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EPICANTHUS-TELECANTHUS-HYPERTELORISM
Telecanthus is often associated with many congenital disorders such as Down syndrome, fetal alcohol
syndrome, Cri du Chat syndrome, Klinefelter syndrome, Turner syndrome, Ehlers-Danlos syndrome
THE BONEY ORBIT AND EYE ALIGNMENT
ORBITAL ANATOMY
EXTRAOCULAR MUSCLES AND THEIR
FUNCTION
Medial rectus -adduction
Lateral rectus -abduction
Superior rectus-elevation, adduction, & intortion
Inferior rectus-depression, adduction, & extortion
Superior oblique –depression, abduction, & intortion
Inferior oblique-elevation, abduction, & extortion
SIN IS RADICAL: MNEUMONICS CAN BE FUN
• The vertical recti and the oblique muscles are also called cyclo-vertical muscles.
• Both superior cyclovertical muscles are intorters and inferior cyclovertical muscles are
extorters
• SIN= superior muscles are intorters
• vertical actions are opposite; the superior oblique is a depressor and the inferior oblique is
an elevator.
• RAD=Recti are ADductors
• The RAD mnemonic is useful to recollect that Recti are ADductors but
• best efficient and tested in abducted position
• it is vice-versa for the oblique muscles
MESIAL RECTUS
LATERAL RECTUS
SUPERIOR RECTUS
INFERIOR RECTUS
SUPERIOR OBLIQUE
INFERIOR OBLIQUE
RIGHT EYE MOVEMENTS
CONVERGENCE
CONVERGENCE AND ACCOMMODATION
• Convergence
• Bilateral mesial rectus contraction
• Pupillary Constriction
• Lens Accommodation
• Ciliary muscles contract to decrease
tension on the zonules
MADDOX RED ROD

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Eye Movement

  • 1.
  • 2. EPICANTHUS-TELECANTHUS-HYPERTELORISM Telecanthus is often associated with many congenital disorders such as Down syndrome, fetal alcohol syndrome, Cri du Chat syndrome, Klinefelter syndrome, Turner syndrome, Ehlers-Danlos syndrome
  • 3. THE BONEY ORBIT AND EYE ALIGNMENT
  • 4.
  • 6. EXTRAOCULAR MUSCLES AND THEIR FUNCTION Medial rectus -adduction Lateral rectus -abduction Superior rectus-elevation, adduction, & intortion Inferior rectus-depression, adduction, & extortion Superior oblique –depression, abduction, & intortion Inferior oblique-elevation, abduction, & extortion
  • 7. SIN IS RADICAL: MNEUMONICS CAN BE FUN • The vertical recti and the oblique muscles are also called cyclo-vertical muscles. • Both superior cyclovertical muscles are intorters and inferior cyclovertical muscles are extorters • SIN= superior muscles are intorters • vertical actions are opposite; the superior oblique is a depressor and the inferior oblique is an elevator. • RAD=Recti are ADductors • The RAD mnemonic is useful to recollect that Recti are ADductors but • best efficient and tested in abducted position • it is vice-versa for the oblique muscles
  • 13.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 22. CONVERGENCE AND ACCOMMODATION • Convergence • Bilateral mesial rectus contraction • Pupillary Constriction • Lens Accommodation • Ciliary muscles contract to decrease tension on the zonules