You are on page 1of 35

ORBITA

Superior: frontal bone, lesser wing of sphenoid (ada optic canal), lacrimal gland (di lacrimal fossa di bag. Anterior lateral), perlekatan septum (barrier antara orbit dan eyelid)

------------superior orbital fissure------------- Lateral: Zygomatic, greater wing of sphenoid [strongest part] ------------inferior orbital fissure-------------

Inferior : Maxilla (mainly, fracture commonly happened), zygomatic & palantine

------------batas tdk terlalu jelas----------- Medial: ethmoid, frontal,lacrimal, sphenoid

Puncak orbit : optic canal (foramen opticum)

EXOPTHALMOS (PROPTOSIS)

•Displacement bola mata dari arah orbita ke anterior

•karena ada tumor •kondisi lain: Hypertiroidsm

Eyelid & Lacrimal Apparatus Eyelid (kelopak mata/palpebrae)

Melindungi bola mata Menjaga bola mata agar tetap basah

Canthus(angle of eye) :

tmpt upper & lower eyelid bertemu M. Orbicularis oculi (N.VII)

Cilia/Bulu Mata Ciliary Glands

Lacrimal apparatus:

  • a. Lacrimal glands.

  • b. Lacrimal ducts.

  • c. Lacrimal canaliculi

  • d. Nasolacrimal duct.

Di medial of eye:

Lacrimal lake ->

lacrimal caruncle (small mound of moist, pink modified skin)

plica semilunaris (semilunar conjunctiva fold) Lacrimal punctum-a small pit. Lacrimal papilla – a small elevation.

A similar punctum and papilla are on the upper eyelid.

Lacrimal Gland a. Almond shape orbital portion

In lacrimal fossa (superior-lateral)

b. Smaller palpebral portion

In superior conjunctiva fornix (temporal segment)

Secretion:

N. facialis—p-symphathetic impulse—nucleus saliv. Cranialis- n.petrosus superf.major—ganglion pterygopalatina/sphenopalatina Lacrimal ducts (up to 12) sup.conjunc. Fornixeyeballlacrimal lakelacrimal punctalac.canaliculilac.sacnasolacrimal ductnasal cavity.

Nerve supply:

Para symphathetic fibers:

nucleus sal. cranialis-presynaptic fibers-n.petrosus major- ganglion terygopalatina-postsynaptic fibers-gland: secretion Symphathetic fibers:

Upper thoracal segment—presynaptic fibers—superior cervical ganglion—post synaptic fibers—plexus—gland: vaso- contriction. •+Plexus carotis interna:

nerve (symphathetic) plexus around internal carotid artery.

ORBITAL CONTENTS

• EYEBALL, • OPTIC NERVE, • OCULAR MUSCLES, • FASCIA, • NERVES, • VESSELS, • FAT, • LACRIMAL GLAND, • CONJUNCTIVAL SAC.

Eyeball

  • a. Outer Layer: Sklera, Kornea

  • b. Middle Layer: Coroid, ciliary body, iris

  • c. Inner Layer : Optic part(retina), non visual part

1. Retina Optic part Menerima cahaya Memiliki 2 layer :

Neural: yg menerima cahaya

Pigmented: memperkuat penyerapan cahaya koroid- dgn mengurangi hamburan cahaya di mata

Fundus

Bagian Posterior dari mata

Optic Disc

Tempat saraf optik masuk ke bola mata.

Tidak peka cahaya (tdk memiliki serat saraf, tdk ada photoreceptor)

Macula lutea(bintik kuning)

Lateral dari optic disc Tempat plg peka cahaya

Banyak sel kerucut

Otot-Otot Orbita

1.Levator palpebra superior 2.Rectus ( Superior, Medial, Lateral) 3.Oblique (Superior & Inferior)

Inervasi:

N.IV: Oblique Superior (OS4) N. VI: Rectus Lateralis (RL6) N.III: sisanya

a. Utama:

Opthalmic A. b. Lainnya:

Infraorbital A.

Arteri Orbita

Centra Retina A. Cabang Opthalmic A. Inferior dari optic nerve Cabang terminalnya : End arteries (satu2nya pemasuk darah ke retina) Cabangnya: Spread over the internal surface of the retina.

Capillary lamina of choroid

Supplied nonvascular of retina, photoreceptor cells of retina (rods and cones).

Vena Orbita

Superior Opthalmic V. Inferior Opthalmic V.

melalui fisura orbital, masuk ke sinus cavernous dan pterygoid venous plexus

Central Retina V.

Langsung ke sinus cavernous (ussually)

Bisa jg gabung dgn V. opthalmic

Scleral Venous sinus

Anterior chamber Aquous humour dikembalikan ke aliran darah