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Anatomy Lecture 6: Optic and Extraocular Motor Pathways

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Questions and Answers

Bilateral lesions in the visual cortex will produce complete blindness

True

Lesions before the optic chiasm affect the same regions of the fields of both eyes

False

A homonymous visual field defect is caused by a lesion in one eye

False

The optic radiations are involved in retrochiasmatic lesions

<p>True</p> Signup and view all the answers

A lesion in the medial optic radiation/Cuneus results in contralateral homonymous hemianopsia

<p>False</p> Signup and view all the answers

Bilateral occipital lobe lesions can result in complete blindness

<p>True</p> Signup and view all the answers

All recti muscles are abductors.

<p>False</p> Signup and view all the answers

The superior oblique muscle is an elevator.

<p>False</p> Signup and view all the answers

The trochlear nerve (CN IV) innervates the lateral rectus muscle.

<p>False</p> Signup and view all the answers

The action of EOMs is limited to one axis of movement.

<p>False</p> Signup and view all the answers

The superior rectus muscle is a depressor.

<p>False</p> Signup and view all the answers

All inferior muscles are intorters.

<p>False</p> Signup and view all the answers

The oculomotor nerve (CN III) innervates the lateral rectus muscle.

<p>False</p> Signup and view all the answers

The oculomotor nerve nucleus is located at the level of the inferior colliculus of the midbrain.

<p>False</p> Signup and view all the answers

The trochlear nerve supplies the superior oblique muscle.

<p>True</p> Signup and view all the answers

The lateral nucleus of the oculomotor complex supplies the superior, medial, and inferior recti, and inferior oblique muscles.

<p>True</p> Signup and view all the answers

The nucleus of Perlia is responsible for supplying the levator palpebrae superioris.

<p>True</p> Signup and view all the answers

The Edinger-Westphal nuclei are responsible for vertical eye movement.

<p>False</p> Signup and view all the answers

The trochlear nerve is responsible for supplying the inferior oblique muscle.

<p>False</p> Signup and view all the answers

The association nuclei are responsible for convergence.

<p>False</p> Signup and view all the answers

When the head turns to the left, the eye turns to the left

<p>False</p> Signup and view all the answers

The frontal eye field is involved in the control of vertical saccades

<p>True</p> Signup and view all the answers

The pathway for smooth pursuit eye movements involves BA 8

<p>False</p> Signup and view all the answers

The vergence pathway utilizes the saccadic pathway

<p>False</p> Signup and view all the answers

The optic radiations are involved in the saccadic pathway

<p>False</p> Signup and view all the answers

The trochlear nucleus supplies the superior rectus muscle

<p>False</p> Signup and view all the answers

The posterior commissures are involved in the decussation of some fibers in the saccadic pathway

<p>True</p> Signup and view all the answers

The RiMLF is involved in the control of vertical gaze

<p>True</p> Signup and view all the answers

The CN III nuclei supply the lateral rectus muscle

<p>False</p> Signup and view all the answers

Study Notes

EOMs General Actions

  • All recti muscles are adductors, except lateral rectus which is an abductor
  • All oblique muscles are abductors
  • Superior muscles are intorters (medial rotators)
  • Inferior muscles are extorters (lateral rotators)
  • Superior oblique and inferior rectus are depressors
  • Inferior oblique and superior rectus are elevators
  • Action of muscles is not limited to one axis

Innervation of EOMs

  • Oculomotor Nerve (CN III) innervates:
    • Superior, medial, and inferior recti
    • Inferior oblique
    • Levator palpebrae superioris
  • Trochlear nerve (CN IV) innervates:
    • Superior oblique
  • Abducens Nerve (CN VI) innervates:
    • Lateral rectus

Optic and Extraocular Motor Pathways

  • Bilateral occipital lobe lesions can result in complete blindness
  • Lesions after the optic chiasm affect:
    • Optic tracts
    • LGB
    • Optic radiations
    • Visual Cortex
  • Such lesions generally cause a homonymous visual field defect

Reflexes

  • VOR (Vestibulo-Ocular Reflex) pathway:
    • Inputs are contralateral
    • Frontal eye field → Corona radiata and anterior limb of the internal capsule → Pretectal region of RiMLF → CN III and IV nuclei
  • Saccadic system:
    • Horizontal gaze: Inputs are contralateral
    • Vertical saccade: Impulses from BA 8 (frontal eye field) → Corona radiata and anterior limb of the internal capsule → Pretectal region of RiMLF → CN III and IV nuclei
  • Smooth pursuit system:
    • Same pathway as saccade, but visual impulses come from BA 18, 19 and are ipsilateral
  • Vergence pathway:
    • Utilizes the accommodation reflex pathway
    • Visual impulses come from BA 18, 19 → Superior colliculi → Optic radiation → CN III nuclei

Anatomy of Optic and Extraocular Motor Pathways

  • Outline of the visual reflex pathway
  • Pupillary light reflex: A and B layers of the neural retina
  • Important cells: Rods and cones
  • Accommodation/Convergence reflex: Ciliary muscles and sphincter pupillae
  • Visual field: Optic radiations and visual cortex

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