Ocular Anatomy 12 Extraocular Muscles Flashcards

1
Q

What is the origin of the rectus muscles?

A

Common tendinous ring
Annulus of Zinn at the orbital apex

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2
Q

Where do the rectus muscles insert?

A

MR 5.5mm from limbus
IR 6.5mm from limbus
LR 6.9mm from limbus
SR 7.7mm from limbus

Insertions form spiral of Tilaux MILS

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3
Q

What are the length of the tendon of each rectus?

A

MR 3.7mm
IR 5.5mm
SR 5.8mm
LR 8.8mm

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4
Q

What is the origin of the superior oblique msucle?

A

Body of sphenoid bone outside the tendinous ring
Gives rise to a rounded tendon that passes through trochlea at superonasal orbit
Superonasal to CTR and optic nerve

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5
Q

What is the origin of the inferior oblique

A

From within the floor of the orbital rim

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6
Q

What is the path of the recti muscles?

A

Pass anteriorly
Uperior and inferior recti pass forwards at approximately 25 degrees to optical axis

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7
Q

What is the path of the superior oblique muscle? Insertion?

A

Pulls forward at an angle of approx 55 degrees to the nasal side of the globe’s visual axis with the eye in primary position.
Enters Tenon’s capsule
Passes inferiorly to superior rectus before inserting posterior to equator of globe
Inserts on postero supero lateral quadrant

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8
Q

What is the path of the inferior oblique muscle? Insertion?

A

Pulls forward at an angle of approximately 50 degrees
Passes inferiorly to superior rectus before inserting posterior to equator of globe
Inserts on postero infero lateral quadrant

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9
Q

What does the superior division of the occulomotor nerve supply?

A

SR
Levator palpebrae superiorisW

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10
Q

What does the inferior division of the oculomotor nerve supply?

A

MR
IR
IO

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11
Q

Where does the occulomotor nerve enter the orbit?

A

Superior orbital fissure

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12
Q

What supplies SO and LR?

A

SO - trochlear nerve 4th
LR - abducens nerve 6th

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13
Q

What nerves enter the orbit outside the CTR?

A

Lacrimal nerve
Frontal component of ophthalmic nerve
Trochlear nerve

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14
Q

Action (primary, secondary, tertiary) of medial rectus

A

Adduction, rotation around y-axis

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15
Q

Action (primary, secondary, tertiary) of lateral rectus

A

Abduction, rotation around y-axis

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16
Q

Action (primary, secondary, tertiary) of superior rectus

A

Elevation around x-axis
Adduction around y-axis
Intorton around the z-axis

17
Q

Action (primary, secondary, tertiary) of inferior rectus

A

Depression around x-axis
Adduction around y-axis
Extortion around z-axis

18
Q

Action (primary, secondary, tertiary) of superior oblique

A

Depression around the x-axis
Abduction around the y-axis
Intorsion around the z-axis

19
Q

Action (primary, secondary, tertiary) of inferior oblique

A

Elevation around the x-axis
Abduction around the y-axis
Extortion around the z-axis

20
Q

What is Hering’s law

A

EquDuring any conjugate eye movements, equal and simultaneous innervation flows to the yoke muscle (contralateral syndergist)W

21
Q

hat is Sherrington’s law?

A

Increased innervation to an extraocular muscle is accompanied by reciprocal decrease in innervation to its antagonist