Orbit Flashcards

1
Q

What happens in orbital blow out fractures

A

Increase in internal pressure in globe of eye causes blow out fracture of orbit
-orbital contents herniate into maxillary air sinus

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2
Q

What structures pass through the optic canal

A

Optic nerve

Opthalmic artery

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3
Q

What structures pass through the SOF

A

CN: III, IV, VI

V1 - lacrimal n, frontal n, nasociliary

Superior opthalmic vein

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4
Q

What structures pass through the IOF

A

V2:

  • infraorbital
  • zygomatic

Infraorbital artery and vein

Inferior ophthalmic vein

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5
Q

What passes through the infraorbital canal

A

Infraorbital nerve, artery and vein

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6
Q

What passes through the supraorbital foramen

A

Supraorbital nerve (lateral branch)

Supraorbital artery

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7
Q

What passes through the frontal incisure

A

Supraorbital nerve (medial branch)

Supratrochlear artery

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8
Q

What passes through the ant and post ethmoidal foramen

A

Anterior ethmoidal nerve, artery and vein

Posterior ethmoidal nerve, artery and vein

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9
Q

what is the insertion and action of the superior rectus

A

Anterior to coronal equator

Action:

-elevation

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10
Q

What is the action of medial rectus

A

adduction

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11
Q

What is the action and insertion of inferior rectus

A

Insertion: inferior surface of globe

-Depression
-

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12
Q

What is the action and insertion of superior oblique

A

Insertion: post to equator

Action

  • abduct cornea
  • intortion
  • depression
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13
Q

What happens if superior rectus is damaged

A

No muscle can depress cornea when eye looks medially if superior oblique is lost

  • LR can compensate for lost abduction
  • IR - can compensate for lost depression

(if eye looks medially, IR doesn’t depress, it rotates)

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14
Q

What is the insertion point and action of inferior oblique

A

Insertion: behind coronal equator

Action

  • abduction
  • extortion
  • elevation
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15
Q

What does the supratrochlear nerve supply

A

Skin and conjuncitva of upper eye lid

-branches of lacrimal n also di tgus

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16
Q

What does the anterior ethmoidal supply

A

Ethmoidal air sinuses
Dura
Lateral nasal and septum

17
Q

What does the infratrochlear n do

A

Skin of eyelids, conjunctiva, lateral nose

18
Q

What do the long ciliary nerves do

A

sensation to cornea

sympathetic to dilator pupillae

19
Q

Why is important that the fascial sheathes of the extra ocular muscles are continous

A

Provide a limti to eyeball movement

IO and IR fuse to create a sling, along with MR and LR
-suspensory ligament