Orbit Flashcards

1
Q

what is the orbital axis

A

from center of cornea to retinal center

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2
Q

walls of the orbit

A

sup- frontal bone, lesser wing

lat- greater wing, zygomatic

inf- maxilla, zygomatic

med- body of sphenoid, lacrimal

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3
Q

what is the content of the optic cannal and where is located

A

located within the common tendinous ring\

optic nerve and opthalmic artery a

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4
Q

muscles that attach to the common tendinous ring

A

superior rectus
medial rectus
lateral rectus
inferior rectus

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5
Q

nerves that run thru the superior orbital fissue inside common tendinous ring

A

Occulomotor (sup+inf)
Nasocillary
-abducens
-optic

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6
Q

Nerves that run thru superior orbital fissure outside common tendinous ring

A
  • frontal n
  • lacrimal n
  • trochlear n
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7
Q

The eye post is ivested in what and what is behind that

A

bulbar fascia with retrobulbar fascia behind it

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8
Q

what does the palpebral conjunctiva produce

A

produce fluid to lubricate the eyelid

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9
Q

what is the most sup muscle in the eye, inn

A

Levator palpebrae sup- elevates upper eyelid- styriated inn by CN3, smooth sympathetic

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10
Q

what are the 3 parts of the eye

A
  1. Capsul
  2. Nucleus
  3. Fundus
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11
Q

parts of the capsul

A
  1. sclera- external layer
  2. Cornea
  3. Choroid- supply of blood/nutrients
  4. ciliary body- on either side of lens
  5. retina
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12
Q

Parts of the nucleus

A
  1. lens- can change shape

2. vitrous body

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13
Q

Parts of fundus

A
  1. Optic disk and fovea
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14
Q

What does vit A deficiancy cause

A

deficiency of photpigments required for night vision

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15
Q

what part of the eye does a visual acuity test test

A

macular function (fovea)

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16
Q

what is the light reflex and what muscles do it

A

sphincter pupilae muscles are inn by parasympathetic n that constrict the eye and dialater pupilae dialate eye inn by sympathetic

17
Q

Light relex test and what does it indicate (for same eye and other eye)

A

normal- both pupils constrict

same eye fails to constrict- indicates optic n injury

other eye fails to constrict- loss of CN3

18
Q

What is the accomodation reflex

A

with parasympathetic inn by cn3 the cillary m will contract and the lens contricts for near vision

-lose this after 40 ish due to lens losing elasticity

19
Q

movements of the eye

A

Adduction/Abduction
Elevaton/depression
Extorsion/intortion

20
Q

where does the sup oblique m run

A

on med portion of orbit and wraps around trochlea to attach on lat side

21
Q

what does abscence of sympathetic supply to deep smooth muscles of levator palpebra superioris cause

A

drooping of eyelid

22
Q

What muscles are used to look up to the right, straight to the right, down to the right

A

up to right- r- IO, l-SR
side- r- LR, left MR
down to right- r-SO, IR

23
Q

What two muscles in the eye arnt inn by the occulomotor nerve CN3

A

lat rectus- Abducens CN6

sup oblique- Trochlear CN4 (r supplies l mm, vise versa)

24
Q

What is lacrimal fluid stimed by

A

parasympathetic inpulses from CN7

25
what is the most sup muscle in the orbit
levator palp sup
26
what are the branches of the opthalmic a and what branch enters the eye
Medial, central and lateral central renial artery enters eye thru optic disk
27
indications of CN3 palsy
1. ipsilateral drooping due to partial iacactivation of lev pal sup 2. downward, abducted eye due to unopposed action of sup oblique+lat rectus 3. dialation of ipsilateral pupil 4. inability to accommodate ipsilateral eye 5. diplopia
28
indications of CN6 abducens palsy
medial deviation due to unopposed action of medial rectus (causes double vision)
29
indication of CN4 trochlear n lesion and when would it get better
would cause r eye to be extorted and slightly elevated | -if they tilded their head to the unaffected side
30
where could tumor affect the CN2
thru sup orbital fissure
31
why does glacoma occur
due to increased intraocular pressur due to blockage of aquages bumor outflow thru scleral venous sinus