Intraocular muscles & nerves (anatomy, pupils and lens)

Sam Webster
15 May 201821:27

Summary

TLDRThis educational script delves into the intricate workings of the eye's internal structures, focusing on the autonomic nervous system's role in controlling pupil size and lens shape. It explains how sympathetic and parasympathetic nerves innervate the iris and ciliary body, respectively, to regulate focus and light response. The script also touches on the trigeminal nerve's role in general sensation, particularly the blink reflex, and briefly mentions the optic nerve's function in transmitting visual information.

Takeaways

  • 👁 The script discusses the anatomy of the eye, focusing on the nerves and muscles within the eyeball.
  • 🌟 The iris contains two muscles: the sphincter pupillae and the dilator pupillae, which control pupil size in response to light.
  • 🔍 The sympathetic nervous system is responsible for pupil dilation, while the parasympathetic system causes pupil constriction.
  • 🔄 The lens changes shape to focus light on the retina, with its thickness varying between looking at distant and near objects.
  • đŸ’Ș The ciliary body contains smooth muscles that adjust the shape of the lens, controlled by autonomic nerves.
  • 🧠 The oculomotor nerve (cranial nerve III) provides parasympathetic innervation to the ciliary body and the sphincter pupillae.
  • 🌐 The ciliary ganglion is where the parasympathetic preganglionic neurons from the oculomotor nerve synapse with postganglionic neurons.
  • 🚀 Sympathetic nerves originate from the thoracic levels of the spinal cord and follow arteries to reach the eye, affecting the iris and other structures.
  • đŸ•Šïž The trigeminal nerve (cranial nerve V) sends a branch, the nasociliary nerve, into the eye to provide general sensation to the cornea.
  • 👀 The optic nerve (cranial nerve II) carries visual information from the retina to the brain and is considered an extension of the central nervous system.
  • 🔬 The script suggests that understanding the paths that nerves take within the eye can make complex diagrams less confusing.

Q & A

  • What are the two types of nerves discussed in the script that get into the eyeball?

    -The script discusses sympathetic and parasympathetic nerves and how they get into the eyeball.

  • What is the role of the pupil in the eye?

    -The pupil changes size in response to the amount of light available, getting smaller in bright light and dilating in dim light.

  • Which muscle in the iris is responsible for pupil dilation and is innervated by sympathetic nerves?

    -The dilator pupillae muscle, with radial fibers, is responsible for pupil dilation and is innervated by sympathetic nerve fibers.

  • How can the mnemonic 'Robbie and headlights' help remember the function of the sympathetic nervous system in pupil response?

    -The mnemonic 'Robbie and headlights' helps remember that the sympathetic nervous system, associated with the fight-or-flight response, dilates the pupils, as if Robbie is caught in the headlights with wide, dilated eyes.

  • What is the role of the parasympathetic nerves in the eye?

    -The parasympathetic nerves innervate the sphincter pupillae muscle, causing the pupil to constrict in response to bright light.

  • What is the function of the lens in the eye?

    -The lens changes shape to focus light on the retina, allowing us to see sharp images of both distant and near objects.

  • How does the ciliary body relate to the lens and its function?

    -The ciliary body contains smooth muscle that, when it contracts or relaxes, affects the shape of the lens, enabling focus on near or distant objects, respectively.

  • What are the Zonular fibers, and how do they connect the lens to the ciliary body?

    -Zonular fibers, also known as suspensory ligaments, are collagen fibers that connect the lens to the ciliary body, allowing the lens to change shape.

  • Which cranial nerve is responsible for innervating the intraocular muscles and where does it originate from?

    -The oculomotor nerve (cranial nerve III) is responsible for innervating the intraocular muscles and originates from the midbrain.

  • How do sympathetic nerves enter the eye and what is their role?

    -Sympathetic nerves enter the eye by following the internal carotid artery and then running through the superior orbital fissure. They are involved in various functions, including dilation of the pupil and regulation of blood flow within the eye.

  • What is the role of the trigeminal nerve in the eye and how does it relate to the cornea?

    -The trigeminal nerve sends a branch called the naso ciliary nerve into the eye, which carries general sensory fibers to the cornea, allowing us to sense touch and triggering the blink reflex.

  • What is the function of the optic nerve and how is it different from other cranial nerves?

    -The optic nerve (cranial nerve II) carries visual information from the retina to the brain. It is considered a direct extension of the central nervous system and is covered by the same connective tissue layers as the brain.

Outlines

00:00

đŸ‘ïž Anatomy of the Eyeball and Nerve Innervation

This paragraph delves into the anatomy of the eyeball, focusing on the inner structures and the role of nerves. It begins with the iris and pupil, explaining the autonomic control of pupil dilation and constriction by the sympathetic and parasympathetic nervous systems. The sympathetic nerves cause pupil dilation, likened to a rabbit in the headlights, while the parasympathetic nerves induce constriction. The lens and its function in focusing light on the retina are discussed, with the ciliary body and its muscles, controlled by the autonomic nervous system, playing a key role in adjusting the lens shape for near and far vision.

05:02

🔍 The Mechanics of Lens Focus and Nerve Pathways

The second paragraph explains how mammals, unlike birds of prey, adjust the lens shape for vision. It details the role of the ciliary body, a muscular structure surrounding the lens, and the zonular fibers or suspensory ligaments that connect the lens to the ciliary body. The autonomic control of these structures allows the lens to thin for distant vision and thicken for near vision. The parasympathetic nerves from the oculomotor nerve (cranial nerve III) are highlighted as the primary controllers of this process, with the ciliary ganglion serving as a key synapse point for these nerves.

10:04

🚀 Sympathetic Nerve Pathways and Their Role in the Eye

This paragraph explores the sympathetic nerve pathways that enter the eye, originating from the thoracic levels of the spinal cord and traveling along the arteries to reach the orbit. The sympathetic nerves are described as having various roles within the eye, including affecting the ciliary body and lens, and regulating blood flow in the retina. The superior orbital fissure is identified as a critical pathway for these nerves to enter the eye, with some passing through the ciliary ganglion and others following the long ciliary nerves.

15:05

🌐 The Complex Network of Nerves in the Eyeball

The fourth paragraph discusses the intricate network of nerves within the eyeball, including the sympathetic and parasympathetic nerves, and their respective roles. It also introduces the trigeminal nerve's role in conveying general sensory information from the cornea to the brain, which is crucial for the blink reflex. The long ciliary nerves are revealed as the primary pathway for these sensory fibers, with the sympathetic nerves also utilizing this route. The optic nerve's function in transmitting visual information is briefly mentioned, setting the stage for a deeper discussion in a future session.

20:06

đŸ›Łïž Nerve Pathways and the Optic Nerve's Special Status

The final paragraph wraps up the discussion by summarizing the various nerve pathways into the eyeball, emphasizing the optic nerve's unique status as a direct extension of the central nervous system. It mentions the central retinal artery and vein within the optic nerve, which supply blood to the retina. The optic nerve's journey from the retina through the optic canal and its protective coverings are also highlighted. The paragraph concludes by suggesting a future discussion on the optic nerve's full pathway and the implications of its damage.

Mindmap

Keywords

💡Eyeball

The 'eyeball' is the informal term for the eyeball structure, which includes the cornea, iris, pupil, lens, and retina. In the video, the focus is on understanding the internal structures of the eyeball, particularly how nerves interact with these components to facilitate vision and eye movement.

💡Pupil

The 'pupil' is the black circular opening in the center of the iris that controls the amount of light entering the eye. The video discusses how the pupil's size changes in response to light levels, with the sympathetic and parasympathetic nervous systems controlling dilation and constriction, respectively.

💡Iris

The 'iris' is the colored part of the eye that surrounds the pupil. It contains two muscles that control the size of the pupil. The video explains the role of the iris in regulating the pupil's size and how this process is autonomic and not under conscious control.

💡Lens

The 'lens' is a transparent structure behind the iris that focuses light onto the retina. The video describes how the lens changes shape to focus on objects at varying distances, a process known as accommodation and controlled by the ciliary body.

💡Ciliary Body

The 'ciliary body' is a ring of muscle and tissue that surrounds the lens and is responsible for changing the lens's shape. The video explains how the ciliary body's contraction and relaxation affect the lens's ability to focus on near or distant objects.

💡Zonular Fibers

Also known as 'suspensory ligaments,' these fibers connect the lens to the ciliary body. As discussed in the video, the tension in these fibers influences the shape of the lens, which is crucial for focusing light correctly on the retina.

💡Parasympathetic Nerves

The 'parasympathetic nerves' are part of the autonomic nervous system and are responsible for the 'rest and digest' functions. In the context of the video, these nerves control the constriction of the pupil and the accommodation of the lens for near vision.

💡Sympathetic Nerves

The 'sympathetic nerves' are the 'fight or flight' response component of the autonomic nervous system. The video describes how these nerves cause pupil dilation and may also have a role in lens accommodation for far vision.

💡Oculomotor Nerve

The 'oculomotor nerve' (cranial nerve III) is responsible for most of the movements of the eye and also carries parasympathetic fibers to the eye. The video explains its role in innervating the intraocular muscles and its connection to the ciliary body.

💡Trigeminal Nerve

The 'trigeminal nerve' (cranial nerve V) is the largest of the cranial nerves and provides sensory information from the face, including the cornea. The video mentions its role in general sensation within the eye and its connection to the blink reflex.

💡Optic Nerve

The 'optic nerve' (cranial nerve II) carries visual information from the retina to the brain. While not the main focus of the video, it is mentioned as a crucial structure for vision, with the video noting its special status as an extension of the central nervous system.

Highlights

Introduction to the anatomy of the eye, focusing on the nerves and muscles within the eyeball.

Explanation of how sympathetic and parasympathetic nerves enter the eyeball and their roles in pupil dilation and constriction.

Description of the iris muscles, sphincter pupillae, and dilator pupillae, and their autonomic nerve innervation.

Mnemonic 'Robbie and headlights' to remember the sympathetic and parasympathetic roles in pupil response.

Discussion on the lens's function in focusing light on the retina and the role of the ciliary body.

Mechanism of how the ciliary body's contraction and relaxation affect the lens shape for near and far vision.

Clarification on the autonomic control of lens shape change, distinguishing it from conscious focus control.

Identification of the oculomotor nerve as a source of parasympathetic innervation for intraocular muscles.

Details on the Edinger-Westphal nucleus's role in parasympathetic control of the eye.

Explanation of the ciliary ganglion's function as a parasympathetic ganglion for the eye.

Description of the short and long ciliary nerves and their roles in transmitting parasympathetic signals.

Pathway of sympathetic nerve fibers from the spinal cord to the eye and their function.

Role of sympathetic nerves in blood flow regulation within the eye's blood vessels and retina.

Discussion on the trigeminal nerve's branch, the naso ciliary nerve, and its role in general sensation of the cornea.

Importance of the blink reflex triggered by general sensory neurons in the cornea.

Overview of the optic nerve's function as a direct extension of the central nervous system, carrying visual information.

Mention of the central retinal artery and vein within the optic nerve supplying the retina.

Conclusion summarizing the complex nerve pathways and their functions within the eye.

Transcripts

play00:09

[Music]

play00:19

okay so in previous weeks we've been

play00:21

doing various things with the eye

play00:23

we stayed outside the eyeball this week

play00:24

we're going to get inside the eyeball

play00:26

and we're sticking with nerves this time

play00:29

we've got a workout how sympathetic

play00:32

nerves get into the eyeball how

play00:34

parasympathetic nerves get into the

play00:35

eyeball and how the intra ocular muscles

play00:41

are innervated so there's still quite a

play00:44

lot to do I think what we'll do is we'll

play00:52

start anteriorly so we'll start with the

play00:55

bit we can see we'll start with the

play00:56

pupil and the iris because you know the

play00:58

pupil gets larger and smaller and then

play01:00

we'll go a step back and look at the

play01:02

lens and the muscles that affect the

play01:03

lens and then we'll do the last bit of

play01:05

the retina which I'm not going to do in

play01:06

any detail at all I'm just gonna say

play01:08

retina optic nerve that's about it and

play01:11

then we should have there's also a

play01:14

general sensation as well remember the

play01:15

trigeminal nerve that sends a branch

play01:17

inside the eyeball to get to the cornea

play01:20

if we layer it up like that the

play01:23

complexity that you see on some diagrams

play01:26

should seem less confusing all right

play01:29

good luck okay so I've got yeah I got a

play01:32

lot more thus today let's have a look

play01:34

inside this eye beware this one this is

play01:35

just the eye balled without the muscles

play01:37

and stuff you can see you get an idea at

play01:39

the ballet look all the little nerves

play01:40

that are going in there if I take this

play01:44

apart so the see-through bit is the

play01:49

cornea and then of course we've got the

play01:53

iris here and the pupil in the middle

play01:55

and you know the pupil changes size in

play01:59

response to the amount of light

play02:00

available so if it's very bright

play02:02

the pupil gets smaller and if it's not

play02:05

very bright the people slowly dilate

play02:07

right if you flash a light if you shine

play02:09

light into somebody's eyes you should

play02:10

see that in fact if you shine light into

play02:12

one eye you should see the same reaction

play02:14

in both pupils so what we must have is

play02:17

in the iris then

play02:18

there are two muscles we have one

play02:21

circular muscle which is sphincter

play02:24

poopley

play02:25

and then we have a muscle like a radial

play02:29

muscle with the fibers running in this

play02:30

direction around the outside kind of in

play02:31

the in the direction of lines that you

play02:33

see the iris in and that's dilator pupil

play02:37

e1 is innovated by sympathetic nerve

play02:40

fibers and one is innovated by

play02:42

parasympathetic nerve fibers so both of

play02:45

those are motor autonomic nerves so

play02:48

obviously you don't have control over

play02:49

pupilary dilation and constriction it's

play02:52

an autonomic response now which one does

play02:55

which the way to remember is Robbie and

play02:59

headlights right so you know the

play03:04

sympathetic nervous system and

play03:06

adrenaline are responsible for the

play03:08

fight-or-flight response part of our

play03:11

fight-or-flight response if you think

play03:12

about the rabbit in the headlights who

play03:13

stopped still wide eyes dilated pupils

play03:16

as well maybe so dilated pupil II the

play03:24

muscle with the radial fibers like that

play03:26

that's innovated by the sympathetic

play03:28

nerves and that causes the pupil to to

play03:31

widen also remember we talked about the

play03:33

the muscle up here the the the superior

play03:36

tarsal muscle which also has sympathetic

play03:38

fibers which is causes the lifting of

play03:40

the oil it's and but the but see so that

play03:43

means that the opposite then the

play03:44

parasympathetic nerves innervate sinter

play03:47

poopley

play03:48

which then running radially around here

play03:50

cause the sphincter to close in the

play03:52

pupils to shrink in response to bright

play03:55

daylight those are all smooth muscles

play03:58

within the iris on the other side of the

play04:00

colored part which kind of aren't really

play04:04

shown on here the next bit thank you see

play04:08

there's the lens so the pupil is a hole

play04:12

and the lens is on the other side this

play04:14

is the anterior chamber under here so

play04:17

what about the lens then you're probably

play04:19

aware that the lens changes shape the

play04:22

job of the lens is to focus light on the

play04:24

retina at the back of the eye right and

play04:26

we're not going to go into the physics

play04:27

of all of that but there is a lot

play04:29

physics ER

play04:32

when we look at something far away when

play04:36

we focus on a distant object the lens is

play04:39

quite thin and it focuses that distant

play04:42

light onto the retina so that we see a

play04:45

sharp image whereas when we're reading

play04:48

when we're looking at something close up

play04:50

when we're focusing on a close object

play04:52

the lens fattens and by fattening it

play04:55

again focuses the light from that near

play04:58

object on the retina to give us a sharp

play05:01

image now that's what asked mammals do

play05:04

is we should change the shape of the

play05:05

lens I think birds of prey have got I

play05:07

think they can even change the shape of

play05:09

their cornea and they might even have

play05:11

two fovea on the on the retina they

play05:13

which accounts for their amazing

play05:15

eyesight but us mammals we do that by

play05:18

changing the shape of the lens if you

play05:19

change the shape of the lens how are we

play05:20

going to do that it's going to be

play05:22

muscular and again it's autonomic

play05:24

because we're not I mean you can kind of

play05:28

you you can kind of control the focus a

play05:32

bit can you but essentially it's under

play05:35

autonomic control that the way in which

play05:38

this works is a little bit backwards

play05:41

inside the eye there are three layers of

play05:45

tissues one of those layers is called

play05:47

the vascular layer and the vascular

play05:50

layer where it exists around the lens

play05:54

because obviously it's going to leave a

play05:55

hole for the lens there is smooth muscle

play06:02

arranged within that vascular layer the

play06:05

muscle in this vascular layer is called

play06:09

the ciliary body so the ciliary body

play06:12

when you see in an illustration of

play06:14

course you only ever see in 2d like

play06:16

cross-sectional things so it's like it

play06:18

looks like a flat thing but we've

play06:19

imagined the ciliary body as a sphincter

play06:22

as a circular sphincter like other

play06:24

sphincters in the body and it runs

play06:25

around the lens now the lens is

play06:29

suspended from the ciliary body by

play06:32

fibers by like ligamentous fibers by

play06:35

collagen fibers these fibers get called

play06:38

zoella fibers or zhonya nerve fibers

play06:42

this area gets

play06:43

called the zone new lives in which is a

play06:45

great name so these fibers of Zin if you

play06:52

want to the contemporary term would be

play06:54

to call this as suspensory ligament

play06:56

they're rather suspensory ligaments

play06:57

around the body there's another one

play06:58

outside the eye you've come across lots

play07:00

of suspensory ligaments at all it's a

play07:01

good general term but um

play07:03

the lens is suspended from the ciliary

play07:06

body by fibers running around in between

play07:11

them and that would be the suspensory

play07:14

ligament so again that's a circular

play07:15

suspensory ligament so now what happens

play07:19

right when the ciliary body contracts

play07:25

it's going to shrink cuz it's a

play07:28

sphincter right and when the ciliary

play07:30

body relaxes its gonna open up because

play07:34

it's a sphincter and that's what

play07:35

sphincters do what effect is that going

play07:38

to have on the lens but if the lens is

play07:40

in the middle and it's it's suspended

play07:42

from the ciliary body by those collagen

play07:46

fibers by the suspensory ligament when

play07:49

the ciliary body relaxes and gets bigger

play07:53

the lens is going to get stretched and

play07:56

flattened so when the ciliary body is

play07:59

relaxed you're going to be able to focus

play08:01

on distant objects when the ciliary body

play08:04

contracts then those that suspensory

play08:10

ligament is also going to relax and the

play08:11

lens is going to shrink and it's going

play08:13

to fatten which means that when the

play08:17

ciliary body contracts you're able to

play08:19

focus on near objects this is

play08:24

essentially controlled by

play08:25

parasympathetic innervation so these

play08:27

thus the muscles in the ciliary body are

play08:30

controlled by parasympathetic nerves so

play08:33

when there is parasympathetic

play08:34

innervation it contracts and you focus

play08:37

on near objects and when that

play08:40

parasympathetic innervation is removed

play08:42

the ciliary body relaxes the the the

play08:49

lens gets stretched and you focus on

play08:51

distant objects hopefully the way I've

play08:53

explained it seems really

play08:55

straightforward because the

play08:57

time you came to Italy it often seems a

play08:59

bit backwards if I describe to you why

play09:01

it's confusing you're gonna get confused

play09:03

if you've not be confused by it then

play09:04

you're not confuse nice that's good

play09:06

right

play09:07

next question where do those

play09:09

parasympathetic nerve fibers come form

play09:13

well we looked at the extra ocular

play09:19

muscles and we saw that most of the

play09:23

extraocular muscles moving the orbit

play09:25

were innovated by the oculomotor nerve

play09:27

very well named coriander 3 and also

play09:29

know the trochlear in abducens nerve

play09:31

well it turns out that the intra ocular

play09:36

muscles are also innovated by the

play09:39

oculomotor nerve good huh so the

play09:43

oculomotor nerve produces mostly somatic

play09:46

motor neurons for those extra ocular

play09:49

muscles but also parasympathetic neurons

play09:51

it produces a bunch of preganglionic

play09:55

parasympathetic neurons which go out and

play09:58

make their destination are the Paris of

play10:01

a smooth muscle fiber smooth muscle

play10:03

fibers of the of the ciliary body and

play10:06

the sphincter poopley

play10:08

muscles right do you remember where the

play10:12

oculomotor nerve comes from it's a bit

play10:15

bigger on this model than it was on the

play10:17

other model but the oculomotor nerve

play10:19

comes out of the midbrain here and some

play10:27

reason the parasympathetic nucleus

play10:30

involved in this is is quite famous and

play10:32

people seem to remember its name the

play10:34

heading of Westphal nucleus and do you

play10:37

remember last time we were talking about

play10:38

the cerebral aqueduct here and the

play10:41

midbrain here

play10:42

well the eddying Avesta foul nucleus is

play10:44

very close to the other nuclei of the

play10:46

oculomotor nerve it's in the midbrain

play10:49

and a pop site as we saw there dives

play10:53

through the superior orbital fissure at

play10:59

the back of the orbit because that's how

play11:01

pretty much everything gets from the

play11:03

cranial cavity into the orbit unless

play11:05

you're the optic nerve or similarly

play11:07

special

play11:09

and then those preganglionic

play11:13

parasympathetic nerves get to the

play11:15

ciliary ganglion and the ciliary

play11:18

ganglion is one of the four

play11:20

parasympathetic ganglia of the head say

play11:22

four there's four on each side so

play11:25

parasympathetic and sympathetic nerves

play11:28

we have pre ganglionic neurons coming

play11:31

out of the central nervous system they

play11:33

find their way to a ganglion a

play11:34

collection of cell bodies they synapse

play11:37

with another neuron and that

play11:38

postganglionic neuron goes off to his

play11:42

target organ now in the case of the the

play11:46

the parasympathetic nerves going to the

play11:49

the eye going inside the eye that off

play12:07

that's the ciliary ganglion and in the

play12:12

ciliary ganglion and that's a

play12:13

parasympathetic ganglion those

play12:15

preganglionic parasympathetic neurons

play12:17

parts of the oculomotor nerve cranial

play12:20

nerve three they've run in there they

play12:22

meet our postganglionic parasympathetic

play12:25

neurons synapse with it and that neuron

play12:27

shoots off and through these nerves here

play12:30

it's getting to the orbit these nerves

play12:31

get called the short ciliary nerves

play12:34

because stuff randy gets called ciliary

play12:37

but if they're a short ciliary nerves

play12:39

then there must be longer ciliary nerves

play12:41

these other nerves going up here these

play12:43

longer ones those are the long sinewy

play12:44

nerves

play12:47

so those postganglionic parasympathetic

play12:50

neurons run with the short ciliary

play12:52

nerves could get into the eyeball and

play12:54

then they whip off to those Targhee

play12:57

muscles that we were talking about

play12:58

earlier cool huh

play13:02

next question if that's how the

play13:04

parasympathetic neurons gain their how

play13:07

do these sympathetic neurons get into

play13:09

the eye well all sympathetic neurons

play13:16

come out of the spinal cord in the

play13:19

thoracic levels

play13:20

one right so that preganglionic

play13:23

sympathetic neuron comes out of the

play13:25

spinal cord and you know about the

play13:27

sympathetic trunk right the trunk of

play13:29

sympathetic ganglia running down the the

play13:32

posterior thoracic cage the posterior

play13:34

thoracic wall posterior pelvic posture

play13:36

you neck and what have you right well

play13:39

the main way the sympathetic neurons

play13:42

travel around the body or one of the

play13:44

main ways is by following arteries so of

play13:49

course all the orbit all right

play13:56

and then here's a huge red blood vessel

play14:00

here and you can see that it's covered

play14:02

in little white lines what's the blood

play14:04

vessel that's the internal carotid

play14:07

artery because that's gone inside the

play14:09

cranial cavity and makes this room

play14:11

s-shape and at the end of our earth

play14:13

shape it one's posterior to the superior

play14:18

orbital fissure so postganglionic

play14:21

sympathetic neurons work their way up

play14:25

the sympathetic trunk and then they

play14:27

follow the common carotid artery an

play14:29

internal carotid artery up into the

play14:32

cranial cavity and they stay with it

play14:34

until it runs posterior to the orbit and

play14:36

then they jump off those sympathetic

play14:38

nerves jump off run through the superior

play14:41

orbital fissure because everything goes

play14:43

through that right and then they run

play14:44

auntie merely through here and they'll

play14:47

take whatever route they can get to get

play14:51

into the eye which means that they can

play14:54

on what some of them will run through

play14:56

the ciliary ganglion they won't sign up

play15:00

they're just running through it's just

play15:02

cabling it's just a convenient route for

play15:04

them to follow and they they're within

play15:06

also then the short ciliary nerves and

play15:08

they run into the eyeball and they do

play15:09

they're sympathetic jobs within the on

play15:12

label which is the motor bit we just we

play15:15

just talked about there is some

play15:17

discussion about sympathetic nerves also

play15:20

affecting the the ciliary body and the

play15:24

the lens you know opposing the

play15:27

parasympathetic innervation so that when

play15:29

you're startled you also focus on

play15:32

distant objects nine times

play15:34

how true that is but there you go so

play15:37

they'll do those sympathetic motor jobs

play15:38

we've been talking about but also of

play15:39

course sympathetic nerves one of the

play15:41

reasons they're following the arteries

play15:43

is because they're going to affect the

play15:45

smooth muscle in the artery walls and

play15:48

and be involved in regulation of where

play15:51

blood goes in blood flow so they're also

play15:52

gonna go into the retina and into the

play15:54

blood vessels within the retina and

play15:56

control blood flow through there some of

play15:59

them are going to run through the long

play16:01

ciliary nerves because why not you just

play16:02

trying to find any way you can get from

play16:04

here to the eyeballs you go through the

play16:05

long ciliary nerves and that's how the

play16:09

sympathetic nerves and the

play16:10

parasympathetic nerves get into the

play16:12

eyeball but there is a nother nerve

play16:16

going into the eyeball and it's kind of

play16:20

the real reason the long ciliary nerves

play16:21

exist but I've got to pick up this big

play16:23

model again I could do with the big do

play16:25

it like a tall thing he couldn't write

play16:32

the short ciliary nerves run between the

play16:34

ciliary ganglion and the eyeball those

play16:36

are the short ciliary nerves now really

play16:38

the long ciliary nerves are running

play16:40

across here and this nerve here these

play16:44

are branches of the trigeminal nerve

play16:47

that we talked about some weeks ago we

play16:49

talked about the trigeminal nerve and

play16:51

how it innovates you know carriage

play16:52

general sensory innervation from the

play16:55

skin of the face and the eyelid in the

play16:56

conjunctive or an ass or thing right now

play16:58

the mezzo ciliary nerve is a branch

play17:03

that's going to send some general

play17:06

sensory fibers through these long

play17:09

ciliary nerves to get into the eyeball

play17:12

and the ultimate destination of those

play17:14

neurons is is the cornea right so the

play17:20

the cornea has general sensation and you

play17:24

know if you try and touch her you really

play17:25

can you really don't want to and that's

play17:28

the the blink reflex so the I mean you

play17:32

know even if you were to touch the

play17:34

cornea likely with the bud of Cornwall

play17:36

you should trigger the blink blink

play17:38

reflex so general sensation is going to

play17:40

travel through those general sensory

play17:42

neurons through the long ciliary nerves

play17:45

through the

play17:46

nay's of ciliary nerves and then back

play17:50

through the ophthalmic branch of the

play17:52

trigeminal nerve and back to the brain

play17:53

and then trigger the facial nerve to

play17:58

close the oil herbs that that's the

play18:00

blink reflex they should happen but both

play18:02

eyes should happen on both sides so that

play18:04

was the real reason that the long

play18:08

ciliary nerves are there they're

play18:10

actually a branch of the nazo ciliary

play18:12

nerves carrying general sensation from

play18:15

the cornea the sympathetic nerves just

play18:16

run through there just for fun I think

play18:19

as most of the stuff that goes through

play18:20

the eyeball there's obviously one big

play18:22

one that we haven't talked about and

play18:24

that's the optic nerve by the way those

play18:31

that the general sensory nerves of the

play18:35

nazo ciliary know if they'll actually

play18:37

run through some of those will run

play18:39

through the ciliary ganglion as well

play18:40

once I napped with it they'll just run

play18:42

through and through the short silly wee

play18:43

nerves getting the eyeball these nerves

play18:45

they just seem to follow whatever path

play18:46

they can it's probably because in the

play18:49

embryo they're following similar

play18:51

chemotactic

play18:52

cues anyway the the optic nerve cranial

play18:56

nerve to the optic nerve is as I'm sure

play18:59

you're aware carrying special sensory

play19:01

information back from the retina

play19:03

carrying vision and I'm not going to

play19:04

talk about it too much because that's

play19:07

another very minute talk all in its own

play19:09

suffice to say that cranial nerve two is

play19:13

considered a direct extension of the

play19:15

central nervous system so it's not like

play19:17

a peripheral nerve in normal sense the

play19:20

retina and the optic nerve are are an

play19:23

outgrowth and extension of the forebrain

play19:26

so they're quite special and because of

play19:28

that if you follow the optic nerve

play19:31

through the optic canal and into the

play19:32

orbit it's covered by the three layers

play19:35

of connective tissue of PMA - arachnoid

play19:37

mater and dura mater with a bit of CSF

play19:39

and what have you and it yeah that's all

play19:42

I'm going to say is it runs to the eye

play19:44

carries vision one thing is worth

play19:46

mentioning is that within the nerve

play19:49

there is a little artery and a little

play19:52

vein and those are the central retinal

play19:54

artery and central retinal vein carrying

play19:56

blood vessels to the retina

play19:58

but that's it those are the nerves that

play20:01

enter the eye so now we've talked about

play20:03

the intra ocular muscles the sympathetic

play20:06

and parasympathetic nerves that

play20:07

innervate those muscles and how they get

play20:09

there we've added on a bit of general

play20:11

sensation and we've briefly mentioned

play20:13

the optic nerve if ever we talk about

play20:15

the optic nerve what we really should do

play20:16

is talk about the retina the optic nerve

play20:18

the optic tract tract the lateral

play20:22

geniculate nucleus and the thalamus and

play20:24

the yeah we should follow the whole

play20:25

tractor back and how all crosses over

play20:27

and what happens when you damage

play20:28

different bits because that's a whole

play20:29

topic in its own right but we'll save

play20:32

that for another day right

play20:36

so if you see complicated diagrams of

play20:42

nerves going to and from the Ani ball

play20:44

and passing through the ciliary ganglion

play20:46

don't get to befuddle just think about

play20:48

the nerves are going from one place and

play20:51

trying to get to another place and

play20:53

they're just taking whatever route they

play20:54

can and the only parasympathetic neurons

play20:59

synapse in the ciliary ganglion other

play21:03

nerves do pass through the single

play21:05

ciliary ganglion but they're just

play21:06

passing through

play21:07

it's just cabling at that point all

play21:09

right I've made a right mess now like

play21:12

you guys next week

play21:15

[Music]

Rate This
★
★
★
★
★

5.0 / 5 (0 votes)

Étiquettes Connexes
Eye AnatomyNeurosciencePupil ControlLens FocusAutonomic NervesCiliary BodyOptic NerveSympathetic SystemParasympathetic SystemEye Muscles
Besoin d'un résumé en anglais ?