Nasociliary nerve

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Nasociliary nerve
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Nerves of the orbit, and the ciliary ganglion. Side view. (Nasociliary is at center.)
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Nerves of septum of nose. Right side. (Nasociliary is rightmost yellow line.)
Details
From Ophthalmic nerve
To posterior ethmoidal nerve, anterior ethmoidal nerve, long ciliary nerves, infratrochlear nerve, communicating branch to ciliary ganglion
Identifiers
Latin nervus nasociliaris
TA98 A14.2.01.025
TA2 6204
FMA 52668
Anatomical terms of neuroanatomy

The nasociliary nerve is a branch of the ophthalmic nerve (CN V1) (which is in turn a branch of the trigeminal nerve (CN V)). It is intermediate in size between the other two branches of the ophthalmic nerve, the frontal nerve and lacrimal nerve. [1]

Contents

Structure

Course

The nasociliary nerve enters the orbit via the superior orbital fissure,[ citation needed ] through the common tendinous ring, [1] and between the two heads of the lateral rectus muscle and between the superior and inferior rami of the oculomotor nerve.[ citation needed ] It passes across the optic nerve (CN II) along with the ophthalmic artery. It then runs obliquely beneath (inferior to) the superior rectus muscle and superior oblique muscle to the medial wall of the orbital cavity whereupon it emits the posterior ethmoidal nerve, and the anterior ethmoidal nerve. [1]

Branches

Branches of the nasociliary nerve include: [1]

Function

The branches of the nasociliary nerve provide sensory innervation to structures surrounding the eye such as the cornea, eyelids, conjunctiva, ethmoid air cells and mucosa of the nasal cavity.[ citation needed ]

Clinical significance

Clinical assessment

Since both the short and long ciliary nerves carry the afferent limb of the corneal reflex, one can test the integrity of the nasociliary nerve (and, ultimately, the trigeminal nerve) by examining this reflex in the patient. Normally both eyes should blink when either cornea (not the conjunctiva, which is supplied by the adjacent cutaneous nerves) is irritated. If neither eye blinks, then either the ipsilateral nasociliary nerve is damaged, or the facial nerve (CN VII, which carries the efferent limb of this reflex) is bilaterally damaged. If only the contralateral eye blinks, then the ipsilateral facial nerve is damaged. If only the ipsilateral eye blinks, then the contralateral facial nerve is damaged.[ citation needed ]

Additional images

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<span class="mw-page-title-main">Oculomotor nerve</span> Cranial nerve III, for eye movements

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In anatomy, the orbit is the cavity or socket/hole of the skull in which the eye and its appendages are situated. "Orbit" can refer to the bony socket, or it can also be used to imply the contents. In the adult human, the volume of the orbit is 30 millilitres, of which the eye occupies 6.5 ml. The orbital contents comprise the eye, the orbital and retrobulbar fascia, extraocular muscles, cranial nerves II, III, IV, V, and VI, blood vessels, fat, the lacrimal gland with its sac and duct, the eyelids, medial and lateral palpebral ligaments, cheek ligaments, the suspensory ligament, septum, ciliary ganglion and short ciliary nerves.

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The extraocular muscles, or extrinsic ocular muscles, are the seven extrinsic muscles of the human eye. Six of the extraocular muscles, the four recti muscles, and the superior and inferior oblique muscles, control movement of the eye and the other muscle, the levator palpebrae superioris, controls eyelid elevation. The actions of the six muscles responsible for eye movement depend on the position of the eye at the time of muscle contraction.

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<span class="mw-page-title-main">Ciliary ganglion</span> Bundle of nerves, parasympathetic ganglion

The ciliary ganglion is a bundle of nerves, parasympathetic ganglion located just behind the eye in the posterior orbit. It is 1–2 mm in diameter and in humans contains approximately 2,500 neurons. The ganglion contains postganglionic parasympathetic neurons. These neurons supply the pupillary sphincter muscle, which constricts the pupil, and the ciliary muscle which contracts to make the lens more convex. Both of these muscles are involuntary since they are controlled by the parasympathetic division of the autonomic nervous system.

<span class="mw-page-title-main">Ophthalmic nerve</span> Sensory nerve of the face

The ophthalmic nerve (CN V1) is a sensory nerve of the head. It is one of three divisions of the trigeminal nerve (CN V), a cranial nerve. It has three major branches which provide sensory innervation to the eye, and the skin of the upper face and anterior scalp, as well as other structures of the head.

<span class="mw-page-title-main">Superior ophthalmic vein</span> Vein of the orbit around the eye

The superior ophthalmic vein is a vein of the orbit that drains venous blood from structures of the upper orbit. It is formed by the union of the angular vein, and supraorbital vein. It passes backwards within the orbit alongside the ophthalmic artery, then exits the orbit through the superior orbital fissure to drain into the cavernous sinus.

<span class="mw-page-title-main">Lacrimal nerve</span> Branch of the ophthalmic nerve

The lacrimal nerve is the smallest of the three main branches of the ophthalmic nerve (CN V1) (itself a branch of the trigeminal nerve (CN V)).

<span class="mw-page-title-main">Supratrochlear nerve</span> Nerve of the forehead

The supratrochlear nerve is a branch of the frontal nerve, itself a branch of the ophthalmic nerve (CN V1) from the trigeminal nerve (CN V). It provides sensory innervation to the skin of the forehead and the upper eyelid.

<span class="mw-page-title-main">Infratrochlear nerve</span>

The infratrochlear nerve is a branch of the nasociliary nerve (itself a branch of the ophthalmic nerve (CN V1)) in the orbit. It exits the orbit inferior to the trochlea of superior oblique. It provides sensory innervation to structures of the orbit and skin of adjacent structures.

<span class="mw-page-title-main">Long ciliary nerves</span>

The long ciliary nerves are 2-3 nerves that arise from the nasociliary nerve (itself a branch of the ophthalmic branch (CN V1) of the trigeminal nerve (CN V)). They enter the eyeball to provide sensory innervation to parts of the eye, and sympathetic visceral motor innervation to the dilator pupillae muscle.

<span class="mw-page-title-main">Short ciliary nerves</span> Nerves of the orbit around the eye

The short ciliary nerves are nerves of the orbit around the eye. They are branches of the ciliary ganglion. They supply parasympathetic and sympathetic nerve fibers to the ciliary muscle, iris, and cornea. Damage to the short ciliary nerve may result in loss of the pupillary light reflex, or mydriasis.

<span class="mw-page-title-main">Outline of human anatomy</span> Overview of and topical guide to human anatomy

The following outline is provided as an overview of and topical guide to human anatomy:

<span class="mw-page-title-main">Roots of the ciliary ganglion</span>

The ciliary ganglion is a parasympathetic ganglion located just behind the eye in the posterior orbit. Three types of axons enter the ciliary ganglion but only the preganglionic parasympathetic axons synapse there. The entering axons are arranged into three roots of the ciliary ganglion, which join enter the posterior surface of the ganglion.

References

  1. 1 2 3 4 Standring, Susan (2020). Gray's Anatomy: The Anatomical Basis of Clinical Practice (42nd ed.). New York. p. 782. ISBN   978-0-7020-7707-4. OCLC   1201341621.{{cite book}}: CS1 maint: location missing publisher (link)

PD-icon.svgThis article incorporates text in the public domain from page 888 of the 20th edition of Gray's Anatomy (1918)