Infratrochlear
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Infratrochlear
The infratrochlear nerve is a branch of the nasociliary nerve, itself a branch of the ophthalmic nerve. Structure The nasociliary nerve terminates by bifurcating into the infratrochlear and the anterior ethmoidal nerves. The infratrochlear nerve travels anteriorly in the orbit along the upper border of the medial rectus muscle and underneath the trochlea of the superior oblique muscle. It exits the orbit medially and divides into small sensory branches. Function The infratrochlear nerve provides sensory innervation to the skin of the eye lids, the conjunctiva, lacrimal sac, lacrimal caruncle and the side of the nose above the medial canthus. Etymology The infratrochlear nerve is named after a structure it passes under. ''Infratrochlear'' means "below the trochlea Trochlea (Latin for pulley) is a term in anatomy. It refers to a grooved structure reminiscent of a pulley's wheel. Related to joints Most commonly, trochleae bear the articular surface of saddle joint, saddle ...
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Nasociliary Nerve
The nasociliary nerve is a branch of the ophthalmic nerve, itself a branch of the trigeminal nerve (CN V). It is intermediate in size between the other two branches of the ophthalmic nerve, the frontal nerve and lacrimal nerve. Structure The nasociliary nerve enters the orbit via the superior orbital fissure, between the two heads of the lateral rectus muscle and between the superior and inferior rami of the oculomotor nerve. It passes across the optic nerve (CN II) and runs obliquely beneath the superior rectus muscle and superior oblique muscle to the medial wall of the orbital cavity. It passes through the anterior ethmoidal opening as the anterior ethmoidal nerve and enters the cranial cavity just below the cribriform plate of the ethmoid bone. It supplies branches to the mucous membrane of the nasal cavity and finally emerges between the inferior border of the nasal bone and the side nasal cartilages as the external nasal branch. Branches * posterior ethmoidal nerve * ante ...
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Eyelids
An eyelid is a thin fold of skin that covers and protects an eye. The levator palpebrae superioris muscle retracts the eyelid, exposing the cornea to the outside, giving vision. This can be either voluntarily or involuntarily. The human eyelid features a row of eyelashes along the eyelid margin, which serve to heighten the protection of the eye from dust and foreign debris, as well as from perspiration. "Palpebral" (and "blepharal") means relating to the eyelids. Its key function is to regularly spread the tears and other secretions on the eye surface to keep it moist, since the cornea must be continuously moist. They keep the eyes from drying out when asleep. Moreover, the blink reflex protects the eye from foreign bodies. The appearance of the human upper eyelid often varies between different populations. The prevalence of an epicanthic fold covering the inner corner of the eye account for the majority of East Asian and Southeast Asian populations, and is also found in ...
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Nasociliary Nerve
The nasociliary nerve is a branch of the ophthalmic nerve, itself a branch of the trigeminal nerve (CN V). It is intermediate in size between the other two branches of the ophthalmic nerve, the frontal nerve and lacrimal nerve. Structure The nasociliary nerve enters the orbit via the superior orbital fissure, between the two heads of the lateral rectus muscle and between the superior and inferior rami of the oculomotor nerve. It passes across the optic nerve (CN II) and runs obliquely beneath the superior rectus muscle and superior oblique muscle to the medial wall of the orbital cavity. It passes through the anterior ethmoidal opening as the anterior ethmoidal nerve and enters the cranial cavity just below the cribriform plate of the ethmoid bone. It supplies branches to the mucous membrane of the nasal cavity and finally emerges between the inferior border of the nasal bone and the side nasal cartilages as the external nasal branch. Branches * posterior ethmoidal nerve * ante ...
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Anterior Ethmoidal Nerve
The anterior ethmoidal nerve is a nerve of the nose. It is a branch of the nasociliary nerve, itself a branch of the ophthalmic nerve (V1). It provides sensory innervation to some structures around the nasal cavity. Structure The anterior ethmoidal nerve is a terminal branch of the nasociliary nerve, a branch of the ophthalmic nerve (CN V1), itself a branch of the trigeminal nerve (CN V). It branches near the medial wall of the orbit. The anterior ethmoidal nerve arises only after the nasociliary has given off its four branches (the ramus communicans to the ciliary ganglion, the long ciliary nerves, the infratrochlear nerve, and the posterior ethmoidal nerve). It travels through the anterior ethmoidal foramen to reach the anterior cranial fossa. It then moves forward and passes through the cribriform plate to enter the nasal cavity. It gives off branches to the roof of the nasal cavity, and bifurcates into a lateral internal nasal branch and medial internal nasal branch. It send ...
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Ophthalmic Nerve
The ophthalmic nerve (V1) is a sensory nerve of the face. It is one of three divisions of the trigeminal nerve (CN V). It has three branches that provide sensory innervation to the eye, the skin of the upper face, and the skin of the anterior scalp. Structure The ophthalmic nerve is the first branch of the trigeminal nerve (CN V). It is joined by filaments from the cavernous plexus of the sympathetic, and communicates with the oculomotor, trochlear, and abducent nerves. It gives off a recurrent (meningeal) filament which passes between the layers of the tentorium. Branches The ophthalmic nerve divides into three major branches as it passes through the superior orbital fissure. *The nasociliary nerve gives off several sensory branches to the orbit. It then continues out through the anterior ethmoidal foramen, where it enters the nasal cavity. It provides innervation for much of the anterior nasal mucosa. It also gives off a branch which exits through the nasal bones to form ...
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Conjunctiva
The conjunctiva is a thin mucous membrane that lines the inside of the eyelids and covers the sclera (the white of the eye). It is composed of non-keratinized, stratified squamous epithelium with goblet cells, stratified columnar epithelium and stratified cuboidal epithelium (depending on the zone). The conjunctiva is highly vascularised, with many microvessels easily accessible for imaging studies. Structure The conjunctiva is typically divided into three parts: Blood supply Blood to the bulbar conjunctiva is primarily derived from the ophthalmic artery. The blood supply to the palpebral conjunctiva (the eyelid) is derived from the external carotid artery. However, the circulations of the bulbar conjunctiva and palpebral conjunctiva are linked, so both bulbar conjunctival and palpebral conjunctival vessels are supplied by both the ophthalmic artery and the external carotid artery, to varying extents. Nerve supply Sensory innervation of the conjunctiva is divided into ...
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Lacrimal Sac
The lacrimal sac or lachrymal sac is the upper dilated end of the nasolacrimal duct, and is lodged in a deep groove formed by the lacrimal bone and frontal process of the maxilla. It connects the lacrimal canaliculi, which drain tears from the eye's surface, and the nasolacrimal duct, which conveys this fluid into the nasal cavity. Lacrimal sac occlusion leads to dacryocystitis. Structure It is oval in form and measures from 12 to 15 mm. in length; its upper end is closed and rounded; its lower is continued into the nasolacrimal duct. Its superficial surface is covered by a fibrous expansion derived from the medial palpebral ligament, and its deep surface is crossed by the lacrimal part of the orbicularis oculi, which is attached to the crest on the lacrimal bone. Histology Like the nasolacrimal duct, the sac is lined by stratified columnar epithelium with mucus-secreting goblet cells, with surrounding connective tissue. The Lacrimal Sac also drains the eye of debris and ...
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Lacrimal Caruncle
The lacrimal caruncle, or caruncula lacrimalis, is the small, pink, globular nodule at the inner corner (the medial canthus) of the eye. It consists of tissue types of neighbouring eye structures. It may suffer from lesions and allergic inflammation. Structure The lacrimal caruncle is found at the medial canthus of the eye. It consists of skin, hair follicles, sebaceous glands, sweat glands, accessory lacrimal tissue and other tissues that are present in the skin and accessory lacrimal glands. Its non-keratinized epithelium resembles the conjunctival epithelium. Clinical significance Lesions The lacrimal caruncle may have a lesion. This can have any one of a number of causes, which may be difficult to diagnose. Cancer is a rare cause. These lesions include papillomas and oncocytomas. Allergies With ocular allergies, the lacrimal caruncle and the plica semilunaris of the conjunctiva may be inflamed and pruritic (itchy) due to histamine Histamine is an organic nitroge ...
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Nose
A nose is a protuberance in vertebrates that houses the nostrils, or nares, which receive and expel air for respiration alongside the mouth. Behind the nose are the olfactory mucosa and the sinuses. Behind the nasal cavity, air next passes through the pharynx, shared with the digestive system, and then into the rest of the respiratory system. In humans, the nose is located centrally on the face and serves as an alternative respiratory passage especially during suckling for infants. The protruding nose that completely separate from the mouth part is a characteristic found only in therian mammals. It has been theorized that this unique mammalian nose evolved from the anterior part of the upper jaw of the reptilian-like ancestors ( synapsids). Air treatment Acting as the first interface between the external environment and an animal's delicate internal lungs, a nose conditions incoming air, both as a function of thermal regulation and filtration during respiration, as well as ...
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Medial Rectus Muscle
The medial rectus muscle is a muscle in the orbit near the eye. It is one of the extraocular muscles. It originates from the common tendinous ring, and inserts into the anteromedial surface of the eye. It is supplied by the inferior division of the oculomotor nerve (III). It rotates the eye medially (adduction). Structure The medial rectus muscle shares an origin with several other extrinsic eye muscles, the common tendinous ring. It inserts into the anteromedial surface of the eye. This insertion has a width of around 11 mm. Nerve supply The medial rectus muscle is supplied by the inferior division of the oculomotor nerve (III). A branch of it enters the muscle around two fifths along its length. It usually divides into 2 smaller branches, occasionally 3. These further subdivide, becoming smaller down the length of the muscle until they become imperceptible to standard staining around 17 mm from the insertion of the muscle. Relations The insertion of the medial rectus ...
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Trochlea Of Superior Oblique
The trochlea of superior oblique is a pulley-like structure in the eye. The tendon of the superior oblique muscle passes through it. Situated on the superior nasal aspect of the frontal bone, it is the only cartilage found in the normal orbit. The word ''trochlea'' comes from the Greek word for pulley. Actions of the superior oblique muscle In order to understand the actions of the superior oblique muscle, it is useful to imagine the eyeball as a sphere that is constrained – like the trackball of a computer mouse – in such a way that only certain rotational movements are possible. Allowable movements for the superior oblique are (1) rotation in a vertical plane – looking down and up (''depression'' and ''elevation'' of the eyeball) and (2) rotation in the plane of the face (''intorsion'' and ''extorsion'' of the eyeball). The body of the superior oblique muscle is located ''behind'' the eyeball, but the tendon (which is redirected by the trochlea) approaches the eyeball fr ...
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Superior Oblique Muscle
The superior oblique muscle, or obliquus oculi superior, is a fusiform muscle originating in the upper, medial side of the orbit (i.e. from beside the nose) which abducts, depresses and internally rotates the eye. It is the only extraocular muscle innervated by the trochlear nerve (the fourth cranial nerve). Structure The superior oblique muscle loops through a pulley-like structure (the trochlea of superior oblique) and inserts into the sclera on the posterotemporal surface of the eyeball. It is the pulley system that gives superior oblique its actions, causing depression of the eyeball despite being inserted on the superior surface. The superior oblique arises immediately above the margin of the optic foramen, superior and medial to the origin of the superior rectus, and, passing forward, ends in a rounded tendon, which plays in a fibrocartilaginous ring or pulley attached to the trochlear fossa of the frontal bone. The contiguous surfaces of the tendon and ring are lined by ...
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