2011-2012 Basic and Clinical Science Course, Section 2: by K.V. Chalam, MD, PhD

By K.V. Chalam, MD, PhD

Offers the fundamental medical grounding for present ophthalmic perform. Discussions hide ocular anatomy, embryology, the biochemistry and metabolism of the attention and the most recent advancements in eye-related molecular and medical genetics stories. comprises information regarding ocular pharmacotherapeutics, up-to-date drug info and a dialogue of the felony elements of scientific treatment. final significant revision 2009 2010.

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Additional info for 2011-2012 Basic and Clinical Science Course, Section 2: Fundamentals and Principles of Ophthalmology (Basic & Clinical Science Course)

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Reproduced WIth permiSSion (rom Snell RS. Lemp 32 • Fundamenta ls and Principles of Ophthalmology lacrimal Gland and Excretory System For further discuss ion of the lacrimal system, see BeSe Section 7, Orbit, Eyelids, and Lacrimal System. Lacrimal Gland The main lacrimal gland is located in a shallow depression within the orbital part of the frontal bone. The gland is separated from the orbit by fibroadipose tissue and divided into 2 parts by a lateral expansion of the levator aponeurosis (Fig 1-34) .

In the adult, it measures about 12 111111 in the horizonta l meridian and about 11 mm in the vertical. From behind, when the cornea is viewed at its posterior land mark (the Schwa lbe line-the termination of Descemet's membrane), its circumference appea rs circular. 5 mm thick centrally. The li mbus, which borders the cornea and the sclera, is gray and translucent. In cont rast to the transparent co rn ea, the sclera is opaque and white. 3 mm), the scle ra in creases to apprOXimately 1 mm thi ck posteriorly but becomes thin and sievelike at th e lamina crib rosa, w here the axons of the ganglion cells ex it to form the opt ic nerve.

Elastin (From Derner JL, Miller JM, Pouken V, Vin ters HV, Glasgow BJ. Evidence for fibromuscular pulleys of - Collagen the recti extraocular muscles. Invest Ophthalmol Vis Sci. 1995;36(6):1125. ~~~~=~~ - Whitnall ligament Arcuate expansion Capsulopalpebral fascia Eyelids, anterior fascial support system . (Reproduced With permiSSion from Dut/onJJ. Atlas of Clinical and Surgical Orbital Anatomy. ) Vascular Supply and Drainage of the Orbit Posterior and Anterior Ciliary Arteries Approx imately 20 short posteri o r ciliary arteries and 10 sho rt posterior ciliary nerves en ter the globe in a rin g around the optic nerve (Figs 1-39 through 1-4 1).

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