extraocular muscles Flashcards

(27 cards)

1
Q

where are the extraocular muscles located?

A

within the orbit, but are extrinsic and separate from the eyeball itself

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2
Q

relationship between eyeball and extraocular muscles?

A

E. muscles are extrinsic and separate from the eyeball itself

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3
Q

what do the extraocular muscles function to do?

A

They act to control the movements of the eyeball and the superior eyelid

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4
Q

how many extraocular muscles are there?

A

seven extraocular muscles

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5
Q

what are the 7 extraocular muscles?

A

the levator palpebrae superioris, superior rectus, inferior rectus, medial rectus, lateral rectus, inferior oblique and superior oblique

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6
Q

functionally, how can the 7 extraocular muscles be divided?

A

Responsible for eye movement

Responsible for superior eyelid movement

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7
Q

what are the muscles responsible for eye movement?

A

Recti and oblique muscles

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8
Q

what are the muscles responsible for superior eyelid movement?

A

Levator palpebrae superioris

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9
Q

what is the levator palpebrae superioris (LPS) muscle involed in?

A

the only muscle involved in raising the superior eyelid

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10
Q

what does a small portion of the LPS muscle contain?

A

a collection of smooth muscle fibres – known as the superior tarsal muscle

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11
Q

in contrast to the LPS, what is the superior tarsal muscle innervated by?

A

the sympathetic nervous system

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12
Q

origin of of LPS?

A

Originates from the lesser wing of the sphenoid bone, immediately above the optic foramen

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13
Q

attachment of LPS?

A

superior tarsal plate of the upper eyelid (a thick plate of connective tissue)

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14
Q

action of LPS?

A

Elevates the upper eyelid

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15
Q

innervation of LPS?

A

by the oculomotor nerve (CN III)

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16
Q

where is the superior tarsal muscle located?

A

within the LPS

17
Q

what is the superior tarsal muscle innervated by?

A

the sympathetic nervous system

18
Q

what is Horner’s syndrome?

A

a triad of symptoms produced by damage to the sympathetic trunk in the neck

19
Q

what is the triad of symptoms within Horner’s syndrome?

A

partial ptosis
miosis
anhydrosis

20
Q

what is partial ptosis?

A

dropping of eyelid

21
Q

why does partial ptosis occur?

A

due to denervation of superior tarsal muscle (within LPS)

22
Q

what is miosis?

A

pupillary constriction

23
Q

why does miosis occur?

A

due to denervation of dilator pupillae muscle

24
Q

what is anhydrosis?

A

absence of sweating

25
where does anhydrosis occur within Horner's syndrome?
on the ipsilateral side of the face
26
why does anhydrosis occur?
denervation of sweat glands
27
what can Horner's syndrome represent?
serious pathology: tumour of apex of lung (Pancoast tumour) aortic aneurysm thyroid carcinoma