The Eyeball, Ocular Muscles and Neurovasculature Flashcards

1
Q

How is the aqueous chamber split up? How is it made?

A

Anterior and Posterior chambers

Ciliary body secrete aqueous humour which fills both chambers

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2
Q

What is the iris?

A

Thin contractile diaphragm with central aperture for transmitting light.

2 muscles to control size of pupil

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3
Q

How does the lens work?

A

Biconvex structure attached to the ciliary body by suspensory ligaments that changes shape as the ciliary body contracts

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4
Q

What layers make up the retina?

A

Neural layer - light sensitive

Pigmented layer - contain melanocytes to absorb some light

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5
Q

What is the optic disk?

A

Depressed part of eye where nerve fibres join optic nerve.

No photoreceptors

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6
Q

What is the macula?

A

Area lateral to optic disk where photoreceptors are specialised for acuity - high density of cone cells

The centre part of the macula is known as the fovea and has the most acute vision

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7
Q

What vasculature supplies the retina?

A

Central Retinal Artery/Vein

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8
Q

What is exophthalmos? When is it seen?

A

Eyeballs protrude and eyelids part more than usual - whites of eyes visible all round cornea and iris

Diseases like thyroid disease

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9
Q

What can particulates in the eye cause?

A

Corneal abrasions

This causes sudden pain and excess tears

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10
Q

What can injury to the trigeminal nerve leave you susceptible to?

A

Foreign particles on the cornea

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11
Q

How does the lens change with age?

A

Flattens and hardens

Reduced focusing capacity - presbyopia
Partial/complete opacity of the lens - cataracts

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12
Q

What can blunt trauma to the eye cause?

A

Hyphema - bleeding into anterior chamber

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13
Q

How can a raise in CSF pressure cause occular problems?

A

Optic nerve surrounded by meninges with CSF in subarachnoid space

Compress optic nerve, central retinal vein and then artery

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14
Q

What are the muscles of the orbit?

A

Levator Palpabrae Superioris
4 Recti - superior, inferior, medial, lateral
Superior Oblique
Inferior Oblique

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15
Q

What nerves innervate the muscles of the orbit?

A

LR6 SO4 R3

Lateral rectus - 6 - abducens
Superior oblique - 4 - trochlear
Rest - 3 - oculomotor

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16
Q

What other nerves supply the orbit?

A

Optic Nerve

Opthalmic division of trigeminal nerve

17
Q

What is the blood supply to the orbit?

A

Opthalmic artery - give off central retinal artery

Veins are Opthalmic vein tributaries and they drain into the cavernous sinus

18
Q

How does a 3rd nerve lesion present?

A

Ptosis - lose levator palpebrae superioris
Pupillary dilation - lose sphincter pupillae

Can get double vision - ocular muscle paralysis