•ORGANUM VISUS (VISUAL SYSTEM) •ORGANUM VISUS (VISUAL SYSTEM) •TUNICA FIBROSA BULBI •- sclera: posterior 5/6 of eye •- cornea: anterior 1/6 of eye •Sclera (diameter: 11-12 mm) •lamina cribrosa sclerae •fascia bulbi (Tenoni) → spatium episclerale •spatium perichoroideum •Cornea (diameter: 7-8 mm) •facies anterior et posterior corneae •limbus corneae •sclerocorneal junction - sulcus sclerae •- venous sinus sinus venosus sclerae (Schlemm‘s canal) •Tunica - fibrosa bulbi - vasculosa bulbi - interna bulbi oko9 •tunica fibrosa bulbi •sclera •cornea • •tunica vasculosa bulbi •choroidea • •corpus ciliare •iris •tunica interna bulbi retina •linea visus •axis oculi •fovea centralis retinae •discus nervi optici •choroidea (choroid) •corpus ciliare (ciliary body) •iris (iris) •TUNICA VASCULOSA BULBI •m. ciliaris •(ciliary m.) •CILIARY BODY (CORPUS CILIARE) •fibrae meridionales •fibrae circulares •processus ciliares •plicae ciliares •corona ciliaris •orbiculus ciliaris •fibrae zonulares • •zonula ciliaris oko-1 • • • oko-6a • •fibrae zonulares •processus ciliares • •pars optica retinae •ora serrata •plicae ciliares •corona ciliaris • •orbiculus ciliaris • •zonula ciliaris • •CILIARY BODY (CORPUS CILIARE) •IRIS •margo pupillaris •margo ciliaris •facies anterior et posterior iridis •angulus iridocornealis → •reticulum trabeculare oko9 •m. sphincter pupillae – parasympathetic fibres - miosis •m. dilatator pupillae – sympathetic fibres - mydriasis oko-1 cornea sclera nucleus •capsula •fibrae zonulares corpus ciliare •(spatia zonularia) •angulus iridocornealis- •reticulum trabeculare •TUNICA INTERNA BULBI •RETINA •pars optica retinae •stratum pigmenti retinae (pigmented layer) •stratum neuroepitheliale (layer of rods and cones) •stratum ganglionare nervi optici (ganglionic layer of optic nerve) •(pars ciliaris retinae, pars iridica retinae) •pars caeca retinae •ora serrata •pars optica retinae •stratum ganglionare retinae (ganglionic layer of retina) zrak11u •NEURONS OF RETINA 1 1 Kopie ret3 oko2 oko1 •2. macula (lutea) - fovea centralis •1. discus nervi optici - excavatio disci 1 2 1 2 •branches of •a. et v. centralis retinae •Ophthalmoscopic picture to view eye fundus Ophthalmoscopic picture •Diabetic retinopathy Diabetická retinopatie oko-1 cornea •c. b.a. •lamina limitans post. (Descemet‘s membrane) •sinus venosus sclerae •(Schlemm‘s canal) sclera nucleus •capsula •fibrae zonulares c.b.p. corpus ciliare •(spatia zonularia) •reticulum trabeculare oko10 •camera vitrea •(corpus vitreum, vitreal body) •a. et v. centralis retinae •aa. ciliares posteriores •v. vorticosa •a. et. v. ciliares •anteriores •c. b.a. c.b.p. c.b.p. •anulus tendineus comm. oko8 79b 79a •m. levator palpebrea superioris (m. tarsalis sup.) •Palpebrae – eye lids • •- tarsus sup. et inf. •- lig. palpebrale med. et lat. •- rima palpebrarum •- rivus lacrimalis •- angulus oculi medialis et lateralis •- gll. tarsales (Meibomi) – flow into rima (sebaceous) •- gll.ciliares (Molli) – openings are related with rima et cilie (apocrine sudorific) •- gll. sebaceae (Zeisi) – openings are related with cilie (holocrine sebaceous) •-- hordeolum • •Tunica conjunctiva - conjunctiva •tunica conjunctiva bulbi et palpebrarum conjunctiva of eyeball and eye lids •fornix conjunctivae sup. et inf. eyelid3 • • • •corpus adiposum •orbitae •vagina (fascia) •bulbi (Tenoni) eyelid3 https://farm4.staticflickr.com/3942/15007162483_1843ff9f14_o.jpg •M. orbitalis enofthalmus •Horner‘s syndrome •Horner‘s triad: miosis, ptosis of eyelid, enophthalmus •Injury/compression – cervical sympathetic, both preganglionic and postganglionic (plexus caroticus) Central (anhidrosis of face, arm and trunk) Syringomyelia Multiple sclerosis Encephalitis Brain tumors Lateral medullary syndrome Preganglionic (anhidrosis of face) Cervical rib traction on stellate ganglion Thyroid carcinoma Thyroidectomy Goiter Bronchogenic carcinoma of the superior fissure (Pancoast tumor) on apex of lung Klumpke paralysis Trauma - base of neck, usually blunt trauma, sometimes surgery. As a complication of tube thoracostomy Thoracic aortic aneurysm Postganglionic (no anhidrosis) Cluster headache - combination termed Horton's headache An episode of Horner's syndrome may occur during a migraine attack and be relieved afterwards^[2] Carotid artery dissection/carotid artery aneurysm Cavernous sinus thrombosis Middle ear infection