2011-2012 Basic and Clinical Science Course, Section 6: by Edward L. Raab, MD, JD

By Edward L. Raab, MD, JD

Examines the medical gains, prognosis and therapy of esodeviations and exodeviations, horizontal and vertical deviations, amblyopia and unique types of strabismus. Discusses the total variety of pediatric ocular issues, extraocular muscle anatomy, motor and sensory body structure and the way to set up rapport with teenagers in the course of an ocular exam. comprises quite a few photographs, together with colour pictures. lately revised 2010 2011.

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Additional resources for 2011-2012 Basic and Clinical Science Course, Section 6: Pediatric Ophthalomology and Strabismus (Basic & Clinical Science Course)

Sample text

Acta Ophthalmol Scal'ld. 2007;85(7): 711 - 723. Orbital and Fascial Relationships Within the orbit, a complex musculofibroelastic structure suspends the globe, supports the extraocular muscles, and compartmentalizes the fat pads (Fig 2-5). In the past, the distinctness of these layers has been overstated. The extent and complexity of the interconnectedness of the orbital tissues has recently come to light and is still being investigated. Clinically, the consequences of tissue entrapment in blowout fractures and post-retrobulbar hemorrh age fibrosis of delicate fibrous septa illustrate the intense fibrous connections throughout the orbit.

Therefore, from primary position , the co ntractio n of the supe rior rectus has 3 effects: primary elevation around the x-axis, secondary intorsion arollnd the y-axis. and adduction around th e z-axis. The relative strengt h of the superior rectus muscle can be 111 0St readily observed by aligning th e visual axis parallel to the muscle plane axis- that is, when the eye is rotated 23° in abduct io n. In this position. the superior rectus becomes a pure elevator and its elevatin g act ion is maximal.

Superior oblique, and levator palpebrae sup erioris muscles; the medial muscular branch, the larger of the 2, supplies the inferio r rectus, medi al rectlls, and inferior oblique muscles. T he lateral rectus muscle is partially supplied by the lacrimal artery; the infraorbital artery partially suppli es the inferior oblique and inferior rectus muscles. The muscular branches give rise to the anterior ciliary arteries accompanying the rectus muscles; each rectus mu scle has I to 3 anterior ciliary arteries.

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