Orbit and eye Flashcards
orbital cavity (ORBIT)
Orbit: quadrangular pyramid, with base anteriorly, apex posteriorly, and 4 walls
- lacrimal bone
- orbital plate of ethmoidal lamina (lamina papyracea)
- frontal bone
- sphenoid bone
- orbital process of palatine bone
- zygomatic bone
- maxilla
- superior orbital fissue
- inferior orbital fissure
*orbit
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lacrimal bone
- contribute to medial wall of orbit.
- contains fossa for lacrimal sac
orbital plate of ethmoid lamina (lamina papyracea)
- posterior to the lacrimal bone, very thin bone.
- contribute to medial wall of the orbit
frontal bone
contribute to superior wall (roof) of the orbit
sphenoid bone
- greater wing contribute to lateral wall, while lesser wing contribute to superior wall near the apex of the orbit
- optic canal: though the lesser wing
orbital process of palatine bone
contribute slightly to apex of orbit
zygomatic bone
contribute significantly to lateral wall of orbit
maxilla
contribute significantly to inferior wall of orbit
superior orbital fissure
located between the greater and lesser wings of the sphenoid
inferior orbital fissure
between maxilla, zygomatic, and greater wing of the sphenoid
orbital content
- eyelids
- extraocular mm
- nerves and vessels
- orbital fascia
- muscous membrane (conjuctiva)
- (rest of the orbital space is occupied by orbital fat, embedding structures)
eyelids
bound orbit anteriorly, limiting exposure of anterior eyeball
extraocular mm
position the eyeball and raise superior eyelid
orbital fascia
surrounds eyeball and mm
conjunctiva
- mucous membrane
- lining of the anterior aspect of the eyeballs, interior aspect of eyelids, and most of the lacrimal apparatus
eyelid components
- Moveable folds covering and protecting the eyeball anteriorly
- Keep cornea moist by spreading lacrimal fluid
- Components
- Skin
- connective tissue: contains eyelashes
- skeletal mm: orbicularis oculi mm
- tarsofascial layer
- conjunctiva: inner layer of eyelid
sphincter of the eye
orbicularis oculi mm
tarsofascial layer:
- superior and inferior tarsi
- orbital septum
- tarsal glands
dense bands of connective tissue, strengthening the eyelids
superior and inferior tarsi
continuation of the periosteum of the bones surrounding the orbit (frontal, zygomatic, and maxillary). attached to the tarsi
orbital septum
sebaceous glands, whose lipid secretion resists the overflow of tear
tarsal gland
inner layer of eyelid and its 2 parts
- conjuctiva:
- palpebrae conjunctiva: closer to eyelid and it is opaque
- bulbar conjuctiva: overlies the cornea and it is transparent. receives sensory innervation from the long ciliary n.
space bund by the bulbar and palpebral conjuctiva
conjunctival sac
junctions of the superior and inferior eyelids. Form the medial and lateral angles (canthi) of the eye
medial and lateral palpebra commissures
connects tarsi to medial margin of orbit
medial palpebral ligament
connects tarsi to lateral margin of orbit
Lateral palpebral ligament
*eyelid (lateral view)
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*eyelid (anterior view)
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lacrimal appartus (includes):
- lacrimal glands
- excretory ducts
- lacrimal canaliculi
- lacrimal sac
- nasolacrimal duct
*lacrimal apparatus
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secretes lacrimal fluid and is divided into superior (orbital) and inferior (palpebral) parts
lacrimal glands
location of lacrimal glands
in the superior lateral part of the orbit. in a little depression in the frontal bone called the lacrimal fossa (about 2 cm in diameter and oval-shaped)
a watery physiological saline solution secreted though 8-12 excreotry ducts
lacrimal fluid
convey lacrimal fluid to the conjunctival sac
excretory ducts
small canals that begin at the lacrimal punctum (opening) on the lacrimal papilla in the medial angle of the eye
lacrimal canaliculi
dilated superior part of nasolacrimal duct that lies in the medial wall of orbit, in the depression of the lacrimal bone
lacrimal sac
conveys lacrimal fluid inferiorly to the inferior nasal meatus in the nasal cavity
nasolacrimal duct
eyeball
- Contains optic apparatus and occupies most of the anterior portion of orbit
- Suspended by 6 extrinsic muscles and a fascial suspensory apparatus
3 layers of the eyeball
- Fibrous layer: external fibrous skeleton, providing shape and resistance
- Vascular layer
- Inner: is the retina, which is the sensory neural layer of the eyeball. Divided in two (2) layers
*eyeball
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tough opaque part that covers the posterior 5/6th of the eyeball, providing attachment for muscles of the eye. Relatively avascular
sclera (found in the fibrous layer)
transparent part that covers the anterior 1/6th of the eyeball. Completely avascular, nourishment is provided by the lacrimal fluid (O2 absorbed from air) and aqueous humor.
cornea located in the fibrous layer
cornea is innervated by CN
CN V1
ophthalmic nerve (branch of trigeminal)
dark reddish brown color, pigmented layer between sclera and retina. Largest part of vascular layer, with vessels located externally (near the sclera). Responsible for “red eye” reflection present in flash photography
choroid
provides attachment for the lens. Contraction of smooth muscles of the ciliary body controls accommodation of the lens
ciliary body (found in the vasuclar layer of eyeball)
folds on the internal surface of the ciliary body that secrete aqueous humor, which fill anterior segment of eyeball
ciliary processes
connect the ciliary body to the lens
suspensory ligaments
thin contractile diaphragm, with a central aperture (pupil)
iris (found in the visceral layer)
circular, constrict pupil.
(parasympathetically stimulated via ___)
Sphincter pupillae m.: circular, constrict pupil (parasympathetically stimulated via ciliary ganglion)
radial, dilate pupil.
(sympathetically stimulated via __)
Dilator pupillae m.: radial, dilate pupil (sympathetically stimulated via superior cervical ganglion)
optic part of retina. What layer is defined as: single layer of cells, reinforcing the light-absorbing properties of the choroid by reducing the scattering of light in the eyeball.
pigmented layer
optic part of retina. what layer is defined as: light receptive
neural layer
extends anteriorly over the ciliary body and posterior surface of the iris
Non-visual retina
internal aspect of the posterior of the eyeball, where the light entering the eyeball is focused
fundus of eyeball
where the optic nerve enters the eyeball, and is insensitive to light
optic disk
area specialized for acuity of vision
macula of retina
~ 1.5mm at the center of the macula is the area of most acute vision
fovea centralis
refractive media conains:
cornea
aqueous humor
lens
vitreous humor
refracts light entering the eye, focusing an inverted image on the light-sensitive retina of the optic fundus
cornea
occupies Anterior (between cornea and iris) and Posterior (between iris and lens) chambers of the eye. Produced in posterior chamber by ciliary processes of ciliary body and provides nutrients for the avascular cornea and lens
aqueous humor
transparent, biconvex structure, anchored by the suspensory ligaments of the lens to the ciliary processes. Lens curvature is modified by the ciliary muscle, which is parasympathetically stimulated via the ciliary ganglion
lens
watery fluid enclosed in the vitreous body, which is located posterior to the lens. The vitreous humor holds the retina in place and supports the lens
Vitreous humor
*extraocular mm
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*extraocular movements
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nerves of orbit
CNII oculomotor n.
CN VI abducent n.
CN IV trochlear
CN V1 opthalmic division
CN II optic n.
*nerves of orbit
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CN ?
travels in lateral wall of cavernous sinus -> enters through superior orbital fissure. Superior and inferior divisions. All other muscles
CN III
oculomotor n
CN ?
travels in the cavernous sinus -> enters through superior orbital fissure. Innervates lateral rectus
CN VI
abducent n.
CN ?
travels in lateral wall of cavernous sinus -> enters through superior orbital fissure. Innervates superior oblique
CN IV
trochlear
CN ?
travels in lateral wall of cavernous sinus -> enters through superior orbital fissure. Frontal, lacrimal, nasociliary. Ciliary ganglion via short ciliary nerves to ciliary body and iris. Long ciliary nerve to dilator pupillae m., iris, and cornea
CN V1
Ophthalmic division
arteries of orbit
- ophthalmic a.
- central a.
- ciliary a.
- lacrimal a.
- anterior & posterior ethmoidal a.
- muscular a.
- supreorbital a.
- supratrochlear a.
- dorsal nasal a.
- infra-orbital a.
*arteris of orbit (intracranial view)
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*arteries of orbit (frontal view)
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route of ophthalmic artery
from internal carotid after emerging from cavernous sinus -> runs parallel to the optic nerve through optic canal
central artery (branches off of opthalmic artery) begins and ends?
pierces sheath of optic nerve and runs with the optic nerve to the eyeball. terminal branches are end arteries supplying the internal aspect of retina.
occlusion of this arteries results in blindness
central artery (branch of ophthalmic a)
ciliary artery (branches off of ophthalmic a.) goes to
sclera, ciliary body, iris, coroid
lacrimal a. (branches off of ophthalmic a.) goes to
lacrimal, conjunctiva, eyelids
anterior & posterior ethmoidal a. (branches off of ophthalmic a.) goes to
sinuses
muscular a. supply
orbital mm
supraorbital a. emerges
onto the face together with nerve of same name
supratrochlear a. emerge
onto the face together with nerve of same name
dorsal nasal a.
on medial side of orbit
branch of the maxillary a. that supplies the orbital floor is:
infra-orbital a.
veins of orbit
- sup. ophthalmic v.
- inferior ophthalmic v.
- vorticose v.
*veins of orbit
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pathway & function of superior ophthalmic vein
- it is continuous with the facial vein anteriorly -> crosses diagonally from medial to lateral above optic nerve -> exits through superior orbital fissure ->terminates in the cavernous sinus.
- Drains structures within the orbit
which vein : runs on floor of orbit. It begins at the plexus of veins on floor of orbit. Communicates with pterygoid venous plexus inferiorly and the superior ophthalmic before going into cavernous sinus
inferior ophthalmic vein
drain vascular layer of the eyeball and are tributaries of the ophthalmic veins
vorticose veins