Podcast
Questions and Answers
What is the primary function of the common tendinous ring that surrounds the optic canal?
What is the primary function of the common tendinous ring that surrounds the optic canal?
Which of the following muscles is responsible for abducting the eyeball?
Which of the following muscles is responsible for abducting the eyeball?
What is the role of the fascial sheath (Tenon's capsule) in the suspensory apparatus of the eyeball?
What is the role of the fascial sheath (Tenon's capsule) in the suspensory apparatus of the eyeball?
What is the function of the episcleral space between the fascial sheath and the outer layer of the eyeball?
What is the function of the episcleral space between the fascial sheath and the outer layer of the eyeball?
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Which nerve is responsible for innervating the lateral rectus muscle?
Which nerve is responsible for innervating the lateral rectus muscle?
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Which of the following muscles is responsible for depressing the eyeball?
Which of the following muscles is responsible for depressing the eyeball?
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What is the function of the suspensory ligament of the eyeball?
What is the function of the suspensory ligament of the eyeball?
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Where are the medial and lateral check ligaments attached?
Where are the medial and lateral check ligaments attached?
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What is enophthalmos?
What is enophthalmos?
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Which nerve supplies the lateral rectus muscle?
Which nerve supplies the lateral rectus muscle?
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Where do the optic nerves begin?
Where do the optic nerves begin?
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What is the function of the central retinal artery?
What is the function of the central retinal artery?
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Which arteries directly supply the choroid and nourish the outer nonvascular layer of the retina?
Which arteries directly supply the choroid and nourish the outer nonvascular layer of the retina?
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Where is the scleral venous sinus located?
Where is the scleral venous sinus located?
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What is one of the functions of the lacrimal fluid secreted by lacrimal gland?
What is one of the functions of the lacrimal fluid secreted by lacrimal gland?
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What is a significant role of check ligaments in relation to eye movement?
What is a significant role of check ligaments in relation to eye movement?
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What is the main action of the levator palpebrae superioris muscle?
What is the main action of the levator palpebrae superioris muscle?
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Which of the following nerves innervates the levator palpebrae superioris muscle?
Which of the following nerves innervates the levator palpebrae superioris muscle?
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What is the arrangement of the levator palpebrae superioris muscle as it approaches its distal attachment?
What is the arrangement of the levator palpebrae superioris muscle as it approaches its distal attachment?
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Which of the following structures is NOT one of the extraocular muscles?
Which of the following structures is NOT one of the extraocular muscles?
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What is the function of the deep lamina of the levator palpebrae superioris muscle?
What is the function of the deep lamina of the levator palpebrae superioris muscle?
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Which of the following structures is responsible for suspending the eyeball within the orbit?
Which of the following structures is responsible for suspending the eyeball within the orbit?
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Study Notes
Anatomy of the Eye
- The retina consists of two layers: neural and pigmented layers
- Neural layer is light receptive
- Pigmented layer reinforces light-absorbing property of the choroid in reducing scattering of light in the eyeball
- The inner layer (inner coat) terminates at the ora serrata (serrated edge)
The Retina
- Optic part of the retina is sensitive to visual light rays
- Anterior continuation of the pigmented layer and a layer of supporting cells
- Extends over the ciliary body (ciliary part of retina) and the posterior surface of the iris (iridial part of the retina) to the pupillary margin
Refractive Media and Compartments of the Eyeball
- Refractive media of the eyeball include: cornea, aqueous humor, lens, and vitreous humor
- Anterior segment of the eyeball is occupied by aqueous humor
- Anterior chamber of the eye is the space between the cornea anteriorly and the iris/pupil posteriorly
- Posterior chamber of the eye is between the iris/pupil anteriorly and the lens and ciliary body posteriorly
- Lens is posterior to the iris, anterior to the vitreous body, and is a transparent, biconvex structure enclosed in a capsule
- Capsule of the lens is highly elastic and anchored by zonular fibers (collectively constitutes the suspensory ligament of the lens)
Ciliary Muscle and Accommodation
- Ciliary muscle changes the shape of the lens
- Accommodation is the process of changing the lens shape
- Ciliary muscle contraction reduces the tension on the zonular fibers, allowing the lens to become more convex
Supporting Apparatus of the Eyeball
- Fascial sheath of the eyeball envelops the eyeball and extends posteriorly from the conjunctival fornices to the optic nerve
- Medial and lateral check ligaments limit abduction and adduction
- Suspensory ligament of the eyeball consists of check ligaments and oblique muscles
- Inferior check ligament forms from the fascial sheath of the inferior rectus
Nerves of the Orbit
- Optic nerves (CN II) convey purely sensory nerve fibers transmitting impulses generated by optical stimuli
- Optic nerves begin at the lamina cribrosa of the sclera and are surrounded by extensions of cranial meninges and subarachnoid space
- Oculomotor (CN III), Trochlear (CN IV), and Abducens (CN VI) nerves supply ocular muscles
- Ophthalmic nerve (CN V1) supplies structures of the anterior orbit (lacrimal gland and eyelids), face, and scalp
Vasculature of the Orbit
- Ophthalmic artery is the main blood supply of the orbit
- Infra-orbital artery contributes blood to structures of the orbital floor
- Central retinal artery arises inferior to the optic nerve and supplies the retina
- Choriocapillaris supplies the external aspect of the retina
- 6 short posterior ciliary arteries directly supply the choroid and nourish the outer nonvascular layer of the retina
- 2 long posterior ciliary arteries anastomose with the anterior ciliary arteries to supply the ciliary plexus
Veins of the Orbit
- Superior and inferior ophthalmic veins pass through the superior orbital fissure and enter the cavernous sinus
- Central retinal vein usually enters the cavernous sinus directly
- Vorticose veins drain into the inferior ophthalmic vein
- Scleral venous sinus (canal of Schlemm) is a vascular structure encircling the anterior chamber of the eyeball
Lacrimal Apparatus
- Consists of: lacrimal gland, excretory ducts of lacrimal gland, lacrimal canaliculi, and nasolacrimal duct
- Lacrimal gland secretes lacrimal fluid – watery physiological saline containing lysozyme, a bactericidal enzyme
- Lacrimal fluid moistens and lubricates surfaces of conjunctiva and cornea, provides nutrients and dissolved oxygen to the cornea
Extraocular Muscles
- 4 recti muscles: Superior rectus, Inferior rectus, Medial rectus, and Lateral rectus
- 2 obliques: Superior oblique and Inferior oblique
- Levator palpebrae superioris elevates the superior eyelid
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Description
Test your knowledge on extraocular muscles, blood vessels, nerves, eyeball, and lacrimal apparatus. Learn about the anatomy and functions of the levator palpebrae superioris, recti muscles, and oblique muscles in the eye.