Basic sciences for ophthalmology by Louise A Bye; Neil C Modi; Miles Stanford

By Louise A Bye; Neil C Modi; Miles Stanford

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29). Orbit and adnexa capsule of the lacrimal gland and orbital wall. It acts as a fulcrum for the levator palpebrae. The preaponeurotic fat pad, an important surgical landmark, lies between the posterior surface of the septum and the levator aponeurosis. The levator aponeurosis passes anteriorly and inferiorly and has four attachments (Fig. 28): The lacrimal gland Structure ● ● ● ● ● The lacrimal gland is a bilobed tubulo-acinar exocrine gland that resides in the anterior supero-temporal aspect of the orbit and lies entirely behind the septum (Fig.

Passing through the lamina cribrosa, the central retinal artery performs its task as an end artery to the retina. Despite small communications with the pial plexus and the circle of Zinn, the central retinal artery is usually considered separate to the ciliary arteries. The cilioretinal artery Cilioretinal arteries are present within 20% of the population and supply the retina between the macula and the optic nerve from a posterior ciliary artery source. This supply includes the nerve fibres from the foveal photoreceptors.

33 Chapter 1 Anatomy (b) (a) 34 (c) Fig. 25 Insertions of extraocular muscles. (a) Frontal view. (b) Back view. (c) Spiral of Tillaux. Reproduced from David R. Jordan, Louise Mawn and Richard L. 2C, Page 116, 2012, with permission from Oxford University Press. Relations Above—superior oblique muscle, the ophthalmic artery and branches therein, the nasociliary nerve. Below—floor of the orbit. The inferior rectus Innervation The inferior division of the third cranial nerve. It inserts superiorly at the proximal second quarter of the muscle.

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