Eye Muscles Flashcards

1
Q

Name the two main types of strabismus (squint)

A
  • Esotropia (manifest convergent squint)

- Exotropia (manifest divergent squint)

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2
Q

Name the functional consequences of a squint

A
  • Amblyopia (lazy eye): where the brain suppresses the image of one eye leading to poor vision in that eye
  • Diplopia (double vision): usually occurs as a result of nerve palsies
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3
Q

What does anisocoria mean?

A

Pupils of different sizes

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4
Q

Name some common causes of absent/abnormal pupillary reflexes

A
  • Diseases of the retina: detachment, degenerations or dystrophies
  • Diseases of the optic nerve e.g. optic neuritis
  • Diseases of CrN III (not medical causes such as diabetes)
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5
Q

Describe the features of Horner’s syndrome

A
  • Anisocoria due to damage to the sympathetic innervation to the pupils
  • Ptosis (drooping of the eyelid)
  • Miosis (constriction of the pupil) on the affected side
  • Anhidrosis
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6
Q

What is the function of the intrinsic ocular muscles?

A

Controls pupil diameter and helps alter the lens curvature (allows us to see near objects)

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7
Q

What is the function of the extrinsic ocular muscles?

A

They move the eye

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8
Q

Name the six extrinsic ocular muscles

A
  • Medial rectus
  • Lateral rectus
  • Inferior rectus
  • Superior rectus
  • Superior oblique
  • Inferior oblique
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9
Q

Where do the recti muscles arise from?

A

An annular fibrous ring at the apex of the orbit

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10
Q

Where does the superior oblique muscle arise from?

A

The roof of the orbit posteriorly

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11
Q

Where does the inferior oblique muscle arise from?

A

The roof of the orbit anteriorly

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12
Q

Which muscle elevates the eyelid?

A

levetator palpebrae superioris

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13
Q

Which muscle is supplied by the trochlear nerve?

A

Superior oblique

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14
Q

Which muscle is supplied by the abducent nerve?

A

Lateral rectus

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15
Q

Which nerve supplies most of the extrinsic ocular muscles?

A

Oculomotor nerve

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16
Q

What is the action of the medial rectus muscle?

A

Adduction

17
Q

What is the action of the lateral rectus muscle?

A

Abduction

18
Q

What are the functions of the superior rectus muscle?

A
  • Elevation
  • Adduction
  • Intorsion
19
Q

What are the functions of the inferior rectus muscle?

A
  • Depression
  • Adduction
  • Extorsion
20
Q

What are the functions of the superior oblique muscle?

A
  • Intorsion
  • Depression
  • Abduction
21
Q

What are the functions of the inferior oblique muscle?

A
  • Extorsion
  • Elevation
  • Abduction
22
Q

Name the three intrinsic eye muscles

A
  • Ciliaris muscle
  • Constrictor pupillae
  • DIlator pupillae
23
Q

How are the intrinsic eye muscles innervated?

A
  • Ciliaris and constrictor pupillae are innervated by parasympathetic fibres from CrN III
  • Dilator pupillae is innervated by sympathetic fibres
24
Q

Describe the pathway of the light reflex

A
  • Light falls on the retina and travels through the optic nerve and chiasma to the optic tract
  • The fibres for the pupillary reflex go to the midbrain to the CrN III nucleus where the Edringer-Westphal nucleus (parasympathetic) is located
  • Preganglionic parasympathetic fibres pass through CrN III into the orbit
  • These fibres synapse in the ciliary ganglion
  • Postganglionic fibres go through the short ciliary nerves to constrictor pupillae
  • Pupillary constriction on both sides