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September 2013 Introduction to ophthalmology Topography of the eye, 3D tour. Dr.Ali.A.Taqi Fifth year students. 1 Topography • Topography is the study of the gross surface relationships between different aspects of the surface of a structure or between various objects related to that structure. • The globe is a highly complex object both in terms of its own three-dimensional shape and because of the number of other anatomic elements contained within it and surrounding it. • In addition, a number of vascular and neural structures pass into and out of the globe, further complicating its topography. • However, to adequately understand the globe as an organ of vision, it is first essential to understand its structure and the complex interrelationships that exist between its internal organization and the external elements surrounding it. 2 3 4 • 1=the pupil 2=the iris 3=sclera covered by the conjunctiva 4=eyelid margin &eyelashes 5= upper eyelid 6=lateral canthus 7=medial canthus 5 6 The eye ball & the orbit. • The globe is positioned in the anterior portion of the orbit and constitutes about 20% of the entire volume of the orbit. • It is slightly closer to the lateral orbital wall than the medial wall and is nearer the roof than the floor of the orbit. • At its closest distance to the bony orbit the globe is about 4 mm from the roof, 4.5 mm from the lateral wall, 6.5 mm from the medial wall, and 6.8 mm from the floor. • The lateral orbital rim is considerably recessed compared with the medial orbit, which continues anteriorly to end at the nasal bridge. This leaves approximately one half of the globe unprotected. 7 The bony orbit. 8 9 Blood supply 10 Superior orbital fissure &optic foramen • OF=optic foramen. • SOF=superior orbital fissure. • IOF=inferior orbital fissure. • IV=trochlear nerve • III=third cranial nerve • VI=sixth cranial nerve (the abducent) • L=lacrimal nerve • F=frontal nerve. • N=nasocillary nerve 11 Nerve supply 12 Extraocular muscles 13 Quiz!!!! 14 Quiz!!! 15 Quiz!!! 16 what are the abnormalities seen bellow? 17