Anatomy of the Eye Flashcards Preview

ENT & Ophthalmology > Anatomy of the Eye > Flashcards

Flashcards in Anatomy of the Eye Deck (33):
0

Which bones make up the medial surface of the orbit?

Ethmoid, lacrimal and maxilla

1

Which bones make up the floor of the orbit?

Maxilla and zygomatic

2

Which bones make up the lateral surface of the orbit?

Zygomatic and sphenoid

3

Which structures pass through the supra-orbital fissure of the orbit?

Sympathetic nerves
Ophthalmic veins
Frontal nerve
Trochlear nerve (CN4)

Superior branch of the oculomotor nerve (CN3)
Nasociliary nerve
Inferior branch of the oculomotor nerve (CN3)
Abducens nerve (CN6)
Lacrimal nerve

4

What are the coverings of the optic nerve?
What is the importance of this?

It has coverings of pia, arachnoid, and dura mater of the meninges so infections can spread from the eye to the brain

5

What is meant by the lacrimal apparatus?

Lacrimal glands, ducts and canaliculi

6

How do the lacrimal secretions drain in to the nasal cavity?

Superior and inferior puncta, superior and inferior canaliculi, through the lacrimal duct, lacrimal sac, passes through the nasolacrimal duct, which opens into the inferior meatus

7

What is meant by the optical axis?

The axis where the eyes point forward

8

What is meant by the orbital axis?

Halfway between the medial and lateral walls of the orbit

9

What vessels are found within the optic nerve?

Central artery and vein

10

In a fundoscopy, what can we see if there is an increase in ICP?

Venous engorgement and papilloedema (optic disc swelling)

11

What muscles are responsible for the opening of the eyelid?

Levator palpebrae superioris
And the superior tarsal muscle

12

What muscles are responsible for the closing of the eyelid?

Orbicularis oculus

13

What nerves produce the corneal (blink) reflex?

CN V1 (sensory)
CN VII (motor)

14

What is the venous drainage of the orbit?

Superior and inferior ophthalmic veins, which drain in to the cavernous sinus

15

What is meant by the danger space?

Communication between facial vein to cavernous sinus via ophthalmic veins
Cavernous sinus thrombosis, meningitis, brain abscess
The facial vein has no valves so blood may pass in the opposite direction and may enter the cavernous sinus

16

During examination of the eye, which side of the fundus would you find the "blind spot" in a normal eye?

It lies on the nasal side of the fundus

17

Why might a lesion of the ophthalmic division of the trigeminal nerve be dangerous to the eye?

It supplies the sensory component to the cornea, the cornea becomes insensitive to touch and specks of dust or grit will not be felt in the eye. This quickly leads to corneal ulceration and scarring

18

What is the arterial supply to the orbit?

Internal carotid artery gives rise to the central artery to the retina and the ophthalmic artery via the optic canal (lacrimal artery, muscular branches, posterior ciliary arteries)
Also, minor source: intra-orbital artery off the maxillary artery off the external carotid

19

What happens if there is paralysis of levator palpebrae superioris?

Ptosis - compromising vision
Residual opening - due to the superior tarsal muscle

20

What happens if there is paralysis of orbicularis oculi?

Loss of blink and corneal reflex
Dry eyes and a risk of infection
Damage to the muscle causes the eyelid to fall away from the eye

21

What is meant by a blow-out fracture?
What are some of the consequences?

Fracture of medial or inferior walls of the orbit
The ethmoid, sphenoid and maxillary sinuses can become full of flood
The contents of the sinuses can spread, causing infection
Muscles in the inferior part of the orbit can become trapped, diplopia

22

What is meant by enopthalmos?

The eye sits further back than usual (this mp an be due to the impact of an force)

23

What is meant by ptosis?

Dropping of the upper eyelid

24

Which bones make up the roof of the orbit?

Frontal and sphenoid

25

What is meant by the ciliary body? What does it do?

Ciliary muscles and suspensory ligaments It secretes aqueous humour that fills the chambers The contraction of the ciliary body changes the shape of the lens

26

What are the different chambers of the eye?

Anterior chamber: space between the cornea and iris
Posterior chamber: space between the lens, ciliary body and iris
Vitreous chamber behind the lens, containing vitreous humour

27

What is the optic disc?

Aka blind spot The point of contact between the optic nerve and the retina There are no photoreceptors

28

What is meant by the macula?

Area lateral to the optic disc with lots of photoreceptors specialised for visual acuity

29

What is meant by the fovea?

Depression in the macula, area of most acute vision

30

What is meant by the strength of the lens?

Its dioptic strength
defined as the reciprocal of its focal length in m

31

What is meant by myopic?

Short-sightedness
the strength of the lens is too strong or the axial length of the eye is too long so that the focus lies in front of the retina
It can be corrected with concave lenses (subtract diopters)
It can correct itself as the lens become weaker with time

32

What is what is meant by hyperopic?

Long-sightedness
the lens is too weak or the axial length of the eye is too short so that the focus lies behind the lens
- add on diopters (convex lens)