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79 Cards in this Set

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what bones make up the orbital roof?

the frontal bone and leser wing of the sphenoid

what bones make up the lateral wall of the orbit?

the zygomatic bone and greater wing of the sphenoid

What is witnall's tubercle?
its a rasied area of bone on the anterior lateral wall of the orbit wehre several connective tissues attach. Suspensory ligament of Lockwood, the check ligament of the lateral rectus muscle, and the lateral palpebral ligament
What connective tissues attach to Whitnall's tubercle?
Suspensory ligament of Lockwood, the check ligament of the lateral rectus muscle, and the lateral palpebral ligament
What bones make the medial wall of the orbit?
the frontal process of the maxilla, lacrimal bone, and ethmoid bone, and a small portion of the lesser wing of the sphenoid bone.
what makes up the orbital floor?
The maxilla, zygomatic bone, and the orbital process of the palatine bone.
what are orbital fascia? what do they include?
the layers of connective tissue within the orbit. The bulbar fascia or tenon's capsule, periosteum of the orbital bone, and the orbital septum
What other layers are inner and outter to Tenon's capsule?
inner: episcleral/tenon's space, more inner is episclera. outer: posterior to equator is fat, anterior to equator is conjunctiva
what is epimysium?

it sheaths the muscle in the orbit and works with the fascial sheath (of tenon's capsule)

what is a fascial sheath?

an extension of Tenon's capsule that covers the muscle that penetrates Tenon's capsule

what does the superior rectus fascia work with?

it sends extensions to unite with the fascial extensions from the levator palpebrae superioris muscle. This helps them work together

What is the suspensory ligament of lockwood? What does it do?

it is the inferior rectus fascia being continuous with the inferior oblique. It holds the eye and orbital contents in place.

what is a check ligament? What does it do?
a ligament that anchors striated muscles to bones of the orbit and other stuctures. it prevents the eye from rotating too far in a direction
where is the check ligament of levator palpebrae superioris?

tenon's capsule

where is the check ligament of inferior rectus?
Tenon's capusle
where is the check ligament of lateral rectus?
whitnall's tubercle of the zygomatic bone.
where is the check ligament of medial rectus?
lacrimal bone and caruncle of the conjunctiva.
what is the periorbita?
dura mater from the optic nerve that lines the bones of the orbit
What is the orbital septum?
It is part of the orbital fascia, it divides orbital soft tissues from soft tissues of the eyelid.
What is the clincial significance of the orbital septum?
it separates tissues to prevent disease spread.
What are the 3 functions of orbital fat connective tissue?
connect the muscles to periosteum, divides fat into lobules, support vessels and nerves
From what tissue does the bones of the face and orbit derive?

the ectodermal neural crest cells that migrate and change into mesenchyme

which tissues develop first in the eye and what is the order?
inner to outrer: retina, choroid, sclera, muscles, orbital bony walls
what are the 5 properties of muscle tissue?
excitability (respond), conduct signals, contractility, extensibility, elasticity (return to orignial shape)
what are satellite cells?
they can regenerate new muscles cells
Which cranial nerve innervates the lateral rectus?
CN 6, abducent
Which cranial nerve innervates the superior oblique?
CN 4, trochlear
What causes lateral elevation?
IO
What causes lateral depression?
SO
What causes lateral eye movement?
LR
What causes medial elevation?
SR
For eye movement, what is tricky?
Adduction (medial movement) is done with the opposite oblique, everything else makes sense
what artery supplies the eye the most?
the internal carotid artery
what does the internal carotid artery also guide upward?
the sympathetic ganglion of the ANS
What are the different divisions of the internal carotid artery?
cervical part, petrous part, cavernous part, and cerebral part
what is the cervical part of the carotid artery?

it has no branches because it's designated for the skull through the carotid canal of the petrous portion of the temporal bone

what is the cavernous part of the internal carotid artery?
it runs through the cavernous sinus. it has branches that go to the pituitary gland (superior hypophysial artery)
what is the cavernous sinus?
venus blood runs through this sinus which is lined with duramater

What is the petrous part of the internal carotid artery?

it is the second part of 4 parts. it enters the carotid canal, then emerges superior to the foramen lacerum from the carotid canal.
what is the cerebral part of the internal carotid artery?
it supplies branches into: opthalimic artery, posterior communicating artery, anterior choroidal artery, anterior cerebral artery, middle cerebral artery, (not in notes, posterior cerebral artery)
how do we know that the optic nerve is CNS not PNS?
it is surrounded by meninges
What does the central retinal artery supply?
the inner portion of the retina
What is pial septa?
the pia mater follows the central retinal artery after the CRA penetrates the meninges of the optic nerve
What does the chorid do?
It supplies blood to the retina that's inside the eye.
Where does the central retinal artery terminate? What happens next?
in the optic nerve at the optic head/disk. it then branches into the superior and inferior retinal artery. Then those divide into temporal and nasal
What is the lacramal artery? what does it branch into (5)?
It brances into the recurrent meningeal artery, muscular branch, zygomatic branches, glandular branches, and lateral palpebral artery
what feeds into the muscular branch and what does it feed?
the lacrimal artery feeds it, it feeds the lateral rectus
what feeds into the zygomatic branches and what does it feed?
the lacrimal artery feeds it, it feeds the cheek
what feeds into the glandular branches and what does it feed?
the lacrimal artery feeds it, it feeds the lacrimal gland
what feeds into the lateral palpebral artery and what does it feed?
the lacrimal artery feeds it, it branches into the superior and inferior branches to supply the eyelids.
what are the arteriol arcades?
the blood that travels accross the eyelids. it's supplied by the lacrimal artery and medial palpebral artery
what is the posterior ciliary artery?
it branches into th elong and short posterior ciliary arteries. long supplies the ciliary body, the 10-20 short posterior ciliary arteries supply the choroid
what is the supraorbital artery?
the muscular branches of the supraorbital artery supply SR, SO, Lateral Palpebral Superioris. the scalp branches of the supraorbital arteries supply the eyebrow, upper eyelid, and forehead.
what is the medial alpebral artery?
it exits the orbit branching superior and inferior to supply the eyelids, also forming the arterial arcades of the eyelids
What is the supratrochlear artery?
this supplies the scalp
which arteries supply the scalp?
the supraorbital and supratrochlear arteries
what is the dorsal nasal artery?
it anastamoses to the angular artery of the facial artery. it supplies the orbital septum of the eyelids
what are the major orbital veins?
superior and inferior opthalmic vein are the main ones.
where does the inferior opthalmic vein drain?
It goes to the cavernous sinus and the pterygoid venous plexus
what are the 3 major routes of orbit blood drainage?
superior opthalmic vein to cavernous sinus, 2nd angular vein (it's anterior), and 3rd is pterygoid plexus
where does the central retinal vein drain?
CRV joins the superior opthalmic vein, then drains into the cavernous sinus
how many inferior vortex veins to people have? what do they do? where does it drain to?
4-5 inferior vortex veins, it drains the posterior choroid- to superior and inferior opthalmic veins
how many short posterior ciliary veins to people have?
not many or none
what are ciliary ganglion?
Parasympathetic ANS of the oculomotor. They constrict the pupil.
How can you treat blepharospasm?
botox
starting with the skin and traveling around the eyelid, what do you encounter?
skin, mucocutaneous junction (pore of meibomian gland), conjunctiva (on the posterior eyelid)
What are the layers of the eye lid?
1. Skin. 2. subcutaneous areolar tissue (hypodermus) - no fat. 3. Striated muscle. 4. submuscular areolar (loose) tissue. 5. fibrous layer (tarsal plate and orbital septum). 6. conjunctiva
what is the striated muscles of the eye lid made of? what do they do?
the orbicularis oculi muscle, which closes the eye lid. closer to the eye lashes is the muscle of riolan, it does squeegie action.
what is the submuscular areolar (loose) tissue?
its inbetween the striated muscle and the orbital septum. The arcades run through here.
what is the fiberous layer?
it is in between the submuscular areolar tissue and conjunctiva of the eyelid. It has the tarsal plate and orbital septum. It has the smooth muscle of muller
what is the muscle of Muller?
Its a (sympathetic ANS) smooth muscle in the eyelids attached to the tarsal plate. it helps raise the eyelid. it's responsible for tonic contraction.
what causes the eye to gently close?
the palpebral part of the orbicularis oculi
what causes the eye to close hard?
the orbital part of the orbicularis oculi AND palpebral part
what segemts are the orbicularis oculi made?
palpebral and orbital
what do the meibomian glands do?
they produce sebum, lipid material
what parts of the eyelid come from surface ectoderm?
epidermis and conjunctival epithelium. glands of moll, zeiss, meibomian, Wolfring (an accessory lacrimal gland)
what parts of the eyelid come from neural crest ectoderm?
all connective tissues (tarsus, septum). muscle of muller, vascular smooth muscle. melanocytes, sensory nerves, and postganglionic nerves
what parts of the eyelid come from neural plate ectoderm?
CN VII, facial
what parts of the eyelid come from mesoderm?

orbicularis oculi, vascular endothelium, blood cells