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Nasociliary
The nasociliary nerve is a branch of the ophthalmic nerve, itself a branch of the trigeminal nerve (CN V). It is intermediate in size between the other two branches of the ophthalmic nerve, the frontal nerve and lacrimal nerve. Structure The nasociliary nerve enters the orbit via the superior orbital fissure, between the two heads of the lateral rectus muscle and between the superior and inferior rami of the oculomotor nerve. It passes across the optic nerve (CN II) and runs obliquely beneath the superior rectus muscle and superior oblique muscle to the medial wall of the orbital cavity. It passes through the anterior ethmoidal opening as the anterior ethmoidal nerve and enters the cranial cavity just below the cribriform plate of the ethmoid bone. It supplies branches to the mucous membrane of the nasal cavity and finally emerges between the inferior border of the nasal bone and the side nasal cartilages as the external nasal branch. Branches * posterior ethmoidal nerve * ante ...
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Anterior Ethmoidal Nerve
The anterior ethmoidal nerve is a nerve of the nose. It is a branch of the nasociliary nerve, itself a branch of the ophthalmic nerve (V1). It provides sensory innervation to some structures around the nasal cavity. Structure The anterior ethmoidal nerve is a terminal branch of the nasociliary nerve, a branch of the ophthalmic nerve (CN V1), itself a branch of the trigeminal nerve (CN V). It branches near the medial wall of the orbit. The anterior ethmoidal nerve arises only after the nasociliary has given off its four branches (the ramus communicans to the ciliary ganglion, the long ciliary nerves, the infratrochlear nerve, and the posterior ethmoidal nerve). It travels through the anterior ethmoidal foramen to reach the anterior cranial fossa. It then moves forward and passes through the cribriform plate to enter the nasal cavity. It gives off branches to the roof of the nasal cavity, and bifurcates into a lateral internal nasal branch and medial internal nasal branch. ...
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Ophthalmic Nerve
The ophthalmic nerve (V1) is a sensory nerve of the face. It is one of three divisions of the trigeminal nerve (CN V). It has three branches that provide sensory innervation to the eye, the skin of the upper face, and the skin of the anterior scalp. Structure The ophthalmic nerve is the first branch of the trigeminal nerve (CN V). It is joined by filaments from the cavernous plexus of the sympathetic, and communicates with the oculomotor, trochlear, and abducent nerves. It gives off a recurrent (meningeal) filament which passes between the layers of the tentorium. Branches The ophthalmic nerve divides into three major branches as it passes through the superior orbital fissure. *The nasociliary nerve gives off several sensory branches to the orbit. It then continues out through the anterior ethmoidal foramen, where it enters the nasal cavity. It provides innervation for much of the anterior nasal mucosa. It also gives off a branch which exits through the nasal bones to for ...
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Posterior Ethmoidal Nerve
The posterior ethmoidal nerve is a nerve of the orbit around the eye. It is a branch of the nasociliary nerve from the ophthalmic nerve (CN V1). It supplies sensation to the sphenoid sinus, the ethmoid sinus, and part of the dura mater in the anterior cranial fossa. Structure The posterior ethmoidal nerve is a branch of the nasociliary nerve, itself a branch of the ophthalmic nerve (CN V1), itself a branch of the trigeminal nerve (CN V). It passes through the posterior ethmoidal foramen, with the posterior ethmoidal artery. It gives branches to the sphenoid sinus and the ethmoid sinus. It also gives a branch to supply part of the dura mater in the anterior cranial fossa. Variation The posterior ethmoidal nerve is absent in a significant proportion of people. This may be around 30%. Function The posterior ethmoidal nerve supplies sensation to the sphenoid sinus and the ethmoid sinus. It also supplies sensation to part of the dura mater in the anterior cranial fossa. Othe ...
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Long Ciliary Nerves
The long ciliary nerves are 2-3 nerves that arise from the nasociliary nerve (itself a branch of the ophthalmic branch (CN V1) of the trigeminal nerve (CN V)). They enter the eyeball to provide sensory innervation to parts of the eye, and sympathetic visceral motor innervation to the dilator pupillae muscle. Anatomy Origin The long ciliary nerves branch from the nasociliary nerve as it crosses the optic nerve (CN II). Course Accompanied by the short ciliary nerves, the long ciliary nerves pierce and enter the posterior part of the sclera near where it is entered by the optic nerve, then run anterior-ward between the sclera and the choroid. Function The long ciliary nerves are distributed to the ciliary body, iris, and cornea. Sensory The long ciliary nerves provide sensory innervation to the eyeball, including the cornea. Sympathetic The long ciliary nerves contain post-ganglionic sympathetic fibers from the superior cervical ganglion for the dilator pupillae ...
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Infratrochlear Nerve
The infratrochlear nerve is a branch of the nasociliary nerve, itself a branch of the ophthalmic nerve. Structure The nasociliary nerve terminates by bifurcating into the infratrochlear and the anterior ethmoidal nerves. The infratrochlear nerve travels anteriorly in the orbit along the upper border of the medial rectus muscle and underneath the trochlea of the superior oblique muscle. It exits the orbit medially and divides into small sensory branches. Function The infratrochlear nerve provides sensory innervation to the skin of the eye lids, the conjunctiva, lacrimal sac, lacrimal caruncle and the side of the nose above the medial canthus. Etymology The infratrochlear nerve is named after a structure it passes under. ''Infratrochlear'' means "below the trochlea Trochlea (Latin for pulley) is a term in anatomy. It refers to a grooved structure reminiscent of a pulley's wheel. Related to joints Most commonly, trochleae bear the articular surface of saddle and other joi ...
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Ophthalmic Nerve
The ophthalmic nerve (V1) is a sensory nerve of the face. It is one of three divisions of the trigeminal nerve (CN V). It has three branches that provide sensory innervation to the eye, the skin of the upper face, and the skin of the anterior scalp. Structure The ophthalmic nerve is the first branch of the trigeminal nerve (CN V). It is joined by filaments from the cavernous plexus of the sympathetic, and communicates with the oculomotor, trochlear, and abducent nerves. It gives off a recurrent (meningeal) filament which passes between the layers of the tentorium. Branches The ophthalmic nerve divides into three major branches as it passes through the superior orbital fissure. *The nasociliary nerve gives off several sensory branches to the orbit. It then continues out through the anterior ethmoidal foramen, where it enters the nasal cavity. It provides innervation for much of the anterior nasal mucosa. It also gives off a branch which exits through the nasal bones to for ...
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Long Root Of The Ciliary Ganglion
The ciliary ganglion is a parasympathetic ganglion located just behind the eye in the posterior orbit. Three types of axons enter the ciliary ganglion but only the preganglionic parasympathetic axons synapse there. The entering axons are arranged into three roots of the ciliary ganglion, which join enter the posterior surface of the ganglion. Sympathetic root The sympathetic root of ciliary ganglion is one of three roots of the ciliary ganglion. It contains ''postganglionic'' sympathetic fibers whose cell bodies are located in the superior cervical ganglion. Their axons ascend with the internal carotid artery as a plexus of nerves, the internal carotid plexus. Sympathetic fibers supplying the eye separate from the carotid plexus within the cavernous sinus. They run forward through the superior orbital fissure and merge with the long ciliary nerves (branches of the nasociliary nerve) and the short ciliary nerves (from the ciliary ganglion). Sympathetic fibers in the short cil ...
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Ciliary Ganglion
The ciliary ganglion is a bundle of nerve parasympathetic ganglion located just behind the eye in the posterior orbit. It is 1–2 mm in diameter and in humans contains approximately 2,500 neurons. The ganglion contains postganglionic parasympathetic neurons. These neurons supply the pupillary sphincter muscle, which constricts the pupil, and the ciliary muscle which contracts to make the lens more convex. Both of these muscles are involuntary since they are controlled by the parasympathetic division of the autonomic nervous system. The ciliary ganglion is one of four parasympathetic ganglia of the head. The others are the submandibular ganglion, pterygopalatine ganglion, and otic ganglion. Structure The ciliary ganglion contains postganglionic parasympathetic neurons that supply the ciliary muscle and the pupillary sphincter muscle. Because of the much larger size of the ciliary muscle, 95% of the neurons in the ciliary ganglion innervate it compared to the pupillary sphin ...
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Corneal Reflex
The corneal reflex, also known as the blink reflex or eyelid reflex, is an involuntary blinking of the eyelids elicited by stimulation of the cornea (such as by touching or by a foreign body), though it could result from any peripheral stimulus. Stimulation should elicit both a direct and consensual response (response of the opposite eye). The reflex occurs at a rapid rate of 0.1 seconds. The purpose of this reflex is to protect the eyes from foreign bodies and bright lights (the latter known as the optical reflex). The blink reflex also occurs when sounds greater than 40–60 dB are made. The reflex is mediated by: * the nasociliary branch of the ophthalmic branch (V1) of the trigeminal nerve (CN V) sensing the stimulus on the cornea only (afferent fiber). * the temporal and zygomatic branches of the facial nerve (CN VII) initiating the motor response (efferent fiber). * the center (nucleus) is located in the pons of the brainstem. Use of contact lenses may diminish or abo ...
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Lacrimal Nerve
The lacrimal nerve is the smallest branch of the ophthalmic nerve (V1), itself a branch of the trigeminal nerve (CN V). The other branches of the ophthalmic nerve are the frontal nerve and nasociliary nerve. Structure The lacrimal nerve branches from the ophthalmic nerve immediately before traveling through the superior orbital fissure to enter the orbit. It travels through it lateral to the frontal nerve outside the annulus of Zinn. After entering, it travels anteriorly along the lateral wall with the lacrimal artery, above the upper margin of the lateral rectus. It receives a communicating branch from the zygomatic nerve which carries the postganglionic parasympathetic axons from the pterygopalatine ganglion. It travels through the lacrimal gland giving sensory and parasympathetic branches to it and then continues anteriorly as a few small sensory branches. Function The lacrimal nerve provides sensory innervation to the lacrimal gland, conjunctiva of the lateral upper e ...
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Lateral Rectus Muscle
Lateral is a geometric term of location which may refer to: Healthcare *Lateral (anatomy), an anatomical direction * Lateral cricoarytenoid muscle * Lateral release (surgery), a surgical procedure on the side of a kneecap Phonetics *Lateral consonant, an l-like consonant in which air flows along the sides of the tongue **Lateral release (phonetics), the release of a plosive consonant into a lateral consonant Other uses *''Lateral'', journal of the Cultural Studies Association *Lateral canal, a canal built beside another stream *Lateral hiring, recruiting that targets employees of another organization *Lateral mark, a sea mark used in maritime pilotage to indicate the edge of a channel * Lateral stability of aircraft during flight *Lateral pass, a type of pass in American and Canadian football *Lateral support (other), various meanings *Lateral thinking, the solution of problems through an indirect and creative approach *Lateral number, a proposed alternate term for ima ...
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Oculomotor Nerve
The oculomotor nerve, also known as the third cranial nerve, cranial nerve III, or simply CN III, is a cranial nerve that enters the orbit through the superior orbital fissure and innervates extraocular muscles that enable most movements of the eye and that raise the eyelid. The nerve also contains fibers that innervate the intrinsic eye muscles that enable pupillary constriction and accommodation (ability to focus on near objects as in reading). The oculomotor nerve is derived from the basal plate of the embryonic midbrain. Cranial nerves IV and VI also participate in control of eye movement. Structure The oculomotor nerve originates from the third nerve nucleus at the level of the superior colliculus in the midbrain. The third nerve nucleus is located ventral to the cerebral aqueduct, on the pre-aqueductal grey matter. The fibers from the two third nerve nuclei located laterally on either side of the cerebral aqueduct then pass through the red nucleus. From the r ...
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