Final Flashcards
What bones form the roof of the orbit?
frontal (orbital process), sphenoid (lesser wing)
What bones form the floor of the orbit?
maxilla (orbital process), zygomatic, palatine (orbital process)
What bones form the lateral wall of the orbit?
zygomatic, sphenoid (greater wing)
What bones for the medial wall of the orbit?
maxilla (frontal process), lacrimal, ethmoid (orbital process)
What part of the orbit is formed by the frontal bone?
roof
What part of the orbit is formed by the sphenoid bone?
roof, lateral wall
What part of the orbit is formed by the ethmoid bone?
medial wall
What part of the orbit is formed by the maxilla?
floor, medial wall
What part of the orbit is formed by the zygomatic bone?
floor, lateral wall
What part of the orbit is formed by the palatine bone?
floor
What part of the orbit is formed by the lacrimal bone?
medial wall
Which orbital foramen is in the lesser wing of the sphenoid?
optic canal
Which orbital foramen is bordered by greater and lesser wings of the sphenoid?
superior orbital fissure
Which oribital foramen is in the ethmoid bone?
ethmoidal foramina
What comes though the optic canal?
CN II, opthalmic a.
What comes through the superior orbital fissure?
CN III, IV, V1, VI, superior opthalmic vv.
What comes through the inferior orbital fissure?
infraorbital n.a.v.
What comes through the supraorbital foramen?
supraorbital n.a.v.
What comes through the infraorbital foramen?
infraorbital n.a.v.
What comes through the ethmoid foramina?
ethmoidal n.a.v.
What comes through the nasolacrimal canal?
nasolacrimal duct
What separates the orbit from the anterior cranial fossa?
orbital roof
What separates the orbit from the maxillary sinus?
orbital floor
What separates the orbit from the ethmoid air cells & nasal cavity?
medial wall of orbit
What part of the orbit is strongest?
lateral wall
What is palpebra?
eyelid
What is the palpebral fissure?
opening between upper & lower eyelids
What are cilia (of the eye)?
eyelashes
What are supercilia?
eyebrows
What is a canthus?
junction of superior & inferior palpebrae; edges of palpebral fissure
What is the lacrimal caruncle?
fleshy prominence at medial canthus; includes sweat & sebaceous glands
What is the lateral corner of the eye?
lateral or temporal canthus
What is the medial corner of the eye?
medial of nasal canthus
What is the lacrimal puncta?
pin-hole opening in lacrimal papilla; permits draining of lacrimal fluid from cornea
What are tarsal plates?
sheets of dense fibrous CT deep to skin and muscle of eyelids
What are the glands in the tarsal plates?
Tarsal glands = Meibomian glands
What are Meibomian glands?
modified sebaceous glands in the tarsal plates of the eyes
What are the functions of the secretion from Meibomian glands?
lubricate margins of eyelids, help increase surface tension to help lacrimal fluid stay on cornea
What glands are found in the eyelids?
Meibomian & ciliary (Moll & Zeis)
What are the ciliary glands?
glands of Moll, glands of Zeis
What are the glands of Moll?
small modified sweat glands on the eyelids
What are the glands of Zeis?
small modified sebaceous glands on the eyelids
What is a sty?
infected ciliary gland of eyelid
What is a hordeolum?
same as sty
What is a chalazion?
plugged meibomian gland, cyst-like
What is the conjunctiva?
mucous membrane covering inner eyelids and sclera
What are the 2 parts of the conjunctiva?
palpebral (lining inner eyelid) & bulbar (reflects onto eyeball?
What other eye structure is continuous with the conjunctiva?
bulbar conjunctiva becomes continuous with outer cornea
What are conjunctiva fornices?
spaces between eyelid & cornea where palpebral conjunctiva meets bulbar conjunctiva
What gland is in the superior lateral anterior portion of the orbit?
lacrimal gland
What are the functions of lacrimation?
moistens, cleans, lubricates, protects cornea
What kind of nerve provides secretomotor innervation to the lacrimal gland?
parasympathetic
What kind of nerve provides vasomotor innervation to the lacrimal gland?
sympathetic
What is the preganglionic nerve for parasympathetic innervation of the lacrimal gland?
greater petrosal n. (CN VII)
Where are the postganglionic neuron cell bodies for parasympathetic innervation of the lacrimal gland?
sphenopalatine ganglion
Where are the postganglionic neuron cell bodies for sympathetic innervation of the lacrimal gland?
superior cervical ganglion of sympathetic chain
What kind of innervation do parasympathetic fibers provide to the lacrimal gland?
secretomotor
What kind of innervation do sympathetic fibers provide to the lacrimal gland?
vasomotor
What path does lacrimal fluid follow after secretion by the lacrimal gland?
lacrimal gland ducts -> eyeball surface -> lacrimal puncta (at papillae) -> lacrimal canaliculi -> nasolacrimal duct -> inferior meatus of nasal cavity
What causes circulation of lacrimal fluid?
blinking & eye movement
Does lacrimal fluid flow medially or laterally?
medially
What is innervated by the greater petrosal n.?
lacrimal glands
What happens to cranial dura at the orbit?
separates into periorbita & orbital dura
What is periorbita?
continuation of periosteal layer of cranial dura; encapsulates all orbital structures; easily separable from orbital bones
What is orbital dura?
continuation of meningeal layer of cranial dura surrounding CN II
Which layer of cranial dura form periorbita?
periosteal
Which layer of cranial dura forms orbital dura?
meningeal
What fascial structure is formed by the periosteal layer of cranial dura entering the orbita?
periorbita
What fascial structure is formed by the meningeal layer of cranial dura entering the orbit?
orbital dura
What surrounds the optic n. in the orbit?
orbital dura
What eyeball structure is continuous with orbital dura?
sclera
What fascial layer is continuous with the sclera?
orbial dura
What provides packing structure in the orbit?
large amounts of adipose
What is Tenons Capsule?
smooth, thin, membranous layer of fascia on the anterior edge of orbital fat; posterior to eyeball
What is fascia bulbi?
same as Tenons Capsule
What is the episcleral space?
potential space between the sclera and the tenons capsule
What forms the socket for the eyeball?
orbital fat, tenons capsule, episcleral space
What are the 7 extraocular muscles?
4 rectus (lat, med, sup, inf), 2 obliques (sup, inf), levator palpebra superioris
What is the common origin for the 4 rectus muscles of the eye?
annulus tendineous
What is annulus tendineous?
ring-like tendon at apex of orbit; common origin of rectus muscles
Where does the lateral rectus m. insert?
lateral sclera
Where does the medial rectus m. insert?
medial sclera
Where does the inferior rectus m. insert?
inferior sclera (ant/med to vertical axis)
Where does the superior rectus m. insert?
superior sclera (ant/med to vertical axis)
Where does the inferior oblique m. originate?
anteromedial orbital floor
Where does the superior oblique m. originate?
body of sphenoid above annulus tendineous
Where does the inferior oblique m. insert?
lateral posterior eyeball
Where does the superior oblique m. insert?
superior lateral eyeball (posterior to vertical axis)
What is the action of the lateral rectus m.?
abduction of eyeball
What is the action of the medial rectus m.?
adduction of eyeball
What is the action of the superior rectus m.?
elevation w/ adduction and intorsion (MR)
What is the action of the inferior rectus m.?
depression w/ adduction and extorsion (LR)
What is the action of the inferior oblique m.?
elevation w/ abduction and extorsion (LR)
What is the action of the superior oblique m.?
depression w/ abduction and intorsion (MR)
What innervates the lateral rectus m.?
CN VI - abducens
What innervates the medial rectus m.?
CN III - oculomotor
What innervates the superior rectus m.?
CN III - oculomotor
What innervates the inferior rectus m.?
CN III - oculomotor
What innervates the superior oblique m.?
CN IV - trochlear
What innervates the inferior oblique m.?
CN III - oculomotor
What is the common tendon of Zinn?
annulus tendineous
What is the trochlea of the eye?
fibrocartilaginous loop or sling of tissue on anterosuperomedial orbit; superior oblique tendon passes through it
Which extraocular muscles have relatively pure movements?
medial and lateral recti mm.
What 2 movements keep the eyes coordinated?
conjugate/parallel movements & vergence movements
When do the eyes use parallel movements?
tracking a moving object; tracking stationary object while moving
When do the eyes use vergence movements?
changing distance of focus; converging or diverging
Where does the levator palpebra superioris m. originate?
orbital apex
Where does the levator palpebra superioris m. insert?
superior tarsal plate/ superior palpebrum
What is a symptom of paralysis of levator palpebra superioris?
ptosis - upper eyelid droops
What is a cause of ptosis?
paraylsis of levator palpebra superioris m.
Which muscles are considered accessory muscles in the orbit?
tarsal mm.
What muscle type are the tarsal mm.?
smooth muscle
What innervates the tarsal mm.?
postganglionic sympathetic fibers
What muscles open both eyelids?
tarsal mm.
What is a cause of narrowed palpebral fissure?
paralysis of tarsal mm. - sympathetic damage in head
What is the major artery of the orbit?
opthalmic a.