Eyelids Flashcards

(35 cards)

1
Q

Insertion

A

The point of attachment of a tendon or ligament onto the skeleton or or their part of the body

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2
Q

The palpebral fissure

A

Gap or aperture between the eyelids

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3
Q

What are eyelids/palpebrae

A

Covered by skin externally

Covered by conjunctiva internally

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4
Q

Function of eyelid

A

Shield from minor injuries
Remove foreign objects (blinking)
Control light entry (improve distance vision-depth of field)
Contribute to and sustain tear film

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5
Q

Palpebral furrows

A

External folds in skin marking tarsal and septal join

Much individual variation

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6
Q

Epicanthal fold

A

Fold of skin in young occidental and young and old Asians

Present in the foetus or all races

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7
Q

Tarsal portion

A

Contains tarsal plates. Extend along the lid margins across the width of the lids- contains many glands

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8
Q

Tarsal (Meibomian) glands

A

Long thin glands embedded inside tarsal plates
Collecting ducts empty to inner edge of eyelids
Secretion has high lipid content

Oily secretion lines kids and prevents movement of aqueous tears onto kid skin
Also lipid villager on tear film limits aqueous evaporation

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9
Q

What can problems with lid movement (levator especially) cause

A

Ptosis or lid droop

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10
Q

What is ptosis

A

Drooping of the upper eyelid

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11
Q

Orbital septum

A

Flexible connective tissue that retains orbital fat

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12
Q

What are tarsal plates made of

A

Connective tissue

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13
Q

What does the orbital/ septal portion include

A

Skin, orbicularis muscle, orbital septum, preaponeurotic fat pad, levator aponeirosis insertion, mullers muscle, conjunctiva

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14
Q

What does tarsal portion consist of

A

Skin, orbicularis muscle, tarsal plate, conjunctiva

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15
Q

Tarsal glands (meibomian)

A

Excretory ducts every 1mm

More glands in upper plate

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16
Q

Eyelid movement

A

Palpebral fodder closed by orbicularis oculi muscles

Muscles of the face that enter lids anterior to other lid muscles and run in arcs

17
Q

What is levator muscle linked to

A

Broad flat tendon called levator aponeurosis attached to front tarsal plate

18
Q

What is upper edge of levator muscle attached to

A

Sphenoid bone inside orbit

19
Q

Where does inferior tarsal muscle insert

A

Directly into lower edge of inferior tarsal plate

20
Q

Where does eyelid have ill-defined origin in connective tissue

A

near inferior oblique and rectus muscles

21
Q

To widen palpebral fissure upper tarsal plate pulled up by

A

Levator muscle

Superior tarsal muscle (mullers muscle)

22
Q

What is lower tarsal plate pulled down by

A

A single inferior tarsal muscle

23
Q

Where does superior tarsal muscle (millers) run behind

A

The levator aponeurosis and insets directly into upper edge of superior tarsal plate

24
Q

What do upper end join

A

The origin of levator aponeurosis

25
Where do orbicularis muscles insert
Medial palpebral ligament and lateral palpebral ligament
26
What are medial palpebral ligament and lateral palpebral ligament
Medial and lateral canthal tendons
27
What does chronic overreaction of pre-septal orbicularis result in
Entropion | Eye lashes scratch the cornea
28
Palpebral
Part of a continuous sheet
29
Limbal (lumbar) epithelium
Continuous with corneal epithelium
30
Plies semilunaris
Vestigial ‘third eyelid’
31
Lacrimal caruncle
Contains accessory lacrimal and sebaceous glands
32
Epithelium in conjunctiva contains:
Epithelial cells Langerhans cells that provide an immune response Lymphocytes
33
Substantia propria (stroma) bull bar in conjunctiva contains :
Many types of immunocompetent cells Connective tissue Vascular network Nerve supply
34
Glands in conjunctiva :
Goblet cells that secrete mucus into the tear film About 50 accessory lacrimal glands
35
Function of conjunctiva :
Production of the mucus component of tear film Immunological defence protects ocular surface from infection