Special Senses: Vision and Eye Structures

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Questions and Answers

Which muscle is responsible for elevating the upper eyelid?

  • Inferior oblique
  • Medial rectus
  • Levator palpebrae superioris (correct)
  • Superior rectus

What cranial nerve innervates the extraocular muscles involved in eye movement?

  • CN III - Oculomotor nerve (correct)
  • CN II - Optic nerve
  • CN VI - Abducens nerve
  • CN IV - Trochlear nerve

Which extraocular muscle works primarily to depress the eyeball?

  • Superior rectus
  • Superior oblique
  • Lateral rectus
  • Inferior rectus (correct)

What structure is part of the accessory visual system that aids in tear production?

<p>Lacrimal apparatus (D)</p> Signup and view all the answers

Which muscle is the primary mover for adduction of the eyeball?

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

Which extraocular muscle is primarily responsible for elevating the eye?

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

What nerve provides motor innervation to the majority of the extraocular muscles?

<p>Oculomotor nerve (CN III) (B)</p> Signup and view all the answers

Which cranial nerve is responsible for the sensory innervation of the cornea?

<p>Trigeminal nerve (CN V) (C)</p> Signup and view all the answers

When testing eye movements, which action is primarily associated with the lateral rectus muscle?

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

What is the primary function of the conjunctiva?

<p>To protect and lubricate the eye (C)</p> Signup and view all the answers

What is the primary function of the eyelids?

<p>To regulate the amount of light entering the eye (B)</p> Signup and view all the answers

Which of the following components of the eyelid helps raise the upper eyelid?

<p>Levator palpebrae superioris muscle (A)</p> Signup and view all the answers

What role does the conjunctiva play in eye health?

<p>It serves as a barrier to pathogens (D)</p> Signup and view all the answers

Which structure is responsible for producing lacrimal fluid?

<p>Lacrimal gland (A)</p> Signup and view all the answers

How does tear drainage occur after being produced by the lacrimal gland?

<p>Via the excretory ducts of the lacrimal gland (C)</p> Signup and view all the answers

What is the purpose of goblet cells found in the conjunctiva?

<p>To lubricate the eye (A)</p> Signup and view all the answers

What is the palpebral fissure?

<p>The gap created by the upper and lower eyelids (A)</p> Signup and view all the answers

Which cranial nerve is primarily responsible for the secretion of lacrimal fluid?

<p>CN VII (Facial nerve) (B)</p> Signup and view all the answers

What type of visual field defect is characterized by loss of vision in the outer half of both visual fields?

<p>Bitemporal Hemianopia (A)</p> Signup and view all the answers

Which condition results in the loss of vision in the same half of both visual fields?

<p>Homonymous Hemianopia (A)</p> Signup and view all the answers

What is the sequence of structures that light passes through in the visual pathway starting from the retina?

<p>Optic nerve, Optic chiasm, Optic tract, Lateral geniculate nucleus, Optic radiation, Occipital lobe (C)</p> Signup and view all the answers

What visual field defect is characterized by loss of vision in the upper quadrant of the visual field in one eye?

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

What condition allows patients to maintain central vision while peripheral vision is significantly reduced?

<p>Macular Sparing (D)</p> Signup and view all the answers

Which structure is responsible for synapsing the optic tract signals before they reach the visual cortex?

<p>Lateral geniculate nucleus of thalamus (B)</p> Signup and view all the answers

What anatomical structure is directly involved in the processing of visual information that can lead to visual field defects?

<p>Optic Tract (A)</p> Signup and view all the answers

What visual pathway deficit is typically associated with damage to the optic chiasm?

<p>Bitemporal hemianopia (D)</p> Signup and view all the answers

What is the term for a visual defect resulting from damage along the optic tract?

<p>Anopsia (D)</p> Signup and view all the answers

Which part of the visual pathway is most commonly associated with bitemporal hemianopia?

<p>Optic Chiasm (D)</p> Signup and view all the answers

Which visual pathway structure is directly responsible for carrying visual information to the occipital lobe?

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

What is the visual outcome in one eye if the optic nerve is severed?

<p>Total Loss of Vision in Affected Eye (A)</p> Signup and view all the answers

Which part of the retina corresponds to the temporal visual fields?

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

Which term describes the visual field defect that affects only a quarter of the visual field?

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

What condition results from bilateral damage to the optic nerves?

<p>Complete visual loss (B)</p> Signup and view all the answers

The optic tract carries visual signals to which of the following areas of the brain?

<p>Occipital lobe (D)</p> Signup and view all the answers

Which muscle is primarily responsible for rotating the eye outward?

<p>Lateral rectus (D)</p> Signup and view all the answers

What is the main function of the oblique muscles of the eye?

<p>Rotation and stabilization of the eyeball (A)</p> Signup and view all the answers

What is the effect of damage to the inferior rectus muscle?

<p>Inability to depress the eye (C)</p> Signup and view all the answers

Which cranial nerve is responsible for controlling the movements of the superior oblique muscle?

<p>Trochlear nerve (IV) (D)</p> Signup and view all the answers

What is the primary action of the medial rectus muscle?

<p>Adduction of the eyeball (A)</p> Signup and view all the answers

What is the primary action of the superior oblique muscle?

<p>Intorsion of the eye (C)</p> Signup and view all the answers

Which cranial nerve innervates the lateral rectus muscle?

<p>Cranial Nerve VI (A)</p> Signup and view all the answers

Which action is primarily associated with the lateral rectus muscle?

<p>Abduction of the eye (B)</p> Signup and view all the answers

What action is performed by the inferior oblique muscle?

<p>Elevation of the eye (B)</p> Signup and view all the answers

Which muscle is not responsible for intorting the eye?

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

Which extraocular muscle is primarily responsible for depression of the eyeball?

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

What is the main role of the superior rectus muscle in eye movement?

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

Which extraocular muscle is involved in adduction of the eye?

<p>Medial rectus (A)</p> Signup and view all the answers

What is the primary function of the inferior oblique muscle?

<p>Intorsion of the eyeball (D)</p> Signup and view all the answers

Which muscle works mainly to depress the eyeball?

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

Which of the following muscles is primarily involved in gaze directed upward?

<p>Superior rectus (D)</p> Signup and view all the answers

Which extraocular muscle is primarily responsible for adducting the eyeball?

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

Which muscle aids in looking downward and laterally?

<p>Inferior rectus (A)</p> Signup and view all the answers

Which extraocular muscle primarily functions to abduct the eye?

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

Which cranial nerve is responsible for the action of the lateral rectus muscle?

<p>Abducens nerve (CN VI) (A)</p> Signup and view all the answers

What action is primarily associated with the inferior rectus muscle?

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

Which muscle is NOT involved in internal rotation of the eye?

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

Which extraocular muscle is primarily responsible for eye elevation?

<p>Superior rectus (D)</p> Signup and view all the answers

What muscle is responsible for adduction of the eyeball?

<p>Medial rectus (A)</p> Signup and view all the answers

How do the oblique muscles of the eye primarily affect eye movement?

<p>They rotate the eye around its axis. (B)</p> Signup and view all the answers

Flashcards

Extraocular Muscles

Muscles that control eye movement within the orbit.

Superior Rectus Muscle

An extraocular muscle that elevates the eye.

Levator Palpebrae Superioris

Muscle responsible for raising the upper eyelid.

Oculomotor Nerve (CN III)

The nerve that controls several eye muscles, including the superior rectus.

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Eyelids

Protective coverings that protect the eye.

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Conjunctiva's role

The conjunctiva is a thin, transparent membrane that lines the inner surface of the eyelids and covers the sclera. It helps protect the eye from foreign objects and lubricates the eye surface.

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Lacrimal gland function

The lacrimal gland, located in the upper outer portion of the orbit, produces tears, which are a watery fluid containing mucus, oil, and enzymes. Tears serve to lubricate and clean the eye surface, as well as protect it from infection.

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Extraocular muscles and their actions

Six extraocular muscles, controlled by cranial nerves, move the eye in various directions. These movements are coordinated to allow for precise vision.

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Autonomic innervation of the eye

The autonomic nervous system controls the muscles that regulate pupil size and lens shape. This system helps adjust for varying levels of light and focus.

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Intraocular fluid: formation and flow

The intraocular fluid (aqueous humor) fills the space between the cornea and lens. It is formed in the ciliary body and flows through a system of channels to drain into the bloodstream.

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Eyelid Function

Movable folds that protect the eye from injury, excessive light, and spread lacrimal fluid.

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Palpebral Fissure

The space between the upper and lower eyelids when the eye is open.

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Conjunctiva

Transparent mucous membrane that covers the inside of the eyelid and the sclera (white part of the eye).

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Conjunctiva Function

Lubricates the eye with mucus, supplies blood to the sclera, and helps identify foreign objects.

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Conjunctival Fornices

Pockets created where the conjunctiva folds onto the eye, forming a space for contact lenses.

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Lacrimal Apparatus Function

Produces lacrimal fluid (tears) to cleanse and lubricate the eye.

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Lacrimal Gland

The gland that produces tears.

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Tear Flow

Tears flow from the lacrimal gland, through excretory ducts, lacrimal canaliculi, lacrimal sac, nasolacrimal duct, and finally into the nasal cavity.

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Musculos Extraocular

Musculos que controla le movimento del oculo in le orbita.

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Actiones del Musculos Extraocular

Le musculos extraocular se contrahe pro mover le oculo in directiones specific.

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Le Recto Superior

Un musculo extraocular que eleva le oculo.

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Le Recto Inferior

Un musculo extraocular que depresse le oculo.

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Le Recto Medial

Un musculo extraocular que adduce le oculo (move le oculo verso le naso).

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Le Recto Lateral

Un musculo extraocular que abduce le oculo (move le oculo verso le auricula).

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Le Oblique Superior

Un musculo extraocular que intorte le oculo (rota le oculo internemente) e depresse le oculo.

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Le Oblique Inferior

Un musculo extraocular que extorte le oculo (rota le oculo externemente) e eleva le oculo.

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Nervo Cranial III (Oculomotor)

Le nervo cranial que controla le musculos recto superior, recto inferior, recto medial, recto inferior, e le musculo levator palpebrae superioris.

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Nervo Cranial IV (Trochlear)

Le nervo cranial que controla le musculo oblique superior.

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Nervo Cranial VI (Abducens)

Le nervo cranial que controla le musculo recto lateral.

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Levation del Palpebra Superior

Le action del musculo levator palpebrae superioris, que leva le palpebra superior.

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Teste del Musculos Extraocular

Pro testar le function del musculos extraocular, le medico va testar le movimento del oculo.

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Teste del Movimentos Ocular (MEOMS)

Un serie de testes que evalua le function del musculos extraocular.

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Isolate le Musculos Extraocular

Le medico va testar individualmente le musculos extraocular pro identificar problemas specific.

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Teste del Recto Medial

Le paciente es instruite a mirar directemente avanti e postea a mirar verso le naso.

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Teste del Recto Lateral

Le paciente es instruite a mirar directemente avanti e postea a mirar verso le auricula.

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Teste del Recto Superior

Le paciente es instruite a mirar directemente avanti e postea a mirar verso le techo.

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Teste del Recto Inferior

Le paciente es instruite a mirar directemente avanti e postea a mirar verso le pavimento.

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Teste del Oblique Superior

Le paciente es instruite a mirar directemente avanti e postea a mirar verso le naso e un pauc verso le techo.

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Teste del Oblique Inferior

Le paciente es instruite a mirar directemente avanti e postea a mirar verso le auricula e un pauc verso le techo.

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Defectos del Musculos Extraocular

Problemas con le function del musculos extraocular pote resultar in strabismo (oculos que non se alinia), diplopia (vision duplicate), e difficultates a seguir objectos in movimento.

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Strabismo

Un condition in que le oculos non se alinia.

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Diplopia

Vision duplicate.

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Traumatismos del Oculo

Le traumatisma pote provocar danos al musculos extraocular, resultante in problemas de movimento.

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Malattia de Graves

Un condition autoinmune que pote afectar le musculos extraocular, resultante in exophtalmos (protuberantia del oculos).

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Paralisia del Nervos Cranial

Le danos al nervos cranial que controla le musculos extraocular pote resultar in paralisia del musculo.

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Bitemporal Hemianopia

A visual field defect where both temporal fields of vision are lost. The patient cannot see anything on the outermost right and left side of their visual field.

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Homonymous Hemianopia

A visual field defect where the same half of the visual field is lost in both eyes. If the right optic tract is damaged, the left visual field is lost in both eyes.

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Superior Quadrantanopia

A visual field defect where the superior quadrant of the visual field is lost in both eyes.

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Macular Sparing

A visual field defect where central vision is preserved, but peripheral vision is lost. This is often seen in cases of stroke affecting the optic radiations.

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Optic Chiasm

The point where the optic nerves from each eye cross. Fibers carrying information from the nasal half of each retina cross over in.

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Optic Nerve

The nerve that carries visual information from the eye to the brain.

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Optic Tract

The pathway in the brain that carries visual information from the optic chiasm to the thalamus.

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Optic Radiations

The nerve fibers that carry visual information from the thalamus to the visual cortex in the occipital lobe.

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What is the role of the optic chiasm?

The optic chiasm is where the optic nerves from each eye cross over. This means that information from the nasal (inner) half of each retina crosses to the opposite side of the brain, while information from the temporal (outer) half stays on the same side.

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What is the purpose of the lateral geniculate nucleus (LGN)?

The LGN is a relay station in the thalamus that receives visual information from the optic tract. It filters and processes this information before sending it to the visual cortex.

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What is the function of the visual cortex?

The visual cortex is located in the occipital lobe and is responsible for interpreting and processing visual information. It allows us to perceive depth, color, and movement.

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Visual Field Deficits

Damage to any part of the visual pathway can lead to vision loss in specific areas of the visual field.

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Optic Nerve Damage

If the optic nerve is damaged, it can cause complete blindness in the eye on the same side of the damage.

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Optic Chiasm Damage

Damage to the optic chiasm can lead to bitemporal hemianopsia, meaning loss of vision in the outer (temporal) halves of both visual fields.

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Optic Tract Damage

Damage to the optic tract can lead to contralateral homonymous hemianopsia, meaning loss of vision in the same half of the visual field on the opposite side of the brain.

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Superior Rectus

An extraocular muscle that elevates the eye, moving it upwards.

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Inferior Rectus

An extraocular muscle that depresses the eye, moving it downwards.

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Lateral Rectus

An extraocular muscle that abducts the eye, moving it outwards away from the nose.

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Medial Rectus

An extraocular muscle that adducts the eye, moving it inwards towards the nose.

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Inferior Oblique Muscle

An extraocular muscle that elevates and extorts (rotates outwards) the eye.

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Medial Rectus Muscle

An extraocular muscle that adducts the eye, moving it towards the nose.

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Lateral Rectus Muscle

An extraocular muscle that abducts the eye, moving it away from the nose.

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Which cranial nerve controls the superior oblique muscle?

The trochlear nerve (CN IV) controls the superior oblique muscle, which intorts (internally rotates) and depresses the eye.

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What is the action of the lateral rectus muscle?

The lateral rectus muscle abducts the eye, moving it outwards away from the nose.

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What is the action of the medial rectus muscle?

The medial rectus muscle adducts the eye, moving it inwards towards the nose.

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What nerve innervates the lateral rectus muscle?

The abducens nerve (CN VI) innervates the lateral rectus muscle, which abducts (moves outwards) the eye.

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What action does the superior rectus muscle perform?

The superior rectus muscle elevates the eye, moving it upwards.

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What is the function of the inferior oblique muscle?

The inferior oblique muscle elevates and extorts (rotates outwards) the eye.

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What is the function of the inferior rectus muscle?

The inferior rectus muscle depresses the eye, moving it downwards.

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Inferior Oblique

An extraocular muscle that elevates and extorts (rotates outwards) the eye. It helps you look up and towards your ear.

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Study Notes

Special Senses: Vision and Eye

  • The lecture objective is to identify microscopic and macroscopic structures involved in special senses, using virtual microscopy, 2-D, and 3-D images to link these to the larger nervous system.

Lecture Learning Objectives

  • Recall the function and components of extraocular structures covered in the lecture, conjunctiva's role, and structures involved in tear production and flow.
  • Link the extraocular muscles to their actions and identify their innervation, including which movements test each muscle/nerve.
  • List the nerves providing innervation to the eye and extraocular structures, noting the type of innervation they carry (somatic sensory/motor).
  • Describe the organization of the eyeball, including structural components of each layer and characteristics; list each when listed.
  • Trace the autonomic innervation of the eye to associated muscles, linking it to the autonomic nervous system (responses and sympathetic pathway).
  • Recall the spaces of the eye and describe the importance, formation, and flow of intraocular fluid.
  • Draw out or write a narrative of the visual pathway, identifying visual fields and portion of retinal signals carried in each structure (optic nerve, chiasm, tract).
  • Trace development of the eye focusing on the origin of each structure.
  • Visually identify structures of the eye from histology.

Extraocular Anatomy

  • The 7 Extraocular Muscles, positioning and actions are detailed in images.
  • Levator palpebrae superioris raises the eyelid.
  • Superior and Inferior oblique muscles act in rotation and depression/elevation

Primary Accessory Visual Structures

  • Eyelids, conjunctiva (mucous membrane), Lacrimal apparatus, extraocular muscles, nerves (CNS)

Eyelid

  • Function: protect, covers eye anteriorly, spreads lacrimal fluid, from protecting from injury and excess light.
  • Forms a wall: between internal and external environments (superior/inferior tarsus, medial/lateral palpebral ligaments, Levator palpebrae superioris muscle and tendon, palpebral fissure).

Conjunctiva

  • Transparent mucous membrane covering internal aspect of the eyelid, continuous with sclera.
  • Function: contains goblet cells lubricating eye, contain blood vessels supplying sclera, innervation for foreign object identification.
  • Superior/inferior conjunctival fornices are pockets formed by conjunctiva, conjunctival sac opens anteriorly at palpebral fissure.

Lacrimal Apparatus

  • Function: produce lacrimal fluid (tears) to cleanse and lubricate the eye.
  • Tear flow: Lacrimal gland produces tears, excretory ducts, lacrimal canaliculi (canals), lacrimal sac, nasolacrimal duct, and nasal cavity.

Extraocular Muscles (primary action)

  • Superior rectus: primarily elevates, adducts, and medially rotates (intorsion).
  • Medial rectus: adducts (toward midline).
  • Inferior rectus: primarily depresses, adducts, and laterally rotates (extorsion).
  • Lateral rectus: abducts (away from midline).
  • Superior oblique: primarily medially rotates (intorsion), abducts, and depresses.
  • Inferior oblique: primarily laterally rotates (extorsion), abducts, and elevates.
  • Levator palpebrae superioris: elevates the superior eyelid.

Innervation

  • Somatic motor innervation for extraocular muscles:
    • CN III (oculomotor): superior, inferior, medial rectus, inferior oblique, and levator palpebrae superioris.
    • CN IV (trochlear): superior oblique.
    • CN VI (abducent): lateral rectus.

Somatic Sensory Innervation

  • Ophthalmic nerve (V1): frontal nerve, somatic sensory for extraocular structures, conjunctiva and eyelids.
  • Nasociliary nerve: somatic sensory to eye and nasal cavity.
  • Lacrimal nerve: somatic sensory to lateral extraocular structures.

Autonomic Innervation

  • Oculomotor nerve (III): parasympathetic innervation for pupil constriction and lens accommodation, via short ciliary nerves, with sympathetic innervation originating from superior cervical ganglion.
  • Facial nerve (VII): parasympathetic motor to lacrimal gland, travels within ophthalmic branch to lacrimal nerve.
  • Superior cervical ganglion: sympathetic motor to lacrimal gland from, travels with parasympathetic fibers.

Eye Anatomy

  • Adipose cushion present within the orbit.

Organization of the Eyeball

  • Three layers: fibrous tunic (sclera, cornea), vascular tunic (choroid, ciliary body, iris), inner layer (retina).
  • Contains specific structures such as the optic nerve, optic disc, fovea centralis, lens and vitreous humor.

Fibrous Tunic - Shape and Resistance

  • Sclera (posterior 5/6): nearly avascular, white outer layer.
  • Cornea (anterior 1/6): completely avascular, receives nutrients from peripheral capillaries and lacrimal & aqueous humor; sensory innervation from ophthalmic branch of CN V.

Vascular Tunic

  • Choroid: thin, highly vascularized layer.
  • Ciliary Body: ring-like thickening with ciliary processes and muscles; secretes aqueous humor; controls lens thickness.
  • Lens: transparent, suspended, in light path.
  • Iris: colored part, continuous with ciliary body; contains pupil, sphincter pupillae, and dilator pupillae.
  • Pupil: central aperture of the iris; diameter depends on light.

Inner Layer (Retina)

  • Retina: sensory neural layer.
  • Optic part: sensitive to light (neural and pigmented layers), contains photoreceptors (rods and cones).
  • Optic disc: entrance for optic nerve, associated vessels, and blind spot.
  • Macula lutea: small oval retinal area with photoreceptor cones—specialized for visual acuity.
  • Fovea centralis: located at center of macula, area of most acute vision.

Spaces of the Eye and Humor Production

  • Anterior cavity, filled with aqueous humor (Anterior chamber and Posterior chamber); Nutrients and glaucoma.
  • Posterior cavity filled with vitreous humor.

Visual Pathway

  • Light signals travel from the retina, through the optic nerve, optic chiasm, optic tract, lateral geniculate nucleus, optic radiations, to the occipital lobe's visual cortex, where vision is perceived. The retinal image is inverted. Nasal retinal fibers cross at the optic chiasm, while temporal fibers do not cross.

Development of the Eye

  • Development begins in the fourth week of embryonic development, from the developing brain (optic vesicles) and ectoderm (lens).
  • Optic vesicles become the retina, connecting to the brain via the optic stalk.
  • Lens develops from overlying ectoderm.
  • Sclera and choroid form from surrounding mesenchyme.
  • Eyelids, conjunctiva, and cornea develop from surrounding mesenchyme and ectoderm.
  • Primary vitreous body forms in optic cup.

Eye Histology

  • Fibrous Tunic: cornea, sclera.
  • Vascular Tunic: lens, iris, ciliary body (ciliary processes and muscles).
  • Anterior cavity: contains aqueous humor (anterior chamber and posterior chamber).
  • Posterior cavity: contains vitreous humor.

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