Lecture 26: Eye and Orbit II Flashcards
5 cranial nerves in orbit
CN II, III, IV, V1, VI
Optic nerve enters orbit via
Optic canal
3 structures that pass through optic canal
Optic nerve
Internal ophthalmic artery
Internal ophthalmic vein
Which muscle pulls the eye back into the orbit
Retractor bulbi
7 extrinsic eye muscles
Dorsal, ventral, medial and lateral recti
Dorsal and ventral obliques
Retractor bulbs
Parasympathetic branch of CN III
Short ciliary nerves
Long ciliary nerve innervation
Sensory from cornea and sclera
anterior and posterior ethmoidal nerves
Sensory from naval cavity
Short ciliary nerves innervation
Parasympathetic to pupillary sphincter and ciliary muscle
Pathway of CN III innervating ciliary ganglion
Preganglionic parasympathetic cell bodies in Edinburg Westphal nucleus (midbrain) —> CN III —> synapse at ciliary ganglion —> hitchhike on short ciliary nerves —> innervate pupillary sphincter and ciliary muscle
Function of lateral rectus
Cornea looks laterally
Rotation laterally/abduction
Which muscle causes nictitating membrane/3rd eyelid to partially cover eye
Retractor bulbs
3 sensory branches of V1/ophthalmic nerve
Lacrimal
Frontal
Nasociliary
Nasocilary nerve (from C1): innervation
Sensory from nasal cavity, cornea, sclera
Frontal nerve (from V1) innervation
Sensory from skin of forehead and scalp
Lacrimal nerve (from V1) innervation
Sensory from lacrimal gland, conjunctiva and upper eyelid
2 branches of nasociliary (from from V1)
Long ciliary nerves
Anterior and posterior ethmoidal nerves
Which nerve branch from V1 nasociliary gets sensory from cornea and sclera
Long ciliary nerves
Which branch of nasociliary from V1 gets sensory from nasal cavity
Anterior and posterior ethmoidal nerves
Which branch of oculomotor gets parasympathetic to pupillary sphincter and ciliary muscle
Short ciliary nerves
Lacrimal gland innervation
Sensory from lacrimal nerve
Parasympathetic from pterygopalatine ganglion (CN VII)
Sympathetic pathway to eye and head (3 features)
Site of synapse = cranial cervical ganglion
Internal carotid periarterial plexus = postganglionic sympathetics to dilator papillae and superior tarsal muscles
External carotid periarterial plexus = postganglionic sympathetics to face
Visual pathway
Photoreceptors —> bipolar neurons —> retinal ganglion nucleus —> lateral geniculate nucleus of thalamus —> primary visual cortex/occipital lobe
Where do 1/2 of optic axons cross the midline and are delivered to opposite side
Optic chiasm
2 main visual fields in retina
Temporal
Nasal
Nasal vs temporal part of retinas: what happens to info
Nasal crosses to OTHER SIDE
Temporal stay on same side
What kind of info do optic tracts contain
Mixed info
1/2 from each side (due to nasal crossing in the middle)
Direct light reflex
Pupil constricts in eye stimulated by light
consensual light reflex: definition, importance
Pupil constricts in Contralateral eye
(Even though light not shined in that eye)
Demonstrates crossing of info at chias
Edinger westphal nuclei and pretectal area are part of what brain region
Midbrain
Primary visual cortex located in what lobe
Occipital
Pupillary light reflex pathway
Optic nerve fibers synapse at pretectal areas —> pretectal nerve fibers synapse bilaterally at edinger westphal nuclei —> EW nerve fibers (preganglionic parasympathetic) synapse at ciliary ganglia —> postganglionic parasympathetic fibers in ciliary ganglia synapse on pupillary sphincter muscle and cause it to contract
Pupillary dilation reflex process
Preganglionic sympathetic nerve fibers synapse in superior portion of sympathetic trunk —> postganglionics synapse on pupillary dilator muscle
Short ciliary arteries are Anastamoses between
External and internal carotid arteries
Main blood supply to orbital contents
Short ciliary arteries
Internal ophthalmic artery goes through what hole
Optic canal
Venous drainage of orbital contents
Brain —> cavernous sinus—> vertebral and internal jugular veins
what nerve innervates retractor bulbs
CN VI
Medial rectus vs lateral rectus function
Medial - adduct eye
Lateral - abduct eye
Dorsal vs ventral rectus function
Dorsal - adduct and elevate eye
Ventral - adduct and depress eye
Ventral vs dorsal oblique function
Ventral - abduct and elevate eye
Dorsal - abduct and depress eye
2 muscles that accomplish looking up
Dorsal rectus
Ventral oblique
2 muscles that accomplish looking down
Ventral rectus
Dorsal oblique