By K.V. Chalam, MD, PhD
Offers the basic clinical grounding for present ophthalmic perform. Discussions disguise ocular anatomy, embryology, the biochemistry and metabolism of the attention and the newest advancements in eye-related molecular and scientific genetics experiences. includes information regarding ocular pharmacotherapeutics, up to date drug info and a dialogue of the criminal features of clinical treatment. final significant revision 2009 2010.
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Additional resources for 2011-2012 Basic and Clinical Science Course, Section 2: Fundamentals and Principles of Ophthalmology (Basic & Clinical Science Course)
Extraocular Muscles There are 7 extraoc ular muscles (Figs 1- 13 through 1- 16) : 1. medial rec tus 2. late ral rectus 3. superior rec tus 4. inferio r rectus 5. superi or oblique 6. inferior oblique 7. levator palpebrae supe rio ri s Extraocular Muscle Insertions T he 4 rectus m uscles insert anterio rl y on the globe. Starting at the medi al rectus and then proceeding to th e in fe rio r rec tus, late ral rectus. and superio r rectus, the muscle in sertio ns lie progressively farther from the li mbus.
The conjunctiva is reflected at the cul-de-sac and attaches to the globe. The delicate bulbar conjunctiva is freely movable but fuses with the Tenon capsule and inserts into the limbus. Anterior ciliary arteries supply blood to the bulbar conjunctiva. The tarsal conjunctiva is supplied by branches of the marginal arcades of the lids. The proximal arcade, running along the upper border of the lid, sends branches proximally to supply the forn ical and then the bulbar conj un cti va as the posterior conjunctival arteries.
Vascu lar supply and ve nous drainage of orbital stru ctures are discussed later in this chapter. Innervation of the Extraocular Muscles The lateral rectus muscle is innervated by CN VI (abducens); the superior oblique muscle is innervated by CN IV (trochlear); the levator palpebrae superior is. superior rectus. medial rectus. inferior rectus. and inferior oblique muscles are innervated by CN III. Cranial nerve III (oculomotor) has a superior and inferior division: the upper division innervates the levator palpebrae superioris and superior rectus muscles, and the lower division innervates the medial rectus, inferior rectus, and inferior oblique muscles.
2011-2012 Basic and Clinical Science Course, Section 2: Fundamentals and Principles of Ophthalmology (Basic & Clinical Science Course) by K.V. Chalam, MD, PhD