BDS Previous Examination Question And Answers<\/a><\/strong><\/p>\n2. Voluntary muscles:<\/strong><\/p>\n<\/p>\n
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Muscles of Eyeball Applied anatomy:<\/strong><\/p>\n\n- Paralysis of muscles of eyeball causes various symptoms<\/li>\n<\/ul>\n
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Question 2. Nerves of the orbit (or) Lateral rectus muscle of eyeball<\/strong>
\nAnswer:<\/strong><\/p>\n1. Lateral Rectus Muscle Of Eyeball Optic nerve:<\/strong><\/p>\n\n- Lateral Rectus Muscle Of Eyeball Optic nerve<\/strong> is the nerve of sight<\/li>\n
- Lateral Rectus Muscle Of Eyeball Optic nerve<\/strong>\u00a0is made up of the axons of cells in the ganglionic layer of the retina<\/li>\n
- Lateral Rectus Muscle Of Eyeball Optic nerve<\/strong>\u00a0emerges from the eyeball 3 or 4 mm nasal to its posterior pole<\/li>\n
- Lateral Rectus Muscle Of Eyeball Optic nerve<\/strong>\u00a0is enclosed in three meningeal sheaths<\/li>\n
- Lateral Rectus Muscle Of Eyeball Optic nerve<\/strong>\u00a0cannot degenerate once it is cut<\/li>\n<\/ul>\n
2. Lateral Rectus Muscle Of Eyeball Oculomotor nerve:<\/strong><\/p>\n\n- Lateral Rectus Muscle Of Eyeball Oculomotor nerve<\/strong> is third cranial nerve<\/li>\n
- Lateral Rectus Muscle Of Eyeball Oculomotor nerve<\/strong>\u00a0 is distributed to the extraocular & intraocular muscles<\/li>\n
- Functional components:<\/strong>\n
\n- General somatic efferent<\/li>\n
- General visceral efferent<\/li>\n
- General somatic afferent<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n
Optic nerve Nucleus:<\/strong><\/p>\n\n- Optic nerve Nucleus<\/strong>\u00a0is situated in the ventromedial part of central grey matter of midbrain at the level of superior colliculus<\/li>\n<\/ul>\n
3. Trochlear nerve:<\/strong><\/p>\n\n- Trochlear nerve<\/strong>\u00a0is fourth cranial nerve<\/li>\n
- Trochlear nerve<\/strong>\u00a0supplies superior oblique muscle of the eyeball<\/li>\n
- Functional components:<\/strong>\n
\n- General somatic efferent<\/li>\n
- General somatic afferent<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n
Nucleus:<\/strong><\/p>\n\n- Nucleus<\/strong>\u00a0is situated in the ventromedial part of central grey matter of midbrain at the level of inferior colliculus<\/li>\n<\/ul>\n
4. Abducent nerve:<\/strong><\/p>\n\n- Abducent nerve<\/strong>\u00a0 is sixth cranial nerve<\/li>\n
- Abducent nerve<\/strong>\u00a0supplies the lateral rectus muscle of the eyeball<\/li>\n
- Abducent nerve Functional components:<\/strong>\n
\n- General somatic efferent<\/li>\n
- General somatic afferent<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n
Abducent nerve Nucleus:<\/strong><\/p>\nAbducent nerve Nucleus<\/strong>\u00a0is situated in the upper part of the floor of fourth ventricle in the lower pons<\/p>\n5. Branches of ophthalmic & maxillary divisions of the trigeminal nerve:<\/strong><\/p>\n\n- Branches of ophthalmic divisions:<\/strong><\/li>\n<\/ol>\n
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\n- Branches of maxillary division:<\/strong><\/li>\n<\/ul>\n
\n- Infraorbital nerve:<\/strong>\n
\n- Infraorbital nerve<\/strong>\u00a0enters the orbit through the inferior orbital fissure
\nBranches:<\/strong><\/p>\n\n- Middle superior alveolar nerve<\/li>\n
- Anterior superior alveolar nerve<\/li>\n
- Terminal branchespalpebral, nasal & labial<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n
- Zygomatic nerve:<\/strong>\n
\n- Zygomatic nerve<\/strong>\u00a0enters the orbit through the lateral end of the inferior orbital fissure<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n
Branches:<\/strong><\/p>\n<\/p>\n
6. Sympathetic nerves:<\/strong><\/p>\n\n- Arises from the internal carotid plexus<\/li>\n
- Sympathetic nerves<\/strong>\u00a0enter the orbit through\n
\n- Ophthalmic nerve<\/li>\n
- Nasociliary nerve<\/li>\n
- Long Ciliary branches<\/li>\n
- Plexus surrounding ophthalmic artery<\/li>\n
- Direct branch from internal carotid plexus<\/li>\n
- Oculomotor, Trochlear, Abducent & ophthalmic nerves<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n
Question 3. Give the positions, connections & branches of ciliary ganglion (or) Ciliary Ganglion<\/strong>
\nAnswer:<\/strong><\/p>\nCiliary Ganglion Position:<\/strong><\/p>\n\n- Ciliary ganglion lies near the apex of the orbit between the optic nerve & the tendons of the lateral rectus muscle<\/li>\n
- Ciliary Ganglion Position<\/strong>\u00a0is related to nasociliary nerve<\/li>\n<\/ul>\n
Ciliary Ganglion Roots:<\/strong><\/p>\n<\/p>\n
Ciliary Ganglion Branches:<\/strong><\/p>\n\n- The ganglion gives off 810 short Ciliary nerves which further divide into 1520 branches<\/li>\n
- Ciliary Ganglion Branches<\/strong>\u00a0also contains fibres from the roots of te ganglion<\/li>\n<\/ul>\n
Ciliary Ganglion Actions of its branches:<\/strong><\/p>\n\n- Narrowing the size of pupil by supplying constrictor muscle<\/li>\n
- Increasing the curvature of anterior surface of lens by supplying ciliaris muscle<\/li>\n<\/ul>\n
Question 4. Vessels of the orbit<\/strong>
\nAnswer:<\/strong><\/p>\n1. Ophthalmic artery:<\/strong><\/p>\n\n- Ophthalmic artery<\/strong>\u00a0is a branch of the cerebral part of the internal carotid artery<\/li>\n
- Ophthalmic artery<\/strong>\u00a0enters the orbit through the optic canal<\/li>\n<\/ul>\n
Vessels of the orbit Branches:<\/strong><\/p>\n\n- Central artery of retina<\/li>\n
- Branches arising from the lacrimal artery\n
\n- Branches given to the lacrimal gland<\/li>\n
- 2 zygomatic branches<\/li>\n
- Lateral palpebral branches supplying the eyelids<\/li>\n
- A recurrent meningeal branch<\/li>\n
- Muscular branches supplying muscles of orbit<\/li>\n<\/ul>\n<\/li>\n
- Branches arising from the main trunk\n
\n- Posterior ciliary arteries<\/li>\n
- Supraorbital & Supratrochlear<\/li>\n
- Anterior & posterior ethmoidal<\/li>\n
- Medial palpebral<\/li>\n
- Dorsal nasal<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n
2. Ophthalmic veins:<\/strong><\/p>\n\n- Superior ophthalmic vein\n
\n- Lies above the optic nerve<\/li>\n
- Receives tributaries from branches of ophthalmic artery<\/li>\n
- Drains into cavernous sinus<\/li>\n<\/ul>\n<\/li>\n
- Inferior ophthalmic vein\n
\n- Lies below the optic nerve<\/li>\n
- Receives tributaries from the lacrimal sac, lower orbital muscles & eyelids<\/li>\n
- Joins superior ophthalmic vein<\/li>\n
- Drains into cavernous sinus<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n
3. Lymphatics:<\/strong><\/p>\n\n- Drains into preauricular parotid lymph node<\/li>\n<\/ul>\n
Question 5. Ophthalmic artery<\/strong>
\nAnswer:<\/strong><\/p>\nOphthalmic artery Origin:<\/strong><\/p>\n\n- Ophthalmic artery Origin<\/strong> is a branch of the cerebral part of the internal carotid artery<\/li>\n<\/ul>\n
Ophthalmic artery Course:<\/strong><\/p>\n\n- Ophthalmic Artery Course enters the orbit through the optic canal<\/li>\n
- Pierces the dura mater<\/li>\n
- Runs along the medial wall of orbit<\/li>\n
- Terminates near the medial angle of the eye by dividing into the supratrochlear and dorsal nasal branches<\/li>\n<\/ul>\n
Ophthalmic artery Branches:<\/strong><\/p>\n1. Central artery of retina<\/p>\n
\n- First and most important branch of ophthalmic artery<\/li>\n<\/ol>\n
2. Branches arising from the lacrimal artery<\/p>\n
\n- Branches given to lacrimal gland<\/li>\n
- Two zygomatic branches<\/li>\n
- Lateral palpebral branches supplying the eyelids<\/li>\n
- A recurrent meningeal branch<\/li>\n
- Muscular branches supplying muscles of orbit<\/li>\n<\/ol>\n
3. Branches arising from the main trunk<\/p>\n
\n- Posterior ciliary arteries<\/li>\n
- Supraorbital and supratrochlear<\/li>\n
- Anterior and posterior ethmoidal<\/li>\n
- Medial palpebral<\/li>\n
- Dorsal nasal<\/li>\n<\/ol>\n
Ophthalmic artery Applied aspect:<\/strong><\/p>\n\n- Central artery of retina is only arterial supply to retina<\/li>\n
- If it gets blocked then it leads to sudden blindness<\/li>\n<\/ul>\n
Question 6. Extraocular muscles and their actions.<\/strong>
\nAnswer:<\/strong><\/p>\n<\/p>\n
Question 7. Nasociliary nerve. (or) Name branches of nasociliary nerve<\/strong>
\nAnswer:<\/strong><\/p>\n\n- Nasociliary is one of the terminal branches of the ophthalmic division of the trigeminal nerve<\/li>\n<\/ul>\n
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Question 8. Short ciliary nerve<\/strong>
\nAnswer:<\/strong><\/p>\n\n- The Postganglionic parasympathetic fibres from ciliary ganglion are distributed to the eyeball through the short ciliary nerves<\/li>\n<\/ul>\n
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Question 9. Fascial sheath of eyeball<\/strong>
\nAnswer:<\/strong><\/p>\n\n- Fascial sheath of eyeball<\/strong>\u00a0is a layer of fascia that encloses a major part of eyeball<\/li>\n
- Fascial sheath of eyeball<\/strong>\u00a0is pierced by<\/li>\n<\/ul>\n
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\n- Tendons of various extraocular muscle<\/li>\n
- Ciliary vessels & nerve\n
\n- It gives off a number of expansions like\n
\n- Tubular sheath<\/li>\n
- Medial check ligament<\/li>\n
- Lateral check ligament<\/li>\n<\/ol>\n<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n
Fascial sheath of eyeball Extend:<\/strong><\/p>\n\n- From the optic nerve to the sclerocorneal junction<\/li>\n<\/ul>\n
Fascial sheath of eyeball Attachments:<\/strong><\/p>\n\n- Posteriorly to sclera around the point of entrance of optic nerve<\/li>\n
- Anteriorly to the sclera near the edge of cornea<\/li>\n<\/ul>\n
Fascial sheath of eyeball Significance:<\/strong><\/p>\n\n- The eyeball can freely move within this sheath<\/li>\n<\/ul>\n
Question 10. Extraocular muscles and their nerve supply<\/strong>
\nAnswer:<\/strong><\/p>\n<\/p>\n
Question 11. Nerve supply and actions of superior oblique<\/strong>
\nAnswer:<\/strong><\/p>\nSuperior Oblique Muscle of Eyeball:<\/strong><\/p>\n\n- Superior Oblique Muscle of Eyeball<\/strong>\u00a0is voluntary muscle of eyeball<\/li>\n<\/ul>\n
superior oblique Nerve Supply:<\/strong><\/p>\n\n- superior oblique Nerve Supply<\/strong>\u00a0is supplied by trochlear nerve<\/li>\n<\/ul>\n
superior oblique Actions:<\/strong><\/p>\n\n- Depresses eyeball<\/li>\n
- Abduction of eyeball<\/li>\n
- Intortion of eyeball<\/li>\n<\/ul>\n
Question 12. Infraorbital nerve<\/strong>
\nAnswer:<\/strong><\/p>\n\n- Infraorbital nerve<\/strong>\u00a0is branch of ophthalmic division of trigeminal nerve<\/li>\n
- Infraorbital nerve<\/strong>\u00a0enters the orbit through the inferior orbital fissure<\/li>\n<\/ul>\n
Infraorbital nerve Branches:<\/strong><\/p>\n\n- Middle superior alveolar nerve<\/li>\n
- Anterior superior alveolar nerve<\/li>\n
- Terminal branches palpebral, nasal and labial<\/li>\n<\/ul>\n