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The lacrimal nerve is the smallest branch of the
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 scal ...
(V1), itself a branch of the
trigeminal nerve In neuroanatomy, the trigeminal nerve (literal translation, lit. ''triplet'' nerve), also known as the fifth cranial nerve, cranial nerve V, or simply CN V, is a cranial nerve responsible for Sense, sensation in the face and motor functions ...
(CN V). The other branches of the ophthalmic nerve are the
frontal nerve The frontal nerve is the largest branch of the ophthalmic nerve (V1), itself a branch of the trigeminal nerve (CN V). It supplies sensation to the skin of the forehead, the mucosa of the frontal sinus, and the skin of the upper eyelid. It may ...
and
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 na ...
.


Structure

The lacrimal nerve branches from the ophthalmic nerve immediately before traveling through the
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 passage to multiple structures, including the oculomotor nerve, trochlear nerve, ophthalmic nerve, abducens ...
to enter the orbit. It travels through it lateral to the
frontal nerve The frontal nerve is the largest branch of the ophthalmic nerve (V1), itself a branch of the trigeminal nerve (CN V). It supplies sensation to the skin of the forehead, the mucosa of the frontal sinus, and the skin of the upper eyelid. It may ...
outside the annulus of Zinn. After entering, it travels anteriorly along the lateral wall with the lacrimal artery, above the upper margin of the lateral rectus. It receives a communicating branch from the zygomatic nerve which carries the postganglionic parasympathetic axons from the pterygopalatine ganglion. It travels through the lacrimal gland giving sensory and parasympathetic branches to it and then continues anteriorly as a few small sensory branches.


Function

The lacrimal nerve provides sensory innervation to the
lacrimal gland The lacrimal glands are paired exocrine glands, one for each eye, found in most terrestrial vertebrates and some marine mammals, that secrete the aqueous layer of the tear film. In humans, they are situated in the upper lateral region of each o ...
,
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 epitheli ...
of the lateral upper
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 eyel ...
and superior fornix, the skin of the lateral forehead, scalp and lateral upper eyelid. It also provides parasympathetic innervation to the lacrimal gland from the communicating branch it receives from the zygomatic nerve.


Additional images

File:Gray776.png, Superior view of the nerves of the orbit. The lacrimal nerve is seen branching from the ophthalmic nerve. File:Gray784.png, Sensory innervation to the skin of the head and neck. The cutaneous distribution of the lacrimal nerve can be seen above the eye in the green area. File:Gray894.png, Anterior view of the orbit and tarsal plates. The lacrimal nerve can be seen exiting the orbit superolaterally after it supplies the lacrimal gland. File:Slide7abab.JPG, Superior view of a dissection of the left orbit. The lacrimal nerve is visible innervating the lacrimal gland.


References

{{Authority control Ophthalmic nerve