Ocular Anatomy Flashcards
lines the inner aspect of the eyelids
Palpebral conjunctiva
Thin, transparent vascular tissue that extends from the limbusto the mucocutaneousjunction of the eyelid
Conjunctiva
covers the sclera
Bulbar conjunctiva
Conjunctiva artery
anterior ciliary artery
Conjunctiva inervated by
CN V (ophthalmic division
Fine, thin, elastic layer which covers the sclera
Underneath the conjunctiva
Contains numerous blood vessels –> provide nourishment for the sclera
Episclera
Thick outer coat of the eye
Normally white and opaque
Avascular& fibrous (collagen)
Continuous with the cornea anteriorlyand with the dural sheath of the optic nerve posteriorly
Sclera
Transparent front “window”of the eye
Refracts light
Cornea
nonkeratinized stratified squamousepithelium, regenerative ability
Corneal epithelium
collagen fibers
Bowmans layer
thick layer (90%) of regularly arranged collagen fibers (type 1), keratinocytes
Corneal stroma
thin, strong layer, discovered in 2013
Dua’s layer
thin acellularlayer that serves as the modified basement membrane of the endothelium, collage type IV
Descemet’s membrane
monolayer of cuboidalcells, not able to regenerate, responsible for the corne’sdeturgescence
Endothelium
The junction between cornea and sclera
Limbus
Limbus May develop whitening as part of old age
Arcus senilis
The space between the cornea and iris
Anterior chamber
Anterior chamber Contains a watery fluid called
Aqueous humor
Angle formed by the inner cornea and iris roots
Comprised of several structures that make up the eye’s drainage system
Anterior chamber angle
eye’s drainage system
trabecularmeshwork
Schlemm’scanal
middle, vascular layer of the eye
Uveal tract
Colored part of the eye that controls the amount of light that enters the eye
Iris
hole at the center of the iris that, size is controlled by the iris muscles
Pupil
Accounts for the variety of eye colors seen
Dependent on the amount of pigment in the iris
Pigmented posterior surface of the iris
contains both dilator and sphincter muscles
Iris stroma
Contraction of the sphincter muscle
Pupil constriction
Contraction of the dilator muscles
Pupil dilation
Blood supply of the iris
Major circle of the iris
Sensory inervation of the iris
ciliary nerves
Circular opening at the center of the iris
Adjusts the amount of light entering the eye
Pupil
Pupil constriction
parasympathetic activity –CN III
Pupil dilation due to
Sympatethetic activity
Structure of the eye that produces aqueous humor
Ciliary body
Contraction of the ciliarybodyChanges the tension of the
Zonular fibers
Ciliary body Change in tension leads to increased thickness of the lens allows eye to focus at near objects
Accomodation
Vascular, pigmented layer between the sclera(externally) and the retina (internally)
Provides blood supply to the outer retinal layers
Choroid
Biconvex structureRefracts and focuses light on the retina
Crystaline lens
Crystalline lens Suspended in place by
Zonula fibers
Crystalline lens anteroposterior
4.0 to 5.0 mm
Crystalline lens equatorial diameter
9.0 to 10mm
narrow space behind the iris and in front of the zonulefibers Space anterior to the crystalline lens
Filled with aqueous humor
Normally acellular
Posterior chamber
Large space behind the lens
Extends up to the retina
Approximately 4.5 cc in volume
Vitreous cavity
Vitreous cavity Filled with a transparent gel-like material called
Vitreous humor
Thin, semitransparent, multilayer sheet of neural tissue lining the vitreous cavity
Retina
10 layers of retina
- Retinal pigment epithelium
- Photoreceptor
- Outer limiting membrane
- Outer nuclear layer
- Outer plexiformlayer
- Inner nuclear layer
- Inner plexiformlayer
- Ganglion cell layer
- Retinal nerve fiber layer
- Inner limiting membrane
Retina blood supply
Central retinal artery
Branch of the ophthalmic artery
supplies inner 1/3 of the retina
Choroid
Supplied by the ophthalmic artery
Supplies outer 2/3 of the retina
Area of the retina responsible for fine, central vision
Macula
oval depression in the center of the macula
Approximately 2 disc diameters away from the optic disc
Slight inferior to the optic disc
Fovea
not really a peripheral nerve, it is actually a direct extension of the CNS 1.2 M axons 50 mm long Synapses at the lateral geniculatenucleus
Optic nerve
Blood supply of optic nerve
Circle of zinn-haller
Short PCA
Choroidalcirculation
Pialvasculature
1 mm long; 1.5 mm H; 1.8 mm V
optic disc (visible by fundoscopy
Intra ocular
25 mm in length; 3 to 4.5 mm in diam
lined by dura, arachnoid and pia mater
fuses at the apex of the orbit with periosteum and annulus of zinn
Intra orbital
9 mm in length
Firmly anchored to the bone (optic canal
Intra canalicular
10 mm long (3 -16 mm)
Just before it becomes the optic chiasm
Intra cranial
Parietal and temporal lobes
Optic radiation
Occipital lobe
Visual cortex
X-shaped structure wherein the medial fibers of both optic nerves decussate or cross to the other side
Suspended above the sellaturcica
Optic chiasm
Paired structures posterior to the optic chiasm
Composed of lateral fibers from the ipsilateral optic nerve and medial fibers from the contralateraloptic nerve
Optic tract
Sensory relay nucleus
Located in the thalamus
Lateral geniculate body
Paired structures that carry visual information from the LGB to the visual cortex
Pass thru the parietal and temporal lobes
Optic radiation
inferior fibers that pass through the temporal lobe looping around the inferior horn of the lateral ventricle
Meyers loof
Striate cortex or VI (Brodmann’sarea 17)
Occiptallobe
Responsible for image processing
Primary visual cortex
Bony cavity which contains the eye
“pear-shaped”with the optic nerve representing its stem Medial walls are parallel to each other, separated by the ethmoidaland spenoidal sinuses
Orbit
Orbit
Volume: 30 cc
Roof of the Orbit -composed of
Frontal bone
Lesser wing of the sphenoid
Contains the Lacrimal gland fossa
Orbital plate of frontal bone
Contains the optic canal
Lesser wing of the sphenoid
Depression located at 4mm from orbital margin
Serves as the attachment of the cartilaginous pulley for the superior oblique muscle
Trochlear fovea
Medial orbital wall composed of
Maxillary bone
Lacrimalbone
Ethmoidalbone
Lesser wing of the sphenoid
Contains thenasolacrimalcanal and the lacrimalsac
paper thin medial wall : “lamina papyracea
Medial orbital wall
Lateral wall of the orbit
Zygomaticbone
Greater wing of the sphenoid
Thickest and strongest
Lateral wall of the orbit
Site of attachment for: 1.Check ligament of lateral rectus muscle 2.Suspensoryligament of the eyeball 3.Lateral palpebral ligament 4.Aponeurosisof the levatorligament
Lateral orbital tubercle
Roof of the maxillary sinus
Floor of the orbit
Floor of the orbit made up of 3 bones
Maxillary bone (blow-out fractures)
Palatine bone
Orbital plate of zygomaticbone
Arises from the orbital floor
only extraocularmuscle that does not originate from the orbital apex
Inferior oblique muscle
Entry portal for all nerves and vessels to the orbit
Site of the Annulus of Zinn
Orbital apex
ring of fibrous tissue comprised of the origins of the 4 rectiimuscles, superior oblique muscle, levator palpebrae
Annulus of zinn
Site of the Annulus of Zinn
Orbital apex
Foramen in the skull between the greater and lesser wings of the sphenoid bone
Superior orbital fissure
lacrimal& frontal branch of CN V Trochlearnerve (CN IV
Lateral outside the annulus of Zinn
Superior and inferior divisions of CN III Nasociliarybranch of CN V Abducensnerve (CN VI) Superior ophthalmic vein
Medial within the annulus of zinn
Optic nerve Ophthalmic artery
Optic canal
Maxillary & pterygoidparts of CN V
Inferior ophthalmic vein
Inferior orbital fissure
Blood supply of the orbit
Ophthalmic artery
1st major branch of the intracranial ICA
enters the optic nerve 8-15 mm behind the globe; supplies the inner retina
Central retinal artery
supplies the lacrimalgland and the upper eyelids
Lacrimal artery
supplies the eyelid
Medial palpebral artery
Anterior segment of the eye
Long Posterior CiliaryArteries
Optic nerve, posterior surface of the eye
Short Posterior CiliaryArteries
Venous drainage of the orbit
Vortex veins,
Anterior ciliaryveinsCentral retinal vein
Superior and Inferior Ophthalmic Veins
Cavernous Sinus
Outer structures that protect the eyeball
Eyelids
Lubricates the eye surface
Meibomian gland within the tarsus
normally covers about 2 mm of the superior limbus
Upper lid
usually at the level of the inferior limbus
Lower lid
Exposed zone between the upper and lower eyelids
In adults: 27 mm long and 8 to 11 mm wide
Interpalpebral fissure
more mobile than the lower eyelidCan be raised 15 mm by the levatorconjunctiva
Upper eye lid
Thinnest in the body
Eyelid fold: due to insertion of levator aponeurosis near the upper border of the tarsus (may not be present in Asians
Skin
Has no fat content
Subcutaneous connective tissue
Punctum
Eyelashes arise from the anterior portion of the lid margin
Orifices of the meibomiangland are located along the posterior portion of the lid margin
Lid margin
Arranged in a concentric band around the interpalpebralfissure
Orbicularis oculi muscle
Inserts into the medial canthaltendon, orbital rim and corrugatorsupercilimuscle
Sphincter like action, voluntarily controlled
Orbital of orbicularis muscle
May be voluntary or involuntary (for normal and reflex blinking
Palpebral
Extension of the periosteum of the roof and floor of the orbit Attaches to the anterior surface of the levator muscle
Provides a barrier to spread of blood or inflammation
Orbital septum
Originates from a tendon that blends with the superior rectus and superior oblique muscles at the apex of the orbit
Levator muscle
Produces the eyelid fold
Levator aponeurosis
Elevates the eyelids
Innervated by superior division of CN III
Superior tarsal muscle
Muellers muscle
Consist of dense connective tissue not cartilage
Attached to the orbital margin by the medial and lateral palpebralligaments
Tarsus
Part of tarsus
Modified holocrineglands –> oily layer of the tear film
Meibomian glands
Narrow, highly vascularized, crescent-shaped fold of conjunctival tissue
Rich in goblet cells
Analogous to the nictating membrane in lower animals
Plica semilunaris
Small, fleshy, ovoid structure
Contains sebaceous glands and fine colorless hair
Carancule
Located in the frontal bone
Lacrimal gland
inner to the LA
Palpebral part of lacrimal gland
outer to the LA
Orbital part of lacrimal gland
Blood supply of lacrimal gland
Lacrimal artery
Flow of tears is mediated by pumping of the nasolacrimalsac by the orbicularisoculimuscle
Nasolacrimal sac
Opens into nasal cavity (inferior nasal meatus)
Valve of Hasner
Nasolacrimal duct
Extraocular muscle
Six muscles per eye
4 rectimuscles Superior rectus Inferior rectus Medial rectus Lateral rectus
2 obliques Superior oblique Inferior oblique
away from the nose
Abduction
Towards the nose
Adduction
Upward
Elevation/supraduction
Downward
Depression/infraduction
rotation of the upper pole of the vertical meridian of the eye towards the nose
Intorsion/incyclotorsion
rotation of the upper pole of the vertical meridian of the away from the nose
Extorsion/excyclotorsion
Need to memorize
Medial rectus: adducts
Lateral rectus: abducts
Superior rectus: elevates, adducts, intorts
Inferior rectus: depresses, adducts, extorts
Superior oblique: intorts, abducts, depresses
Inferior oblique: extorts, abducts, elevates
Blood supply of extra occular muscle
Muscular branches of the ophthalmic artery
Nerve supply of extra ocular muscle
CN III: innervates superior, medial, inferior rectus muscles and the inferior oblique
CN IV: innervates the superior oblique
CN VI: innervates the lateral rectus