Eye and Orbit Flashcards
3 layers of the eye
Fibrous layer
Vascular layer
Neural layer
Fibrous layer of the eye
Sclera and cornea
Vascular layer of the eye
Choroid, ciliary body and iris
Neural layer of the eye
Retina
Slera is responsible for
Maintaining shape of the eye
Sclera continuous with
Cornea
What pierces the slcera
Optic nerve and central artery of the retina
Cornea is the
Anterior transparent outer layer of the ye
All vascular layer structures contain
Pigment
Choroid is____ and where does it lie
High vascularized and covered posterior 80% of eye
Ciliary body extends from
Ora serrata to outer edge of iris
Ciliary body contans
Ciliaris muscle
Iris controls
Size of pupil
How much light gets in
Muscular
Retina is origin of
Optic nerve
Retina is composed of
External pigmented and deeper multicellular layer
Retina ends at
Ciliary body near ora serrata
Ciliary processes
Most anterior part of ciliary body
Attach to zonular fibers of the lens
Contraction of ciliaris
Draws ciliary processes to relax the zonular fibers and cause lens to round up
Accomodation caused by
Contraction of ciliaris muscle causing relaxation of zonular fibers and causing lens to round up
Distant vision
Lens is stretched thin and ciliary muscle is relaxed
Zonular fibers under tension
Near vision
Parasympathetic causes ciliary muscles to contract
Zonular relaxes
Lens becomes more spherical
What divides eye into anterior and posterior chamber
Lens
Auqeous humor fills
Anterior and posterior chambers
Aqueous humor produced by
Ciliary processes
Path of aqueous humor
Ciliary process
Posterior chamber
Through pupil into anterior chamber
Sleral venous sinus
Glaucoma
Increased intraocular pressure
Compressed retina and optic nerve
Obstruction of auqeous humor drainage
Can cause glaucoma
4 things light must pass through
Cornea, aqueous humor, lens, vitreous body
Vitreous body
Fills region posterior to lens
Holds retina in place and supports len
Macula lutea
Center of optic axis
Specialized for visual activity
Macula lutea is )_____ to optic disc
Lateral
Fovea Centralis
Center of macula
Thinnest part of retina
Area of greatest visual activity in macula
Optic disc entrances nad exits
Exit of optic nerve and central vein of the retina
Entrance of the central artery of the retina
Also the blind spot
Papilledema is result of
Increased intracranial pressure
Veins of eye cannot drain
How is drainage of eye connected to brain
Optic nerve travels through optic canal and is surrounded by dura…will also have subarachnoid space connected to brain
Optic nerve is _____processes and passes through _____ to enter ______
Ganglion cell central
Optic canal
Middle cranial fossa
Bones of the orbit
Frontal Sphenoid Zygomatic Ethmoid Lacrimal Maxilla Palatine
Margin of orbit from
Frontal, zygomatic, maxilla
Laterally, eye is protected by
Fronal and zygomatic bones
Which walls of orbit are thinnest?
Inferior and medial
Blowout fracture of orbit
Results from direct blow
Medial and inferior wall fractures are most common
Periorbita
Orbital periosteum attached to bone
Orbital septum
Anteiror continuation of periorbita
Bulbar fascia acts as a ______and envelopes ____
Socket
Eye and optic nerve
What does bulbar fascia separate eye from
Orbital fat
What does bulbar fascia fuse with
Optic nerve - post
Sclera nad ocular conjunctiva - ant
How do extraocular muscles attach to eye
Pierce bulbar fascia to attach to sclera
Conjunctiva
Mucous membrane on inner eyelids that reflects onto eye
Palpebral conjunctiva
Conjunctiva on inner surface of eyelids
Ocular or bulbar conjunctiva
Conjunctiva reflected onto the eye
Plica semilunaris
Medial angle of folded conjunctiva
Superior and inferior fornices
Points of reflexion of palpebral conjunctiva to ocular conjunctiva
Tarsal plates
Thick connective tissue in upper and lower eyelid used to protect eye
Secrete oily substance
Eyelid compsed of
Skin, superficial fascia, orbicularis oculi, tarsal plate, orbital septum, and palpebral conjunctiva
Levator palpebrae superioris
Attaches to skin of superior eyelid and superior tarsal plate
Smooth muscle component of levator palpebrae
Superior tarsal muscle
Innervation of levator palpebrae
Sympathetic from superior cervical ganglion
Recti muscles arise from and attach to
Tendinous ring at apex of orbit
Attaches to anterior half of eye
Superoir oblique arises from and attaches to
Sphenoid
Posterior half of eye
Passes through trochlea
Inferior oblique arises from and attaches to
Maxilla
Posterior half of eye
Action of levator palpebra superior
Elevates sup eyelild
MR action
Adduction
LR action
Abduction
SR action
Elevation, adduction, medial rotation
IR action
Depression, adduction, and lateral rotation
SO action
Depression, abduction, and medial rotation
IO actiojn
Elevation, abduction, and lateral rotation
SO offsets _____ of _____
Adduction and lateral rotation of IR
IO offsets ________ of _______
Adduction and medial rotation of SR
How to test SR
Abduct then elevate
How to test IO
Adduct, then elevate
How to test SO
Abduct then depress
How to test IR
Adduct, then depress
What passes through optic canal
Optic nerve and ophthalmic artery
What passes through superior orbital fissure?
Oculomotor nerve, nasociliary nerve, abducens, frontal, lacrimal, trochlear nerves
Ophthalmic veins
Levator palpebra superioris innervation
SMooth - sym
Skeletal - oculomotor
Ptosis
Eyelid droops
Lacrimal gland
Ducts pierce conuunctiva and empties into lateral side of superior fornix
Lacrimal canaliculi
Ducts on medial side of eye lid that drain lacrimal secretions into lacrimal sac
Puncta are openings of
Lacrimal canaliculi
Nasolacrimal duct
Continuation of lacrimal sac that drains to inferior meatus of nasal cavituy
Ophthalmic artery from
Internal carotid
Central artery of the retina
Pierces optic nerve and enters eye via optic disc
Cnetral artery of retina supplies
Inner layers of the retina
Blockage of central artery of retina leads to
Blindness in affected eye
POsterior ciliary arteries
Pierce slera and supply choroid and outer layer of the retina
Blockage of posterior ciliary arteries leads to
Partial blindness
Muscular branches of ophthalmic
Supply muscles and sned branches to anteiror ciliary arteries to choroid layers
Lacrimal artery goes to
Lacrimal gland
Ethmoidal arteries supply
Ehtmoidal air cells and nasal cavity
Supraorbital and supratrochlear arteries supply
Forehead
Dorsal nasal artery supplies
Superior aspect of the nose
Vorticose veins are in ______
Choroid layer and retina
Vorticose veins enter into
Superior and inferior ophthlamic veins
Ophthalmic veins connect to
Cavernous sinous, pterygoid plexus, and angular/facial veins
Central vein of retina empties into
Cavernous sinus or opthalmic vein
Frontal nerve supplies
Sensory to skin on forehead
Lacrimal nerve innervates
Lacrimal gland and skin on side of orbit
Nasociliary nerve
Sensory to eye, ethmoid air cells, nasal cavity, and external nose
Parasymp of eye
Run with short ciliary to innervate sphincter pupillae/ciliaris
Short ciliary vs. long ciliary
Long ciliary come directly off of the nasociliary
Short ciliary originate from ciliary ganglion
Anterior ehtmoidal nerve
Branch of nasociliary nerve
Has internal nasal brnahces and terminates as external nasal nerve
Pupillary light reflex affarent/efferent
Affarnet - optic nerve
Efferent - oculomotor (parasym_
Corneal reflex
Light touch to cornea elicits blink
affarent - nasociliary
Efferent - facial nerve (to orbicularis oculi)
COnjunctiva does not cover
Cornea