
  • keep cornea moist by spreading lacrimal fluid

Eyelashes
- protect eye from foreign bodies and initiates automatic blink response when object is near

Ciliary glands

  • at base of eyelashes
  • secrete anti-bacterial sebaceous substance that lubricates eyelashes
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5
Q

What are the conjunctiva?

A

Mucous membranes covering the eylelid and sclera of the anterior eyball

Palpebral - lines eyelid
Bulbar - lines sclera
Conjunctival Fornix - where two conjunctiva meet (inner fold of eyelid)

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6
Q

What are the tarsal plates?

A

Thick bands of connective tissue that stabilize and support the eyeballs structurally

Superior and inferior tarsal plates

Tiny tarsal glands within tarsal plates secrete lipid based substance that lubricates edges of eyelids

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7
Q

What are the 5 features of the lacrimal apparatus? Describe the function of this apparatus.

A

Lacrimal glands - in lacrimal fossa of supero-lateral orbit. Secrete lacrimal fluid

Lacrimal ducts - up to 12, open into superior conjunctival fornix in inner fold of superior eyelid

Lacrimal lake -triangular space at medial aspect of eye where lacrimal fluid collects

Lacrimal sac - upper portion of nasolacrimal duct

Nasolacrimal duct - conveys fluid from lacrimal lake /sac to nasal cavity, draining into inferior nasal meatus

Function of the lacrimal apparatus is to secrete lacrimal fluid (tears). Lacrimal fluid is secreted by the lacrimal glands, distributed by the lacrimal ducts into the superior conjunctival fornix, sweeps from lateral to medial across the sclera and cornea of the anterior eye, collects in the lacrimal lake, and drains into the lacrimal sac and nasolacrimal duct into the inferior nasal meatus.

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8
Q

What are the components of the outer fibrous layer of the eye?

A

Sclera (whites of eye) - posterior 5/6ths eyeball

Cornea - anterior 1/6 eyeball, overlying lens and iris

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9
Q

What are the components of the middle vascular layer of the eye?

A

Choroid - dark brown membrane covering posterior 5/6ths eyeball (intermediate membrane between sclera and retina). Contains blood vessels and pigment which absorbs excess light

Ciliary body - anterior continuation of choroid, and connects choroid with circumference of iris. Has a vascular and a muscular part:
Vascular - ciliary processes secrete aqueous humour which fills anterior and posterior chambers
Muscular - ciliary muscle controls shape of the lens: accommodated (fatter / contracted) for short distance, and non-accommodated (thinner / non-contracted) for long distance. Contraction via CN III Oculomotor via Edinga-Westphall nucleus in rostral midbrain.
Lens suspended from ciliary body (posterior to iris) by suspensory ligaments

Iris - coloured portion of eye. Thin muscular diaphragm.

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10
Q

What are the anterior and posterior chambers of the eye?

A

Anterior - between iris and cornea
Posterior - between iris and lens

(both chambers filled with aqueous humour secreted by ciliary processes of ciliary body)

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11
Q

What is the pupil and what controls its circumference?

A

Aperture (hole) in iris, adjusts size to regulate amount of light entering retina.

Controlled by two circular muscles:
sphincter pupillae (parasympathetic) - constricts pupils
dilator pupillae (sympathetic) - dilates pupils

Innervation via CN III oculomotor through Edinga-Westphall nucleus in rostral midbrain

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12
Q

Describe the difference between accommodated & non-accommodated vision, and how this occurs.

A

Accommodated - ciliary muscle (in ciliary body) contracts around the lens to make the lens fatter. For short vision.

Non-accommodated - ciliary muscle is non-contracted. Lens is thinner. For long distance vision.

Contraction of ciliary muscle via CN III Oculomotor nerve, via Edinga-Westphall in rostral midbrain.

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13
Q

Describe the features of the inner neural layer of the eye.

A

Retina - 10 layers of thin neural membrane covering the inside of the posterior 2/3rds of the eyeball. Receives visual images and transmits via optic nerve to the brain

Optic disc - where ganglion cells converge to form CN II Optic nerve moving towards the brain (Primary Visual Cortex of Occipital lobe). No photoreceptors cover the optic disc so this is a blind spot in the vision.

Macula - oval shaped indentation of retina responsible for central vision.

Fovea - area of macula with greatest density of cones.

Photoreceptors - rods (peripheral) and cones (central) transmit visual signals via bipolar cells to ganglion cells.

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14
Q

What are the photoreceptors of the eye?

A

Rods - 100 million per eye. Located peripherally. Responsible for peripheral vision & black/white vision.

cones - 7 million per eye. Located centrally. Responsible for central vision andcolour vision.

transmit visual images via bipolar cells to ganglion cells, which converge to form CN II optic nerve.

Located in the retina in the neural layer (inner layer) of the eye.

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15
Q

What are the 7 muscles of the eye?

A

Levator Palpebrae superioris
4 recti muscles - superior, inferior, lateral & medial
2 oblique muscles - superior and inferior

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16
Q

Describe the 4 recti muscles of the eye.

A

All recti muscles have a common proximal attachment at the tendinous ring surrounding the optic canal.

All recti muscles attach to the aspect of the sclera indicated by their name (ie: superior attaches to superior sclera).

All are innervated by CN III oculomotor except Lateral rectus (innervated by CN VI abducens)

  • via Oculomotor Nucleus (somatic motor) in rostral midbrain
  • lateral rectus via Abducens Nucleus (somatic motor) in caudal pons

Actions:
Superior: elevation, medial rotation, adduction of eye.
Inferior: depression, lateral rotation, adduction of eye.
Lateral: abduction
Medial: adduction

Superior andinferior recti primary elevators & depressors in lateral gaze

17
Q

Describe the oblique muscles of the eye

A

Superior:
PA: sphenoid
DA: postero-lateral sclera
(tendon does a U turn after passing through the trochlea and passes underneath superior rectus before inserting onto sclera)
A: abduction, medial rotation, depression
NS: CN IV trochlear

Inferior:
PA: maxilla in orbital floor
DA: sclera deep to lateral rectus
A: abduction, elevation, lateral rotation
NS: CN III oculomotor via Oculomotor Nucleus (somatic motor) in rostral midbrain

18
Q

Which muscles create the actions of the eyeball?

A

Abduction: medial rectus, superior and inferior oblique
Adduction: lateral rectus

Elevation: superior rectus, inferior oblique
Depression: inferior rectus, superior oblique

Lateral elevation: superior rectus
Lateral depression: inferior rectus

Medial elevation: inferior oblique
Medial depression: superior oblique

Medial rotation: superior rectus, superior oblique
Lateral rotation: inferior rectus, inferior oblique

19
Q

Describe the levator palpebrae superioris

A

Muscle of the eye that opens eyelid

PA: lesser wing sphenoid
DA: superioro tarsal plate & skin of upper eyelid
NS: CN III oculomotor via Oculomotor Nucleus (somatic motor) in rostral midbrain

20
Q

Which nerves innervate the functions of the eye?

A

CN II Optic - vision

CN III Oculomotor

  • superior, inferior and medial recti
  • inferior oblique
  • levator palpebrae superioris
  • via Oculomotor Nucleus (somatic motor) in rostral midbrain

CN IV trochlear

  • superior oblique
  • via Trochlear Nucleus (somatic motor) in caudal midbrain

CN V trigeminal

  • sensory supply of eyeball (V1 opthalmic division)
  • via Somatic Sensory / Trigeminal Nucleus (somatic sensory) in all brainstem

CN VI abducens

  • lateral recti
  • via Abducens Nucleus (somatic motor) in caudal pons

CN VII facial

  • lacrimal gland
  • orbicularis occuli (closes eye)
  • via Superior Salvitory Nucleus (visceral motor) in caudal pons