By Edward L. Raab, MD, JD
Examines the scientific positive factors, analysis and remedy of esodeviations and exodeviations, horizontal and vertical deviations, amblyopia and particular kinds of strabismus. Discusses the whole variety of pediatric ocular issues, extraocular muscle anatomy, motor and sensory body structure and the way to set up rapport with little ones in the course of an ocular exam. includes various pictures, together with colour pictures. lately revised 2010 2011.
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Extra resources for 2011-2012 Basic and Clinical Science Course, Section 6: Pediatric Ophthalomology and Strabismus (Basic & Clinical Science Course)
Dev Ophtha/mol. 2007;40: 132- 157. Anatomical Considerations During Surgery The nerves to the rectus muscles and the superior oblique muscle enter the muscles approximately one-third of the d istance fro m the origin to the inserti o n (or trochlea, in the case of the sup erior oblique muscle). Damaging these nerves during anterior surgery is difficult but not impossible. An instrument thrust more than 26 mm posterior to th e rectus muscle's insertion may cause injury to th e nerve. Cranial nerve IV is outside the muscle cone and would not be affected by a retrobulbar block.
The orbital layer of the inferi or oblique muscle inserts partly on the conjoined in ferior obliquelinferior rectus puLleys, partly on the inferior obliq ue sheath temporall y, and partly on the inferior aspect of the lateral rectus p ulley, form ing a connective tissue "hammock" across the inferior o rbit. The Sill oath muscle retracto rs of the lower eyelid (the Mu ller inferior tarsa l muscle) and con nec tive tissues exte nding to th e inferior tarsal plate are also coupled to the conjoined inferi or rectus/inferior oblique Horizontal section Anterior slings e SR tendon MR tendon IR tendon • Tendon Striated muscle --:----Smooth muscle SO Sleeves Posterior slings LPS-=:=;;Z~~; LA 1 ,/ 't MA :.
In primary position , the muscle's primary action is exto rsion (excycloduction ), secondar y act ion is elevat ion, and te rtiary action is abductio n. Helvesto n EM. The influence of superior oblique anatomy o n fun ctio n and treatme nt. The 1998 Bielsc howsky Lec ture. BitlOwl Vis Strabismus Q. 1999; 14( I): 16- 26. Levator Palpebrae Superioris Muscle The levator palpebrae superi oris muscle ar ises at the apex of the orbit from the lesser wing of the sphenoid bone just superi or to the annulus of Zinn oThe origin of th is muscle blends with th e su peri or rectus muscle inferiorl y and with the superior oblique muscl e medi all y.
2011-2012 Basic and Clinical Science Course, Section 6: Pediatric Ophthalomology and Strabismus (Basic & Clinical Science Course) by Edward L. Raab, MD, JD