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Physiology of The
Eyes
Maharani cahyono
Ophthalmology Department
Medical Faculty Diponegoro University
TIK
MAMPU MENJELASKAN STRUKTUR ANATOMI ORBITA,
BULBUS OKULI DAN ORGAN AKSESORIUS SERTA
FUNGSINYA
EYE
Surrounded by orbital
bones
Cushioned by pads of fat
Extraocular muscles help
move the eye in different
directions
Nerve signals that contain
visual information
transmitted through the optic
nerve to the brain
ORBIT
Pyramid 4 dinding
Rim < lingkaran di dlmnya proteksi
Volume (dws) 30 ml 1/5 bl mata, 4/5 jar periokuler
(lemak, otot, syaraf)
Bts anterior: Septum Orbita
Bts sinus: s. frontalis (atas), s. maxillaris (bwh), s.
ethmoidalis & s. sphenoidalis (med)
Ddg med & dsr orbita tipis ruptur herniasi
Orbital Wall
Atap Orbita:
Tlg Frontal klj lakrimal di fossa lacrimalis
Tlg Sphenoid (lesser wing)
Ddg lateral:
Bts dg roof fissura orbital superior
Bag antor tlg Zygomatic strongest
Orbital Wall
Dasar Orbita:
Bts dg lateral fissura orbitalis infor
Lempeng orbital tlg Maxilla blowout fractures
Antor (Rim orbita infor) tlg Maxilla (medial) + tlg
Zygomatic (lateral)
Postor processus orbital tlg Palatina
(triangular)
Ddg Medial:
Tlg ethmoid paper thin ke antor menebal
Tlg sphenoid (body) postor aspect
ORBIT
ORBITAL BONES
Blood Supply
Arteries:
Intracranial Internal Carotid a. 1st branch:
Ophthalmic a. passes beneath &
accompanies N II, branches as:
Central Retinal a. enters the N II, 8 15 mm
behind the globe
Lacrimal a. lacrimal glds
Long & Short postor Ciliary a.
Muscular branches antor Ciliary a.
Blood Supply
Arteries:
Short postor Ciliary a. N II + choroid
Long postor Ciliary a. ciliary body + major
arterial circle* of the iris (anastomose w/
antor Ciliary a.)
Antor Ciliary a. antor sclera, episclera,
limbus, conjunctiva, *
Most antor branches of Ophth a. arterial
arcade of the eyelids
BLOOD SUPPLY
Veins:
Supor & Infor Ophthalmic v.
Vortex v.
Communicate w/ Cavernous sinus & Pterygoid
venous
Drain the skin of the periorbital skin
lethal cavernous sinus thrombosis
(in cellulitis periorbital)
Antor Ciliary v.
Central Retinal v.
Annulus of Zinn
EYE BALL
CONJUNCTIVA
Transparent
Covers postor palp &
antor surface of sclera
Continuous w/:
The lid margin
(mucocutaneous
junc) Palpebral
conj
Fornices (supor &
infor)
The limbus (corneal
epithelium)
Bulbar conj
CONJUNCTIVA
The Conjunctiva:
Palpebral Conj firmly
adherent to the tarsus
Bulbar Conj loosely
attached to Tenons
capsule
Plica / semilunar fold &
caruncle
TENON CAPSULE
Fibrous membrane,
envelopes from limbus
to N II
Limbus Conj, Tenon's,
Episclera fixed together
Posteriorly lies the
sclera, contact w/ orbital
structure & muscle cone
TENON CAPSULE
Pierced by extraocular
tendons reflected
surrounding structure
orbital bone limit extr.oc
muscle Check ligaments
Inferiorly:
thicker
fuses w/ fascia of the
IR m & IO m form
the suspensory
ligaments of the
eyeball (Lockwood
ligament)
CORNEA
Transparant, avascular
Thick : 550 m (central)
vertical : 10.6mm
horizontal : 11.7mm
Nerve supply : V1
Corneal layers :
Epitel
Membr Bowman
Stroma
Membr Descemet
Endotel
UVEAL TRACT
IRIS
Pigmented, Extension of
ciliary body
Dividing the COA & COP
Central round aperture
Pupil balance of
parasympathetic (m.
Sphincter pupillae, N III) &
sympathetic (m. Dilator
pupillae) activity
Blood supply: Major circle of
the iris
Nerve supply (sensory):
Ciliary nerve
CORPUS CILIARIS
Pars plicata ciliary process
aqueous formation
Epithelium: nonpigmented,
pigmented
Ciliary muscle:
CHOROID
Lens
4 mm thick, 9 mm ,
Biconvex, avascular,
colorless, almost completely
transparent
65% water, 35% protein +
trace minerals
Supported by zonule of Zinn
at equator corpus ciliaris
Capsule: semipermeable
membrane
Potassium >> in the lens
Ascorbic, Glutathione
Iridocorneal Angle
Aquous outflow
Junc of peripheral cornea
iris root
Vitreus
Clear, avascular, gelatinous body (99% water, 1%
collagen + hyaluronic acid), 2/3 volume & weight of
the eyeball
Outer surface hyaloid membrane contact w/
postor lens capsule, zonular fibers, pars plana
epithelium, retina, N II head
Vitreous base (attachment): pars plana epithelium
& retina just behind the ora serrata
RETINA
Semitransparent,
multilayered, 2/3 postor inner
aspect of globe
Ora serrata
anterior edge of retina
(ragged edge)
6,5 mm behind SL (temporal),
5,7 mm (nasal)
At the PN II & OS ret & RPE
firmly bound limiting ret
detachment
Thickness: 0,1 mm at OS, 0,56
mm at postor pole
RETINA
Macula:
Postor pole, 5,5 6,0 mm
3 mm center macula lutea
w/ fovea centralis
Xanthophyll >>>,
photoreceptors >>>
1,5 mm center retinal
avascular zone
0,25 mm center foveola
(thinnest part of retina)
RETINA
Blood supply:
Choriocapillaris:
1/3 outer + fovea irreparable damage when RD
Fenestrated
Blood barrier RPE
EXTRAOCULAR MUSCLES
INSERTION of RECT
MUSCLES
ACTIONS
MUSCLES
Medial
Rectus
Adduction
Lateral
Rectus
Abduction
Superior
Rectus
Elevation
Intorsion
Adduction
Inferior
Rectus
Depressio
n
Extorsion
Adduction
Oblique
Sup
Intorsion
Depressio
n
Abduction
Oblique
Inf
extorsion
Elevation
Abduction
EXTRAOCULAR MUSCLES
Blood Supply:
Ophthalmic artery (muscular branch)
Also:
Lateral rectus m. Lacrimal artery
Inferior Oblique m. Infraorbital artery
Nerve Supply:
N III SR, MR, IR, IO
N IV SO
N VI LR
OCULAR ADNEXA
EYEBROWS
EYELIDS
APPARATUS LACRIMALIS
OCULAR ADNEXA
EYEBROWS
The folds of thickened
skin
Covered w/ hair
The Glabella
hairless between 2
eyebrows
EYELIDS
Skin Layer
Orbicularis Oculi
Muscle (OOM)
Areolar Tissue
Tarsal Plate
Palpebral Conjunctiva
EYELID
1. Skin Layer:
Thin, loose, elastic
Few hair follicles
NO subcutaneous fat
2. OOM:
Concentric close the lids
Inside the lid: Pretarsal & Preseptal portion
Outside the lid: Spread around the orbital
EYELI
D
3. Areolar Tissue:
Submuscular communicates w/
aponeurotic layers
4. Tarsal Plate:
5. Palpebral Conjunctiva:
3. Adhere firmly to the tarsal plate
Lacrimal Punctum:
Medial end of the postor margins
Palpebral Fissure:
Lateral canthus 0,5 cm from orb rim
Medial canthus more elliptic, surround
lacrimal lake:
Lacr caruncle modf. sweat & sebaceous glds
Plica semilunaris 3rd eyelid of lower animal
sp
Epicanthus:
Normal in Asian population & Young infants
Hiding caruncle
Orbital Septum:
Lies between Orb rim & tarsus
Serves as barrier
Pierced by:
the several vessels & nerves (lacrimal,
supra/infratrochlear, supraorbital)
Levator palp superior muscle (LPSM)
Blends w/:
Supor: Tendon of LPSM & supor tarsus
Infor: infor tarsus
Lid Retractors:
Musculofacial complex (striated & smooth
postor lamella
inserting supor eyelid into postor surface of OOM
upper lid skin crease
OCULAR ADNEXA
Blood Supply & Lymphatics:
Arteries:
Lacrimal & Ophthalmic arteries (lat & med
Veins:
Arranged in pre & post tarsal plexuses
Into Ophthalmic veins
Lymphatics:
Lateral side preauricular & parotid nodes
Medial side submandibular l.n.
OCULAR ADNEXA
The Lacrimal Apparatus:
The lacrimal complex:
The
The
The
The
The
Palpebral portion:
Just above the temporal segment of the sup or
conj fornix
Drainage of tear:
Lacr lake upper/lower puncta canaliculi
lacr sac nasolacr duct meatus nasal
cavity
Mechanism: capillary attraction, gravity,
blinking & pumping action by Horners
muscle
Nerve supply:
Sensory: Lacrimal nerve (1st div of N V)
Secretory: Great Petrosal nerve (from supor
salivary nucl)
Sympathetic nerve: accompanying the
Lacrimal artery & nerve
Related Structure:
The medial palpebral ligament connects
OPTIC NERVE
The Intra ocular:
1,5 mm
The Retrochiasmatic
THANK YOU