Orbital cavity and lacrimation Flashcards
Lateral borders of orbital cavity
Zygomatic and sphenoid
Orbital cavity floor
Sphenoid, palatine and maxillary bones
Orbital cavity roof
Frontal bone
Orbital cavity medial border
Sphenoid, ethmoid, lacrimal and maxillary
Difference between orbit of eye and orbit of axis
Orbit is anterolateral but optic axis looks straight ahead
Innervation and function of orbiculares oculi
Facial nerve and closes eyelids
Innervation and function of elevator palpebre superiors
Oculomotor and opens eyelids
Which muscle opens eye
Muller’s muscle
Tarsal’s glands
sebaceous glands posterior to eyelashes - oily secretions limit overflow of tears
Ptosis causes
Ptosis occurs when sympathetic innervation to Muller’s muscle or parasympathetic interruption to levator palpebrae superioris
Lacrimation
facial nerve - greater petrosal nerve - Vidian’s nerve - IOF - orbit - ophthalmic division of trigeminal nerve - makes you cry
Why do you get a runny nose when you cry
Naso-lacrimal duct connected to nasal cavity
LR movement
Abduction
Sr movement
Eye moves medially
SO action
Eye moves down and out
IO contraction
Eye goes up and out
MR action
Adduction
IR action
Down and out
Test SR
Look laterally and up
Test IR
Look laterally and down
Test LR
Look laterally
Test MR
Look medially
Test IO
look medially and upwards.
Test SO
Look medially and downwards
Abducens palsy
Eye adducted
Oculomotor palsy
Pupils dilated, droopy eyelids, down and out
trochlear palsy
Eye turned up and in
Sclera action
White fibrous layer that maintains structure
Lamina cribosa
Defect that allows entry of optic nerve - blind spot
Papilloedema
Optic disc bulges inwards
Limbus
Cornea meets sclera
retinal detachment tx
corneal buckle
Function of cornea
Allows light to pas through - beware abrasion
Keratpconus
Cornea thins and forms dome-like structure
Iris function
Controls light entering eye
Ciliary body function
Controls shape of lens
How do you see objects up close
Ciliary muscle contraction = suspensory ligament relaxation = spherical lens and greater focussing power of close up objects
What is a cataract?
Cloudy lens
Cataracts tx
Surgery to scoop out lens and replace
Action of iris
PS causes circular muscles to contract = less light in
Sympathetic causes radial muscles to contract = more light in
Horner’s sx
Anhydrous, meiosis, ptosis
Treatment for dilating pupil
tropic amide and atropine
How does pan coast tumour cause Horner’s
Pancoast tumour (lung) can cause Horner’s by invasion of sympathetic NS
What is your optic disc
axons exit eyeball, no rods or cones (blind spot)
Rods
See in black and white but used in low light - located around peripheries
Cones
See in colour - red/green/blue rods
Macular degeneration
Degeneration of macula - colour blindness and no central vision
Retinitis pigmentosa
Congenital retina degeneration = peripheral visual loss
What separates anterior and posterior chambers?
iris
What separates posterior and anterior chamber
iris
What are floaters
Parts of vitreous humour
Where is aqueous humour made and absorbed
mAde in ciliary body and absorbed by canal of schlemm