G6 Eye/Orbit Flashcards
Membrane lining inner eyelid
Palpebral Conjunctiva
Membrane lining surface of eye
Bulbar Conjunctiva
Potential space between these membranes (palpebral conjunctiva and bulbar conjunctiva)
Conjunctival Sac
Conjunctival reflections from eyelid to eye
Fornices
Create fluid that keeps tears more viscous (evaporates less quickly)
Tarsal Glands
Sebaceous gland; stye created on eyelid when this gland is blocked
Ciliary Gland
Optic Canal contents:
CN II, Ophthalmic a.
Superior Orbital fissure contents:
CN III, IV, V1, VI, Ophthalmic vv.
Supraorbital notch/foramen contents:
Supraorbital n. (CN V1 branch) and a.
Inferior orbital fissure contents:
Infraorbital n and zygomatic n (CN V2 branch) and a.
Infraorbital foramen contents:
Infraorbital n. (CN V2 branch) and a.
Ant. Ethmoid foramen contents:
Ant ethmoidal n. (CN V1 branch) and a.
Post. Ethmoidal foramen contents:
Post. Ethmoid n. (CN V1 branch) and a.
Thin middle layer of ciliary aa. and vorticose vv. (Middle eye)
Choroid
Smooth m. around lens for accommodation (middle eye)
Ciliary body
Colored smooth m. behind cornea controlling pupil size (middle eye)
Iris
Adjustable aperture thru which light enters eye (middle eye)
Pupil
Neural layer of eye which receives light rays (inner eye)
Retina
Oval region of retina for visual acuity (yellow in color thus only visible with red-free light) (inner eye)
Macula Lutea
Most acute vision site at center of macula lutea (inner eye)
Fovea Centralis
Regions where CN II and retinal vessels enter/exit (inner eye, blind spot)
Optic disc
Largely responsible for refraction of light in the eye (refractive media)
Cornea
Focuses light rays and near/distant objects on retina (refractive media)
Lens
Water filling anterior to lens (refractive media)
Aqueous humor
Build up of aqueous fluid
Glaucoma
Gelatinous filling posterior to lens (refractive media)
Vitreous humor (body)
Produces lacrimal fluid (tears); flows across eye inferomedially to lubricate it (lacrimal apparatus)
Lacrimal gland
Transports tears to lacrimal sac (lacrimal apparatus)
Lacrimal canaliculi
Drains tears to nasolacrimal duct (lacrimal apparatus)
Lacrimal sac
Drains tears thru nasolacrimal canal (under inferior nasal concha) (lacrimal apparatus)
Nasolacrimal duct
Raises upper eyelid (extraocular muscle)
Levator Palpebrae superioris m.
Elevates and adducts eye (extraocular muscle)
Superior rectus m.
Depresses and adducts eye (extraocular muscle)
Inferior Rectus m.
Abducts eye (extraocular muscle)
Lateral Rectus m.
Adducts eye (extraocular muscle)
Medial Rectus m.
Depresses and abducts eye (extraocular muscle)
Superior Oblique m.
Elevates and abducts eye (extraocular muscle)
Inferior Oblique m.
Caused by any lesion that leads to a loss of sympathetic function in the head. Characterized by miosis (constricted pupil), ptosis (droopy eyelid), etc.
Horner’s Syndrome
Innervation to extraocular muscles
LR6(SO4)R3
Lateral Rectus CN VI
Superior Oblique CN IV
Rest of the muscles CN III
Detects blindness, location of lesion determines deficit
Visual Field Testing
Results in total blindness in affected eye
Optic n lesion
Produces loss of peripheral vision
Optic chiasm lesion
Results in ipsilateral nasal visual field loss and contralateral Temporal visual field loss
Optic tract lesion
Ciliary ganglion receives p-symp from ____, supplies p-symp to ____ and ____
CN III
Ciliary m.
Pupillary Sphincter m.
Tests CN II and CN III responses of pupil:
Pupillary Light Reflex
3 Divisions of CN V1 in Orbit:
NFL
Nasociliary n.- ethmoidal n, infratrochlear n, long ciliary nn
Frontal n.- supraorbital n, supratrochlear n
Lacrimal n.- supplies lacrimal gland, conjunctiva
Gives rise to all aa of eye
Ophthalmic a.
Supplies outer and middle layers of eye (artery)
Posterior Ciliary aa
Supplies inner layer of retina (artery)
Central Retinal a.
Supply ant cranial fossa, nose, sinuses (artery)
Ethmoidal aa.
Supplies central region of forehead (artery)
Supraorbital a.
Supplies medial region of forehead (artery)
Supratrochlear a.
Supplies lacrimal gland (artery)
Lacrimal a.
Drains blood from upper medial orbit (most drainage thru here), will anastomose with facial v and drain into cavernous sinus
Superior Ophthalmic v.
Drains from lower medial orbit, will anastomose with facial v and drain into cavernous sinus
Inferior Ophthalmic v.
Drains from retina into cavernous sinus
Central Retinal v.
Drains from vascular layer of eye into sup/inf ophthalmic vv
Vorticose vv.