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Flashcards in head: orbit Deck (120)
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1

orbit: Pyramid-shaped w/ ________ base +________ apex

Anterolateral base
Posteromedial apex

2

what angles are the medial and lateral walls of the orbit to each other?

Medial walls parallel
Lateral walls at 90° to each other

3

what angles are the axis of the orbits at to each other? what about axis of neutral gaze?

Axis of orbits at 45° to each other
Axis of neutral gaze parallel

4

what lines the orbit?

Lined by periorbita-periosteum of orbit

5

what bones make up the orbit opening of the face (aka the base) ?

Reinforced portions of frontal, zygomatic, & maxillary bones

6

what make up the superior wall of the orbit?

Orbital portion of frontal bone
Lesser wing of sphenoid

7

what bone can you find the anterolateral fossa for lacrimal gland?

orbital portion of frontal bone (forming the superior wall)

8

where bones are the superior and inferior orbital fissures between? what wall does each separate in the orbit?

superior orbital fissure: optic canal between lesser and greater wings of sphenoid (separates lateral wall from apex)
inferior orbital fissure: between maxilla and greater sphenoid (separates lateral wall from inferior wall)

9

what 4 bones make up the median wall of the orbit?

Orbital plate of ethmoid
Frontal process of maxillary bone
Lacrimal bone
Frontal bone

10

what are the two features on the medial wall of the orbit?

lacrimal bone: fossa for nasolacrimal duct
attachment of trochlea for superior oblique

11

what bones makes up the inferior wall of the orbit?

maxillary

12

which is the most exposed portion of the orbit (which wall)?

lateral

13

what bones make up the lateral wall of the orbit?

Frontal process of zygomatic bone
Greater wing of sphenoid

14

what is the apex of the pyramid that is the orbit ?

Optic canal in lesser wing of sphenoid

15

what is the palpebra conjunctiva? what does it reflect onto?

internal lining of eyelid (palpebra)
Reflects onto anterior surface of eyeball

16

which conjunctiva is directly on the sclera and attaches to it from the border of the cornea?

bulbar conjunctiva (vascular)

17

what is the space between the palpebra + bulbar conjunctiva . what is the significance of this location?

Conjunctival sacs (superior & inferior)
- where you administer eyedrops

18

what is the "tarus"? what do they do?

on inner side of eyelid: Dense connective tissue containing tarsal glands
Secrete lipid to prevent sticking & resist tear drainage

19

orbital septs extend from _____ to _______ ______. what is their purpose?

Orbital septa extend from tarsus to orbital margin
Limits spread of infection to/from orbit to face (act as barrier)

20

what muscle is anterior/superficial to tarsus? (on eyelid)

Palpebral portion of orbicularis oculi

21

what are the medial and lateral canthus of the eye?

Palpebral commissures-medial & lateral junctions

22

medial/lateral palpebral ligaments extends from where to where? what is the significance of the medial palpebral ligament?

from medial/lateral canthus out to orbital margin(bone)
- Origin & insertion of orbicularis oculi

23

what 4 structures does the "lacrimal apparatus" include?

- lacrimal gland
- 2 lacrimal papillae
- lacrimal sac
- nasolacrimal duct

24

lacrimal gland: where is it? what does it contain? what is its purpose?

Fossa of superolateral orbit
8-12 excretory ducts drain into superior conjunctival sac
(Isotonic saline with lysozyme)
Lubricates conjunctiva & cornea

25

what do the lacrimal papillae/canaliculi do?

Drain tears from lacrimal lake at medial canthus

26

what is the path of secretomotor innervation of the lacrimal apparatus? ( pregang, enters where and becomes what nerve, synapses, postgang)

PSNS
Preganglionic fibers travel in CN VII (Greater petrosal branch)
Enters pterygoid canal as nerve of pterygoid canal
Synapse in pterygopalatine ganglion (synapse occurs here)
Postganglionic fibers travel in CN V2, then CN V1. after synapse...
CN V2- Infra-orbital
CNV2 -Zygomatic
CN V1 - Lacrimal

27

eye muscles: which two do elevation, which two do depression?

inferior oblique and superior rectus: elevation
inferior rectus and superior oblique : depression

28

what is the most superior muscle in the orbit space?

Levator Palpebrae Superioris

29

Levator Palpebrae Superioris: O, I, A, Inn

O-lesser wing of sphenoid, superior to optic canal
I-tarsus & skin of superior lid
A- Elevates superior lid
Inn- oculomotor nerve (CN III)

30

superior oblique: O, I, A, In

O-body of sphenoid, tendon redirected by trochlea in superomedial orbit
I-lateral sclera (deep to superior rectus)
A- Abducts, depresses, medially rotates eyeball- summation of abduct and depress = DOWN + OUT
Main action-depression of pupil when adducted
Inn: trochlear nerve (CN IV)