The eye and sight Flashcards

1
Q

bones contributing to the orbit framework

A

Superior wall: Frontal bone; lesser wing of sphenoid bone
Medial wall: Maxilla; Lacrimal; Ethmoid; lesser wing of sphenoid bone
Inferior wall: Maxilla; Zygomatic and Palatine bones
Lateral wall: Zygomatic (anteriorly); Greater wing of sphenoid (posteriorly)

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2
Q

2 groups of muscles within the orbit

A

Extrinsic / extra-ocular muscles - move eyeballs or raise upper eyelids

Intrinsic muscles - within eyeball - control shape of lens and size of pupil

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3
Q

The muscle above the superior rectus

A

Levator Palpaberae Superioris

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4
Q

Orbicularis Oculi

A

Not extrinsic muscle of eye
has two parts:
Orbital part - surrounds orbit, involved when eye tightly closed
Palpebral part - the eyelid, involve when eye gently closed

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5
Q

Muscles supplied by oculomotor nerve (3)

A

Superior rectus, Inferior rectus, Medial rectus, Inferior Oblique
LPS (levator palpebrae superioris)

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6
Q

Muscles supplied by abducens nerve (6)

A

Lateral rectus

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7
Q

Muscles supplied by trochlear nerve (4)

A

Superior Oblique

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8
Q

Eye movement caused by the: Lateral rectus

A

abduction

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9
Q

Eye movement caused by the: Medial rectus

A

Adduction

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10
Q

Eye movement caused by the: Superior rectus

A

Up and in (adduction)

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11
Q

Eye movement caused by the: Inferior rectus

A

Down and in (adduction)

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12
Q

Eye movement caused by the: Superior Oblique

A

Down and out (abduction)

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13
Q

Eye movement caused by the: Inferior Oblique

A

Up and out (abduction)

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14
Q

Clinical testing for: Lateral rectus

A

Ask to abduct eye

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15
Q

Clinical testing for: Medial rectus

A

Ask to adduct eye

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16
Q

Clinical testing for: Superior rectus

A

Ask to first abduct eye (out), then look down

17
Q

Clinical testing for: Inferior rectus

A

Ask to first abduct eye (out), then look up

18
Q

Clinical testing for: Superior oblique

A

Ask to first adduct eye (in), then look down

19
Q

Clinical testing for: Inferior oblique

A

Ask to first adduct eye (in), then look up

20
Q

Innervation of Levator Palpebrae Superioris

A

Oculomotor and sympathetic innervation

21
Q

Sympathetic loss to LPS and oculomotor loss

A

Sympathetic loss - ptosis

Oculomotor loss - closed eyelid

22
Q

Arterial supply to the orbit and eyeball

A

Ophthalmic artery - branch of the internal carotid artery immediately after it leaves the cavernous sinus

23
Q

Ophthalmic artery passes into the orbit via the…with….

A

via the optic canal with the optic nerve

24
Q

Name the nerves and vessels passing through the optic canal

A

Optic nerve

Ophthalmic artery

25
Name the nerves and vessels passing through the superior orbital fissure
``` Oculomotor nerve (3) Trochlear nerve (4) Ophthalmic division of the trigeminal nerve (V1) Abducens nerve (6) Ophthalmic veins Sympathetic fibres ```
26
Name the nerves and vessels passing through the inferior orbital fissure
Maxillary division of the trigeminal nerve (V2) Inferior ophthalmic vein Infraorbital vessels
27
Explain the clinical significance of the close relationship between the superior orbital fissure and the cavernous sinus
The superior ophthalmic veins drain into the cavernous sinus through the superior orbital fissure Provides a potential route for infection from the orbit and nasal sinuses This can lead to a cavernous sinus thrombosis
28
Describe the corneal/ pupillary reflex
1) Photoreceptors detect light. Optic nerve --> pretectal nucleus 2) --> the Edinger-Westphal nucleus 3) Motor signal --> oculomotor nerves --> ciliary ganglia 4) --> Parasympathetic innervation of the pupillary sphincter --> constriction of the pupil
29
Testing reflex: shine light in 1 eye. Constriction in tested eye means: Contraction in other eye means:
Tested eye: Good optic nerve function | Other eye : Good oculomotor nerve function
30
Branches of V1 (ophthalmic nerve of trigeminal)
Fine Looking Nipples Frontal Nerve Lacrimal Nerve Nasociliary Nerve
31
What stimulation by what fibres causes fluid secretion from the lacrimal gland?
Parasympathetic stimulation by secretomotor fibres
32
Ducts from the lacrimal gland open into the | which empties over the
Conjunctival sac which empties over the eyeball
33
Tear drainage
Tears pass medially over the surface - -> puncta and lacrimal canaliculi - -> collect in the lacrimal sac - -> lacrimal duct - -> Internal meatus of nasal cavity