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82 Cards in this Set

  • Front
  • Back
Periosteum of the orbit
periorbita
What is the apex of the orbit?
optic canal
What makes up the superior wall of the orbit?
orbital part of front bone and lesser wings of sphenoid bone
What makes up the inferior wall of the orbit?
maxilla, partly by zygomatic and palantine bone
What makes up the lateral wall of the orbit?
frontal processes of zygomatic and greater wing of the sphenoid bone
What makes up the medial wall of the orbit?
ethmoid, lacrimal, maxilla, and sphenoid boen
What goes through the optic canal? (2)
optic nerve and opthalmic artery
What is found within the superior orbital fissure?
Superior and inferior branches of CN III, CN IV, CN VI, the lacrimal, frontal, and nasociliary branches of the opthalmic nerve, and the superior opthalmic vein
What is found passing through the inferior orbital fissure?
Maxillary nerve and its zygomatic branch, infra-orbital vessels, vein communicating with the pterygoid plexus of veins
What are the contents of the orbit?
* Eyeball

* Orbital fascia surrounding the eyeballs and muscles

* Extraocular muscles

* Cranial nerves: II, III, IV, V and VI

* Blood vessels

* Orbital fat

* Lacrimal gland
tough, white tunic on the
posterior 5/6 of the eye
sclera
Is the sclera innervated? blood supply?
innervated but no blood supply
transparent layer on anterior 1/6 of the eye, allows light to enter the eyeball
cornea
Is the cornea innervated? blood supply?
innervated but no blood supply
What is the sclera continuous with on the back of the eye?
dura on optic nerve
Thin pigmented and highly vascular layer. Firmly attatched to the retina. Loosely attatched to the sclera.
Choroid
Nourishes the retina and darkens the eye
Choroid
found between the chorioid and the iris.
ciliary body
what makes up the ciliary body?
ciliary process and ciliary muscle
What controls the ciliary muscle?
CN III
Ciliary process help make what substance?
aqueous humor
If suspensary ligaments are contracted what happens to the lens?
becomes more round
If the lens is flat then you are seeing at what distance?
far distance
what two muscles control the size of the pupil? their innervation?
Sphincter pupillae=para
Dilator pupillae=sympathetic
External fibrous layer of the eyeball consists of what?
sclera and cornea
Middle vascular layer of the eyeball made up of ?
choroid, ciliary body, iris
Inner layer of eyeball made up of?
retina
What are the two parts of the retina?
optic part-posterior and lateral
Non-visual part-anterior part, covers the internal surface of teh ciliary body and the iris
What is the blind spot?
the optic disk, consists of optic nerve fibers; insensitive for light
small, oval area of retina with photoreceptors (cones mostly) responsible for acuity of vision(and colors).
macula lutea
Central depression in the macula, area of most acutet vision?
fovea centralis
What type of receptors are in the fovea centralis?
Cones only
What are cones responsible for? how many?
visual acuity and color vision; 7 million
What are rods responsible for? How many?
vision in dim light; 120 millioin
The neural retina (except for cones and rods) is supplied by what/
cental artery of retina (branch of opthalmic)
Chamber between cornea and iris?
anterior chamber
chamber between iris and lens?
posterior chamber
avascular biconvex structure held
in position by suspensory ligaments
(zonular fibers) which are attached to the
ciliary process
lens
transparent gel which fills
the eyeball posterior to the lens (vitreous chamber).
Holds the retina and provides support for the lens
vitreous body
produced by the ciliary
process (nutrients for avascular cornea
and lens
aqueous humor
flow of aqueous humor?
Posterior chamber-pupil-anterior
chamber-scleral venous plexus-canal of
Schlemm (iridocorneal angle
a thin clear moist membrane that coats the inner surface of the eyelids and the outer surface of the eye
Conjunctiva
What are the three sections or regions of the conjunctiva?
the palpebral, the bulbar, the formix
section of conjunctiva that lines the under-surface of the eyelids
palpebral
section of conjunctiva which covers the front, external eyeball
bulbar
section of conjunctiva which froms the junction between the eyelid and eyeball
formix
What is the function of the conjunctiva?
produces mucous, a clear viscous fluid that lubricates the eyeball, as well as produces some tears, which helps keep the eye clean
Inflammation of the conjunctiva is called?
can lead to ?
conjunctivitis
pink eye
flow through the lacrimal apparatus?
lacrimal gland-> lacrimal ducts -> lacrimal lake -> lacrimal canaliculi-> lacrimal sac -> nasolacrimal duct -> inferiornasal meatus
Sensory innervation of the lacrimal gland?
lacrimal branch of V1
Parasympathetic innervation to the lacrimal gland?
stimulates?
Greater petrosal of CNVII connects with deep petrosal nerve to from nerve of the pterygoid canal. Synapses with pterygopalatine and post-ganglionic fibers go to lacrimal gland
Stimulates fluid secretion
Sympathetic innervation of the lacrimal gland?
stimulates?
T1-T3 preganglionic leave via white rami and travel up to synapse at superior cervical ganglia, leave via deep petrosal nerve and pass through ganglion to lacrimal gland
Stimulates vasoconstriction of lacrimal gland
What does the levator palpebrae superioris do?
Innervation?
elevates the superior eyelid, opening lid
superior division of CN III
action of orbicularis oculi?
innervation?
closes lids
Facial CN VII
What are the extraocular muscles?
4 rectus muscles; superior, inferior, lateral, medial
2 oblique muscles; superior and inferior
Levator palpebrae superioris
fibrous ring surrounds the optic canal and medial part of superior orbital fissure
common tendinous ring
what is the origin of the four rectus muscles?
common tendinous ring
The common tendenous ring transmits (2)?
1. oculomotor, nosociliary,abducens
nerves, which enter the orbit through the
superior obital fissure and CTR.
2. Optic n., ophtalamic a., and central a.&v.
of retina, which enter the orbit via the
optic canal and CTR
what lies outside the CTR?
Trochlear, frontal and lacrimal nerves and
superior ophtalamic vein
innervation of the extraocular muscles?
Superior oblique CN IV
Lateral rectus CN VI
All others (IO, SR, IR, MR) CN III
movement by medial rectus and lateral recuts
isolated adduction and abduction , if eye not elevated or depressed
movement by superior rectus and inferior rectus
strongest elevator and depressor when eye is abducted
movement by inferior oblique and superior oblique
strongest elevator and depressor when eye is adducted
Medial rectus
action:
nerve supply:
adducts
CN III
lateral rectus
action:
nerve supply:
Abducts
CN VI
Superior rectus
action:
nerve supply:
elevates, adducts, and medially rotates
CN III
Inferior rectus
action:
nerve supply:
depresses, adducts and laterally rotates
CN III
Superior oblique
action:
nerve supply:
depresses, abducts, and medially rotates
CN IV
Inferior oblique
action:
nerve supply:
elevates, abducts, and laterally rotates
CN III
Nerves of the orbit?
CN II, III, IV, VI, and V1
The frontal nerve lies on which muscle?
Levator palpebrae superioris
branches of the opthalmic nerve in the orbit?
Frontal nerve:
a. supraorbital nerve
b. supratrochlear nerve

2. Lacrimal nerve-top of lateral rectus

3. Nasociliary nerve:
a. long ciliary nerves
b. anterior ethmoidal nerves
c. posterior ethmoidal nerves
d. infratrochlear nerve
Ciliary ganglion is associated with what CN and where does it lie?
V1
lies between optic nerve and lateral rectus muscle
ciliary ganglion receives?
preganglionic parasympathetic fibers from the oculomotor nerve CN III and postganglionic sympathetic fibers from the superior cervical ganglion
sensory fibers form nasociliary nerve
ciliary ganglion sending?
postganglionic parasympathetic to the:
*ciliary muscle (accommodation)
* sphincter pupillae (constriction)
postganglionic sympathetic to the:
* dilator pupillae (dilation)
sensory – innervation to all parts of
the eyeball.
Only what autnomic nervous system synapses in the ciliary ganglion?
only the parasympathetic
Main source of blood to the orbit?
branch of?
opthalmic artery branch of internal carotid
Branches of the opthalmic artery roughly parallel the major branches of ?
CN V1
blood supply to the orbit?
opthalmic artery and central artery of the retina(branch of opthalmic)
what does the central artery of the retina supply?
internal aspect of the retina (optic retina)
Veins of the orbit?
opthalmic veins
What do the opthalmic veins anastomose with?
facial vein and cavernous sinus