2011-2012 Basic and Clinical Science Course, Section 6: by Edward L. Raab, MD, JD

By Edward L. Raab, MD, JD

Examines the scientific positive factors, analysis and remedy of esodeviations and exodeviations, horizontal and vertical deviations, amblyopia and specified types of strabismus. Discusses the whole diversity of pediatric ocular issues, extraocular muscle anatomy, motor and sensory body structure and the way to set up rapport with young children in the course of an ocular exam. includes a number of photographs, together with colour pictures. lately revised 2010 2011.

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Additional info for 2011-2012 Basic and Clinical Science Course, Section 6: Pediatric Ophthalomology and Strabismus (Basic & Clinical Science Course)

Example text

Atlas of Clin ical and Surgical Orbital Anatomy. ) sup erioris muscle becomes an aponeurosis in the region of the superi or fornix. This muscle has both a cutaneous and a tarsal insertion. BeSe Section 7, Orbit, Eyelids, and Lacrimal System, discusses this muscle in detail. Figure 2-3 shows the extraocu lar muscles and th eir relationship to one another; Table 2- 1 summari zes their characte ristics. Insertion Relationships of the Rectus Muscles Starting at the medial rectus and proceedin g to in ferior rectus, lateral rectus, and superior rectus muscles, the rectus muscle tendons inse rt progressively fart her from th e limbus.

The tendon inserts in the posterosuperior quadrant of the eyeball , almost or ent irely laterall y to the mid ve rti cal plane or center of rotation. In primary position, the primary action of the superior oblique muscle is intorsion (incycloduction). secondary action is depression . and tertiary action is abdu ction. The inferior oblique muscle originates from the periosteum of the maxillary bone, just posteri or to the orbital rim and lateraJ to the orifice of th e lacrimal fossa. It passes Jaterally, superi orly.

8 mill ion neurons, yielding a ratio of ganglion cell s to genicul ate neurons of approxima tely 1:2. After a relatively direct transfe r th rough the LGB. the Signal act iva tes a uni t in th e stri ate co rtex co ntain ing ap- prOXimately 1000 processing elements. Accordi ng to the classic view, the st riate cortex perfo rms the basic analys is of geniculate input and then tra nsmits its essence to higher peri st riate cortical areas for fu rther interpretation. These areas have been called Brodmalin areas / 8 an d 19, or V2, V3, V3a, V4, and Vs.

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