Intro to the eye Flashcards
3 Concentric tunics of eye
- fibrous
- uvea
- retina
What chamber is the lens in
posterior
Parts of the vascular tunic
iris, ciliary body, and choroid
parts of the fibrous tunic
sclera and cornea
majority of the blood supply to the retina is from?
choroid capillaries
Layers of the skin in eyebrow area
1.”skin” 2.subcatenous connective tissue, 3.muscular layer , 4. muscular areolar connective tissue, 5. pericranium
Eyebrow muscles and their innervation
frontalis, corrugator, procerus and o.o
all innervated by the facial nerve
Frontalis origin
galea aponeurotica within the scalp
frontalis insertion interdigitates with
orbicularis, corrugator, and procerus
Corrugator
origin?
where does it insert, and the type of look ?
frontal bone, inserts at middle part of eyebrow , creates concerned look and vertical furrows
Procerus:
origin?
inserts?
expression?
nasal bone, skin of forehead , anger
eyebrow muscle anterior to tarsal plate and orbital septum
obicularis oculi
3 parts of O.O
orbital, preseptal , pretarsal
striated and smooth muscles of the eyelids
striated (voluntary) : Levator palpebrae superioris and o.o
smooth (involuntary): sup and inf. tarsal (muller’s) symp innervation
potential space between eyelids
from lateral and medial canthi
palpebral fissure
upper eyelid has to cover part of iris
What is the lid crease called? and it’s two parts ?
Superioir palpebral sulcus
- preseptal portion
- tarsal portion
where the skin meets the conjunctiva?
divided into 2 parts ?
eyelid margin
1. lacrimal portion 2.ciliary portions
medial 1/6 of eyelid margin
lacrimal portion, involved in tear drainage
lateral 5/6 of eyelid margin
ciliary portions , eyelashes , contains meibomian glands
located b/w the eyelashes and the openings of the Meibomian glands
gray line
part of orbicularis involved in tear drainage that can be seen through the gray line
riolan muscle
behind the opening of the meibomian glands
transition between skin and palpebral conjunctiva
mucocutaneous junction
loss of eyelashes
madarosis
growth of eyelashes towards the eye
trichiasis
entropion is due to
spams of the o.o muscle or scarring of the eyelid
ectropion is due to
loss of tone of the o.o (aging)
eyelid layers anterior to posterior
- skin
- muscle layer
- submuscular areolar CT layer
- tarsal plate
- palpebral conjunctiva
3 eyelid muscles and their inneration
- o.o (sphinter: CNVII)
- Levator palpebrae superioris ( upper lid: CNIII)
- tarsal muscles ( upper and lower eyelids: smooth muscle/sympathetic)
o.o eyelid portions and function
palpebral: blink
orbital: squint
riolan, jones, and horners muscles: tear drainage
defect in closing the eye is called?
mainly due to ?
could cause?
lagophthalmos
CNVII defect
punctate keratitis
Eyelid margin is divided into it’s two portions by the
Lacrimal papilla divides lacrimal and ciliary portions
Portion of eyelid margin that contains the openings of the meibomian glands
Ciliary portion
Superior palpebral levator originates from the _____ bone, as it enters the eyelid , it fans out into an aponeurosis , that inserts into the _____(3)
Sphenoid , 1. Tarsal plate, 2 skin of the superior eyelid , 3 the superior for is of the conjunctiva
What is the levator aponeurosis and its 3 parts? Which attaches to the skin of the eyelid?
A facial tissue that connects the levator palpebrae sup. Muscle to the tissue of the upper eyelid.
Parts: 1. Medial horn 2. Lateral horn 3. Middle portion
Middle portion attaches tp the anterior tarsal plate, skin of upper eyelid, sup. Fornix of the conjunctiva
What is the fibrous band that runs from the throclea of the sup. Oblique muscle to the fascia of the lacrimal gland
Whitnall’s ligament , acts as a fulcrum for the superior palpebral levator muscle
Clinical correlation of tarsal muscles
Sympathetic innervation: horner’s syndrome
Ptosis is due to weakness/ paralysis of the ____ and ___ muscles ?
Which would cause a greater ptosis ?
Levator and tarsal muscles
Levator damage causes a greater ptosis
Dense connective tissue b/w the conjunctiva and submuscular connective tissue layers?
Continuous with ?
Tarsal plate continuous w orbital septum
Tarsal plate contain?
Meibomian glands
What are the accessory lacrimal glands
Krause and Wolfring
4 eyelid glands responsible for basal secretion of most of the tear film
- Accessory glands
2 meibomian glands - Glands of Zeis
- Glands of moll
Internal vs external hordeolum
Internal - meibomian gland
External - glands of zeis and moll
motor Innervation of tarsal muscles
Sympathetic - superior cervical ganglion
Sensory innervation of eyelid
Branches of trigeminal CNV
Blood supply to eyelids include
Internal carotid and external carotid branches
Venous drainage of eyelids
Facial, superficial temporal and ophthalmic veins
Potential risk of spread of infections from the eyelid is due to
Facial vein connecting to pterygoid plexus of veins
Risk of intracranial spread of infections from eye lid is due to
Ophthalmic veins draining into the cavernous sinus
Lymph nodes for lateral side of eyelid
Preauricular parotid lymph nodes
Lymph nodes for medial side of eyelids
Submandibular lymph nodes