Front | Back |
What are the 3 types of blinking?
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1. Spontaneous2. Reflex3. Forced
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Spontaneous blinking
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Most common type of blinking. Maintains optics and comfort. Due to contraction of the palpebral portion or the orbicularis oculi NOT relaxation of the levator!
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What is the spontaneous blink rate
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15 blinks/minute
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Reflex blinking: What causes it?
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sensory stimuli. Auditory: detection of loud noises: CN8Touch/irritation: 5 senses 7 causes blinkDazzle: bright lights, CN2Menace: unexpected objects threatening the eye: CN2 causes blink response. The efferent loop of this reflex begins in the FRONTAL LOBE, blinking CAN INVOLVE cortical input!
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What is Bell's phenomenon? When does it occur?
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Voluntary closure of the lids produces an up and outward rotation of the globe for protective reasons: unlike reflex blinking, spontaneous blinking occurs in the absense of external stimulus: during a blink the globe is retracted approximately 1mm back into its socket
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Forced Blinking:
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VOLUNTARY closure that requires BOTH palpebral and orbital portions of the orbicularis: this is the closure that causes Bell's phenomenon
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What portions of the orbicularis oculi are responsible for spontaneous and reflex blinking?
What portions of the orbicularis oculi are responsible for forced blinking? |
Spontaneous and reflex: palpebral portion
Forced: orbital AND palpebral |
What glands are involved in maintainance tear production? (5 of them)
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MeibomianZeisMollKrause and Wolfring
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Meibomian glands: what type of gland are they and what tear portion do they contribute to?
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SebaceousContribute to lipid layer: BLINKING stimulates their secretionthese glands line the upper and lower eyelids
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What method do the meibomian glands use for secreting their lipids?
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holocrine
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Zeis and Moll glands: what portion of the tears do they contribute to?
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Lipid: these are sebaceous glands located in the tarsal plate. The are lesser contributers to the lipid layer
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Accessory lacrimal glands: what are the two types and where are they located? What portion of the tears do they contribute?
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Glands of Krause and WolfringKrause are in the fornix (crease)Wolfring are in the tarsal conjThese both contribute to the maintainance layer (aqueous) of the tears
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What TYPE of glands are Krause and Wolfring?
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Tubuloacinar exocrine glands
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How are the tears distributed?
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The UPPER lid blinks lateral to medially, wiping a thin film of tears over the corneal epithelium and bulbar conj.
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What layer of the tear film does each blink spread evenly over the corneal epithelium?
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The MUCOUS layer
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