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Eye & Ear: Prof. Dr. Nasaruddin Abdul Aziz

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EYE & EAR

PROF. DR. NASARUDDIN ABDUL AZIZ


CYBERJAYA UNIVERSITY COLLEGE OF MEDICAL
SCIENCES
www.cybermed.edu.my
LEARNING OUTCOMES
• At the end of this session, you should be able to
– list the parts of the eyeball
– describe briefly the parts of the eyeball
– list the extraocular muscles
– state the innervation of the extraocular muscles
– list the 3 parts of the ear
– describe briefly the parts of the ear
EYEBALL
• The eyeball is composed of 3 tunics (coats)
– fibrous tunic
– vascular tunic
– neural tunic
Tunica Fibrosa
• Composed of
– sclera
– cornea
Tunica Fibrosa – Sclera
• White, opaque
• Covers posterior 5/6 of the eyeball
• Composed of tough fibrous connective tissue
about 1 mm thick
• Received attachments of tendons of
extraocular muscles
Tunica Fibrosa – Cornea
• Transparent, avascular, highly innervated,
colourless
• Covers anterior 1/6 of eyeball
Tunica Vasculosa
• Middle tunic of the eye
• Composed of 3 parts:
– choroid
– ciliary body
– iris
Tunica Vasculosa – Choroid
• Pigmented posterior portion
• Well-vascularised, pigmented
• Rich in melanocytes
Tunica Vasculosa – Ciliary body
• Wedge-shaped extension of choroid
• Rings the inner wall of the eye at the level of
the lens
• Composed of loose connective tissue
• Anterior 1/3 of ciliary body has about 70
ciliary processes
• Fibres (suspensory ligaments of the lens)
radiate out from ciliary processes to insert
into the lens capsule
• Contains smooth muscle
Tunica Vasculosa – Iris
• Coloured anterior extension of the choroid
• Lies between the anterior chamber and
posterior chamber of the eye
• Completely covers the lens except at the
pupillary aperture
• Contains dilator pupillae and sphincter
pupillae muscles
• Imparts colour to the eye
Lens
• Transparent, biconvex disc located directly
behind the pupil
• Focuses light rays on the retina
• Presbyopia – due to loss of elasticity of the
lens
• Cataract – lens becomes opaque
Vitreous Body
• Transparent, refractile gel that fills the cavity
of the eye behind the lens
• Composed mostly (90%) of water
Neural Tunic – Retina
• Third and innermost layer of the eyeball
• Contains photoreceptor cells = rods & cones
• Composed of outer pigmented layer and inner
layer, the retina proper
• Pigmented layer covers the entire internal
surface of the eyeball
• Retina proper stops at the ora serrata
• Optic disk located on the posterior wall of the
eyeball, is the exit site of optic nerve
• No photoreceptor cells = blind spot of the
retina
• Approximately 2.5 mm lateral to the optic disk
is a yellow pigmented zone = macula lutea
• Located in the centre is fovea centralis, where
visual acuity is greatest
• Contains only cones
• Layers of cells:
– Pigmented epithelium
– Rods and cones
– Bipolar cells
– Ganglion cell layer
Extraocular Muscles
• 7 muscles:
– Superior rectus
– Inferior rectus
– Medial rectus
– Lateral rectus
– Superior oblique
– Inferior oblique
– Levator palpebrae suprioris
EAR
• External ear
• Middle ear
• Internal ear
External Ear
• Auricle
• External auditory meatus (EAM)
• Tympanic membrane (TM)
• Auricle is composed of elastic cartilage
• EAM is the canal that extends from the pinna to
the TM
• EAM is covered with skin containing hair follicles,
sebaceous glands, modified sweat glands
(ceruminous glands) which produce cerumen
Middle ear
• Tympanic cavity
• Air-filled space located in petrous part of
temporal bone
• Communicates with the nasopharynx via the
auditory tube (eustachian tube)
• Contain the 3 bone ossicles:
– malleus
– incus
– stapes
• The ossicles are articulated in series by
synovial joints
• Malleus is attached to the TM
• Stapes is attached to the oval window
• 2 small muscles, tensor tympani & stapedius,
modulate movements of the ossicles to
prevent damage from loud sounds
• Located on the medial wall are the oval
window and round window
Inner ear
• Composed of
– bony labyrinth
– membranous labyrinth
Bony labyrinth
• Has 3 components
– semicircular canals
– vestibule
– cochlea
• Separated from membranous labyrinth by
perilymphatic space
Semicircular canals
• The 3 semicircular canals (superior, lateral,
posterior) are oriented 90ᵒ to one another
• One end of each canal is enlarged = ampulla
• All 3 semicircular canals arise and return to
the vestibule
• Suspended within the canals are semicircular
ducts
Vestibule
• Vestibule is the central portion of the bony
labyrinth
• Located between anteriorly placed cochlea
and the posteriorly placed semicircular canals
• Houses membranous labyrinth known as
utricle & saccule
• Its lateral wall contains oval window (fenestra
vestibuli) and round window (fenestra
cochleae)
Cochlea
• Hollow bony spiral that turns upon itself 2½
times around a central bony column known as
modiolus
Membranous labyrinth
• Filled with endolymph
• Composed of semicircular ducts, cohclear
duct, utricle & saccule

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