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By DR.Lakshmeesh D.R
Research HOD and Asst.Prof
SDMCNYS
UJIRE
Orbit:
 Cavity or socket of the skull which houses the eye
 Protects and stabilizes the eye
 Serves as attachment site for extrinsic muscles
 Orbital Margins – bases which open in the face (4
borders)
 Supraorbital margin – frontal bone
 Inraorbital margin – zygomatic and maxilla
bones
 Lateral margin – zygomatic and frontal bones
Orbital Anatomy:
 Anterior aspect or roof
 Frontal Bone
 Posterior aspect
 Sphenoid Bone
 Medial aspect
 Lacrimal, ethmoid, maxillary, and sphenoid bones
 Lateral aspect
 Zygomatic and sphenoid bones
 Orbit is thickest
 Superior Orbital
Fissure
 Opening between lesser
and greater wings of
sphenoid bone
 Allows cranial nerves,
arteries, and veins to
communicate with eye
 Optic Canal
 Foramen which the optic
nerve passes to reach the
brain
 Optic Nerve
 Cranial nerve II
 Transmits visual
information from the
retina to the brain
 Sclera:
 White of the eye
 Tough, opaque tissue that
serves as the eye's protective
outer
 Optic nerve is attached to
the sclera at the very back of
the eye
 Pupil:
 Opening in center of iris
 Size of the pupil determines
the amount of light that
enters the eye
 Pupil size is controlled by
the dilator and sphincter
muscles of the iris
 Neurological Function –
pupils reaction to light
 Iris:
 Colored part of the eye
 Controls light levels inside
the eye
 Divides the anterior
chamber from posterior
chamber
 Color comes from
microscopic pigment cells
(melanin)
 The color, texture, and
patterns of each person's
iris are as unique as a
fingerprint
 Muscles acting on Iris:
 Sphincter muscle:
 In bright light, the sphincter
contracts, causing the pupil to
constrict
 Dilator muscle:
 Dilates the eye in dim lighting
 Conjunctiva:
 Thin mucous membrane
that covers the outer
surface of the eye (sclera)
 Lines inside of the
eyelids
 Anteriorly - continous
with the cornea
 Nourished by tiny blood
vessels (nearly invisible
to the naked eye)
 Secretes oils and mucous
that moisten and
lubricate the eye
 Cornea:
 Transparent, dome-
shaped window
covering the front of
the eye (normally clear
with a shiny surface)
 Powerful refracting
surface (provides 2/3 of
the eye's focusing
power)
 Extremely sensitive
 More nerve endings in
the cornea than
anywhere else in the
body
 Ciliary Body:
 Lies behind the iris
 Attached to the ciliary body
are tiny fiber ligaments
(zonules) – suspend the lens
 Produces aqueous humor
(clear fluid that fills the front
of the eye)
 Controls accommodation to
light by changing the shape of
the lens
 Lens:
 Located just behind the iris
 Focuses light onto the retina
 Retina:
 Multi-layered sensory
tissue that lines the back
of the eye
 Contain millions of
photoreceptors that
capture light rays and
converts them into
electrical impulses
 Impulses: Optic nerve to
Brain (images)
 Cones (6 million)
 Bright light (help us
differentiate color)
 Rods (125 million)
 Peripheral and night vision
Muscular Anatomy:
 Inferior Rectus
 Superior Rectus
 Medial Rectus
 Lateral Rectus
 Inferior Oblique
 Superior Oblique
Eye Movement Terminology:
 Duction – movement of one eye by itself
 Version – movement of the 2 eyes in the same direction
 Adduction – eye looks toward the nose
 Abduction – eye looks toward the ear
 Dextroversion – both eyes look to the right
 Levoversion – both eyes look to the left
 Supraversion – both eyes upgaze
 Infraversion - downgaze
 Medial Rectus:
 Strongest of the extra-
ocular muscles
 Most mass of EOMs
 Most anterior
insertion (extra
leverage)
 Action – Adduction
(eyes move towards
the nose)
 Lateral Rectus:
 Action - Abduction
Superior Rectus:
 Action – elevation,
upward rotation
 Rotation – angles
nasally toward site of
origin
 Tendon of the
Superior Oblique
muscle passes
underneath the SR
 Inferior Rectus:
 Action – depression,
downward rotation,
adduction
 Superior Oblique:
 Keeps the eyeballs level
as the head tilts
 Longest of the EOMs
 Passes through a “pully”
called the trochlea
 Redirects the action
 Action:
 Abduction of globe
 Depression of globe
 Rotation of globe
Inferior Oblique:
 Passes underneath
the inferior rectus
 Action:
 Elevation of globe
 Adduction of globe
 Rotation of globe
 Keeps the eyeballs
level as the head tilts
Thank you

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IRIS DIAGNOSIS.pptx

  • 1. By DR.Lakshmeesh D.R Research HOD and Asst.Prof SDMCNYS UJIRE
  • 2. Orbit:  Cavity or socket of the skull which houses the eye  Protects and stabilizes the eye  Serves as attachment site for extrinsic muscles  Orbital Margins – bases which open in the face (4 borders)  Supraorbital margin – frontal bone  Inraorbital margin – zygomatic and maxilla bones  Lateral margin – zygomatic and frontal bones
  • 3. Orbital Anatomy:  Anterior aspect or roof  Frontal Bone  Posterior aspect  Sphenoid Bone  Medial aspect  Lacrimal, ethmoid, maxillary, and sphenoid bones  Lateral aspect  Zygomatic and sphenoid bones  Orbit is thickest
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  • 6.  Superior Orbital Fissure  Opening between lesser and greater wings of sphenoid bone  Allows cranial nerves, arteries, and veins to communicate with eye  Optic Canal  Foramen which the optic nerve passes to reach the brain  Optic Nerve  Cranial nerve II  Transmits visual information from the retina to the brain
  • 7.  Sclera:  White of the eye  Tough, opaque tissue that serves as the eye's protective outer  Optic nerve is attached to the sclera at the very back of the eye  Pupil:  Opening in center of iris  Size of the pupil determines the amount of light that enters the eye  Pupil size is controlled by the dilator and sphincter muscles of the iris  Neurological Function – pupils reaction to light
  • 8.  Iris:  Colored part of the eye  Controls light levels inside the eye  Divides the anterior chamber from posterior chamber  Color comes from microscopic pigment cells (melanin)  The color, texture, and patterns of each person's iris are as unique as a fingerprint  Muscles acting on Iris:  Sphincter muscle:  In bright light, the sphincter contracts, causing the pupil to constrict  Dilator muscle:  Dilates the eye in dim lighting
  • 9.  Conjunctiva:  Thin mucous membrane that covers the outer surface of the eye (sclera)  Lines inside of the eyelids  Anteriorly - continous with the cornea  Nourished by tiny blood vessels (nearly invisible to the naked eye)  Secretes oils and mucous that moisten and lubricate the eye
  • 10.  Cornea:  Transparent, dome- shaped window covering the front of the eye (normally clear with a shiny surface)  Powerful refracting surface (provides 2/3 of the eye's focusing power)  Extremely sensitive  More nerve endings in the cornea than anywhere else in the body
  • 11.  Ciliary Body:  Lies behind the iris  Attached to the ciliary body are tiny fiber ligaments (zonules) – suspend the lens  Produces aqueous humor (clear fluid that fills the front of the eye)  Controls accommodation to light by changing the shape of the lens  Lens:  Located just behind the iris  Focuses light onto the retina
  • 12.  Retina:  Multi-layered sensory tissue that lines the back of the eye  Contain millions of photoreceptors that capture light rays and converts them into electrical impulses  Impulses: Optic nerve to Brain (images)  Cones (6 million)  Bright light (help us differentiate color)  Rods (125 million)  Peripheral and night vision
  • 13. Muscular Anatomy:  Inferior Rectus  Superior Rectus  Medial Rectus  Lateral Rectus  Inferior Oblique  Superior Oblique
  • 14. Eye Movement Terminology:  Duction – movement of one eye by itself  Version – movement of the 2 eyes in the same direction  Adduction – eye looks toward the nose  Abduction – eye looks toward the ear  Dextroversion – both eyes look to the right  Levoversion – both eyes look to the left  Supraversion – both eyes upgaze  Infraversion - downgaze
  • 15.  Medial Rectus:  Strongest of the extra- ocular muscles  Most mass of EOMs  Most anterior insertion (extra leverage)  Action – Adduction (eyes move towards the nose)  Lateral Rectus:  Action - Abduction
  • 16. Superior Rectus:  Action – elevation, upward rotation  Rotation – angles nasally toward site of origin  Tendon of the Superior Oblique muscle passes underneath the SR
  • 17.  Inferior Rectus:  Action – depression, downward rotation, adduction
  • 18.  Superior Oblique:  Keeps the eyeballs level as the head tilts  Longest of the EOMs  Passes through a “pully” called the trochlea  Redirects the action  Action:  Abduction of globe  Depression of globe  Rotation of globe
  • 19. Inferior Oblique:  Passes underneath the inferior rectus  Action:  Elevation of globe  Adduction of globe  Rotation of globe  Keeps the eyeballs level as the head tilts