Anatomy and

Physiology of The
Eyes
Maharani
Ophthalmology Department
Medical Faculty Diponegoro University

TIK
MAMPU MENJELASKAN STRUKTUR ANATOMI ORBITA,
BULBUS OKULI DAN ORGAN AKSESORIUS SERTA
FUNGSINYA

Eye small very

important function
75% information visual

EYE
Surrounded by orbital
bones
Cushioned by pads of fat
Extraocular muscles help
move the eye in different
directions

ORBIT

ORBITA
ORBITAL MARGIN FORMED BY :
FRONTAL
ZYGOMATIC
MAXILLA
SUPERIOR MARGIN FORMED BY OS. FRONTAL
SUPRAORBITAL FORAMEN
INFERIOR MARGIN FORMED BY OS. ZYGOMATIC & MAXILLA
INFRAORBITA FORAMEN
LATERAL MARGIN FORMED BY ZYMOMATIC PROC. OF FRONTAL
BONE & FRONTAL PROC. OF ZYGOMATIC BONE

MEDIAL MARGIN FORMED BY MAXILLA BONE

FOSSA SACCI LACRIMALIS

Orbital
Wall
Orbital Roof:
Frontal bone klj lakrimal di fossa
lacrimalis
Sphenoid bone

Lateral Wall:
SPHENOID bone
Zygomatic bone strongest

Orbital
Wall
Orbital Floor:
Formed by : Maxilla bone, zygomatic bone &

Palatine bone
Bts dg lateral fissura orbitalis infor
Lempeng orbital tlg Maxilla blowout fractures

Medial Wall:
Ethmoid bone paper thin ke antor menebal
Lacrimal bone
Frontal bone

Orbital Apex optic nerve canal

Blood Supply
Arteries:
Intracranial Internal Carotid a. 1st

branch: Ophthalmic a. passes beneath &

accompanies N II, branches as:
Central Retinal a. enters the N II, 8 15
mm behind the globe
Lacrimal a. lacrimal glds & eyelid
Long & Short postor Ciliary a. uvea
Muscular branches antor Ciliary a.

Blood Supply
Arteries:
Short postor Ciliary a. N II + choroid
Long postor Ciliary a. ciliary body +

major arterial circle* of the iris

(anastomose w/ antor Ciliary a.)
Antor Ciliary a. antor sclera, episclera,
limbus, conjunctiva, *

BLOOD SUPPLY
Veins:
Supor & Infor Ophthalmic v.
Communicate w/ Cavernous sinus & Pterygoid
venous
Drain the skin of the periorbital skin
lethal cavernous sinus thrombosis
(in cellulitis periorbital)

Antor Ciliary v.
Central Retinal v.

Annulus of Zinn

EYE BALL

CONJUNCTIVA
Transparent
Covers postor palp &

antor surface of sclera

Continuous w/:
o The lid margin
(mucocutaneous junc)
Palpebral conj
o Fornices (supor &
infor)
o The limbus (corneal
epithelium) Bulbar
conj

CONJUNCTIVA
The Conjunctiva:
Palpebral Conj
firmly adherent to the
tarsus

Bulbar Conj loosely

attached to Tenons
capsule

TENON CAPSULE
Fibrous membrane,
envelopes from limbus
to N II
Limbus Conj,
Tenon's, Episclera
fixed together
Posteriorly lies the
sclera, contact w/
orbital structure &
muscle cone

SCLERA & EPISCLERA

Fibrous (collagen)
Antor cornea; postor scleral foramen

(lamina cribrosa) pass the axon bundle of

the N II
Antor sclera episclera (thin, elastic, blood
vessels)
Inner surface lamina fusca (pigment, outer
layer of suprachoroidal space)

SCLERA & EPISCLERA

Thickness: 0,3 mm (at insertion of
muscle) 0,6 mm
Penetrated around the N II:

Short & long postor ciliary arteries

Short & long ciliary nerve

Long postor ciliary a. & long ciliary n.

pass in shallow groove at 3 & 9
oclock meridians
4 antor ciliary a. & v. penetrate 4
mm from limbus
Nerve supply: ciliary nerve

CORNEA
Transparant, avascular
Thick : 550 m
(central)

vertical : 10.6mm
horizontal : 11.7mm
Nerve supply : V1
Corneal layers :
Epitel
Membr Bowman
Stroma
Membr Descemet
Endotel

UVEAL TRACT
IRIS
Pigmented, Extension of
ciliary body
Dividing the COA & COP
Central round aperture
Pupil balance of
parasympathetic (m.
Sphincter pupillae, N III)
& sympathetic (m. Dilator
pupillae) activity
Blood supply: Major circle
of the iris
Nerve supply (sensory):
Ciliary nerve

CORPUS CILIARIS
Pars plicata ciliary
process aqueous formation

Pars plana (4 mm,

posteriorly)

Epithelium: nonpigmented,
pigmented

Ciliary muscle:

Circular & radial fibers

contract & relax zonular fibers

Longitudinal fibers open

pore of TM

Blood & nerve supply:

= Iris, through Vortex veins
ACCOMODATION

CHOROID

Between sclera retina

Dark brown
Pigmented , vascularized
Nutrision 1/3 outer
retina, vitreus, lens

Choroidal blood vessels:

Chorio-capillaris

Drainage: Vortex veins

Lens
4 mm thick, 9 mm ,
Biconvex, avascular,
colorless, almost
completely transparent
65% water, 35% protein +
trace minerals
Supported by zonule of Zinn
at equator corpus
ciliaris
Capsule: semipermeable
membrane
Potassium >> in the lens
Ascorbic, Glutathione

Iridocorneal Angle
Aquous outflow
Junc of peripheral cornea
iris root

Schwalbe line Trabecular

meshwork can.schlemms 30 collector channels +
12 aqueous veins
episcleral venous system

Vitreus
Clear, avascular, gelatinous body (99% water, 1%
collagen + hyaluronic acid), 2/3 volume & weight
of the eyeball
Outer surface hyaloid membrane contact w/
postor lens capsule, zonular fibers, pars plana
epithelium, retina, N II head
Vitreous base (attachment): pars plana
epithelium & retina just behind the ora serrata

RETINA
Semitransparent,
multilayered, 2/3 postor
inner aspect of globe
Ora serrata
anterior edge of retina
(ragged edge)
6,5 mm behind SL
(temporal), 5,7 mm (nasal)
At the PN II & Ora Serrata
ret & RPE firmly bound
limiting ret detachment
Thickness: 0,1 mm at OS,
0,56 mm at postor pole

RETINA
Macula:
Postor pole,
5,5 6,0 mm
3 mm center macula

lutea w/ fovea centralis

Xanthophyll >>>,
photoreceptors >>>
1,5 mm center retinal
avascular zone
0,25 mm center foveola
(thinnest part of retina)
cone photoreceptor

RETINA
Blood supply:
Choriocapillaris:
1/3 outer + fovea irreparable damage when RD
Fenestrated
Blood barrier RPE

Central retinal artery

2/3 inner
Nonfenestrated blood retinal barrier

EXTRAOCULAR MUSCLES
INSERTION of RECT
MUSCLES

ACTIONS
MUSCLES
Medial
Rectus

Adduction

Lateral
Rectus

Abduction

Superior
Rectus

Elevation

Intorsion

Adduction

Inferior
Rectus

Depressio
n

Extorsion

Adduction

Oblique
Sup

Intorsion

Depressio
n

Abduction

Oblique
Inf

extorsion

Elevation

Abduction

EXTRAOCULAR MUSCLES
Blood Supply:
Ophthalmic artery (muscular branch)
Also:
Lateral rectus m. Lacrimal artery
Inferior Oblique m. Infraorbital artery
Nerve Supply:
N III SR, MR, IR, IO
N IV SO
N VI LR

OCULAR ADNEXA
EYEBROWS
EYELIDS
APPARATUS LACRIMALIS

OCULAR ADNEXA
EYEBROWS

EYELIDS

The folds of
thickened skin
Covered w/ hair
The Glabella
hairless between 2
eyebrows

Skin Layer
Orbicularis Oculi
Muscle (OOM)
Areolar Tissue
Tarsal Plate
Palpebral
Conjunctiva

EYELID
1. Skin Layer:
Thin, loose, elastic
Few hair follicles
NO subcutaneous fat
2. OOM:
Concentric close the lids
Inside the lid: Pretarsal & Preseptal

portion
Outside the lid: Spread around the orbital
margin (orbital portion)
Supplied by N VII

EYELID
3. Areolar Tissue:

Submuscular communicates w/ aponeurotic

layers

4. Tarsal Plate:

Main supporting structure of the lids

dense fibrous & elastic tissue
Lateral & medial attached to orbital
margins by palpebral ligaments
Upper & Lower thin fascia (Orbital
Septum)

5. Palpebral Conjunctiva:
3. Adhere firmly to the tarsal plate

 The Lid Margins:

GRAY LINE mucocutaneous junction
Anterior Margin:
Eyelashes upper, upward; lower, downward
Glands of Zeis sebaceous glds
at base of
eyelashes
Glands of Moll sweat glds
Posterior Margin:
Small orifices of meibomian / tarsal glds

Lacrimal Punctum:
Medial end of the postor margins

 Palpebral Fissure:
Lateral canthus 0,5 cm from orb rim
Medial canthus more elliptic, surround

lacrimal lake:
Lacr caruncle modf. sweat & sebaceous glds
Plica semilunaris 3rd eyelid of lower
animal sp

Epicanthus:
Normal in Asian population & Young infants
Hiding caruncle

 Orbital Septum:
Lies between Orb rim & tarsus
Serves as barrier
Pierced by:
the several vessels & nerves (lacrimal,
supra/infratrochlear, supraorbital)
Levator palp superior muscle (LPSM)

Blends w/:
Supor: Tendon of LPSM & supor tarsus
Infor: infor tarsus

Lid Retractors:
Musculofacial complex (striated & smooth

muscles) Opening the eyelids

Upper lid m. Levator Palp Supor, divided
into:
Aponeurosis (antor) elevate antor lamella
Mullers muscle (smooth m. fibers) elevating

postor lamella
inserting supor eyelid into postor surface of OOM
upper lid skin crease

Lower lid m. Rectus Infor

Smooth muscle innervated by sympathetic
nerves
Striated muscle innervated by N III

OCULAR ADNEXA
Blood Supply & Lymphatics:
Arteries:
Lacrimal & Ophthalmic arteries (lat & med

branches) anastomoses: submusc. Areolar

tissue

Veins:
Arranged in pre & post tarsal plexuses
Into Ophthalmic veins
Lymphatics:
Lateral side preauricular & parotid nodes
Medial side submandibular l.n.

OCULAR ADNEXA
The Lacrimal Apparatus:
The lacrimal complex:
The
The
The
The
The

Main Lacrimal glds

Accessory Lacrimal glds
Canaliculi
Lacrimal sac
Nasolacrimal duct

 The Main Lacrimal Glands:

Orbital portion:
In the lacrimal fossa
Separated from palp. portion by lateral horn
of m. Levator Palp

Palpebral portion:
Just above the temporal segment of the sup or
conj fornix

Secretory ducts w/ 10 orificies connects orb

& palp portion to the supor conj fornix

 The Accessory Lacrimal Glands:

Krause & Wolfring glds subs propria palp
conj

Drainage of tear:
Lacr lake upper/lower puncta

canaliculi lacr sac nasolacr duct

meatus nasal cavity
Mechanism: capillary attraction, gravity,
blinking & pumping action by Horners
muscle

Lacrimal
Apparatus
Tear secretion.
Layers of precorneal tear film.
Drainage of tear.

Blood & Lymphatic supply:

Arteries: Lacrimal artery
Veins: joins w/ Ophthalmic vein
Lymph drainage: joins w/ conj lymphatic
preauricular l.n.

Nerve supply:
Sensory: Lacrimal nerve (1st div of N V)
Secretory: Great Petrosal nerve (from
supor salivary nucl)
Sympathetic nerve: accompanying the
Lacrimal artery & nerve

OPTIC NERVE
The Intra ocular:
1,5 mm

The Intra orbital:

25 30 mm; 3 mm

The Optic Chiasm:

Near the top of
sella tursica
Decussation

The Retrochiasmatic

THANK YOU