Muscles of orbit
Encyclopedia
Muscle Innervation Primary function Secondary function Tertiary function
Levator palpebrae superioris Oculomotor nerve
Oculomotor nerve
The oculomotor nerve is the 3rd of 12 paired cranial nerves. It enters the orbit via the superior orbital fissure and controls most of the eye's movements, including constriction of the pupil and maintaining an open eyelid by innervating the Levator palpebrae superiors muscle. The optic nerve is...

Elevation of the superior (upper) eyelid . .
Superior rectus Oculomotor nerve
Oculomotor nerve
The oculomotor nerve is the 3rd of 12 paired cranial nerves. It enters the orbit via the superior orbital fissure and controls most of the eye's movements, including constriction of the pupil and maintaining an open eyelid by innervating the Levator palpebrae superiors muscle. The optic nerve is...

 
Elevation Intorsion Adduction
Inferior rectus Oculomotor nerve
Oculomotor nerve
The oculomotor nerve is the 3rd of 12 paired cranial nerves. It enters the orbit via the superior orbital fissure and controls most of the eye's movements, including constriction of the pupil and maintaining an open eyelid by innervating the Levator palpebrae superiors muscle. The optic nerve is...

 
Depression Extorsion Adduction
Lateral rectus Abducens nerve Abduction . .
Medial rectus Oculomotor nerve
Oculomotor nerve
The oculomotor nerve is the 3rd of 12 paired cranial nerves. It enters the orbit via the superior orbital fissure and controls most of the eye's movements, including constriction of the pupil and maintaining an open eyelid by innervating the Levator palpebrae superiors muscle. The optic nerve is...

 
Adduction . .
Superior oblique Trochlear nerve
Trochlear nerve
The trochlear nerve is a motor nerve that innervates a single muscle: the superior oblique muscle of the eye....

 
Intorsion Depression Abduction
Inferior oblique Oculomotor nerve
Oculomotor nerve
The oculomotor nerve is the 3rd of 12 paired cranial nerves. It enters the orbit via the superior orbital fissure and controls most of the eye's movements, including constriction of the pupil and maintaining an open eyelid by innervating the Levator palpebrae superiors muscle. The optic nerve is...

 
Extorsion Elevation Abduction

The muscles of the orbit are a group of six muscle
Muscle
Muscle is a contractile tissue of animals and is derived from the mesodermal layer of embryonic germ cells. Muscle cells contain contractile filaments that move past each other and change the size of the cell. They are classified as skeletal, cardiac, or smooth muscles. Their function is to...

s that control movement of the eye
Human eye
The human eye is an organ which reacts to light for several purposes. As a conscious sense organ, the eye allows vision. Rod and cone cells in the retina allow conscious light perception and vision including color differentiation and the perception of depth...

. Four of the muscles control the movement of the eye in the four cardinal direction
Cardinal direction
The four cardinal directions or cardinal points are the directions of north, east, south, and west, commonly denoted by their initials: N, E, S, W. East and west are at right angles to north and south, with east being in the direction of rotation and west being directly opposite. Intermediate...

s: up, down, left and right. The remaining two muscles control the adjustments involved in counteracting head movement; for instance this can be observed by looking into ones own eyes in a mirror whilst moving ones head.

A good mnemonic to remember which muscles are innervated by what nerve is to paraphrase it as a molecular equation: LR6SO4R3.

Lateral Rectus - Cranial Nerve VI,

Superior Oblique - Cranial Nerve IV,

the Rest of the muscles - Cranial Nerve III.

Another way to remember which nerves innervate which muscles is to understand the meaning behind all of the Latin words. The fourth cranial nerve, the trochlear, is so named because the muscle it innervates, the superior oblique, runs through a little fascial pulley that changes its direction of pull. This pulley exists in the superiomedial corner of each orbit, and "trochl-" is Latin for "pulley." The sixth cranial nerve, the abducens, is so named because it controls the lateral rectus, which abducts the eye (rotates it laterally) upon contraction. All of the other muscles are controlled by the third cranial nerve, the oculomotor, which is so named because it is in charge of the movement (motor) of the eye (oculo-).

Purpose

The motor apparatus, precisely and rapidly, controls eye movement for exact alignment with the fovea
Fovea
The fovea centralis, also generally known as the fovea , is a part of the eye, located in the center of the macula region of the retina....

, since this is the area that deals with sharp vision. This swift and accurate motion is evident in reading. When keeping the gaze on a small object, like a golf ball, the eyes must compensate for the small movements of the head to keep the object on the fovea. The eyes can be controlled by voluntary means, as one can deliberately change focus. However, most eye movement is done without awareness. This is evident when viewing moving objects or head or body movement. Studying the movements of the eyes depend on reflexes brought on by factors in the environment or the individual, keeping in mind the voluntary control.

Clinical Examination

The initial clinical examination of the extraoccular eye muscles is done by examining the movement of the globe of the eye through the six cardinal eye movements. When the eye is turned in (nasally) and horizontally, the function of the medial rectus muscle is being tested. When it is turned out (temporally) and horizontally, the function of the lateral rectus muscle is tested. When turning the eye down and out, the inferior rectus is contracting. Turning the eye up and out relies on the superior rectus. Paradoxically, turning the eye up and in uses the inferior oblique muscle, and turning it down and in uses the superior oblique.

All of these six movements can be tested by drawing a large "H" in the air with a finger or other object in front of a patient's face and having them follow the tip of the finger or object with their eyes without moving their head. Having them focus on the object as it is moved in toward their face in the midline will test convergence, or the eyes' ability to turn inward simultaneously to focus on a near object.

See also

  • Extraocular muscles
    Extraocular muscles
    The extraocular muscles are the six muscles that control the movements of the eye . The actions of the extraocular muscles depend on the position of the eye at the time of muscle contraction.-List of muscles:-Importance:...

The source of this article is wikipedia, the free encyclopedia.  The text of this article is licensed under the GFDL.
 
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