Nerves Of Orbit: Sensory Nerve Flashcards
Sensory nerves (2)
- Ophthalmic division of Trigeminal nerve
- Optic nerve 2nd cranial nerve
Ophthalmic division of Trigeminal nerve branches (3)
- Nasociliary nerve
- Frontal nerve
- Lacrimal nerve
Nasociliary nerve branches (4)
- Two long ciliary nerves
- Anterior ethmoidal nerve
- Posterior ethmoidal nerve
- Infratrochlear nerve
Ophthalmic division of Trigeminal nerve course
Divides into 3 branches before entering orbit through superior orbital fissure
Nasociliary nerve course
- Carries ciliary ganglion
- Enters orbit through medial part of SOF
- Pass medial
- Cross optic nerve
- Reach orbit medial wall
- Passes forwards giving its branches
Two long ciliary nerves course
- Run along optic nerve
- Pierce eyeball back
- Carry sympathetic fibers to dilator pupillae muscle
Long ciliary nerves supply
Dilator pupillae muscle by sympathetic fibers
Anterior ethmoidal nerve course
- Passes via anterior ethmoidal foramen
- Enter anterior cranial fossa
- Passes to nasal cavity
- Leaves as external nasal nerve
Anterior ethmoidal nerve supply
Nasal cavity
Posterior ethmoidal nerve course
Pass through posterior ethmoidal foramen
Posterior ethmoidal nerve supply
Ethmoidal air cells
Infratrochlear nerve course
Pass below torchea to eye medial angle
Infratrochlear nerve supply (2)
- Medial parts of eyelids
- Nose root
Frontal nerve course
Largest branch
1. Enters orbit through middle of SOF
2. Passes forwards below orbital roof and above Levator palpebrae muscle
3. Divides into 2 terminal branches
Frontal nerve branches (2)
- Supraorbital nerve
- Supratrochlear nerve
Frontal nerve supply
- Skin of upper eyelid
- Scalp anterior part
Lacrimal nerve course
Smallest branch
1. Enters orbit through lateral end SOF
2. End in lacrimal gland
3. Receives twig from zygomaticotemporal branch of maxillary nerve containing secretomotor fibers to lacrimal gland
Lacrimal nerve branch
- Palpebral nerve
Lacrimal nerve supply
Upper lid lateral 1/3
Optic nerve
Axons of retinal ganglionic cells
How does optic nerve differ from other cranial nerves
It is surrounded by extension of meninges which means it’s surrounded by subarachnoid space and CSF
What causes optic disc edema (papilloedema)
Increase in intracranial pressure of optic nerve
Optic nerve course
- Leaves orbit
- Enters cranial cavity through optic foramen
- It partially decussates with nerve on the opposite side
- Form optic chiasma