Ophthalmology Flashcards

1
Q

<p>what happens in a blowout #?</p>

A

<p>blast to somewhere in the head is transmitted to another bone, causing a #</p>

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2
Q

<p>what bones are usually # in blowout?</p>

A

<p>maxilla or ethmoid</p>

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3
Q

<p>innervation of orbicularis oculi?</p>

A

<p>CN7</p>

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4
Q

<p>what parts of orbicularis oculi do what?</p>

A

<p>palpebral closes gently, orbital portion closes tightly

| </p>

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5
Q

<p>innervation of levator palpebrae superioris?</p>

A

<p>CN3</p>

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6
Q

<p>function of levator palpebrae superioris?</p>

A

<p>raises eyelid</p>

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7
Q

<p>what innervates the lacrimal gland?</p>

A

<p>CN7</p>

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8
Q

<p>path of tears?</p>

A
<p>across cornea
puncta lacrimalia
canaliculus
lacrimal sac
nasolacrimal duct
inf meatus (below inferior conchae)</p>
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9
Q
A

<p>1. cornea</p>

<p>2. lens</p>

<p>3. iris</p>

<p>4. ciliary body and ciliary muscle</p>

<p>5. optic part of retina</p>

<p>6. choroid</p>

<p>7. sclera</p>

<p>8. fovea centralis (in macula)</p>

<p>9. optic nerve</p>

<p>10. vitreous body</p>

<p>11. anterior chamber</p>

<p></p>

<p></p>

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10
Q

what controls sphincter pupillae?

A

CN3

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11
Q

what does sphincter pupillae do?

A

constricts the pupil in bright light

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12
Q

what does dilator pupillae do?

A

dilates pupil

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13
Q

out of sphincter pupillae and dilator pupillae, which is para/symp?

A

sphincter - parasympathetic

dilator - sympathetic

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14
Q

what muscle of the eye is supplied by CN6?

A

lateral rectus

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15
Q

what eye muscle is supplied by CN4?

A

superior oblique

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16
Q

what muscles are supplied by CN3?

A

medial rectus
inferior rectus
inferior oblique
(inferior branch)

superior rectus
LPS
(superior branch)

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17
Q

what does the ciliary muscle encircle?

18
Q

when lens is relaxed (thin), what happens to the muscles?

A

ciliary muscles relax

suspensory ligaments are TENSE

19
Q

when lens is fat, what happens to the muscles?

A

ciliary muscles contract

suspensory ligaments are relieved

20
Q

what is a thin lens good for seeing?

21
Q

what is a fat lens good for seeing?

A

near vision

22
Q

what holds the eye above the floor of the orbit?

A

suspensory ligament of the eye

23
Q

what can occur with a # zygoma?

A

diplopia

LOS to midface

24
Q

what branches supply what in the face?

A

CNV1 - upper and nose
2 - middle
3 - lower

25
sensory supply of cornea?
CNV1
26
AP conduction route in the blink reflex?
conducted in CNV1 to trigeminal ganglia then pons | then to CN7 to orbicularis oculi
27
what carries sympathetic axons into the orbit?
ophthalmic artery
28
what are the parasympathetic CNs?
3, 7, 9, 10
29
what nerve carries presynaptic parasympathetic nerves to the ciliary ganglion?
CN3
30
what is the vestibulo-ocular reflex?
turning eyes opposite to the direction of head movement
31
what is the oculocardiac reflex?
bradycardia in response to tension on the extraocular muscles/pressure on the eye
32
nerve connections in vestibulo-ocular reflex?
CN 3,4,6,8
33
nerve connections in oculocardiac reflex?
CNV1, X
34
focusing on near objects is parasympathetic/sympathetic?
parasympathetic
35
focusing on far objects is parasympathetic/sympathetic?
sympathetic
36
what type of drugs enlarge the pupil?
mydriatic
37
symptoms of horners synrome?
ptosis miosis anhydrosis enopthlamos
38
what pathology can cause a fixed dilated pupil?
CN3
39
what are the two types of light reflex?
direct | consensual
40
what nerves relay the light reflex?
ipsilateral CN2 connections in the thalamus bilateral CN3 (motor)
41
pathway of sympathetic nerves supply when opening the eyes wider?
``` superior cervical sympathetic ganglion interal carotid nerve internal carotid plexus opthalmic artery (carries nerves) levator palpabrae superioris ```