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Multimedial Unit of Dept . of Anatomy JU GRAY’S Anatomy

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Page 1: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view

Multimedial Unit of Dept. of Anatomy JU

GRAY’S

Anatomy

Page 2: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view

Skull: anterior view. Rifht orbit: frontal and lateral view

Page 3: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view

Surface anatomy of the eye

Page 4: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view

Question:

● Which muscle elevates the upper eyelid and which muscle

constricts the eyelids?

● What is the innervation of these muscles?

Page 5: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view

The contents of the orbit, sagittal section.

Page 6: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view

Structure of the eyelids and conjunctiva

Page 7: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view

Lacrimal apparatus

Page 8: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view
Page 9: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view

Obstructions to lacrimal drainage

Page 10: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view

Question:

● Paralysis of which nerve (nerves) may cause the eye to dry out?

Try to guess why?

Page 11: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view

Transverse section through the eyeball

Page 12: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view

Reference lines and points on the eye

Page 13: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view

Optical axis and orbital axis

Page 14: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view

The muscles of the left orbit, lateral view.

Page 15: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view

Position ofthe lens and cornea in the eyeball

Page 16: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view

The lens and ciliary body

Page 17: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view

Growth of the lens and zones of discontinuity

Page 18: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view

Question:

● What is cataract?

Page 19: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view

Structure of the cornea

Page 20: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view

Question:

● Why a corneal transplant can be performed without

rejection response?

Page 21: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view

Pupil size

Page 22: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view
Page 23: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view

Question:

● Try to guess what may cause changes of the pupil size?

Page 24: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view

Causes of miosis and mydriasis

Page 25: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view

Structure of the iris

Page 26: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view

Question:

● What is glaucoma?

Page 27: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view

Obstruction of aqueous drainage

and glaucoma

Normal drainage of aqueous humor

Page 28: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view

Parts of the retina

Page 29: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view

Structure of the retina

Page 30: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view

The retina contains 100-125 milion rods, which are

responsible for twilight and night vision, but only about

6-7 milion cones (different cones are specialized for

the perception of red, green, and blue).

Page 31: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view

Optic disk ("blind spot")

and lamina cribrosa

Macula lutea

and fovea centralis

Page 32: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view

Arterial blood supply of the optic nerve and optic nerve head

Page 33: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view

Question:

● What can you see during ophthalmoscopic examination

of the optic fundus?

Page 34: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view

Ophthalmoscopicexamination of the optic fundus

Page 35: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view

In direct ophthalmoscopy, the following structures

can be directly evaluated:

● the condition of the retina

● the blood vessels (particularly the central retinal artery)

● the optic disk (where the optic nerve emerges from the

eyeball)

● the macula lutea and fovea centralis

Page 36: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view

Location of the extraocular muscles

(extrinsic eye muscles)

Page 37: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view

Innervation of the extraocular muscles

Page 38: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view

Function and innervation of the extraocular muscles

Page 39: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view

The six cardinal directions of gaze

Page 40: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view

Oculomotor palsies

Page 41: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view

Branches of ophthalmic artery Veins of the orbit

Page 42: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view

Innervation of the orbit

Page 43: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view

Posterior wall of the orbit: common tendinous ring and sites of passage of neurovascular

structures through the optic canal and superior orbital fissure

Page 44: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view
Page 45: GRAY’S Anatomy Multimedial Unit of Dept. of Anatomy JU · Multimedial Unit of Dept. of Anatomy JU GRAY’S Anatomy. Skull: anterior view. Rifht orbit: frontal and lateral view

Thank you very much

Fot. J. Urbaniak