The inferior ophthalmic vein is a

vein Veins () are blood vessels in the circulatory system of humans and most other animals that carry blood towards the heart. Most veins carry deoxygenated blood from the tissues back to the heart; exceptions are those of the pulmonary and feta ...

of the

orbit In celestial mechanics, an orbit (also known as orbital revolution) is the curved trajectory of an object such as the trajectory of a planet around a star, or of a natural satellite around a planet, or of an artificial satellite around an ...

that - together with the

superior ophthalmic vein The superior ophthalmic vein is a vein of the orbit that drains venous blood from structures of the upper orbit. It is formed by the union of the angular vein, and supraorbital vein. It passes backwards within the orbit alongside the ophthalmic a ...

- represents the principal drainage system of the orbit. It begins from a venous network in the front of the orbit, then passes backwards through the lower orbit. It drains several structures of the orbit. It may end by splitting into two branches, one draining into the pterygoid venous plexus and the other ultimately (i.e. directly or indirectly) into the

cavernous sinus The cavernous sinus within the human head is one of the dural venous sinuses creating a cavity called the lateral sellar compartment bordered by the temporal bone of the skull and the sphenoid bone, lateral to the sella turcica. Structure The ...

Structure

The inferior ophthalmic vein - together with the

- represents the principal drainage system of the orbit. It forms/represents a connection between facial veins, and intracranial veins. It is valveless.

Origin

The inferior ophthalmic vein originates from a venous network at the anterior part of the floor and anterior part of the medial wall of the orbit.

Course

The inferior ophthalmic vein passes posterior-ward through the inferior orbit upon the

inferior rectus muscle The inferior rectus muscle is a muscle in the orbit near the eye. It is one of the four recti muscles in the group of extraocular muscles. It originates from the common tendinous ring, and inserts into the anteroinferior surface of the eye. It d ...

. It passes across (not through) the

inferior orbital fissure The inferior orbital fissure is a gap between the Greater wing of sphenoid bone, greater wing of sphenoid bone, and the maxilla. It connects the Orbit (anatomy), orbit (anteriorly) with the infratemporal fossa and pterygopalatine fossa (posterio ...

before either draining into the

within the orbit, or passing through or below the

common tendinous ring The common tendinous ring, also known as the annulus of Zinn or annular tendon, is a ring of fibrous tissue surrounding the optic nerve at its entrance at the apex of the orbit. It is the common origin of the four recti muscles of the group of ex ...

and exiting the orbit through the

superior orbital fissure The superior orbital fissure is a foramen or cleft of the skull between the lesser and greater wings of the sphenoid bone. It gives passage to multiple structures, including the oculomotor nerve, trochlear nerve, ophthalmic nerve, abducens nerve ...

to empty into the

Distribution

The inferior ophthalmic vein drains venous blood from the

inferior oblique muscle The inferior oblique muscle or obliquus oculi inferior is a thin, narrow muscle placed near the anterior margin of the floor of the orbit. The inferior oblique is one of the extraocular muscles, and is attached to the maxillary bone (origin) an ...

lateral rectus muscle The lateral rectus muscle is a muscle on the lateral side of the eye in the orbit. It is one of six extraocular muscles that control the movements of the eye. The lateral rectus muscle is responsible for lateral movement of the eyeball, specif ...

lacrimal sac The lacrimal sac or lachrymal sac is the upper dilated end of the nasolacrimal duct, and is lodged in a deep groove formed by the lacrimal bone and frontal process of the maxilla. It connects the lacrimal canaliculi, which drain tears from th ...

, lower

conjunctiva In the anatomy of the eye, the conjunctiva (: conjunctivae) is a thin mucous membrane that lines the inside of the eyelids and covers the sclera (the white of the eye). It is composed of non-keratinized, stratified squamous epithelium with gobl ...

, and lower

vorticose veins The vorticose veins, referred to clinically as the vortex veins, are veins that drain the choroid of the eye. There are usually 4-5 vorticose veins in each eye, with at least one vorticose vein per each quadrant of the eye. Vorticose veins drain i ...

Fate

The inferior ophthalmic vein empties either into the

(which subsequently drains into the

), or into the

directly. Depending upon the source, it may terminate by splitting into two branches: one passing through the

to drain into the superior ophthalmic vein or cavernous sinus; another passing through the

to empty into the pterygoid venous plexus. The branch to the pterygoid venous plexus may however instead be considered not a terminal branch but rather a communicating branch.

Clinical significance

periorbital cellulitis Periorbital cellulitis, or preseptal cellulitis, is an inflammation and infection of the eyelid and portions of skin around the eye anterior to the orbital septum. It may be caused by breaks in the skin around the eye, and subsequent spread to the ...

, the inferior ophthalmic vein may be compressed. This can increase pressure, causing

oedema Edema (American English), also spelled oedema (British English), and also known as fluid retention, swelling, dropsy and hydropsy, is the build-up of fluid in the body's tissue. Most commonly, the legs or arms are affected. Symptoms may inclu ...

References

{{Authority control Veins of the head and neck