Eyes Flashcards
label the anatomy of the eye below
label the anatomy of the eyelids
label the anatomy of the third eyelid
label the anatomy of the anterior segment of the eye
label the anatomy of the posterior segment of the eye
what is Exopthalmos
abnormal protrusion of the eye from the orbit
- globe size remains normal
- globe position is protruding
- the eye itself appears normal
what is enopthalmos
abnormal recession of the eye within the orbit
- globe size remains normal
- globe position is sunken
- eye itself appears normal
what is hydropthalmos
enlargement of the globe
- globe size is enlarged
- globe position is normal
- eye itself appears abnormal
what is micropthalmos
congenitally abnormal (small) eye
- globe size is reduced
- globe position is normal
- eye(s) appear abnormal
what is the orbit
- the cavity within the skull that encloses the eye
- purpose is to protect the eye and separate it from the cranial cavity
contains foramina within the walls of the orbit to supply blood vessels and nerves to the eye
what types of orbit are there in domestic species
in domestic species the orbit is a bony cone with a soft tissue floor. there are 2 types:
- open/incomplete - has lateral orbital ligament (palpable as taut band in live animal) seen in CARNIVORES
- closed/complete - zygomatic and frontal bones are fused, seen in HERBIVORES
what is a brachycephalic skull and how does the shape impact the orbit
- relatively short skull
- shallow orbit with reduced protection offered to the eye
what is a mesocephalic skull and how does the shape impact the orbit
- medium length skull
- normal depth of the orbit
- moderate degree of protection offered to the eye
ex breeds: lab, GSD, Doberman, beagles etc.
what is a dolicephalic skull and how does it relate to the orbit
- long skulls
- deep orbit
- increased protection offered to the eye
example breed: dachshund, greyhound, great dane, poodle
what bones comprise of the orbital rim
- frontal
- lacrimal
- zygomatic bones
what bones and soft tissues comprise the wall of the orbit
- frontal bone (medial wall)
- frontal sinus bone (dorsal limit)
- zygomatic bone (orbital rim)
- maxillary bone (orbital rim)
- sphenoid bone (caudal limit)
- temporal muscles (dorsal limit)
- orbital ligament in dogs/cats (dorsal limit)
- masseter muscle (rostral and lateral limit)
- pterygoid muscles (ventral floor)
list the extraocular muscles and their innervation
- dorsal oblique mm (trochlear nn)
- dorsal rectus mm ( oculomotor nn)
- lateral rectus mm (oculomotor nn)
- medial rectus mm (oculomotor nn)
- retractor bulbi mm (abducens nn)
- ventral oblique mm (oculomotor nn)
- ventral rectus mm (abducens nn)
there are other structures that dont include muscles or bones in the orbit. what are they?
inside orbit:
- nasolacrimal duct
- base of nictitating membrane
- orbital fat cushion
outside the orbit:
- tooth roots
- zygomatic salivary glands
- paranasal sinuses
what are the 2 most important foramen in the orbit and what nerves/vessels pass through them
optic foramen:
- optic nerve, internal ophthalmic artery
Orbital fissure (dogs and cats)/orbital formaen (horses and ruminants):
- trochlear nerve, oculomotor nerve, abducens nerve, ophthalmic nerve
what is the major blood supply to the eye and what vessel is it derived from
the ophthalmic artery which is derived from the internal carotid artery
explain the venous drainage system of the eye and orbit
most venous drainage is through vortex veins and extensive orbital venous plexus. there is an alternative route through the ophthalmic vein.
all veins from the eye/orbit drain into the external jugular vein
what is anisocoria
unequal size of the pupils
what is miosis
excessive constriction of the pupil
what is mydriasis
dilation of the pupil
what is strabismus
cross eyed, inability to align both eyes simultaneously
what is nystagmus
condition of involuntary eye movement that may result in reduced or limited vision (eyes drift slowly away from lesion and flick rapidly back to centre)
how would you examine the orbit
- frontal and aerial view of the eyes from afar
- assess retropulsion ( should be equal and nonpainful) (limited in brachy breeds)
- oral exam (should have no pain on jaw movement, assess dental disease, ability to eat normally esp dry food?)
what is the palpebral fissure
opening between the eyelids
what muscles/nerves control eyelid closing
orbicularis oculi mm supplied by facial verve (VII)
what muscles/nerves control eyelid opening
- levator palpebrae superioris supplied but oculomotor nerve
- muller mm (smooth mm) with sympathetic innervation
- several other mm with innervation from facial nerve (VII)
what nerves carry sensation from to the eyelids
branches of the ophthalmic and maxillary nerves from trigeminal nerve (V)
what are the meibomian glands
- white or yellow columnar structures at right angles to the eyelid margin - modified sebaceous glands
- usually 20-40 glands per eyelid
- produce meibum (lipid component of the tear film
what is the function of the eyelids
- eyelid closure protects the eye from trauma
- blinking which distributes tear film, drains tear film and removes debris from ocular surface
- contributes to tear film (mucin from palpebral conjunctiva and lipids from meibomian glands)
describe the anatomy of the third eyelid
- central T-shaped cartilage
- conjunctiva covering the bulbar and anterior faces
- stromal connective tissue
- lymphoid follicles on posterior surface
- nictitans gland at base
- cats contain smooth muscles to retract and allow to move across passively when blinking
what is the function of the third eyelid
- protection of ocular surface
- leading edge distributes tear film and removes debris from corneal surface
- gland contributes to tear film
- contains immunoglobulin secreting plasma cells - role in defence of ocular surface
label the anatomy of the conjunctiva
describe the anatomy of the conjunctiva
- sensory innervation by ophthalmic branch of trigeminal nerve
- superficial and deep layers of stroma have extensive lymphatic and vascular supplies
- bulbar conjunctiva overlies sclera: finer, branching conjunctival vessels overlie larger, straighter episcleral vessels
what is the function of the conjunctiva
- protects ocular surfaces while allowing free movement of ocular structures
- contributes to tear film: goblet cells produce mucin
- most exposed mucous membrane in the body: must respond rapidly to noxious stimuli
- everted lymph node - stroma contains CALT: conjunctival associated lymphoid tissue
many lymphocytes present, which form active follicles when stimulated by antigens
how do tears drain from the eye
through the nasolacrimal duct (duct connecting the eyes to the nasal cavity
what are you looking for in an examination of the eyelids
- blinking (menace response, palpebral reflex)
- blepharospasm (squinting) indicates ocular pain
- tear staining - excess lacrimation (pain), epiphora (non painful overflow)
- conformation and eyelid positioning
- skin diseases
- extra hairs, masses, swellings
how do you examine the third eyelid
- retropulse the globe to protrude the third eyelid
- look underneath the third eyelid
- note that there is variation in normal pigmentation of the third eyelid and this is normal
how do you examine the nasolacrimal system
- identify nasolacrimal puncta
- flush nasolacrimal ducts with cannula
- fluid should exit the other puncta if communicating with each other properly
- close off one puncta and flush, fluid should exit through nostril
how do you examine the conjunctiva
- examine the palpebral conjunctival surface and compare to bulbar conjunctiva
- assess colour (semi transparent, variable pigment. abnormal colour (jaundice, cyanosis, toxaemia)
- inflammation, ocular discharge
- petechiae/subconjunctival haemorrhage
what is entropion
inversion of all or parts of the eyelid margin (causes hairs to rub on eye and cause ulcers)
what is ectropion
eversion or outward turning of the eyelid
what is diamond eye
extra long eyelids (can cause rubbing on cornea)
what is distichiasis
extra eyelashes emerging from meibomian gland orfices
what is ectopic cilia
arise from follicle inside or near meibomian gland and emerge through conjunctival surface of eyelid
what is trichiasis
normally located but abnormally directed hair contacting ocular surfaces
what is happening in a “cherry eye”
prolapsed nictitans gland
what is scrolled cartilage
T-shaped cartilage gets too long and rolls (scrolls) outward or inward causing chronic conjunctivitis
what is chemosis
marked swelling of conjunctiva