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
rectusCommon tendinous ring Superior aspect of eyeball,
posterior to the corneoscleral
junctionElevates,
adducts, and
medially rotates
eyeballOculomotor nerve
(CN III) -superior
divisionOphthalmic
arteryInferior
rectusCommon tendinous ring Inferior aspect of eyeball,
posterior to corneoscleral
junctionDepresses,
adducts, and
laterally rotates
eyeballOculomotor nerve
(CN III) -superior
divisionOphthalmic
arteryMedial
rectusCommon tendinous ring Medial aspect of eyeball,
posterior to corneoscleral
junctionAdducts eyeball Oculomotor nerve
(CN III) -superior
divisionOphthalmic
arteryLateral
rectusCommon tendinous ring Lateral aspect of eyeball,
posterior to corneoscleral
junctionAbducts eyeball Abducent nerve (CN
VI)Ophthalmic
arterySuperior
obliqueBody of sphenoid, above
optic foramen and medial
origin of superior rectusPasses through trochlea and
attaches to superior sclera
between superior and lateral rectiAbducts,
depresses, and
medially rotates
eyeballTrochlear nerve
(CN IV)Ophthalmic
arteryInferior
obliqueAnterior floor of orbit lateral
to nasolacrimal canalLateral sclera deep to lateral
rectusAbducts, elevates,
and laterally
rotates eyeballOculomotor nerve
(CN III) -inferior
divisionOphthalmic
arteryMuscles of
eyelids
Levator
palpebrae
superiorisLesser wing of sphenoid,
anterior to optic canalSuperior tarsal plate Raises upper
eyelidOculomotor nerve
(CN III) -superior
divisionOphthalmic
arteryOrbicularis
oculiMedial orbital margin,
palpebral ligament, and
lacrimal boneSkin around orbit palpebral
ligament, upper and lower
eyelidsCloses 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
pupilConstricts pupil Parasympathetic
fibers via
occulomotor (CN III)Ophthalmic
arteryDilator
pupillae
(iris)Ciliary body Dilates pupil Sympathetic fibers
via long ciliary
nerves (CN V 1 )Ophthalmic
arteryCiliary
musclesCorneoscleral junction Ciliary body Controls lens
shape
(accommodation)Parasympathetic
fibers via short
ciliary nerves (CN
V 1 )Ophthalmic
artery