Contents of the Orbit Flashcards

(29 cards)

1
Q

What part of the eye surrounds the pupil?

A

Iris

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2
Q

What layer covers the iris?

A

Cornea

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3
Q

Where do the eyelids meet?

A

Lateral/Medial CANTHUS

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4
Q

What shape is the orbit and where does it face?

A

Cone shaped

Directed anterolateral

Axis of orbit different than axis of eye

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5
Q

What structure holds the contents of the orbit?

A

Peri orbits

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6
Q

What runs through the Superior Orbital Fissure?

Where is it?

A

Ophthalmic Nerve (V1)

Oculomotor Nerve (III)

Trochlear Nerve (IV)

Abducens Nerve (VI)

Ophthalmic Vein

B/w greater and lesser sphenoid wings

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7
Q

What runs through the Optic Canal?

Where is it?

A

Optic Nerve

Ophthalmic Artery

Lesser Sphenoid Wing

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8
Q

What runs through the…

Inferior Orbital Fissure?

Zygomatic Foramen?

Ethmoid Canals?

A

IOF: Zygomatic Nerve (V2)

ZF: Zygomatic Nerve (V2)

EC: anterior and posterior ethmoid nerves (V1)

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9
Q

What are the muscles in the orbit?

A

Levator palpebrae

Superior rectus
Inferior recus
Medial rectus
Lateral rectus

Superior oblique
Inferior oblique

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10
Q

What connects the muscles of the eye?

What’s the exception?

A

Tendinous Ring - Annulus tendineous

EXCEPT inferior oblique, arises from anterior floor

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11
Q

Describe horizontal eye movement

A

Lateral Recuts = Abducts

Medial Rectus = Adducts

Simple movement

single muscle movements

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12
Q

Describe general vertical eye movement

A

very complex

Eyeball different orientation than the orbit
-> muscles from orbit pull eye in multiple directions

never one muscle alone

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13
Q

What is the movement of the Superior Oblique?

A

Depress

Abduct

Intort

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14
Q

What is the movement of the Inferior Oblique?

A

Elevate

Extorts

Abbduct

Attaches to lateral eye from below

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15
Q

What is movement of superior rectus?

A

Elevate

Intort

Adduct

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16
Q

What is movement of Inferior Rectus?

A

Depress

Extort

Adduct

17
Q

What muscles do you use to look up? Down?

A

Upgaze:

  • Superior Rectus
  • Inferior Oblique

Downgaze:
Inferior Rectus
Superior Oblique

18
Q

What happens when muscles don’t work together to cancel out?

A

Double vision

19
Q

What’s the best way to test eye movement?

A

6 positions of gaze = H pattern

Adduct (MR)

  • > elevate (IO)
  • > depress (SO)

Abduct (LR)

  • > elevate (SR)
  • > depress (IR)
20
Q

What elevates the eyelid?

A

Levator Palpebrae
-attaches to tarsal plate

Paralysis -> ptosis

(Superior tarsal muscle helps) - sympathetic

21
Q

What is the sensory nerve of the orbit and it’s three major divisions?

A

Ophthalmic Division of Trigeminal (V1)

Frontal (superior)

Nasociliary (medial)

Lacrimal (lateral)

22
Q

What does the frontal nerve supply?

A

2 branches

  1. Supra orbital =forehead
  2. Supratrochlear = medial eyebrow
23
Q

What does nasociliary nerve do?

A

Parallels ophthalmic artery

3ish terminal branches

  1. Infratroclear (med can of eye)
  2. Anterior ethmoidal (into nasal cavity)
  3. Long ciliary (outer coverings and cornea)
24
Q

Lacrimal nerve?

A

Lateral part of eyebrow

25
Are there parasympathetics in the eye?
Follow Oculomotor nerve Ciliary ganglion and short ciliary Constrict pupil Contract ciliary muscle (changes lens)
26
How does the lens change focus?
FAR focus: - ciliary muscles relaxed - >intra ocular pressure pulls ligaments - > lens flattened NEAR focus: - ciliary muscles contract - > tension of suspense ligaments - > lens rounded (relaxed)
27
What is the role of sympathetics in the eye?
DILATE pupil Elevate eyelid
28
How is blood supplied to the eye?
Through OPHTHALMIC ARTERY Central retinal artery follows optic nerve Follows nasociliary nerve and branches similarly Supraorbital branch meets up with so nerve
29
What should you note about the veins of the eye?
Infections can spread from sinuses, pharynx, orbit to the cavernous sinus Very very bad