Orbit Flashcards
Thickened funnel shaped fascial layer that lines the orbit
periorbita
What are the thinnest walls of the orbit?
The medial and lateral walls
Flow of tears
Lacrimal gland–> conjunctival sac–> lacrimal punctum–> nasolacrimal duct–>nasal cavity
Purpose of tarsal gland
secrete a fatty substance to prevent lids from sticking together when closed
What anchors the tarsal plates?
Medial and lateral palpebral ligaments
Function of levator palpebrae superioris
skeletal muscle that raises the eyelid. It can fatigue.
What is the superior tarsal muscle
A smooth muscle that is responsible for the tone of the eyelid
What innervates the superior tarsal muscle
Sympathetic fibers that travel with the frontal nerve
What can cause horner’s syndrome?
Lesion of superior cervical ganglion.
What is Horner’s syndrome
causes the tone of the upper eyelid to relax since superior tarsal is innervated by sympathetic fibers
What muscle abducts the eye
Lateral rectus
What muscle adducts the eye
medial rectus
What muscles elevate the eye
superior rectus, inferior oblique
What muscles depress the eye
Inferior rectus, superior oblique
What muscle intorts the eye
Superior oblique
What muscle extorts the eye
inferior oblique
Test lateral rectus
Abduct the eye
Test medial rectus
adduct the eye
Test superior rectus
abduct eye to the line of pull and look up
Test inferior rectus
abduct eye to the line of pull and look down
Test superior oblique
adduct the eye and look down
Test inferior oblique
adduct and look up
diplopia
double vision
What would cause diplopia
A cranial nerve IV-trochlear lesion because the inferior oblique is unopposed
3 layers of the eyeball
Fibrous layer, vascular layer, retinal layer
What composes the fibrous layer
cornea and sclera
What composes the vascular layer
choroid, ciliary body, iris
What composes the retinal layer
bipolar neurons, optic disc, macula lutea
What is the optic disc
Where the optic nerve enters the eye and it’s fibers spread out. There are no receptors here so this is the blind spot
Macula lutea
area lateral to the optic disc where there is the fovea centralis
Describe the cornea
transparent and avascular
Aqueous humor
a clear watery fluid in the anterior and posterior chambers of the eyeball.
What produces the aqueous humor
The ciliary processes
Describe flow of aqueous humor
Produced by ciliary processes that passes from the posterior chamber into the anterior chamber via the pupil. It is drained away through spaces at the filtration angle into a venous canal of Schlemm
What can cause glaucoma
Blockage of aqueous humor drainage
Purpose of aqueous humor
nutrients for avascular cornea and lens
What is the purpose of the suspensory ligament of the lens
Contraction and relaxation controls the curvature of the lens
What innervates the muscles responsible for eye accommodation
CN III
How does eye accommodation work?
Idk. Look at notes.
What process would be lost if CN III is damaged
Loss of accommodation/focus.
Cataracts
Loss of transparency of the lens
Vitreous body
jelly like matrix with a fine meshwork of collagen fibers that fills the vitreous chamber of the eyeball.
What it the ophthalmic artery a branch of?
The internal carotid artery
How does the ophthalmic artery enter the orbit and what is its relationship to the optic nerve
it enters via the optic canal and travels superior to the optic nerve
Branches of the ophthalmic artery
Lacrimal artery, central artery of retina, ciliary arteries, supraorbital artery, anterior and posterior ethmoidal arteries, dorsal nasal arteries, and supratrochlear artery
What does the infraorbital artery branch from and what does it supply
The maxillary artery and it supplies structures of the orbital floor
Central vein of the retina
Travels with the central artery of the retina to drain to the cavernous sinus
Flow of venous drainage from superior and inferior ophthalmic veins
They originate on the anterior aspect of the orbit from supraorbital and angular veins. They exit the orbit via the superior orbital fissure and enter the cavernous sinus.
Branches of V1
Nasociliary, Facial, Lacrimal
Frontal nerve
Branches into supraorbital and supratrochlear nerves that innervate the forehead and anterior region of the scalp
Lacrimal nerve
passes to the lacrimal gland and provides sensory innervation to the lacrimal gland, conjunctiva of eye, and sensory over the upper eyelid.
Nasociliary nerves
communicates with the ciliary ganglion. Branches into anterior and posterior ethmoidal air cells to innervate them in the nasal cavity and external aspect of the nose
What do sympathetics hitchhike on to get to the dilator pupillae
(LSD) long ciliary nerves
Long ciliary nerves
run in the choroid plexus to provide sensory innervation to iris and cornea.
Where do short ciliary nerves originate?
Ciliary ganglion.
What do postganglionic parasympathetic fibers from the ciliary ganglion traveling on the short ciliary nerve go to?
The sphincter papillae and the ciliaris muscle
What nerve fibers travel through the ciliary ganglion without synapsing?
Sensory fiberis for the eye
STUDY PARASYMPATHETIC INNERVATION OF THE LACRIMAL GLAND
STUDY PARASYMPATHETIC INNERVATION OF THE LACRIMAL GLAND