Anatomy - Eye Flashcards

1
Q

Eyelid

A
  • upper and lower
  • upper is larger and contains a muscle: levator palpebral superior

CONTENTS

  • tarsal plate: fibrocartilaginous
  • tarsal glands: secrete oily substances to prevent tears from overflowing
  • eyelashes: protect cornea
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2
Q

Conjunctiva

A
  • mucous membrane covering eyelids and cornea

- keep the cornea moist

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3
Q

Tears

A
  • produced by lacrimnal gland (lateral orbit)
  • tear production
  • tear flow is across the eye, to canals, sac, duct and cavity
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4
Q

External eye clinical issues

A
  • eyelid cyst
  • canal block
  • infections: conjunctivitis
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5
Q

The globe: external tunic

2 parts

A

Sclera

Cornea

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6
Q

The globe, external tunic

1) Sclera

A
  • posterior white fibrous tissue
  • lamina cribrosa: where all the optic nerves go through sclera
  • Canal of schelmm -> drains aqueaous humor to ciliary veins

FUNCTION

  • maintain form of globe
  • drain aqueous humor through canal of schlemm
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7
Q

The globe: external tunic

2) cornea

A
  • continuous with sclera
  • anterior is transparent because of hydration
  • avascular/lymph-free
  • nourished by aqueous humour

FUNCTION

  • lets light in
  • focus light on retina
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8
Q

The globe: middle tunic

3 parts

A
  • choroid
  • ciliary body
  • iris
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9
Q

The globe: middle tunic

1) Choroid

A
  • highly vascular
  • very pigmented
  • sclera is loose, retina is tight

FUNCTION

  • blood supply to retina
  • abosrb light
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10
Q

Clinical issues with external tunic of globe

A
  • blocked canal of schlemm can result into increase pressure and glaucoma
  • corneal transplants
  • corneal reflex can test integrity of nerves V and VII
  • retinal detachments between choroid and retina
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11
Q

Middle tunic of globe

2) Ciliary body

A
  • Continuous with choroid anteriorally and iris posteriorally
  • ciliaris muscle
  • suspensory ligament

FUNCTION

  • suspend lens (accomodation) through suspensory ligaments
  • makes aqueous hymour
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12
Q

Middle tunic of globe: iris

A
  • continous with ciliary body, the other and is free -> pupil
  • divides front space into anterior and posterior chambers
  • angle of the division is called the iridocorneal angle
  • pigment because looking to posterior chooid
  • sphinctor pupillae is parasympathetic innervation
  • dilatator pupillae is sympathetic innervation

FUNCTION
- light control

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13
Q

Clinical issue of middle tunic of globe

A
  • iridocorneal angle is sometimes collapsed and blocks canal of Schlemm -> “closed angle glaucoma:
  • albino - no pigment in coroid on iris
  • Pupillary reflex: II and III
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14
Q

Reflexes for different parts of brainstem

A
  • reflex for medulla: gag reflex
  • reflex for pons: corneal reflex (V, VII)
  • reflex for midbrain: pupillary reflex (II, III)
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15
Q

Internal tunic: retina

A
  • part of the CNS, direct outgrowth of thalamus

- light sensitive: photoreceptors

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16
Q

Inner core of globe: 3 parts

A
  • aqueous humour
  • vitreous humor
  • lens
17
Q
  • Inner core: 1) aqueous humor
A
  • anterior-posterior chambers
  • fluid full of aa, glucose and ascorbic acid

FUNCTION

  • nourish avascular bits and lens
  • maintain intraocular pressure
18
Q
  • inner core of globe

2) vitreous humour

A
  • in vitreal chamber
  • transparent gel made of water, salts and glycoprotein

FUNCTION
- structurally supports lens/retina

19
Q

Inner core of globe

2) lens

A
  • avascular
  • suspended by suspensory ligament (attach to ciliary process)

FUNCTION

  • focus on retina - accomodation - by ciliary muscle
  • when suspensory ligaments pull - flat lens -> see in distance
  • when suspensory ligament relaxes -> fat lens (short distance)
20
Q

Clinical issues for inner core of globe

A
  • lens becomes less elastic
  • cataracts
  • vitreal detachment - problematic if takes retina with it
21
Q

3 types of muscles in the eye

A
  • recti
  • obliques
  • levator
22
Q

REcti muscles

A
  • Superior, inferior, medial and lateral recti
  • origin: common tendinous ring (attach to sphenoid bone)
  • insertion: globe
23
Q

Oblique muscles

A

SUPERIOR OBLIQUE

  • origin: sphenoid
  • insertion: upper lateral globe

INFERIOR OBLIQUE

  • origin: maxilla
  • insertion: globe (lower-lateral)
24
Q

Levator muscles

A
  • levator palpebran superior
  • on top of all
  • origin: sphenoid
  • insertion, eyelid
25
Q

Individual muscle movement

  • SR
  • IO
  • LR
  • MR
  • IR
  • SO
  • LPS
A
  • SR: up, intorsion, adduction
  • IO: up, extorsion, abduction
  • LR: abduction
  • MR: adduction
  • IR: down/extorsion/adduction
  • SO: down/intorsion/abduction
  • LPS: raise eyelid
26
Q

Clinical issue of eye muscles

A
  • hard to test individually
  • the trick is to get the muscle to act by itself by aligning the axes

1) adduct or abduct eye
2) test up and down

27
Q

Motor nerve supply

  • oculomotor
  • trochlear
  • abducent
A
  • oculomotor: SR, IR, MR, IO, LPS
  • trochlear: SO
  • abducent: LR
28
Q

Sensory nerve supply

A
  • optic: retina

- ophtalmic (V1): eye and surrounds

29
Q

Autonomic innervation

  • parasympathetic
  • sympathetic
A

PARASYMPATHETIC

  • oculomotor preganglion synapse into ciliary ganglion: sphincter pupillae, ciliary body
  • facial preganglion synapse into pterygopalatine ganglion: lacrimal gland

SYMPATHETIC
- superior cervical ganglia: dilatator pupillae, LPS, lacrimal gland