The Orbit and Eye Flashcards

1
Q

limbus

A

border between the cornea and the sclera

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

punctum

A

where the lacrimal fluid drains into

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

conjunctival fornix

A

line of reflection from the eyelid and the conjunctiva

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

how does the cornea get nutrients

A

lacrimal fluid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what are the 2 layers of the outer fibrous layer of the eye

A
  • sclera

- cornea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what does the sclera cover and how many muscles attach to it

A

5/6 of the posterior eye

6/7 extra-ocular muscles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what does the cornea cover

A

anterior 1/6 of the eye

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is the middle layer of the eye called, is a/vascular

A
  • uvea

- highly vascular

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what are the 3 layers of the uvea

A
  • iris
  • ciliary body
  • choroid
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

where is the iris and what does it control

A
  • on the anterior surface of the lens

- controls pupil diameter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

where is the ciliary body and what is its functions

A
  • posterolateral to the lens

- controls iris, shape of lens and secretion of aqueous humour

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what and where is the choroid and what it its function

A
  • dense vascular bed engorged with blood
  • lines most of the sclera
  • provides nutrition and gas exchange
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is the internal layer of the eye

A

retina

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what are the 3 parts of the retina (that we need to know)

A
  • macula
  • optic disc
  • retina
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

where is the anterior chamber

A

front of the lens is between the cornea and iris of the eye

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

where is the posterior chamber

A

between the iris and suspensory ligaments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what is the anterior segment divided into

A

anterior and the posterior chambers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what is in the posterior segment

A

vitreous body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what is the vitreous humour

A

a jelly-like substance that transmits light, helps hold the retina in place and helps support the lens

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

where is a common location for ‘floaters’

A

vitrous body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

where is the iridocorneal angle

A

between the cornea and anterior surface of the iris

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

what does the iridocorneal angle contain

A

trabecular tissue for drainage of aqueous humour into the scleral venous sinus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

describe the circulation of aqueous humour

A

ciliary body produces aqueous and ciliary processes secrete it
flows into posterior chamber
passes through pupil to anterior chamber
reabsorbed in venous plexus at iridocorneal angle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

what does the ciliary body consist of

A

smooth muscle and blood vessels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

in what chamber does the aqueous nourish the lens

A

posterior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

in what chamber does the aqueous nourish the cornea

A

anterior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

what is intra-ocular pressure established by

A

the balance between the production and reabsorption of aqueous

28
Q

what is the main arterial supply to the eye

A

ophthalmic artery

29
Q

where does the ophthalmic artery branch from

A

internal carotid

30
Q

how does the ophthalmic artery pass into the orbit

A

through the optic canal

31
Q

what artery supplies some structures of the floor of the orbit

A

infra-orbital artery

32
Q

where does the infra-orbital artery branch from

A

internal carotid

33
Q

what arteries are the main supply to the choroid

A

ciliary arteries

34
Q

where do the ciliary arteries branch from

A

ophthalmic artery

35
Q

how does the central artery of the retina get to the retina

A

pierces through optic sheath and travels with the optic nerve to the internal retina

36
Q

what is the only blood supply and drainage of the retina

A

central artery and vein

37
Q

what is the main drainage of the orbit

A

superior and inferior ophthalmic veins

38
Q

how do the superior and inferior ophthalmic veins exit the orbit and drain

A

via the orbital fissure to drain into the cavernous sinus

the inferior ophthalmic will usually meet the superior ophthalmic before draining into the cavernous sinus

39
Q

where does the central vein drain into

A

usually drains into the cavernous sinus but may join the superior ophthalmic vein

40
Q

what vein also drains into the pterygoid plexus

A

inferior ophthalmic

41
Q

where does the pterygoid plexus sit

A

around the pterygoid muscles

42
Q

what veins connect to the superficial veins of the face

A

both ophthalmic veins

43
Q

what is the ‘danger triangle’ of the face

A

any cut or infection of facial veins may allow spread back to the cranial cavity

44
Q

what is the fundus

A

posterior area of the retina where light is focused

45
Q

what is used to visualise the fundus

A

fundoscopy

46
Q

what 3 structures are within the fundus

A
  • Optic disc
  • Macula
  • Fovea
47
Q

what is the optic disc

A

point of CN II formation and only point of entry/exit for blood vessels and axons of CN II

48
Q

why is the optic disc called the ‘blind spot’

A

no photoreceptors present and so it is insensitive to light

49
Q

what is the macula and what is its function

A
  • area of the greatest density of cones

- it is highly specialised for acute vision

50
Q

where is the fovea and what is its function

A
  • 1.5mm dip in the centre of the macula

- area of most acute vision

51
Q

posterior layer of the retina and its function

A
  • photoreceptors

- pick up light when it hits the retina

52
Q

layer of the retina anterior to the photoreceptors

A

ganglion cells, nerves synapse here

53
Q

where are the retinal vessels located

A

just anterior to the retina

54
Q

bones of the orbit

A
  • sphenoid
  • ethmoid
  • maxilla
  • lacrimal
  • frontal
  • palatine
  • zygomatic
55
Q

what are orbital plates and what bones have them

A

flat smooth areas of bone

frontal, ethmoid and maxilla

56
Q

where is the optic canal located

A

posterolaterally

57
Q

where is the superior orbital fissure and what nerves pass through there

A

between the lesser and greater wings of the sphenoid

CN III, IV, VI

58
Q

where does the supraorbital NVB pass through and what is its nerve a branch of

A

supraorbital notch

ophthalmic division of trigeminal

59
Q

where does the infraorbital NVB pass through and what is its nerve a branch of

A

infraorbital notch

maxillary division of trigeminal

60
Q

shape of the orbit

A

pyramidal

61
Q

orbital rim is made up of

A

maxillary and zygomatic inferiorly and frontal bone superiorly

62
Q

where does the orbit face

A

anterolaterally

63
Q

what bones in the orbit are liable to fracture

A

orbital plates

64
Q

where does the orbital rim fracture (if it does)

A

along its sutures

65
Q

trapdoor fracture

A

bone fractures but a part is still attached, stuff can get trapped