Orbit Flashcards

1
Q

Name the bones that make up the orbit (7)

A

Frontal

Zygoma

Maxilla

Ethmoid

Lacrimal

Sphenoid

Palatine

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2
Q

What structures pass through supraorbital notch?

A

supraorbital nerve and artery

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3
Q

What are the eyelids called?

A

Tarsus

Tarsus contains tarsal gland which releases oily secretions to lubricate eye

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4
Q

What are the ligaments at the medial and lateral aspects of the eye called?

A

Medial and lateral palpebral ligaments

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5
Q

What ligaments support the eyeball?

A

Check ligaments - restrict movement of medial and lateral recti

Suspensory ligaments support eyeball in orbit, pass between recti and inferior oblique/rectus

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6
Q

What forms the outer layer of the eyeball?

A

Cornea and sclera

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7
Q

What forms the vascular middle layer?

A

Iris, ciliary body, choroid

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8
Q

What is the inner layer of the eyeball?

A

Retina

contains optic disc, rods and cones

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9
Q

What is the macula lutes?

A

Fovea of macula

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10
Q

Describe the difference between aqueous and vitreous humor

A

Aqueous

  • Anterior chamber, anterior to lens
  • maintains intraocular pressure
  • Made by ciliary body and drains into corneo-scleral junction

Vitreous
- Transparent jelly that allows light to pass to retina

  • In posterior chamber, posterior to lens
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11
Q

List the intrinsic muscles of the eye

A

Dilator pupillae

Sphincter pupillae

Cilliary muscle

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12
Q

List the extra-ocular muscles

A
Lateral rectus 
Medial rectus 
Superior rectus 
Inferior rectus 
Superior oblique 
Inferior oblique 
Levator palpebrae
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13
Q

Describe the features of dilator papillae

A

Increases diameter of pupil.

Composed of radial fibres.

Sympathetic response = increases light into eye

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14
Q

Describe the features of sphincter papillae

A

Decreases the diameter of the pupil

protects eye from intense light

composed of circular fibres

Parasympathetic response via CN III

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15
Q

Describe the features of the ciliary muscle

A

Act to change shape of lens

Allows light to refract as it passes through lens to focus on retina

Relaxed = lens stretched –> distant vision

Contracted = lens relaxed and thick –> near vision

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16
Q

Innervation of the ciliary muscle?

A

Occulomotor CN III

17
Q

Describe the innervation of the extra ocular muscles

A

LR6
SO4

Rest CN III

18
Q

Pneumonic for actions of extra ocular muscles

A

RADSIN

Recti Adduct
- except lateral

Superior Intort

19
Q

What is the route of the optic nerve?

A

Leaves orbit via optic canal

Forms chiasm over pituitary fossa

Sends optic tracts towards thalamus

Optic radiations carry information to primary visual cortex

20
Q

How do the other nerves enter the orbit?

A

Superior orbital fissure.

21
Q

What nerves pass through cavernous dorsal venous sinus before reaching superior orbital fissure?

A

CN III, IV, V along walls

CN VI in middle next to internal carotid

22
Q

Which nerves do not pass through annular ring?

A

CN VI

Parts of CN V

23
Q

Branches of CN V1

A

Frontal = supraorbital and supratrochlear branches

Nasociliary = ant and post ethmoidal

Lacrimal

24
Q

Which muscles are supplied by superior division of CN III?

A

Levator palpebre superioris

SR

25
Which muscles are supplied by inferior division of CN III?
MR IR IO Parasympathetic fibres to intrinsic muscles
26
What muscle can CN VI be seen on
LR
27
What can CN IV be seen on?
Surface of SO before piercing and innervationg it
28
What artery supplies orbit and how does I it enter the orbit?
Ophthalmic (branch of ICA) Enters through optic canal with optic nerve
29
What nerve supplies the lacrimal apparatus
secretomotor fibres CN VII carried in CN V1
30
Lesser petrosal nerve is parasympathetic supply from which nerve?
CN IX
31
Great petrosal nerve is parasympathetic supply from which nerve?
CN VII