Eye Movements Flashcards

1
Q

Why do we have binocular vision?

A

Wider field of vision,
Depth perception,
Element of redundancy (though not really).

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2
Q

what does misalignment of visual axes cause?

A

Diplopia (double vision?)

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3
Q

where do the 6 muscles that move the eyeball insert?

A

The sclera

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4
Q

Where do the extra ocular muscles originate from?

A

Apex of the orbit, apart from inferior oblique which arises from the floor of the orbital cavity anteriorly.

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5
Q

What is the common origin of the 4 recti?

A

Common tendinous ring

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6
Q

What does the pneumonic LR6SO4 signify?

A

Lateral rectus is supplied by cranial nerve VI,

Superior oblique is supplied by cranial nerve IV.

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7
Q

Why do some muscles end up attaching to the eye at an oblique angle?

A

Extraocular muscles run in line with the axis of the orbit, which runs at an oblique angle to the visual axis of the eye.

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8
Q

How is primary resting gaze maintained?

A

Antagonism of muscles provides equal and opposite pull. Without this, deviation occurs.

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9
Q

What movements is the eye capable of?

A

Elevation, depression, abduction, adduction, intorsion, extorsion.

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10
Q

What movement is caused by the medial rectus?

What about the lateral rectus?

A

Adduction.

Abduction.

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11
Q

What movements are completed by the superior rectus?

A

Elevation (most powerful when eyes are lateral) slight adduction, slight intorsion.

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12
Q

Where does the superior rectus originate?

How does it insert?

A

Arises from the apex of the orbit.

Inserts obliquely into superior anterolateral surface of the globe.

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13
Q

What actions is the inferior rectus responsible for?

A

Depression (stronger if eyes lateral), adduction, extorsion.

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14
Q

Where does the inferior rectus muscle originate?

How does it insert?

A

Originates at the apex of the orbit.

Inserts obliquely into anteroinferior surface of the globe.

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15
Q

What movements is the superior oblique responsible for?

A

Intorsion, depression (stronger when eye medial), slight abduction

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16
Q

Where does the superior oblique originate?

Where does it insert?

A

Originates from apex of orbit, passes through Trochlea (functional origin) and inserts into superior-posterior aspect of the globe

17
Q

What actions is the inferior oblique responsible for?

A

Extortion, elevation (more powerful when eye medial), slight abduction.

18
Q

Where does the inferior oblique arise from?

Where does it insert?

A

Arises from anteromedial surface of the floor of the orbit. Inserts into the inferno-posterior aspect of the globe.

19
Q

Which muscles are stronger elevators and depressors when the eye is moved laterally (abducted)?

A

Superior and inferior recti

20
Q

Which muscles are stronger elevators and depressors when the eye is moved medially (adducted)?

A

Superior and inferior obliques

21
Q

How are eye movements tested?

A

Making a ‘gearbox’ shape with finger and ask them to follow the pattern with their eyes. This tests elevation and depression in both lateral and medial eye positions.

22
Q

What is strabismus?

A

Ocular misalignment. Common in children, acquired in adults due to factors such as compression of nerves innervation muscles of the eye or vasculopathic damage.

23
Q

Are vasculopathic lesions pupil sparing or pupil involving?

What about compressive lesions?

A

Pupil sparing.

Pupil involving.

24
Q

What is the most likely cause of CN III, IV and VI lesions?

A

Vasculopathic. These usually self resolve within a few months.

25
Q

What indicates possible malignant cause of CN III, IV or VI lesions?

A

Headache, pupil involvement