Ophthalmic Anatomy: The Orbit

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Questions and Answers

Which orbital dimension is typically the largest in domestic animals?

  • Width
  • Distance between orbits
  • Depth (correct)
  • Height

Among the domestic animal species, which possesses a complete bony orbit?

  • Dog
  • Horse (correct)
  • Pig
  • Cat

Unlike dogs, within the feline orbit, what structural component is notably smaller?

  • Zygomatic bone
  • Supraorbital ligament (correct)
  • Lacrimal bone
  • Frontal bone

If a ruminant sustains damage to the foramen orbitorotundum, what cranial nerves are likely to be affected?

<p>CN III, IV, V(ophthalmic and maxillary), and VI (C)</p> Signup and view all the answers

Which best describes the anatomical arrangement of the orbital fascia within the orbit?

<p>Divided into three entities: periorbita, bulbar fascia, and EOM fascial sheaths (B)</p> Signup and view all the answers

Which of the following animals is an incomplete lateral orbital wall associated with thicker tissue next to the orbital ligament?

<p>Dogs (B)</p> Signup and view all the answers

What is the functional significance of the orbital fat that separates the three sheets of orbital fascia?

<p>Cushions the eye and adjacent muscles (C)</p> Signup and view all the answers

How does damage to the trochlear nerve (CN IV) specifically manifest in terms of extraocular muscle function?

<p>Impaired function of the superior oblique muscle. (C)</p> Signup and view all the answers

In domestic animals, if the lateral canthal/palpebral ligament is absent, what structure replaces its function?

<p>Retractor anguli oculi muscle and tendon (C)</p> Signup and view all the answers

What is the primary role of the levator palpebrae superioris muscle in relation to the eyelids?

<p>Opens the eyelids (C)</p> Signup and view all the answers

What is a key histological feature of Meibomian glands, located near the eyelid margins?

<p>Holocrine glands with acini in vertical columns (C)</p> Signup and view all the answers

What structural change occurs to the epithelium of the palpebral conjunctiva approximately one-third of the way proximally from the ducts of the Meibomian gland?

<p>Stratified squamous transforms to pseudostratified columnar (A)</p> Signup and view all the answers

What is the composition of the accessory lacrimal gland (plica semilunaris) in pigs?

<p>Mucous (B)</p> Signup and view all the answers

How does movement of the TEL (third eyelid) aid in maintaining corneal health?

<p>Facilitates distribution of the tear film and removes debris (C)</p> Signup and view all the answers

Which of the following components is NOT a recognised function of the pre-corneal tear film?

<p>Lubrication of periocular skin (@)</p> Signup and view all the answers

What components are contained within the inner layer of the tear film?

<p>Glycocalyx of cornea and mucin (A)</p> Signup and view all the answers

What autonomic effect would result in increased tear secretion and what drug type would stimulate it?

<p>Parasympathetic; cholinergics (pilocarpine) (C)</p> Signup and view all the answers

In regards the planes of the eye, those parallel to the meridional plane are described as what?

<p>Sagittal (B)</p> Signup and view all the answers

In dogs, where do the long posterior ciliary arteries travel after entering the globe?

<p>Intrasclerally then subchoroidally (A)</p> Signup and view all the answers

Which characteristic is LEAST associated with a transparent cornea?

<p>High water concentrations relative to sclera (C)</p> Signup and view all the answers

Following complete removal of the corneal epithelium, by approximately how much does the corneal thickness increase after 24 hours due to oedema?

<p>200% (A)</p> Signup and view all the answers

The corneal endothelium pumps only function when what glycosaminoglycans (GAGs) are present?

<p>Selected, including keratan and heparan sulfates (A)</p> Signup and view all the answers

Where do most of the collagen fibers found in Bowman's layer originate?

<p>Anterior epithelium (C)</p> Signup and view all the answers

Which collagen characterizes Descemet's membrane?

<p>Type IV (C)</p> Signup and view all the answers

What is the functional consequence of reduced cell density in the corneal endothelium?

<p>Corneal thickening and loss of clarity (C)</p> Signup and view all the answers

What type of tapetum lucidum is made up of collagenous fibres?

<p>Fibrosum (E)</p> Signup and view all the answers

How is the rigidity of the sclera related to intraocular pressure and what anatomical features contribute to this relationship?

<p>Increased rigidity resists IOP increase; emissaria (B)</p> Signup and view all the answers

Within most species, where is the thickness of the sclera typically the thinnest?

<p>Near the equator (C)</p> Signup and view all the answers

What anatomical characteristic related to the sclera is notable in cetaceans (aquatic mammals)?

<p>Exceptional thickness (C)</p> Signup and view all the answers

Which of the following type of cells are contained within the sclera of mammals?

<p>Melanocytes (C)</p> Signup and view all the answers

If disruptions occluded the vortex veins, which are usually found 2 dorsally and 2 ventrally, what is the direct impact?

<p>Reduced choroidal flow (C)</p> Signup and view all the answers

In most species, how do arteries enter the iris?

<p>At the 3 and 9 o'clock positions (D)</p> Signup and view all the answers

Which best describes the function of tapetum?

<p>Reflects light to restimulate photoreceptors (D)</p> Signup and view all the answers

After branching to create radial arteries of the iris, where do most arteries go to form a capillary bed?

<p>Near the pupillary margin (D)</p> Signup and view all the answers

What is the primary innervation of the musculus dilator pupillae and what type of muscle is it composed of?

<p>Sympathetic; smooth (A)</p> Signup and view all the answers

What is the nature of the vascular plexus found within the stroma of the ciliary body?

<p>Lined with fenestrated endothelium (C)</p> Signup and view all the answers

What type of cells are present within the stroma of the ciliary body?

<p>Fibrocytes (B)</p> Signup and view all the answers

The nonpigmented ciliary epithelium continues as what anatomical structure?

<p>Posterior pigmented epithelium of the iris (A)</p> Signup and view all the answers

Which action enables the eye to accommodate in birds?

<p>The lens has greater elasticity and flexibility than in mammals (D)</p> Signup and view all the answers

Defects in which of the following tissues would be most visible?

<p>Pectinate ligament (C)</p> Signup and view all the answers

Flashcards

Orbit

The bony socket that houses the eye, separating it from the cranial cavity. Its size, shape, and position correlate with visual activity and feeding behavior.

Rostrolateral eye axis (dogs/cats)

In dogs and cats, the eyes' rostrolateral axis is 10-20 degrees from midline, enhancing binocular vision.

Eye placement (horse)

In horses, eyes are placed 40 degrees from midline. This provides strong monocular vision.

Ruminant eye placement

In ruminants, eyes are placed 50 degrees from midline. This placement supports strong monocular vision.

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Complete Orbit

Horses and ruminants have a complete bony structure that surrounds and protects the eye.

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Open Orbit

Animals like cats, dogs and pigs have orbits that are partially open and lack a complete bony enclosure.

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Orbital Rim (Dog and Cat)

The bony rim surrounding the orbit is composed of the frontal, lacrimal, maxilla and zygomatic bones

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Supraorbital Ligament

It is located between the zygomatic and frontal bones, it is smaller in cats than dogs

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Incomplete Floor of Orbit

Sphenoid and Palatine

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Equine Orbital Rim

Frontal, lacrimal, zygomatic and temporal bones form the orbital rim; temporal bone replaces the supraorbital ligament.

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Ethmoidal Foramen

The ethmoidal nerve and its vessels pass through this foramen.

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Optic Canal

The optic nerve and internal ophthalmic artery pass through the canal.

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Orbital Fissure

The oculomotor, trochlear, abducens and trigeminal (ophthalmic branch) nerves pass through the Orbital Fissure

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Rostral Alar Foramen

The maxillary branch of the trigeminal nerve, lower eyelid, and lacrimal gland vessels pass through this foramen

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Orbitorotundum foramen

The occulomotor trochlear, retinal and internal maxillary arteries pass through this in cattle

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Orbital Fascia

A thin, resistant liner that covers all of the structures inside the orbit

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Periorbita

It is a conically shaped fibrous membrane that lines the orbit, enclosing the globe, EOMs, blood vessels, and nerves

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Fascia Bulbi (Tenon's Capsule)

It is connective tissue on the outer aspect of the sclera and is seperated from the sclera by Tenon's space

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Adipose Tissue

They surround and cushion the eye and it's adjacent muscles

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Recti Muscles

Dorsal, Ventral, Medial and Lateral; originate from the orbital apex and insert anterior to the equator of the globe

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Oblique Muscles

Originate from the palatine bone of medial orbit; inserts posterior to equator

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Retractor Oculi (Bulbi) Muscle

A muscle forms a cone surrounding the optic nerve; originating at the orbital apex and inserting posterior and deep to the recti muscles

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Eyelids

Eyelids are thin folds of skin that are continuous with the facial skin

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Canine Eyelashes (Cilia)

Upper eyelid has 2-4 rows of cilia, lower eyelid has no cilia and a hairless region near the margin

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Meibomian (Tarsal) Glands

Located near eyelid margins, contribute to oily component of tear film

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Distribution by species (Goblet cells)

Located near eyelid margins, contribute to oily component of tear film; produce mucous

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Distribution by species (Goblet cells)

It is located near eyelid margins, contribute to oily component of tear film in Cats; produce mucous

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Nictitating Membrane

It is large fold of conjuctiva from the medial canthus that covers the anterior surfaces of the globe; the horizontal part is parallel with fee leading edge

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Oily layer

thin, outermost layer of the tear film that prevents desiccation and forms a barrier

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Aqueous layer

middle, aqueous layer from the lacrimal gland, accessory glands, and gland of TEL where uptake of oxygen is essential for normal corneal metabolism

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Mucin layer

Innermost ,mucin layer from conj goblet cells that provides hydrophyllic surface for uniform spread

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Nasolacrimal Drainage System

Vertically turns medial at the medial canthus and Passes through the periorbita to form single unit

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Lacrimal Gland

Produces serous portion of tears that drains to superior fornix

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Fibrous Tunic

outer layer divided into the cornea and sclera; it provides shape and helps refract light

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Vascular Tunic

It Middle layer and divided into the iris, ciliary body, and choroid; it restricts light and provides nourishment

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Nervous tunic

transmits and refracts light, maintains internal pressure; Innermost containing retinaa and optic Nerve

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Size And Shape

Varies with different species; has different length and directions - anterior, posterior ,horizontal/transverse, vertical

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Cornea

transparent, avascular and refracts light; supports intraocular contents and helps transmit light .40-42D

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Corneal Nerves

Richly supplied with sensory nerves ,++,unymeulinated, innervated by Trigeminal Nerve +

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Layers of the Cornea

4/5 layers made up of the eithelium, bowmans layer, stroma ,descemets membrane and then the endothelium

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Anterior Epithelium

non-keratinzed stratified squamous and is 25-40 um thick. Larger animals = more layers of polyhedral and squamous

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Study Notes

  • Ophthalmic Anatomy is the study of the eye
  • The Orbit is a bony fossa separating the eye from the cranial cavity and surrounding structures
  • The orbit's size, shape, and position are linked to visual activity and feeding behavior

Aspects of the orbit

  • Depth contributes to protection and appearance
  • Location governs the visual field

Eye position relative to midline:

  • Dogs/cats: 10-20 degrees (enhanced binocular vision)
  • Horse: 40 degrees (strong monocular vision)
  • Ruminant: 50 degrees (strong monocular vision)
  • Rabbits: up to 85 degrees

Orbit completeness:

  • Complete orbit: horse, ruminants
  • Open orbit: cat, dog, pig

Bones of the orbit (cat and dog)

  • Dog: 5/6 bones
  • Cat: 6 bones
  • Orbital rim: frontal, lacrimal, maxilla, and zygomatic bones, plus a supraorbital ligament (smaller in cats)
  • Incomplete floor: sphenoid and palatine bones

Bones of the orbit (equine)

  • 5 bones (no maxilla)
  • Orbital rim is made up of 4 bones (frontal, lacrimal, zygomatic, and temporal) and a Temporal replacing supraorbital ligament.
  • Sphenoid and palatine are other bones

Bones of the orbit (bovine)

  • 5 bones
  • Orbital rim: frontal, lacrimal, and zygomatic bones without a ligament
  • Complete bony rim, zygomatic and frontal are fused without a ligament
  • Sphenoid and temporal contribute to the orbit

Orbital Foramina

  • Ethmoidal (CN 5): ethmoidal nerve and vessels, branch of trigeminal nerve
  • Optic canal (CN 2): optic nerve, internal ophthalmic artery
  • Orbital fissure (CN 3, 4, 5, 6): oculomotor, trochlear, abducens, trigeminal (ophthalmic branch)
  • Rostral alar foramen (CN 5): Trigeminal nerve (Maxillary branch, lower eyelid, lacrimal gland) found only with a round foramen → alar canal → rostral alar foramen
  • Foramen orbitorotundum (cattle): Fusion of orbital fissure and foramen rotundum
  • cavernous sinus/middle cranial fossa contains CN3, 4, 5 (ophthalmic and maxillary branch), 6

Orbital Fascia

  • Thin, tough connective tissue lining the orbit, divided into three parts:
  • Periorbita: Conical fibrous membrane enclosing globe, EOMs, vessels, nerves etc -Thicker laterally in animals with incomplete walls -Divides to merge with facial bone periosteum and tarsal plates -Contains smooth muscle for repositioning
  • Fascia bulbi (Tenon's capsule): Connective tissue on the outer sclera, attaching near the corneoscleral junction and is continuous with the EOM fascia -Separated from sclera by Tenon's space (loose connective tissue).
  • EOM Fascial Sheaths: Dense membranes attached loosely to muscles via trabeculae -Continuous with Tenon's capsule but not always considered part of it. -Three layers in dogs

Extraocular Muscles info

  • The adipose tissue and 3 sheets of orbital fascia cushion the eye and muscles
  • Birds and reptiles have little fat
  • Orbital fat may position the globe in manatees
  • Fat surrounds the optic nerve and separate from retractor muscles in dogs

Extraocular Muscles list

  • Four recti, two oblique and retractor bulbi muscle (6 total)
  • Dorsal, Ventral, Medial, Lateral
  • Originate at orbital apex/annulus of Zinn
  • insert ANTERIOR to the equator of globe
  • Oblique muscles insert POSTERIOR to the equator and run via a pulley system - originate from medial orbital apex through a trochlea, pulling the dorsal globe medially and ventrally (intorsion). Superior (dorsal) oblique - originate near nasal of medial orbit, passing under, crossing ventral rectus, moving globe medially and dorsally (extorsion). -Ventral (inferior) oblique

Retractor Oculi Muscle

  • Surrounds the optic nerve
  • Retracts the globe into the orbit
  • Is abducens

The nerve supply to the extra occular muscles

  • Oculomotor nerve (CN III): innervates the dorsal, ventral, and medial recti, and ventral oblique muscles
  • Abducens nerve (CN VI): innervates the lateral rectus and retractor oculi muscles
  • Trochlear nerve (CN IV): innervates the dorsal oblique muscle
  • LR6SO4 = (lateral rectus =abducens), (superior oblique = trochlear)

Eyelid info

  • Eyelids form thin folds of skin continuous with facial skin.
  • Palpebral fissure is the opening between the upper and lower lids
  • The upper and lower eyelids meet at canthi (medial and lateral)
  • Eyelid opening: relaxation of orbicularis oculi (close) muscle and contraction of levator palpebrae superioris (open) muscle.
  • Closure: contraction of orbicularis oculi muscle.

Cilia info

  • Dogs: Upper has 2-4 rows, lower has no cilia
  • Cats: No cilia
  • Horses: well defined Cilia on upper lid, absent on lower, lacriminal caruncle @ medial canthus
  • Protects eyes from light, spread tear film, direct tear film and remove debris

Eyelid Histology Info

  • outer skin layer
  • orbicularis oculi muscle layer
  • tarsus and stromal layer
  • palpebral conjunctiva

Meibomian Glands Info

  • Oily
  • Part of eyelids
  • Near lid magins
  • Contribute to tear film
  • 20 to 40 per lid in dogs, more in cats Holocrine gland
  • Parasympathetic nerves

Conjunctiva Info

  • Structure lining inner eye lids
  • Transparent and very thin Zones: -palpebral -bulbar -conjunctival fornix

Goblet Cells Info

  • Produce mucous
  • Vary by species
  • High density for Dogs = lower eyes, High for cats = front

CALT

    -arranged in superficial
    -with  superficial plexuses
     -tears. contains effector cells

Nictitating Membrane Info

Large fold of conjunctiva from the medial canthus over the anterior globe surface that is:

  • Cartilaginous T-shaped plate(horizontal is parallel, rich is elastic free edge pigmented )
  • Stronma supports glands and issues
  • Covered nonkaratined layer
  • Lg accessory lacrimal gland for each gland prominent accessory lacrimal gland: -serous in horses -mixed sereous in cats
  • Cats cross bats are reveresesd haped
  • Dogs have a crescent shape

Harderian Gland Info

  • Only in pigments
  • Function immuno defense
  • Movemen= indirect

Lacrimal System Info

  • Collects tears
  • Pumped to upper and lower eye. Excess leads to a lower cu-de-sac.

Tear layer 3

Tears are required for: 1 is Optical integrity.

2Removal of foreign material.

    1. Nutrition function / Anti microbal
  • Thin oily layer protects from overproducing of tears

  • Middle: Aqueus layer protects from bacteria, helps the epithelium with oxygen

  • Mucin inner layer helps make surface for a fluid spread and lubrication

Eye Path

  • vertiacal away frome eyelid = medial to canal and joins the lacrimal sack

Lacrimal GLAND

produces serous portion of tears Drains into fornik with small ducts Cholinergic stimulate the tears, and drugs reduce them

Globe Info

  • 3 basic layers; Fibrous, Vasculature and nervous

Eyeball - size, shape, topography

Size variable due to unknown Three axis - post, trans vers, vertical

Optic Nerve

  • Lies inferior and Lateral to the poster pole Blood from short to cillary arteries = travel interscholastically and enter @subcharade

Cornea Facts

  • Is transparent, avascular
  • Thickness measured via Sd oct Functions:
  • Support intracoular const
  • Has refraction
  • Nourishment and cleansing by lids

Cornea Structure

  • Is elliptica and Horizontal dia, thicker, the vertically it is, larger for ungulates
  • Lacks pain
  • Transparaenct non kertin with pre 24 layers
  • basement with lamina = mitos

Surface Cells

  • Has a mucro with small surface are for mucins to. attatch to it

Layers

  • superiical
  • basement and
  • stomoal

Stromoal Structure

Transparent with planes, fix and wander

  • Cells transform deeper more corneas more scar

Collagen

= most common, has a small sizes striated filbins _ vll are small fiver

Type ||: all are belive for

Tyoes | | | are for development, Proteo, giycoprtien Most are GAC, 75 per water hydrates its

Cornela Transparency

  • With a small blood, in keratined,

  • Stromo and is Hydo Ando with the Sensitvive to umou GAcs = water bidsg

  • BOUWMA = thin cells, some animals

Cornela Endo

  • basement

Comelum Endo

  • lined up
  • some is
  • cell

Vessel Retina Information

  • vessel are close to cilia
  • have for choroid thin with ciliary, Long runs are long to body

Iris Information

  • Hightly vascular

  • Chorid @ciliary = attaches from

  • Iris

  • Diaphragm

  • Size of pup varies for shape of pupil

  • Function: control a pupil for small control size

Divison @irids

Front= pupially to zone The demarcation is a collare. Ciliary for zone with sinous artery

Borde cell

  • types- fibroblast: cells processes and layers of melatocytes

Stromo cell of stromo

Collagen for fiber. Melo = lacent or oid

Sphinner muscles helps has 2 muscles- with fibres help -contricated help.

###Posterouis indal surface

2 x epitheal @ ant layer contous & Dilator

Ciliary Body Informtation

  • The Heavily pigmented has to protect nutrition and wast. With accommodation
  • Triangualar shape witt cord for chorid Has inesr side of cell with glass & outer cell factin sclera

Pars = divide as a cell - plocata: antiorty

And planao = post

Structure cell

inner not pigments with cubodial type

  • Outer= cell @ unigulates cuboldiol type

###Cell and funtions

Non = later for cell surfacess

Stromal

  • connect tissue with base level, fibre,
  • Contrates with the support

Bird Infor

  • ciliary msucles types are for skeletal muscles 2 types, at @ cometium = shape, #Bricke for change help. and is by muscle. Help with

Blood cell type

 Cilla, - and from cial and enters  around to vessel

The Uveala informaction

Choridial ( vessel ): vessels join and and the retina. Choridil also needs nutrients.

Les Info

  • Cristal clear, and fun
  • Help form image with
  • less @6. diotors -total ey
  • 12 for humans
  • held by bodies @e quater
  • helps to to retina: -lens _capsilie

Anterior

  • a single layer cell contuses
  • cell basements & cells @ squamous type

fiber information -

  • has cell contouses
  • zonule &
  • small & some more

lens infomratio

• Lens cells the • In animal with • The vitre

Vessels cell of infomration

• A = not present- • Gac = helps

Acorn cell information

• the most

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