Multiple Levels Of Organization Of The Eye Flashcards
Relationship of globe to orbit and adnexa
Critical for vision, appearance, and health of the ye
Adnexa
Tissues around eye supporting its health
Orbit
Cone-shaped cavity containing globe and adnexa as well as other vessels, nerves, glands, fat ect.
Human orbit
Entirely bone
Canine orbit
Temporalis muscle forms lateral orbit wall and the medial pterygoid form part of the floor, zygomatic salivary gland forms more than 1/2 of the orbit floor (ie it is not entirely bone)
Canine rim of the orbit
Aka margin of the orbit, in some species entirely bone but in dog orbital ligament completes lateral margin of orbit rim
Bones comprising orbit walls and rim in dogs
Frontal, maxillary, zygomatic, and variably the lacrimal bones
Periorbita
Cone of thick connective tissue suspending Eye ball, extraocular muscles, vessels, nerves, fat, and adjacent connective tissue within orbit
Canine periorbita
Continuous with periosteum medially and dorsally
Distinct tissue ventrally and laterally
Orbit apex caudally periorbita continuous with dura matter and periosteum at optic canal/ orbital fissure
Orbit septum
Rostral at orbit rim periorbita blend into periosteum of adjacent bones and continue into eye lids as orbit septum
Anterior extent of orbital cavity
Eyelids and orbital septum define this boundary
What keeps eye forward in orbit
Periorbital connective tissue contains fine circularly arranged smooth muscle fibers exerting a constant squeeze on cone
Tenon’s capsule
Loose connective tissue immediately surrounding eyeball deep to conjunctiva
How is the globe suspended within periorbital cone?
Suspended via elaborate fascia and connective tissue networks including loose connective tissue sheets and check ligaments
Fat in orbit
Fat amounts variable between species, fat within and external to periorbita caudally, ventrally, laterally, fat cushions eye and provides room to move
Foramina/ fissures found in orbit
Optic canal, orbital fissure, rostral alar foramen, 2 ethmoidal foramina, fossa for lacriminal sac and others
Eyelids
Dorsal and ventral folds of facial skin with connective tissue for support plus muscles within them that allow lids to open and close
Eyelid function
Protect eye, remove foreign substances from surface of eye, distribute tear film, prevent tear overflow, contribute to tear film, exclude light from eyes, pump tears medially for cleansing of eye and tear remove all and more
Palpebral fissue
Space or opening between eyelids
Medial commissure or canthus
Union of free edges of upper and lower lids
Lateral commissure or canthus
Union of free edges of upper and lower lids laterally
Cilia
Eye lashes
How many rows eyelashes on upper lid of dog
2-4
Medial
Nasal
Lateral
Temporal
Tacticle hairs
Analagos to eyebrows
Lacrimal carbuncle
Small mound of tissue just inside medial canthus often haired; contains glands, serves to divert or redirect tears toward lacrimal puncta
Eyelid muscles
Orbicularis oculi, lavator palpebreal superious, tarsal muscles,+ more we don’t need to know names of
Orbicularis oculi
Oval sphincter like skeletal muscle beneath skin, closes lids in resposne to somatic efferent impulses
Orbicularis oculi innervation
Somatic efferent impulses; innervated by palpebral branch of cranial nerve VII
Orbicularis oculi anchoring
Anchored medially and laterally by ligaments
Absence of medial and lateral ligaments anchoring orbicularis oculi
If these are absent stretched or lacerated then palpebreal fissures can close like other fissures surrounded by sphincters
Levator palpebral superioris
Skeletal muscle, retracts upper lid, thin flat muscle works in unison with dorsal rectus muscle which it is dorsal to
Levator palpebral superioris innervation
Skeletal muscle, innervated by cranial nerve III to retract upper lid
Tarsal muscles
Ie Mueller’s muscle; smooth muscles that retract (open lid) sympathetic innervation
Medial levator annuli oculi
Eyelid miscue, raises eyebrow gives expression
Eyelid gland
Tarsal gland (meibomian glands); there are others we aren’t worrying about for block 1
Tarsal glands
Ie meibomain glands; sebaceous glands of upper and lower lids that form oily, outer layer of tear film, visible through conjunctiva, perpendicular to lid margins, parallel white yellow lines
Tarsal gland opening
Open in a furrow on lid margin (dotted line called gray line)
Eyelid connective tissue
Tarsus (aka tarsal plate) and ligaments
Tarsus
Ie tarsal plate; fiberous thickening surrounding tarsal glands at lid margins that continues into each eyelid blending into orbit septum and periosteum near orbit rim; VERY important to lid support
Ligaments of eye lid connective tissue
Medial and lateral cantonal ligaments extend from tarsus to orbital periosteum
Medial canthal ligament
Well developed in all breeds
Lateral canthal ligament
Poorly developed in some dog breeds, may be muscular or musculofibrous rather than fibrous
What does the conjunctiva do?
It is a mucus membrane lining of space inside palpebral fissure (except cornea) provides moist smooth surface for movements of globes and lids; moisture in eye and much of immune competency of external eye
Conjunctiva histology
Non-keritanized stratified squamous to columnar epithelium with goblet cells; gradually blends into stratified squamous epithelium of corneal surface at limbus and eyelid skin at lid margins
Membrana nictitans
Aka nicitating membrane, police semilunaris, or third eyelid; this is fold of conjunctiva ventromedial to eye
Conjunctival sac
Potential space inside closed eyelids
Divisions of conjunctiva
All continuous one to the other (and continuous at the limbus with the non-keritanized stratified squamous anterior corneal epithelium);
- Palpebreal or tarsal conjunctiva
- Bulbar conjunctiva
- Conjunctiva covering third eyelid bulbar and palpebral surfaces
Palpebral conjunctiva
Ie tarsal conjunctiva; thick, dark pink in color, small vessels visible, lines entire inner surface of eyelids from lid margin 360 degrees continuing to forbid where it turns and reflects onto the globe
Fornix
Approximately at the level of the orbital rim; transitional area between palpebral and bulbar conjunctiva in recess of conjunctival sac
Bulbar conjunctiva
Thin, colorless,and transparent with few vessels normally visible; may be partially pigmented in some breeds especially temporarily
Sclera visibility
Visible through transparent conjunctiva
Third eyelid conjunctiva
Bulbar surface covered in bulbar nictans conjunctival surface and palpebral surface covered in palpebreal surface of the nicitans
Conjunctiva heavily invested with ___
Goblet cells and numerous lymphatic aggregates may be present within submucosa of conjunctiva
Deep to conjunctiva
Bulbar sheath (ie tennon’s capsule) (loose connective tissue); attaches conjunctiva to globe, facilitates expensive free movement of eyeball and has many immune compentent cells that secrete immune surveillance (mast cells, eosinophils, macrophages, and lymphocytes)
Membrana nictians
Fold of conjunctiva from ventromedial fornix supported with t shaped hyaline cartilage, horizontal part keeps cornea clean and shaping tear film, free edge usually pigmented in dogs, almost completely hidden from view in proper position
What surrounds stem of t shaped hyaline cartilage
Seromucoid, superfical gland of third eyelid; ductules from this gland open onto bulbar surface of nicitans in region of lymph follicles found there in submucosa of conjunctiva
Movement of nictians
Highly mobile, can cover entire cornea; movement is primarily passive; can be active movement in cats and birds
Third eyelid retraction
Facilitated by postganglionic sympathetic fibers from cranial cervical ganglion
Horner’s syndrome
Loss of sympathetic innervation anywhere along path to eye leads to prolapse of nictitans, enophthalmos, meiosis, ptosis and reddened conjunctiva
Equine chronic ocular irritation
Can be with or without an ulcer, caused because horse has a pocket or crypt of conjunctiava centrally on bulbar suface that can trap foreign material, insects ect.
Is the nicitans a vestigial structure?
NO it is an essential component of a healthy eye in most domestic species
Prefrontal tear film
Keeps cornea constantly and uniformly moist; prevents desication and consequently keritanization opacification and even loss of anterior epithelium of the cornea
Loss of anterior epithelium of cornea
Corneal ulcer
Lacrimal apparatus
Encompassing term for all of the structures responsible for production, dispersal, and drainage of tears
Tri-laminar tear film
- Superfical layer
- Middle (aqueous layer)
- Inner mucus (mucin) layer
Superfical layer of tear film
Sebaceous (oily), from tarsal (meiboman gland); prevents evaporation and overflow of tear film
Middle aqueous layer of tear film
2 main sources in dog
- Lacrimal gland- seromucoid gland, located dorsolaterally under zygomatic process of frontal bone within lamina of periorbita (contributes 60-70% of total tear production); secretions enter the dorsotemporal conjunctival sac via many tiny ductules
- Superfical gland of their eyelid (or nictitans gland)- also sromucoid in dog, empties onto bulbar surface of nictans
Innervation of lacrimal gland
Responses to parasympathetic stimulus via CN VII