Optic Nerve Flashcards

(35 cards)

1
Q

how many myelinated axons make up the optic nerve

A

1.2 million

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2
Q

how long is the optic nerve

A

4cm

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3
Q

where does the intracanalicular portion travel through

A

the lesser wing of the sphenoid bone (with the ophthalmic artery)

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4
Q

what is the optic nerve called after it passes through the optic canal

A

intracranial portion

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5
Q

where is the myelin derived from that surrounds the ganglion cells within the optic nerve

A

oligodendrocytes

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6
Q

is the optic nerve prone to diseases that affect the central nervous system

A

yes

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7
Q

what are the 3 meningeal sheaths that surround the optic nerve

A

dura mater, arachnoid, and pia

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8
Q

what does the pia send into the optic nerve when it becomes the intraorbital portion

A

septa to support the nerve fiber bundles, artery, and vein

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9
Q

what happens to the optic nerve if IOP is elevated too high

A

cerebralspinal fluid in the subarachnoid space will exert pressure onto the nerve and cause the lamina cribrosa to bulge forward (convex)

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10
Q

where do the central artery and vein cross the subarachnoid space

A

12mm posterior to the globe

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11
Q

what may be a cause of papilledema during a funduscope exam

A

if intercranial pressure increased and compressed the central retinal vein

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12
Q

what are the 4 regions the optic nerve can be divided into

A

intraocular, orbital, intracanalicular, and intracranial

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13
Q

how long is the intraocular portion

A

1 mm

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14
Q

what is included in the intracocular portion

A

the optic disc and the portion of nerve that lies within the sclera

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15
Q

what is another term for the optic disc

A

the prelaminar zone

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16
Q

where is the cup situated within the disc

A

slightly off center, displaced temporally

17
Q

what lines the optic cup

A

glial plaque or the central supporting tissue of Kuhnt or meniscus of Kuhnt

18
Q

what is Bergmeister’s papilla

A

if the meniscus of Kuhnt is over-exaggerated during development

19
Q

what is the meniscus of Kuhnt continuous with

A

a thinner membrane lining the surface of the nerve head, inner limiting membrane of Elschnig

20
Q

what are the meniscus of Kuhnt and the inner limiting membrane of Elschnig composed of

21
Q

what is the inner limiting membrane of Elschnig continuous with peripherally

A

the basal footplates of the Muller cells

22
Q

what do the central artery and vein share exiting the lamina cribrosa

A

a collagenous adventitial sheath that separates them from the nasal fibers of the optic nerve

23
Q

how long is the intraorbital portion

24
Q

how much does the optic nerve increase in size from the intraocular diameter to the intraorbital diameter

A

from 1.5mm to 3-4mm (due to myelin added)

25
why is the intraorbital portion 6mm longer than the distance between the posterior surface of the eye and the optic canal
allows for greater movement of the eye (sinusoidal course)
26
what is the intraorbital portion surrounded by
orbital fat
27
where does the ciliary ganglion lie
between the lateral border of the optic nerve and lateral rectus muscle
28
where do the central artery and vein pierce the dural sheath
about 12-16mm behind the posterior sclera, traveling obliquely in the subarachnoidal space
29
how long is the intracanalicular portion
5mm
30
how long is the intracranial portion
10 mm
31
where does the intracranial portion travel
leaves the optic canal, passes within the subarachnoid space of the brain and merges with the optic chiasm in the floor of the 3rd ventricle
32
what blood supplies the lamina cribrosa and the pia vasculature
short posterior ciliary arteries (circle of Zinn Holler)
33
are the capillaries of the optic nerve fenestrated
no they have zonula occludens
34
where does the intraorbital portion of the nerve get its blood supply
from the branches of the pial plexus that extend into the nerve via the pia septa
35
how are the intracanalicular and intracranial portions supplied with blood
by the pial plexus