Lecture 7- Eye and Orbit Flashcards
The… is the membrane lining inner eyelid
palpebral conjunctive
The… is the membrane lining surface of eye
bulbar conjunctiva
The… is the potential space between the palpebral and bulbar conjuntiva
conjunctival sac
The… are the conjunctival reflections from eyelid to eye
fornices
Orbicularis oculi is innervated by…
CNVII
Deep to orbicularis oclui is dense connective tissue which is known as the… which is an extension of the…
- orbital septum
- periosteum
Dense connective tissue that offer support the eyelids are the… and…
superior tarsus and inferior tarsus
2 types of glands of the eyelids
tarsal and ciliary glands
The tendon of… inserts onto superior tarsus
levator palpebrae superioris muscle
The… attaches to the zygomatic bone and the… attaches to the maxilla bone and these both provide an anchor for the superior and inferior tarsus
lateral palpebral ligament
medial palpebral ligament
Lacrimal gland innervation: preganglionic parasympathetic fibers come from the… nerve which is a branch from facial (CNVII) and it travels with … through the pterygoid canal. After the canal it synapses at the…
- greater petrosal
- deep petrosal n.
- pterygopalatine ganglion
After greater petrosal synpases at the pterygopalatine ganglion, the postsynaptic parasympathetic fibers hitch a ride on… , … , and finally on … to the lacrimal gland
- Maxillary (V2)
- Zygomatic n.
- Lacrimal n. (branch of V1)
The sympathetic fibers follow this same path but DO NOT synapse in the pterygopalatine ganglion
For the head where are the presynaptic sympathetic neurons are located in…
T1
Presynaptic Sympathetic fibers synapse where?
superior cervical ganglion
The postsynaptic sympathetic fibers (after superior cervical ganglion) are going to travel in the… up into skull and then branch off as the … nerve
- carotid plexus
- deep petrosal
The nerve of the pterygoid canal carries… from greater petrosal nerve and carries … from deep petrosal nerve
- preganglionic parasympathetic fibers
- postsynaptic sympathetic fibers
What transmits through the optic canal?
CNII and opthalmic artery (branch of ICA)
What transmits through the superior orbital fissure?
CN III, IV, V1, VI and opthalmic vv.
What transmits through the Supraorbital notch/foramen?
Supraorbital n. (branch of V1) and artery
What transmits through the Inferior orbital fissure?
Infraorbital nerve and Zygomatic nerve (branch of V1) and artery
What transmits through the Infraorbital foramen?
Infraorbital n. (branch of V2) and artery
What transmits through the anterior ethmoidal foramen?
Anterior ethmoidal nerve (branch of V1) and artery
What transmits through the posterior ethmoidal foramen?
Posterior ethmoidal nerve (branch of V1) and artery
The outer layer of the eye is called the… tunic
fibrous
The outer layer of the eye is avascular and it has 2 main anatomical parts, the outer portion is the… which is dense connective tissue and muscle insert onto it.
sclera
The anterior portion of the outer layer of the eye is called the… which is the transparent anterior feature
Cornea
The main portion of the middle layer of the eye is called the… which is a thin layer of ciliary aa. and vorticose vv.
choroid
The middle eye contains the… which is a smooth muscle around lens for accomodation
ciliary body
The middle eye contains the… which is the colored smooth muscle behind cornea which controls pupil size
Iris
The middle eye contains the… which is the adjustable aperture through which light enters
pupil
The spincter pupillae is under… innervation and it is organized in a .. shape and will … the amount of light coming in
- parasympathetic
- circular
- decrease
The dilator pupillae is under … innervation and is organized …. and will … the amount of light coming in
- -sympathetic
- radially
- increase
The sphincter pupillae and dilator pupillae are under… and… control
autonomic and emotional
The sphincter pupillae and dilator pupillae (which are associated with the middle eye) are under… and… control
autonomic and emotional
The… contains the ciliary arteries and the vorticose veins
choroid
The vorticose vv. of the eye drain into …
opthalmic v.
The… is the main feature of the inner eye and is the neural layer of eye which recieves light rays
Retina
The… is a feature of the inner eye which is an oval region of retina for visual acuity (yellow in color thus only visible with red-free light)
Macula lutea
cones only
The … is an inner eye feature and is the most acute vision site at center of macula
Fovea centralis
The… is a part of the inner eye and is the region where CNII and retinal vessels enter/exit. “Blindspot”
Optic disc
no sensory receptors
The… is largely responsible for refraction of light in the eye
cornea
4 components of refractive media of the eye
cornea
lens
aqueous humor
vitreous humor
The… focuses light rays and near or distant objects on retina
lens
The… is a watery filling anterior to the lens
aqueous humor
The… is gelatinous filling posterior to lens
vitreous humor
4 inner eye features
retina
macula lutea
fovea centralis
optic disc
4 middle eye features
choroid
ciliary body
iris
pupil
4 components of the lacrimal apparatus
lacrimal gland
lacrimal canaliculi
lacrimal sac
nasolacrimal duct
The… gland produces lacrimal fluid; flows inferomedially to lubricate it
lacrimal
The… transports tears to lacrimal sac
lacrimal canaliculi
The… drains tears to nasolacrimal duct
lacrimal sac
The… duct drains tears through ..canal (under inferior nasal concha)
nasolacrimal
Action of levator palpebrae superioris muscle
raises upper eyelid
Action of superior rectus
elevates and adducts eye
Action of inferior rectus
depresses and adducts eye
Action of lateral rectus
abducts eye
Action of medial rectus
adducts eye
Action of superior oblique
depresses abd abducts eye
Action of inferior oblique
elevates and abducts eye
What CN innervates all the extraocular muscles (except lateral rectus and superior oblique)
CNIII
What CN innervates lateral rectus?
CNVI
What CN innervates superior oblique
CNIV
Eye can be placed… to test lateral and medial rectus mm.
neutrally
Eye must be… to test superior and inferior rectus mm.
abducted
Eye must be… to test superior and inferior oblique
adducted
… is caused by any lesion that leads to a loss of sympathetic function in the head
horners syndrome
Signs for horners syndrome
- partial ptosis
- pupillary constriction
- absence of sweating on ipsilateral side of face and neck
2 visual fields:
temporal retina
nasal retina
… vision remains ipsilateral. … vision crosses
- nasal
- temporal
… lesion results in total blindness in affected eye
optic nerve
… lesion produces loss of peripheral vision
optic chiasm
… lesion results in ipsilateral nasal visual field loss and contralateral temporal visual field loss
optic tract
The presynaptic parasympathetic fibers from CNIII synapes at… which then sends short ciliary nn. to posterior eye to supply…
- ciliary ganglion
- ciliary m.
- pupillary sphincter m.
Pupillary dilator muscle recieves sympathetic innervation via … and they synapsed at…
- internal carotid plexus
- superior cervical ganglion
The 3 divisions of CNV1 in the orbit
Nasociliary n
Frontal n.
Lacrimal n.
The …nerve is a branch of CNV1 in the orbit that runs more medial and gives off ethmoidal, infratrochlear n. and long ciliary nn. (sensory and symp) to posterior eye
-Nasociliary
The… nerve is a branch of CNV1 in the orbit (runs on top of levator palpebrae superioris) which gives off supraorbital and supratrochclear nn.
Frontal
The …. nerve is a branch of CNV1 in the orbit that runs laterally and supplies lacrimal gland and conjunctive
lacrimal
The … artery gives rise to all aa. of the eye. How many?
opthalmic
6
6 arteries of the eye
- posterior cilliary aa.
- central retinal a.
- ethmoidal aa.
- supraorbital a.
- supratrochlear a.
- lacrimal a.
The … arteries supply outer and middle layers of eye
posterior ciliary aa.
The … artery supplies inner layer of retina and is within optic nerve
central retinal
The … arteries supply the anterior cranial fossa, nose and sinues
ethmoidal
The… artery supplies central region of forehead
supraorbital
The… artery supplies medial region of forehead
supratrochlear
The… artery suppleis lacrimal gland
lacrimal
The… vein drains from the upper medial orbit
superior opthalmic
The … vein drains from the lower medial orbit
inferior opthalmic v.
Superior and inferior opthalmic both anastomose with… and drain into …
- facial vein
- cavernous sinus
The… vein drains retina to cavernous sinus
central retinal
The… vv. drain from vascular layer of eye and drains into superior and inferior opthalmic vv.
vorticose