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Eye diseases. The structure of the eye. Orbit (most important)

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1. The structure of the eye. Orbit

The eye as an integral part of the so-called opto-vegetative (OVS) or photoenergetic (FES) system of the body is involved in the adaptation of the internal environment of the body to external conditions. The vast majority of information about the world around comes to the child through the organ of vision. The eye is in a figurative and literal sense a part of the brain, placed on the periphery.

When studying the anatomy of a child, it must be remembered that the orbit in children under the age of one year approaches a trihedral prism in shape. Later it takes the form of a truncated tetrahedral pyramid with rounded edges. The base of the pyramid faces outwards and anteriorly, the apex inwards and backwards. In newborns and children of the first year of life, the angle between the axes of the orbits is sharper, which creates the illusion of convergent strabismus. However, this imaginary strabismus gradually disappears, as the angle between the axes of the orbits increases. The upper wall of the orbit borders the cranial cavity and is formed in front by the orbital part of the frontal bone, and behind by the lesser wing of the sphenoid bone. In the outer corner of the wall, a recess for the lacrimal gland is revealed, and at the place where the upper wall passes into the inner wall, a notch (or hole) for the superior orbital vein and artery is determined. There is also a spike block through which the tendon of the superior oblique muscle is thrown. In the process of comparing the orbits in terms of age, it is revealed that in children the upper wall of the orbit is thin, there is no pronounced superciliary tubercle.

When studying the outer wall of the orbit, it is noted that it borders on the temporal cranial fossa. The orbital process of the zygomatic bone separates the orbit from the maxillary sinus, and the sphenoid bone of the inner wall separates the contents of the orbit from the ethmoid sinus. The fact that the upper wall of the orbit is simultaneously the lower wall of the frontal sinus, the lower upper wall of the maxillary sinus, and the inner side wall of the ethmoidal labyrinth, explains the relatively unhindered and rapid transition of the disease from the paranasal sinuses to the contents of the orbit and vice versa.

At the top of the orbit in the lesser wing of the sphenoid bone, a round opening for the optic nerve and ophthalmic artery is defined. The superior orbital fissure is located outside and below this opening between the large and small wings of the sphenoid bone and connects the orbit with the middle cranial fossa. All the motor branches of the cranial nerves pass through this gap, as well as the superior ophthalmic vein and the first branch of the trigeminal nerve, the ophthalmic nerve.

The inferior orbital fissure connects the orbit to the inferior temporal and pterygoid fossae. The maxillary and zygomatic nerves pass through it.

The entire orbit is lined with periosteum; in front of the bony edge of the orbit to the cartilage of the eyelids is the tarsoorbital fascia. With closed eyelids, the entrance to the orbit is closed. Tenon's capsule divides the orbit into two sections: the eyeball is located in the anterior section, and the vessels, nerves, muscles, and orbital tissue are located in the posterior section.

Author: Shilnikov L.V.

>> Forward: The structure of the soft tissues of the eye

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