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The Sense of Sight / All About the Eyes
Page: 9
The first line of protection of the eyes is provided by the lids, which prevent access of foreign bodies and assist in the lubrication of the corneal surface. Lid closure and opening are accomplished by the orbicularis oculi and levator palpebri muscles; the orbicularis oculi operates on both lids, bringing their margins into close apposition in the act of lid closure. Opening results from relaxation of the orbicularis muscle and contraction of the levator palpebri of the upper lid; the smooth muscle of the upper lid, Müller's muscle, or the superior palpebral muscle, also assists in widening the lid aperture. The lower lid does not possess a muscle corresponding to the levator of the upper lid, and the only muscle available for causing an active lowering of the lid, required during the depression of the gaze, is the inferior palpebral muscle, which is analogous to the muscle of Müller of the upper lid (called the superior palpebral muscle). This inferior palpebral muscle is so directly fused with the sheaths of the ocular muscles that it provides cooperative action, opening of the lid on downward gaze being mediated, in effect, mainly by the inferior rectus.
The seventh cranial nerve—the facial nerve—supplies the motor fibres for the orbicularis muscle. The levator is innervated by the third cranial nerve—the oculomotor nerve—that also innervates some of the extraocular muscles concerned with rotation of the eyeball, including the superior rectus. The smooth muscle of the eyelids and orbit is activated by the sympathetic division of the autonomic system. The secretion of adrenaline during such states of excitement as fear would also presumably cause contraction of the smooth muscle, but it seems unlikely that this would lead to the protrusion of the eyes traditionally associated with extreme fear. It is possible that the widening of the lid aperture occurring in this excited state, and dilation of the pupil, create the illusion of eye protrusion.
Blinking is normally an involuntary act, but may be carried out voluntarily. The more vigorous “full closure” of the lids involves the orbital portion of the orbicularis muscle and may be accompanied by contraction of the facial muscles that have been described as accessory muscles of blinking: namely, the corrugator supercilii, which on contraction pulls the eyebrows toward the bridge of the nose; and the procerus or pyramidalis, which pulls the skin of the forehead into horizontal folds, acting as a protection when the eyes are exposed to bright light. The more vigorous full closure may be evoked as a reflex response. 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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