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BOARDS Ocular Anatomy
Boards Ocular Anatomy material
73
Medical
Graduate
12/23/2010

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Term
Abnormal distance between the medial canthus of the eyelids
Definition
telecanthus
Term
whitening of eyelashes
Definition
poliosis
Term
turning inward of eyelashes
Definition
trichiasis
Term
which nerve opens the eye?
Definition
CN III
Term
Which nerve closes the eye
Definition
CN VII
Term
What is the main retractor of the eyelid?
Definition
Superior palpebral levator muscle. Widens upper eyelid by 15mm
Term
What is the minor retractor of the upper eyelid? And what is its innervation?
Definition
Muscle of Muller (widens palpebral fissure by 2-3mm)
innervated by SNS - Alpha 2 receptors
Term
what glands does the tarsal plate enclose?
Definition
MG = sebaceous glands are located posterior to the eyelashes
Term
PALPEBRAL CONJUNCTIVA:
stratified epithelial layer
Definition
- outer protective layer that extends into the fornices and onto the bulbar conjunctiva
- contains globet cells
Term
PALPEBRAL CONJUNCTIVA:
submucosa layer
Definition
loose vascularize CT composed of superficial lymphoid layer and deeper fibrous layer
Term
PALPEBRAL CONJUNCTIVA:
submucosa layer (outer lymphoid layer)
Definition
very immunologically active layer. contains IgA, macrophages, mast cells, PMNs, and eosinophils
Term
PALPEBRAL CONJUNCTIVA:
submucosa layer - deeper fibrous layer
Definition
contains accessory lacrimal glands, nerves, bvs. becomes continuous with the dense CT of the tarsal plate
Term
lateral lymphatics drain into the ______
Definition
Parotid (preauricular lymph nodes)
Term
Medial lymphatics drain into the _____
Definition
submandibular lymph nodes
Term
lymphatic vessels are found in the ____
Definition
conjunctiva
Term
dimensions of the canaliculi
Definition
10mm tube long
vertically 2mm
then 8mm medially before joins as one canaliculus into the lacrimal sac
Term
valve of hasner
Definition
located at end of nasolacrimal duct. Prevents backflo of nasal fluids into the lacrimal drainage system
Term
Foramens and Openings of the Orbit.
What is in the...
Optic Canal
Definition
Optic Nerve and Opht. A.
Term
Foramens and Openings of the Orbit
What is in the...
Carotid canal
Definition
internal carotid A.
Sypathetic plexus
Term
Foramens and Openings of the Orbit
What is in the...
Supraorbital foramen
Definition
Supraorbital N. (part of VI) and vessels
Term
Foramens and Openings of the Orbit
What is in the...
Infraorbital Formaen
Definition
infraorbital N. (part of V2) and vessels
Term
Foramens and Openings of the Orbit
What is in the...
Mandibular Foramen
Definition
inferior alveolar N. and vessel
Term
Foramens and Openings of the Orbit
What is in the...
Stylomastoid foramen
Definition
Facial Nerve
Term
What comprises the lateral wall of the orbit?
Definition
Greater wing and the Zygomatic bone
Term
Where is the optic canal located?
Definition
Lesser wing of the sphenoid bone
Term
Bones that comprise the floor of the orbit are the most common type of orbital wall fractures. What are these bones?
Definition
"My Pal gets his Z's on the Floor"
Maxillary
Palatine
Zygomatic
Term
BONES OF THE ORBIT
What are the contents of the Roof?
Definition
- Made of frontal bone and lesser wing of the sphenoid
- Frontal bone makes up the majority of the roof
- lacrimal gland
- levator muscle slightly above the superior rectus muscle
Term
BONES OF THE ORBIT
What are the contents of the Floor?
Definition
- Maxillary, Palatine, Zygomatic bones
- maxillary bone comprises of the majority of the orbital florr
- infraorbital nerve runs along the infraorbital groove of the floor
Term
BONES OF THE ORBIT
What are the contents of the Medial Wall?
Definition
- Ethmoid, Lacrimal, Maxilla, Body of the sphenoid
Term
BONES OF THE ORBIT
What are the content of the Lateral Wall?
Definition
-Zygomatic bone, Greater Wing of the Sphenoid,
Term
Lamina Papyracea
Definition
term synonymous for the orbital plate of the ethmoid bone
Term
radius of curvature of central cornea for
1) anterior surface
2) posterior surface
Definition
1)7.8mm
2)6.5mm
Term
Bowmans layer contains Type ___ Collagen Fibrils
Definition
type 1
Term
Stroma consists of ___% of cornea. It is composed of Three Important things. name them.
Definition
90%/Keartocytes, Collagen Fibrils, Ground Substance
Term
GAGS
Definition
hydrophilic, negatively charged carbohydrates that attract water to create precise spacing between the lamellae.
Term
CONJUNCTIVA
Bulbar conjunctiva
1) stratified epithelial layer
2) submocosa
Definition
Two Layers:
stratified epithelial layer - continuous witht he corneal epithelial. Superficial cells have microvilli and globet cells and their cytoplasm contains melanin granules

2) submucosa: CT stromal layer, like corneal stroma
Term
Conjunctival Blood Supply
Definition
Peripheral arcades: supply palpebral and fornicel portions

Anterior ciliary arteries: supply bulbar conjunctiva
Term
Conjunctival sensory innervation
Definition
LPCA: innervates bulbar conj.
V1 and V2: innervated palp conj.
Term
Conjunctival sensory innervation
Definition
LPCA: innervates bulbar conj.
V1 and V2: innervated palp conj.
Term
Scleral innervation
Definition
LPCN and SPCN
Term
Blue Sclera
Definition
could signify disease such as CT disorder like Osteogenesis Imperfecta or Ehler's Danlos syndrome
Term
Blue Sclera
Definition
could signify disease such as CT disorder like Osteogenesis Imperfecta or Ehler's Danlos syndrome
Term
Sclera
1)thinnest area
2)weakest area
3)thickest area
Definition
1)0.30mm - under recti tendons - clinically relevant in strab SX to avoid inadvertent globe penetration
2)lamina cubrosa posteriorly
3)1.0mm - at posterior pole
Term
Histological and Anatomical changes at the Limbus
Name 2 things
Definition
1)Limbal epi contians 10 cell layers compared to the 5 layers of corneal epi
2) Bowmans and Descemets layers terminate. Descemets becomes Schwalbe's line. Conjunctival stroma, episclera, and Tenon's capsule begin
Term
The TM has 2 divisions: Name them
Definition
1)Corneoscleral meshwork: division that lies closer tot he anterior chamber. Has sheets that run from the cornea to the scleral spr
2)Juxtacanalicular (JXT) or Cribiform layer: the outer TM division that lies closest to Schlems canal. JXT offers the most resistance to AQ flow
Term
Route of AQ flow via Schelmm's canal
Definition
Corneoscleral meshwork --> JXT --> SC --> external collecter channels --> Deep scleral venous plexus--> intrascleral veins --> low pressure EPISCELRAL VEINS --> Anterior Ciliary Veins --> Muscular Veins --> Sup/Inf Ophthalmic Veins
Term
Aqueous flow via the Uveascleral Meshwork
Definition
-small amount of AQ flow (5-35%)

AQ --> Uveoscleral meshwork --> connective tissue spaces surround the ciliary muscle bundles --> suprachoroidal space --> anterior ciliary veins and vortex veins and suprachoroidal collector channels
Term
Layers of sclera
Definition
Episclera
Stroma
Lamina Fusca
Term
Which layer of the sclera contains capillary network and is susceptible to inflammation of CB or iris
Definition
Episclera
Term
Which layer of sclera has interwoven collagen fibrils (interwoven randomly and irregularly)?
Definition
Stroma
Term
Which layer of the sclera contains thin, dark accumulation of melanocytes?
Definition
Lamina fusca = inner layer of sclera
Term
CB
Divide CB into two parts
Definition
1) Pars Plicata
2) Pars Plana
Term
CB
Pars Plicata
Definition
anterior 1/3
the non-pigmented CB epithelium is responsible for secretion of AQ
Term
CB
Pars Plana
Definition
posterior 2/3
responsible for producing the lens zonular fibers
Term
Valleys of Kuhnt
Definition
region between ciliary processes in the pars plicata region
Term
Major arterial circle of the iris formed by...
Definition
anastamoses between LPCA and Anterior Ciliary Artery
Term
Where does AQ humor come from?
Definition
The blood stream - via fenestrated capillaries of the Major Arterial Circle of the Iris
Term
Continue the next steps in this anatomy from IRIS --> CB --> RETINA
1) Anterior Iris Epithelium
2) Posterior Iris Epithelium
Definition
1) Anterior Iris Epithelium --> Pigmented CB epithelium --> RPE

2) Posterior Iris Epithelium --> Unpigmented CB epithelium --> ora serrata --> sensory retina
Term
nerve is responsible for ant 2/3 taste
Definition
Facial nerve
Term
nerve that is responsible for post 1/3 taste
Definition
Glossopharyngeal
Term
In a CN X palsy, the uvula deviates ____ from the side of lesion.

In a CN XII palsy, the tongue will deviation ______ the side of the lesion
Definition
away/toward
Term
posterior lacrimal crest
Definition
the orbital septum is attaches medially to the posterior lacrimal crest. The lacrimal sac is anterior to this attachment. This means that the orbital septurm does NOT proctect the lacrimal sac from infection
Term

Complete the blank:

Ptosis caused by ______ affects _____ (LPS/Muller's) muscle

 

1) Horners

2) Graves

3) 3rd Nerve Palsy

 

Definition

1) Mullers - due to alpha 2 SNS innervation

2) Mullers - same reasoning

3) LPS - because is a subnuclei of 3rd nerve nuclues

Term

CN _____ opens the eye

CN ____ closes the eye

 

Definition
III, VII
Term
Darcryoadentitis
Definition
inflammation (can be due to viral or infection) of the lacrimal gland.
- Will see bump on upper lateral eyelid, where the lacrimal gland is located!
- Common complaint: reduced tearing on the ipsilateral side
- Usually as a result of nasolacrimal duct obstruction
Term
Corneal blood supply. Name the 3
Definition
cornea is avascular. Get its supply from:
1) diffusion from the aqueous humor
2) limbal conj and episcleral cappillary networks
3) palpebral conjunctiva
Term
There are NO CORNEAL NERVES in which corneal layers?
Definition
Descemets or the Endothelium
Term
Corneal innervation
Definition
VI, anterior ciliary nerves, LPCN, SPCN. Enter mid-stroma and then pierces thru Bowmans and enter the epi where they become highly sensitive "naked" nerves bc they lose their meylin sheath pas the stroma
Term
Lens capsule is thickest at ____ and thinnest at ______
Definition
anterior midperipheral.posterior pole
Term
If there was Increased IOP, which area of the sclera would most likely be damaged?
Definition
lamina cubrosa
Term
Layers from posterior to anterior of eye
Definition
sclera, epislera, tenon's capsule, conjunctival stroma, conjunctival epithelium
Term
Palisades of Vogt
Definition
located in the limbus. Comprised of limbal epithelium and stroma and project onto the cornea. Corneal stem cells (destined to become basal cells) originate from pallisades of vogt
Term
Where is the iris thickest? thinnest?
Definition
Collarette region/ iris room
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