Orbital Diseases
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Orbital Diseases
In anatomy, the orbit is the cavity or socket of the skull in which the eye and its appendages are situated. "Orbit" can refer to the bony socket, or it can also be used to imply the contents. In the adult human, the volume of the orbit is , of which the eye occupies . The orbital contents comprise the eye, the orbital and retrobulbar fascia, extraocular muscles, cranial nerves II, III, IV, V, and VI, blood vessels, fat, the lacrimal gland with its sac and duct, the eyelids, medial and lateral palpebral ligaments, cheek ligaments, the suspensory ligament, septum, ciliary ganglion and short ciliary nerves. Structure The orbits are conical or four-sided pyramidal cavities, which open into the midline of the face and point back into the head. Each consists of a base, an apex and four walls."eye, human."Encyclopædia Britannica from Encyclopædia Britannica 2006 Ultimate Reference Suite DVD 2009 Openings There are two important foramina, or windows, two importan ...
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Human Eye
The human eye is a sensory organ, part of the sensory nervous system, that reacts to visible light and allows humans to use visual information for various purposes including seeing things, keeping balance, and maintaining circadian rhythm. The eye can be considered as a living optical device. It is approximately spherical in shape, with its outer layers, such as the outermost, white part of the eye (the sclera) and one of its inner layers (the pigmented choroid) keeping the eye essentially light tight except on the eye's optic axis. In order, along the optic axis, the optical components consist of a first lens (the cornea—the clear part of the eye) that accomplishes most of the focussing of light from the outside world; then an aperture (the pupil) in a diaphragm (the iris—the coloured part of the eye) that controls the amount of light entering the interior of the eye; then another lens (the crystalline lens) that accomplishes the remaining focussing of light into ...
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Trochlear Nerve
The trochlear nerve (), ( lit. ''pulley-like'' nerve) also known as the fourth cranial nerve, cranial nerve IV, or CN IV, is a cranial nerve that innervates just one muscle: the superior oblique muscle of the eye, which operates through the pulley-like trochlea. CN IV is a motor nerve only (a somatic efferent nerve), unlike most other CNs. The trochlear nerve is unique among the cranial nerves in several respects: * It is the ''smallest'' nerve in terms of the number of axons it contains. * It has the greatest intracranial length. * It is the only cranial nerve that exits from the dorsal (rear) aspect of the brainstem. * It innervates a muscle, the superior oblique muscle, on the opposite side (contralateral) from its nucleus. The trochlear nerve decussates within the brainstem before emerging on the contralateral side of the brainstem (at the level of the inferior colliculus). An injury to the trochlear nucleus in the brainstem will result in an contralateral superior obliqu ...
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Orbit Of The Face, STL File Processed 1
In celestial mechanics, an orbit is the curved trajectory of an object such as the trajectory of a planet around a star, or of a natural satellite around a planet, or of an artificial satellite around an object or position in space such as a planet, moon, asteroid, or Lagrange point. Normally, orbit refers to a regularly repeating trajectory, although it may also refer to a non-repeating trajectory. To a close approximation, planets and satellites follow elliptic orbits, with the center of mass being orbited at a focal point of the ellipse, as described by Kepler's laws of planetary motion. For most situations, orbital motion is adequately approximated by Newtonian mechanics, which explains gravity as a force obeying an inverse-square law. However, Albert Einstein's general theory of relativity, which accounts for gravity as due to curvature of spacetime, with orbits following geodesics, provides a more accurate calculation and understanding of the exact mechanics of orbital mo ...
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Short Ciliary Nerves
The short ciliary nerves are nerves of the orbit around the eye. They are branches of the ciliary ganglion. They supply parasympathetic and sympathetic nerve fibers to the ciliary muscle, iris, and cornea. Damage to the short ciliary nerve may result in loss of the pupillary light reflex, or mydriasis. Structure The short ciliary nerves are branches of the ciliary ganglion. They arise from the forepart of the ganglion in two bundles connected with its superior and inferior angles. The lower bundle is the larger than the upper bundle. These split into between 6 and 10 filaments. They run forward with the ciliary arteries in a wavy course. One bundle is set above the optic nerve, while the other bundle is set below it. They are accompanied by the long ciliary nerves from the nasociliary. They pierce the sclera at the back part of the bulb of the eye, pass forward in delicate grooves on the inner surface of the sclera, and are distributed to the ciliary muscle, iris, and corne ...
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Ciliary Ganglion
The ciliary ganglion is a bundle of nerve parasympathetic ganglion located just behind the eye in the posterior orbit. It is 1–2 mm in diameter and in humans contains approximately 2,500 neurons. The ganglion contains postganglionic parasympathetic neurons. These neurons supply the pupillary sphincter muscle, which constricts the pupil, and the ciliary muscle which contracts to make the lens more convex. Both of these muscles are involuntary since they are controlled by the parasympathetic division of the autonomic nervous system. The ciliary ganglion is one of four parasympathetic ganglia of the head. The others are the submandibular ganglion, pterygopalatine ganglion, and otic ganglion. Structure The ciliary ganglion contains postganglionic parasympathetic neurons that supply the ciliary muscle and the pupillary sphincter muscle. Because of the much larger size of the ciliary muscle, 95% of the neurons in the ciliary ganglion innervate it compared to the pupillary sphincter ...
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Orbital Septum
In anatomy, the orbital septum (palpebral fascia) is a membranous sheet that acts as the anterior (frontal) boundary of the orbit. It extends from the orbital rims to the eyelids. It forms the fibrous portion of the eyelids. Structure In the upper eyelid, the orbital septum blends with the tendon of the levator palpebrae superioris, and in the lower eyelid with the tarsal plate. When the eyes are closed, the whole orbital opening is covered by the septum and tarsi. Medially it is thin, and, becoming separated from the medial palpebral ligament, attaches to the lacrimal bone at its posterior crest. The medial ligament and its much weaker lateral counterpart, attached to the septum and orbit, keep the lids stable as the eye moves. The septum is perforated by the vessels and nerves which pass from the orbital cavity to the face and scalp. Clinical significance Orbital septum supports the orbital contents located posterior to it, especially orbital fat. The septum can be weakene ...
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Zonule Of Zinn
The zonule of Zinn () (Zinn's membrane, ciliary zonule) (after Johann Gottfried Zinn) is a ring of fibrous strands forming a zonule (little band) that connects the ciliary body with the crystalline lens of the eye. These fibers are sometimes collectively referred to as the suspensory ligaments of the lens, as they act like suspensory ligaments. Development The ciliary epithelial cells of the eye probably synthesize portions of the zonules. Anatomy The zonule of Zinn is split into two layers: a thin layer, which lines the hyaloid fossa, and a thicker layer, which is a collection of zonular fibers. Together, the fibers are known as the suspensory ligament of the lens. The zonules are about 1–2 μm in diameter. The zonules attach to the lens capsule 2 mm anterior and 1 mm posterior to the equator, and arise of the ciliary epithelium from the pars plana region as well as from the valleys between the ciliary processes in the pars plicata. When colour granules are displaced from th ...
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Lateral Palpebral Raphe
The lateral palpebral raphe is a ligamentous band near the eye. Its existence is contentious, and many sources describe it as the continuation of nearby muscles. It is formed from the lateral ends of the orbicularis oculi muscle. It connects the orbicularis oculi muscle, the frontosphenoidal process of the zygomatic bone, and the tarsi of the eyelids. Structure The lateral palpebral raphe is formed from the lateral ends of the orbicularis oculi muscle. It may also be formed from the pretarsal muscles of the eyelids. It is attached to the margin of the frontosphenoidal process of the zygomatic bone. It passes towards the midline to the lateral commissure of the eyelids. Here, it divides into two slips, which are attached to the margins of the respective tarsi of the eyelids. The lateral palpebral ligament has a tensile strength of around 12 newtons. Relations The lateral palpebral raphe is a much weaker structure than the medial palpebral ligament on the other side of the ...
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Medial Palpebral Ligament
The medial palpebral ligament (medial canthal tendon) is a ligament of the face. It attaches to the Frontal process of maxilla, frontal process of the maxilla, the lacrimal groove, and the Tarsus (eyelids), tarsus of each eyelid. It has a superficial (anterior) and a deep (posterior) layer, with many surrounding attachments. It connects the Canthus, medial canthus of each eyelid to the medial part of the Orbit (anatomy), orbit. It is a useful point of fixation during eyelid reconstructive surgery. Structure The anterior attachment of the medial palpebral ligament is to the frontal process of maxilla, frontal process of the maxilla in front of the lacrimal groove (near the nasal bone and the frontal bone), and its posterior attachment is the lacrimal bone. Crossing the lacrimal sac, it divides into two parts, upper and lower, each attached to the medial end of the corresponding tarsus (eyelids), tarsus of each eyelid. As the ligament crosses the lacrimal sac, a strong aponeuroti ...
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Eyelid
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 i ...
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Nasolacrimal Duct
The nasolacrimal duct (also called the tear duct) carries tears from the lacrimal sac of the eye into the nasal cavity. The duct begins in the eye socket between the maxillary and lacrimal bones, from where it passes downwards and backwards. The opening of the nasolacrimal duct into the inferior nasal meatus of the nasal cavity is partially covered by a mucosal fold ( valve of Hasner or ''plica lacrimalis''). Excess tears flow through the nasolacrimal duct which drains into the inferior nasal meatus. This is the reason the nose starts to run when a person is crying or has watery eyes from an allergy, and why one can sometimes taste eye drops. This is for the same reason when applying some eye drops it is often advised to close the nasolacrimal duct by pressing it with a finger to prevent the medicine from escaping the eye and having unwanted side effects elsewhere in the body as it will proceed through the canal to the Nasal Cavity. Like the lacrimal sac, the duct is lined by st ...
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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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