orbit Flashcards

1
Q

What is the orbital cavity

A

they are a set of two pyramidal-shaped bony cavities with the medial walls parallel and the lateral walls perpendicular. Looking forward is considered primary postition of the eyeball which is not the same as the angle of the orbital cavity, differs by 23 degrees inward

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2
Q

bones that form the orbital margins

A

supraorbital- frontal bone and supraorbital notch
lateral- frontal bone and zygomatic bone
infraorbital- zygomatic bone and maxilla
medial- maxilla and frontal bone

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3
Q

orbit wall components and features

A

roof- orbital plate of frontal and lacrimal fossa
lateral- zygomatic and greater wing of sphenoid b, and superior orbital fissure (communicates with the middle cranial fossa)
floor- orbital plate of maxilla, inferior orbital fissure, infraorbital groove(canal/foramen)
medial -bone

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4
Q

anatomy of eyelids and layers

A

palpebral fissure- opening between two eyelids
canthi-medial and lateral angles (corners of eye)
four layers of lid- skin, muscle, tarsal plates and orbital septum, cunjunctiva

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5
Q

skin of eyelid

A

relatively thin compared to the rest of the body and is continuos with the conjunctiva, at margin is where the eyelashes are and it has sebaceous glands and sweat glands
has ctissue

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6
Q

muscle layer of eyelid

A

palpebral part of orbicularis oculi muscle, with sub muscular connective tissue

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7
Q

tarsal plates and orbital septum

A

below skin and muscle is the dense connective tissue thats subdivided into tarsal plates and orbital septum:

the two tarsal plates:
the superior one is an oval and the inferior one is a crecent shape. some fibers of the levator palpebrae superioris will connect to the superior tarsal plate. the superior tarsal plate also contains the superior tarsal muscle which a smooth muscle that is autonomincally innervated. the tarsal plates have the tarsal glands which add an oil to tears to help them not evaporate too quickly. the tarsal plates are connected to the bones by medial and lateral palpebral ligaments.

orbital septum: the part of the connective tissue that isnt directly on the eyeball itself

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8
Q

conjuctiva of the eyelid

A

tissue that lines the inside the eyelid,
palpebral: lines the eyelid
fornix (superior and inferior): where the palpebral conjunctiva takes a hairpin turn to actually touch the eyeball
bulbar: covering anterior surface of sclera and cornea as corneal epithelium

the superior fornix recieves ducts of lacrimal glands, secretes tears

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9
Q

anatomy of the eyeball

A

lens- transparent, biconvex, held in place by ragdiating zonule fibers(pull on lens and controll thinckness), the lens is made of lens fibers

anterior cavity- filled with aqueous humor, further subdivided into anterior chamber(between iris and cornea) and posterior chamber(between iris and lens)

posterior cavity- contains vitreous humor has a hyloid canal (remnant of dev)

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10
Q

tunics of the eyeball

A

fibrous tunic: Sclera and cornea. Sclera is the white fibrous dense connective tissue(insertion of extraocular muscles) pierced posteriorly by the optic nerve (weak area, pierced by ciliary arteries. At corneal, scleral junction is the cornea which is a major refractive structure thats transparent and avascular

vascular tunic: contains the choroid posteriorly, contains vessels to supply the cells of the retina, and anteriorly is the ciliary body which has epithelium that secretes aqueous humor and also has the ciliary muscle(control the shape of lens by pulling on zonule fibers, contract andgive slack to the lens).*glaucoma, vascular tunic also has iris, pupil contain circular muscles spincter pupillae and dialator pupillae

retina- neural layer

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11
Q

the path of aqueous humor in the eye

A

aqueous humor gets made by ciliary body epithelium then gets pushed into the posterior chamber then goes to the anterior chamber then gets reabsorbed in the canal of shlem to go back to the venous system

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12
Q

lacrimal apparatus

A

lacrimal gland- superolateral, ducts drain into superior fornix

lacrimal puncta- openings in lacrimal papilla, and drain viea lacrimal canaliculi then got to lacrimal sac then go to lacrimal duct to inferior nasal meatus

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13
Q

ophthalmic artery

A
central a of the retina
lacrimal a (lateral)
supraorbital a
dorsal nasal a
supra trochlear a
posterior and anterior ethmoidal a
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14
Q

veins of orbital region

A

central v of the retina, superior ophthalmic v and inferior ophthalmic v

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15
Q

special sensory innervation of orbital region

A

optic nerve

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16
Q

somatic sensory innervation of the orbital region

A

ophthalmicperipheral process transmits sensation from sensory receptors thru superior orbital fissure thru cavernous sinus, neuron cell bodis in trigeminal ganglion

17
Q

motor innervation of orbital region

A

cn 3 4 6 (LR6 SO4)3

18
Q

autonomic innervation of orbit

A

lacrimal gland, sphincter pupillae +ciliarym., Dilator pupillae +superior tarsal

19
Q

parasympathetic innervation of lacrimal nerven

A

superior nuc—(CN VII)–>geniculate ganglion—greaterpetrosal n. + deep petrosal n=nerve of pterygoid canal—> pterygopalatine ganglion—> zygomaticotemporal n and lacrimal n. allow lacrimal gland to secrete

20
Q

sympathetic innervation of the lacrimal gland

A

lateral horn of spinal cord(T1-L2)–>