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Superior Tarsal Muscle
The superior tarsal muscle is a smooth muscle adjoining the levator palpebrae superioris muscle that helps to raise the upper eyelid. Structure The superior tarsal muscle originates on the underside of levator palpebrae superioris and inserts on the superior tarsal plate of the eyelid. Nerve supply The superior tarsal muscle receives its innervation from the sympathetic nervous system. Postganglionic sympathetic fibers originate in the superior cervical ganglion, and travel via the internal carotid plexus, where small branches communicate with the oculomotor nerve as it passes through the cavernous sinus. The sympathetic fibres continue to the superior division of the oculomotor nerve, where they enter the superior tarsal muscle on its inferior aspect. Function Its role is not fully clear, but may be an accessory muscle to raise the upper eyelid. Clinical significance Damage to some elements of the sympathetic nervous system can inhibit this muscle, causing a drooping ey ...
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Orbitalis Muscle
The orbitalis muscle is a vestigial or rudimentary nonstriated muscle (smooth muscle) that crosses from the infraorbital groove and sphenomaxillary fissure and is intimately united with the periosteum of the orbit. It was described by Heinrich Müller (physiologist), Heinrich Müller and is often called Müller's muscle. It lies at the back of the orbit and spans the infraorbital fissure.Gray's Anatomy - 40th Ed/MINOR MUSCLES OF THE EYELIDS It is a thin layer of smooth muscle that bridges the inferior orbital fissure. It is supplied by sympathetic nerves, and its function is unknown. Function The muscle forms an important part of the lateral orbital wall in some animals and can act to change the wall's volume in lower mammals, while in humans it is not known to have any significant function, but its contraction may possibly produce a slight forward protrusion of the eyeball. Several sources have suggested a role in the autonomic regulation of the vascular system due to the patte ...
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Sympathetic Nervous System
The sympathetic nervous system (SNS) is one of the three divisions of the autonomic nervous system, the others being the parasympathetic nervous system and the enteric nervous system. The enteric nervous system is sometimes considered part of the autonomic nervous system, and sometimes considered an independent system. The autonomic nervous system functions to regulate the body's unconscious actions. The sympathetic nervous system's primary process is to stimulate the body's fight or flight response. It is, however, constantly active at a basic level to maintain homeostasis. The sympathetic nervous system is described as being antagonistic to the parasympathetic nervous system which stimulates the body to "feed and breed" and to (then) "rest-and-digest". Structure There are two kinds of neurons involved in the transmission of any signal through the sympathetic system: pre-ganglionic and post-ganglionic. The shorter preganglionic neurons originate in the thoracolumbar division o ...
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Inferior Orbital Fissure
The inferior orbital fissure is formed by the sphenoid bone and the maxilla. It is located posteriorly along the boundary of the floor and lateral wall of the orbit. It transmits a number of structures, including: * the zygomatic branch of the maxillary nerve * the ascending branches from the pterygopalatine ganglion * the infraorbital vessels, which travel down the infraorbital groove into the infraorbital canal and exit through the infraorbital foramen * the inferior division of the ophthalmic vein Images File:Gray189.png, Left infratemporal fossa. File:Gray191.png, Horizontal section of nasal and orbital cavities. File:Gray787.png, Dissection showing origins of right ocular muscles, and nerves entering by the superior orbital fissure. File:Slide2rome.JPG, Inferior orbital fissure. See also *Foramina of skull *Superior orbital fissure The superior orbital fissure is a foramen or cleft of the skull between the lesser and greater wings of the sphenoid bone. It gives ...
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Oculomotor Nerve Palsy
Oculomotor nerve palsy or oculomotor neuropathy is an eye condition resulting from damage to the third cranial nerve or a branch thereof. As the name suggests, the oculomotor nerve supplies the majority of the muscles controlling eye movements (four of the six extraocular muscles, excluding only the lateral rectus and superior oblique). Damage to this nerve will result in an inability to move the eye normally. The nerve also supplies the upper eyelid muscle (levator palpebrae superioris) and is accompanied by parasympathetic fibers innervating the muscles responsible for pupil constriction ( sphincter pupillae). The limitations of eye movement resulting from the condition are generally so severe that patients are often unable to maintain normal eye alignment when gazing straight ahead, leading to strabismus and, as a consequence, double vision (diplopia). Presentation A complete oculomotor nerve palsy will result in a characteristic displacement outward (exotropia) and downward ...
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Horner's Syndrome
Horner's syndrome, also known as oculosympathetic paresis, is a combination of symptoms that arises when a group of nerves known as the sympathetic trunk is damaged. The signs and symptoms occur on the same side (ipsilateral) as it is a lesion of the sympathetic trunk. It is characterized by miosis (a constricted pupil), partial ptosis (a weak, droopy eyelid), apparent anhidrosis (decreased sweating), with apparent enophthalmos (inset eyeball). The nerves of the sympathetic trunk arise from the spinal cord in the chest, and from there ascend to the neck and face. The nerves are part of the sympathetic nervous system, a division of the autonomic (or involuntary) nervous system. Once the syndrome has been recognized, medical imaging and response to particular eye drops may be required to identify the location of the problem and the underlying cause. Signs and symptoms Signs that are found in people with Horner's syndrome on the affected side of the face include the following: * ...
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Ptosis (eyelid)
Ptosis, also known as blepharoptosis, is a drooping or falling of the upper eyelid. The drooping may be worse after being awake longer when the individual's muscles are tired. This condition is sometimes called "lazy eye", but that term normally refers to the condition amblyopia. If severe enough and left untreated, the drooping eyelid can cause other conditions, such as amblyopia or astigmatism. This is why it is especially important for this disorder to be treated in children at a young age, before it can interfere with vision development. The term is from Greek 'fall, falling'. Signs and symptoms Signs and symptoms typically seen in this condition include: * The eyelid(s) may appear to droop. * Droopy eyelids can give the face a false appearance of being fatigued, disinterested, or even sinister. * The eyelid may not protect the eye as effectively, allowing it to dry out. * Sagging upper eyelids can partially block the person's field of view. * Obstructed vision may cause ...
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Cavernous Sinus
The cavernous sinus within the human head is one of the dural venous sinuses creating a cavity called the lateral sellar compartment bordered by the temporal bone of the skull and the sphenoid bone, lateral to the sella turcica. Structure The cavernous sinus is one of the dural venous sinuses of the head. It is a network of veins that sit in a cavity. It sits on both sides of the sphenoidal bone and pituitary gland, approximately 1 × 2 cm in size in an adult. The carotid siphon of the internal carotid artery, and cranial nerves III, IV, V (branches V1 and V2) and VI all pass through this blood filled space. Both sides of cavernous sinus is connected to each other via intercavernous sinuses. The cavernous sinus lies in between the inner and outer layers of dura mater. Nearby structures * Above: optic tract, optic chiasma, internal carotid artery. * Inferiorly: foramen lacerum, and the junction of the body and greater wing of sphenoid bone. * Medially: pituitary gla ...
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Oculomotor Nerve
The oculomotor nerve, also known as the third cranial nerve, cranial nerve III, or simply CN III, is a cranial nerve that enters the orbit through the superior orbital fissure and innervates extraocular muscles that enable most movements of the eye and that raise the eyelid. The nerve also contains fibers that innervate the intrinsic eye muscles that enable pupillary constriction and accommodation (ability to focus on near objects as in reading). The oculomotor nerve is derived from the basal plate of the embryonic midbrain. Cranial nerves IV and VI also participate in control of eye movement. Structure The oculomotor nerve originates from the third nerve nucleus at the level of the superior colliculus in the midbrain. The third nerve nucleus is located ventral to the cerebral aqueduct, on the pre-aqueductal grey matter. The fibers from the two third nerve nuclei located laterally on either side of the cerebral aqueduct then pass through the red nucleus. From the red nuc ...
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Internal Carotid Plexus
The internal carotid plexus is situated on the lateral side of the internal carotid artery, and in the plexus there occasionally exists a small gangliform swelling, the ''carotid ganglion'', on the under surface of the artery. Postganglionic sympathetic fibres ascend from the superior cervical ganglion, along the walls of the internal carotid artery, to enter the internal carotid plexus. These fibres then distribute to deep structures, which include the Superior Tarsal Muscle and pupillary dilator muscles. Some of the fibres from the internal carotid plexus converge to form the deep petrosal nerve.Richard L. Drake, Wayne Vogel & Adam W M Mitchell, "Gray's Anatomy for Students", Elsevier inc., 2005 The internal carotid plexus communicates with the trigeminal ganglion, the abducent nerve, and the pterygopalatine ganglion (also named sphenopalatine); it distributes filaments to the wall of the internal carotid artery, and also communicates with the tympanic branch of the glossopha ...
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Superior Cervical Ganglion
The superior cervical ganglion (SCG) is part of the autonomic nervous system (ANS); more specifically, it is part of the sympathetic nervous system, a division of the ANS most commonly associated with the fight or flight response. The ANS is composed of pathways that lead to and from ganglia, groups of nerve cells. A ganglion allows a large amount of divergence in a neuronal pathway and also enables a more localized circuitry for control of the innervated targets. The SCG is the only ganglion in the sympathetic nervous system that innervates the head and neck. It is the largest and most rostral (superior) of the three cervical ganglia. The SCG innervates many organs, glands and parts of the carotid system in the head. Structure Location The SCG is located opposite the second and third cervical vertebrae. It lies deep to the sheath of the internal carotid artery and internal jugular vein, and anterior to the Longus capitis muscle. The SCG contains neurons that supply sympathetic ...
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Superior Tarsal Plate
The tarsi (tarsal plates) are two comparatively thick, elongated plates of dense connective tissue, about in length for the upper eyelid and 5 mm for the lower eyelid; one is found in each eyelid, and contributes to its form and support. They are located directly above the lid margins. The tarsus has a lower and upper part making up the palpebrae. Superior The ''superior tarsus'' (''tarsus superior''; superior tarsal plate), the larger, is of a semilunar form, about in breadth at the center, and gradually narrowing toward its extremities. It is adjoined by the superior tarsal muscle. To the anterior surface of this plate the aponeurosis of the levator palpebræ superioris is attached. Inferior The ''inferior tarsus'' (''tarsus inferior''; inferior tarsal plate) is smaller, is thin, is elliptical in form, and has a vertical diameter of about . The free or ciliary margins of these plates are thick and straight. Relations The attached or orbital margins are connected to the ...
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Ciliary Muscle
The ciliary muscle is an intrinsic muscle of the eye formed as a ring of smooth muscleSchachar, Ronald A. (2012). "Anatomy and Physiology." (Chapter 4) . in the eye's middle layer, uvea ( vascular layer). It controls accommodation for viewing objects at varying distances and regulates the flow of aqueous humor into Schlemm's canal. It also changes the shape of the lens within the eye but not the size of the pupil which is carried out by the sphincter pupillae muscle and dilator pupillae. Structure Development The ciliary muscle develops from mesenchyme within the choroid and is considered a cranial neural crest derivative.Dudek RW, Fix JD (2004). "Eye" (chapter 9). ''Embryology - Board Review Series'' (3rd edition, illustrated). Lippincott Williams & Wilkins. p. 92. , . Books.Google.com. Retrieved on 2010-01-17 from https://books.google.com/books?id=MmoJQWsJteoC. Nerve supply The ciliary muscle receives parasympathetic fibers from the short ciliary nerves that arise fro ...
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