Ocular Motility

Created for NBEO part 1

91 cards   |   Total Attempts: 188
  

Cards In This Set

Front Back
What is listing's plane?
Plane normal to the visual axis passing through the center of rotation of the eyerotations around these axis define secondary positions of gazeTertiary positions of gaze are OBLIQUELine of site = XUp and down = Zhorizontal = Y
What are DUCTIONS?
monocular rotationab= around the Z axis AWAY from the midlineAD = around the Z axis TOWARD the midlineElevation: around the Y axis: upDepression: around the Y axis: DOWNIncyclorsion: around the X axis upper eye inwardExcyclotorsion: around the X axis upper eye outward
Versions:
binocular movements resulting in the visual axes of BOTH eyes moving in the SAME direction
CONJUGATE movementsdextroversion: to the RIGHT (rotation around the Z axis)levoversion: to the LEFT (rotating around the Z axis)
Dextrocycloversion: rotating both eyes RIGHT around the X axis so upper part to pt. right
Levocycloversion: rotationg both eyes around X axis so upper part to pt. Left
Dextrocycloversion and levocycloversion = like windshield wipers. :)
Vergence:
disconjugate movments of the two eyesThe visual axes of the two eyes move in OPPOSITE directions
Convergence: rotation around the Z axis TOWARD the midline
Divergence: rotation around the Z axis AWAY from the midline
Incyclovergence: rotation around the X axis so top of both eyes tilted INWARD
Excyclovergence: rotation around the X axis so top of both eyes pointed OUTWARD
What are the 6 EOMs?
Superior rectus, inferior rectus, medial rectus, lateral rectus, superior oblique, inferior oblique
Superior rectus
Primary: elevationSecondary: intorsionTertiary: aDductioninserts on the top of the eye: 23 degrees from the visual axisCNIII
Inferior rectus:
Primary: depressionSecondary: extorsiontertiary: aDduction
forms angle of 23 degrees with the visual axisinserted on the BOTTOM of the eyeCNIII
Medial rectus:
Primary: ADductioninserted on the medial portion of the eyeCNIII
Lateral rectus
ABducts the eyeinserts on lateral portion of the eyeCN6
Superior oblique:
Inserts on the SUPERIOR eye after passing through the troclea in the back upper temporal regionPrimary: INTORSIONSecondary: depressionTertiary: aBduction51-55degrees toward the nose is it's primary actionCNIV
Inferior oblique:
Posterior inferior temporal portion of the eye: angle of 51 degreesPrimary: EXTORTIONSecondary: ElevationTertiary: ABduction
CNIII
Where do the superior and inferior recti muscles attach?
anterior portion of the globe: anterior to the equatorSUperior rectus: anterior lateral globeInferior rectus: anterior lateral globe
Where do the OBLIQUE muscles attach?
posterior the equator of the globeSuperior oblique: posterior lateral sideInferior oblique: posterior lateral side
Hering's law of equal innervation:
muscles work in pairs to move the eyeSynergistic cooperation allow for highly precise muscle control and single visionThe two yoked muscles receive equal innervation: paired are the LR and MR, SR and IO, IR and SO
Donder's law
The orientation of the eyes in 3 dimensions will be determined UNIQUELY for any direction of gaze.
This orientation is always the same (for that unique gaze) regardless of where the eye was initially positioned before the gaze.
The path or starting location is not important to eh orientation at the final destination