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The Sense of Sight / All About the Eyes
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The eye is kept moist by secretions of the lacrimal glands (tear glands). These almond-shaped glands under the upper lids extend inward from the outer corner of each eye. Each gland has two portions. One portion is in a shallow depression in the part of the eye socket formed by the frontal bone. The other portion projects into the back part of the upper lid. The ducts from each gland, three to 12 in number, open into the superior conjunctival fornix, or sac. From the fornix, the tears flow down across the eye and into the puncta lacrimalia, small openings at the margin of each eyelid near its inner corner. The puncta are openings into the lacrimal ducts; these carry the tears into the lacrimal sacs, the dilated upper ends of the nasolacrimal ducts, which carry the tears into the nose.
The evaporation of the tears as they flow across the eye is largely prevented by the secretion of oily and mucous material by other glands. Thus, the meibomian, or tarsal glands, consist of a row of elongated glands extending through the tarsal plates; they secrete an oil that emerges onto the surface of the lid margin and acts as a barrier for the tear fluid, which accumulates in the grooves between the eyeball and the lid barriers.
Six muscles outside the eye govern its movements. These muscles are the four rectus muscles—the inferior, medial, lateral, and superior recti—and the superior and inferior oblique muscles. The rectus muscles arise from a fibrous ring that encircles the optic nerve at the optic foramen, the opening through which the nerve passes, and are attached to the sclera, the opaque portion of the eyeball, in front of the equator, or widest part, of the eye. The superior oblique muscle arises near the rim of the optic foramen and somewhat nearer the nose than the origin of the rectus medialis. It ends in a rounded tendon that passes through a fibrous ring, the trochlea, that is attached to the frontal bone. The trochlea acts as a pulley. The tendon is attached to the sclera back of the equator of the eye.
The inferior oblique muscle originates from the floor of the orbit, passes under the eyeball like a sling, and is attached to the sclera between the attachments of the superior and lateral rectus muscles. The rectus muscles direct the gaze upward and downward and from side to side. The inferior oblique muscle tends to direct the eye upward, and the superior oblique to depress the eye; because of the obliqueness of the pull, each causes the eye to roll, and in an opposite direction.
The oblique muscles are strictly antagonistic to each other, but they work with the vertical rectus muscles in so far as the superior rectus and inferior oblique both tend to elevate the gaze and the inferior rectus and superior oblique both tend to depress the gaze. The superior and inferior recti do not produce a pure action of elevation or depression because their plane of action is not exactly vertical; in consequence, as with the obliques, they cause some degree of rolling, but by no means so great as that caused by the obliques; the direction of rolling caused by the rectus muscle is opposite to that of its synergistic oblique; the superior rectus causes the eye to roll inward, and the inferior oblique outward. Take this preliminary to see if your condition could respond to treatment.
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Additional information regarding conditions of the eyes can be found here.
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