Atlas of Human Anatomy by Netter

(Darren Dugan) #1

Intrinsic (intraocular) muscles
Ciliary muscle
Constrictor pupillae of iris
Dilator pupillae of iris
Extrinsic (extraocular) muscles
Six muscles
Four arise from common tendineus ring surrounding optic canal and part of superior orbital fissure
Lateral and medial rectus (2)
a. Lie in same horizontal plane
b. Rotate eyeball laterally and medially, respectively
Superior and inferior rectus (2)
a. Lie in same vertical plane
b. Pull eyeball superiorly and inferiorly, respectively
Inferior oblique
a. Works with superior rectus
b. Pulls eyeball superiorly and laterally
Superior oblique
a. Works with inferior rectus
b. Pulls eyeball inferiorly and laterally
Sheathed by reflection of fascial sheath around eyeball (Tenon's capsule)
Medial and lateral check ligaments
a. Triangular expansions of sheath of medial and lateral rectus muscles
b. Attached to lacrimal and zygomatic bones
c. Limit abduction and adduction
Suspensory ligament
a. Union of check ligaments with fascia of inferior rectus and inferior oblique muscles
b. Forms sling that supports eyeball


Muscle Origin Insertion Action Nerve Supply Blood Supply
Extrinsic
muscles of
the eyeball
Superior
rectus

Common tendinous ring Superior aspect of eyeball,
posterior to the corneoscleral
junction

Elevates,
adducts, and
medially rotates
eyeball

Oculomotor nerve
(CN III) -superior
division

Ophthalmic
artery

Inferior
rectus

Common tendinous ring Inferior aspect of eyeball,
posterior to corneoscleral
junction

Depresses,
adducts, and
laterally rotates
eyeball

Oculomotor nerve
(CN III) -superior
division

Ophthalmic
artery

Medial
rectus

Common tendinous ring Medial aspect of eyeball,
posterior to corneoscleral
junction

Adducts eyeball Oculomotor nerve
(CN III) -superior
division

Ophthalmic
artery

Lateral
rectus

Common tendinous ring Lateral aspect of eyeball,
posterior to corneoscleral
junction

Abducts eyeball Abducent nerve (CN
VI)

Ophthalmic
artery

Superior
oblique

Body of sphenoid, above
optic foramen and medial
origin of superior rectus

Passes through trochlea and
attaches to superior sclera
between superior and lateral recti

Abducts,
depresses, and
medially rotates
eyeball

Trochlear nerve
(CN IV)

Ophthalmic
artery

Inferior
oblique

Anterior floor of orbit lateral
to nasolacrimal canal

Lateral sclera deep to lateral
rectus

Abducts, elevates,
and laterally
rotates eyeball

Oculomotor nerve
(CN III) -inferior
division

Ophthalmic
artery

Muscles of
eyelids
Levator
palpebrae
superioris

Lesser wing of sphenoid,
anterior to optic canal

Superior tarsal plate Raises upper
eyelid

Oculomotor nerve
(CN III) -superior
division

Ophthalmic
artery

Orbicularis
oculi

Medial orbital margin,
palpebral ligament, and
lacrimal bone

Skin around orbit palpebral
ligament, upper and lower
eyelids

Closes eyelids Facial nerve (CN
VII)

Facial and
superficial
temporal
arteries
Intrinsic
muscles of
the eye
Sphincter
pupillae
(iris)

Circular smooth muscle of
the iris that passes around
pupil

Constricts pupil Parasympathetic
fibers via
occulomotor (CN III)

Ophthalmic
artery

Dilator
pupillae
(iris)

Ciliary body Dilates pupil Sympathetic fibers
via long ciliary
nerves (CN V 1 )

Ophthalmic
artery

Ciliary
muscles

Corneoscleral junction Ciliary body Controls lens
shape
(accommodation)

Parasympathetic
fibers via short
ciliary nerves (CN
V 1 )

Ophthalmic
artery
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