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ORBIT
STEVEN J. ZEHREN, PH.D.
BONY ORBIT
Frontal bone
Lesser wing of sphenoid
Superior orbital fissure
Optic canal
Greater wing of sphenoid
Zygomatic bone
Inferior orbital fissure
Infraorbital groove& foramen
Maxillary bone
Orbital process ofpalatine bone
Fossa of lacrimal sac
Lacrimal bone
Orbital plate of ethmoid bone(lamina papyracea)
Anterior ethmoidal foramen
Posterior ethmoidal foramen
Supraorbital notch (foramen)
RIGHT BONY ORBIT(ANTERIOR VIEW)
Brain Frontal sinus
Ethmoidal cells
Maxillary sinus
RELATIONSHIPS OF BONY ORBIT (CORONAL SECTION)
Nasal septumEthmoidal cells
Sphenoidal sinuses
Brain (in middle cranial fossa)Optic n.
Medial wall of orbit
Temporalis m.(in temporal fossa)
RELATIONSHIPS OF BONY ORBIT(HORIZONTAL SECTION)
EYEBALL
EYEBALL (HORIZONTAL SECTION)
SHEATHS OF THE OPTIC NERVE
Central a. & v. of retina
Pia
Arachnoid
Dura
Subarachnoid space(Intervaginal space)
Optic disc
OPTIC DISC (PAPILLA)
MUSCLES
Cornea
Iris folds
Lens
Sclera
Sphincter m. of pupil(miosis)
Dilator m. of pupil(mydriasis)
Ciliary m.(accommodation)
Ciliary body Fibers of ciliary zonule(suspensory lig. of lens)
INTRINSIC MUSCLES OF EYEBALL
Oculomotor (parasym. root) of ciliary ganglionShort ciliary nn.
Ciliary g.Ciliary m.
Sphincter m. Dilator m.
Lateral horn of T1 – T3cord segments
Sup. cervicalganglion
Int. carotid plexus
V1Long ciliary n.
Sympathetic root of ciliary g.
AUTONOMIC INNERVATION OF THE EYE
Pre-Post-Pre-Post-
Sympathetic
Parasympathetic
Accessory oculomotor (Edinger-Westphal) nucleusin midbrain
POSITION OF CILIARY GANGLION
Ciliary ganglion
Lateral rectus
Optic nerve
Short ciliary nerves
Trochlea (pulley)
Inferior oblique m.
Inferior rectus m.
Lateral rectus m. (cut)
Common annular tendon
Medial rectus m.
Superior rectus m.
Levator palpebrae superioris m.
Superior oblique m.
EXTRINSIC EYE MUSCLES(RIGHT LATERAL VIEW)
ORBITAL AXIS NOT THE SAME AS VISUAL AXIS
ORBITAL AXIS
VISUAL AXIS
MOVEMENTS AROUND THE VERTICAL AXIS
ADDUCTORS ABDUCTORS
Medial rectus
Superior rectus
Inferior rectus
Inferior oblique
Superior oblique
Lateral rectus
MOVEMENTS AROUND THE LATEROMEDIAL (TRANSVERSE) AXIS
ELEVATORS DEPRESSORS
Superior rectus
Inferior oblique
Inferior rectus
Superior oblique
MOVEMENTS AROUND THE A-P AXIS
INTORSION
EXTORSION
Superior rectus
Superior oblique
Inferior rectus
Inferior oblique
INNERVATION OF EXTRINSIC EYE MUSCLES(SO4, LR6, R3)
MUSCLES OF THE UPPER EYELID
Levator palpebrae superioris(striated muscle/oculomotor n.)
Superior tarsal muscle(smooth muscle/sympathetic)
Superior tarsal plate
PERIORBITA & FASCIA
Medial check ligamentLateral check ligament
Periorbita Periorbita
Medial rectus muscle and sheath
Bulbar sheath(Tenon’s capsule) Lateral rectus muscle
and sheath
Orbital fat
PERIORBITA AND FASCIA (HORIZONTAL SECTION)
NERVES
Trigeminal ganglion
Ophthalmic n. (V1)
Nasociliary n.
Supratrochlear n.
Frontal n.
Lacrimal n.
Medial branch
Lateral branchSupraorbital n.
NFL(3 BRANCHES OF V1)
OPHTHALMIC NERVE (V1)
Nasociliary n.
Posterior ethmoidal n.
Anterior ethmoidal n.
Infratrochlear n.
Ophthalmic n. (V1)
Frontal n. (cut)
Lacrimal n.
Long ciliary nn.
OPHTHALMIC NERVE (V1)(DEEP DISSECTION)
VESSELS
Internal carotid a.
Ophthalmic a.
Muscular branch
Continuation of ophthalmic a.
Posterior ethmoidal a.
Anterior ethmoidal a.
Dorsal nasal a.
Supratrochlear a.
Medial palpebral a.
Lateral palpebral a.
Supraorbital a.
Posterior ciliary aa.
Lacrimal a.
Central a. of retina
OPHTHALMIC ARTERY
Supratrochlear v.
Supraorbital v.
Angular v.
Facial v.
Vorticose vv.
Superior ophthalmic v.
Inferior ophthalmic v.
Cavernous sinus
Pterygoid plexus
OPHTHALMIC VEINS
END OF LECTURE