Ophthalmic nerve

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Ophthalmic nerve
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Oblique section through the cavernous sinus.
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Nerves of the orbit, and the ciliary ganglion. Side view.
Details
From trigeminal nerve
To frontal nerve, lacrimal nerve, nasociliary nerve
Identifiers
Latin n. ophthalmicus
MeSH D009882
TA98 A14.2.01.016
TA2 6196
FMA 52621
Anatomical terms of neuroanatomy

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.

Contents

Structure

It measures about 2.5 cm in length.[ citation needed ]

Origin

The ophthalmic nerve is the first branch of the trigeminal nerve (CN V), the first and smallest of its three divisions. [1] It arises from the superior part of the trigeminal ganglion.[ citation needed ]

Course

It passes anterior-ward along the lateral wall of the cavernous sinus inferior to the oculomotor nerve (CN III) and trochlear nerve (N IV). [1] It exits the skull into the orbit trough the superior orbital fissure.[ citation needed ]

Branches

Within the skull, the ophthalmic nerve produces: [1]

The ophthalmic nerve divides into three major branches which pass through the superior orbital fissure: [1]

Distribution

The ophthalmic nerve provides sensory innervation to the cornea, ciliary body, and iris; to the lacrimal gland and conjunctiva; to the part of the mucous membrane of the nasal cavity; and to the skin of the eyelids, eyebrow, forehead and nose.

It carries sensory branches from the eyes, conjunctiva, lacrimal gland, nasal cavity, frontal sinus, ethmoidal cells, falx cerebri, dura mater in the anterior cranial fossa, superior parts of the tentorium cerebelli, upper eyelid, dorsum of the nose, and anterior part of the scalp.

Roughly speaking, the ophthalmic nerve supplies general somatic afferents to the upper face, head, and eye:

In comparison, the maxillary nerve (CN V2) provides general somatic afferents to the mid-face and mid-head.

Clinical significance

Damage to the ophthalmic nerve can cause loss of sensation of the structures it supplies in the face. [2] The corneal reflex may be lost, which can increase the risk of damage to the cornea. [2]

Additional images

Related Research Articles

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

The oculomotor nerve, also known as the third cranial nerve, cranial nerve III, or simply CN III, is a cranial nerve that enters the orbit through the superior orbital fissure and innervates extraocular muscles that enable most movements of the eye and that raise the eyelid. The nerve also contains fibers that innervate the intrinsic eye muscles that enable pupillary constriction and accommodation. The oculomotor nerve is derived from the basal plate of the embryonic midbrain. Cranial nerves IV and VI also participate in control of eye movement.

<span class="mw-page-title-main">Trigeminal nerve</span> Cranial nerve responsible for the faces senses and motor functions

In neuroanatomy, the trigeminal nerve (lit. triplet nerve), also known as the fifth cranial nerve, cranial nerve V, or simply CN V, is a cranial nerve responsible for sensation in the face and motor functions such as biting and chewing; it is the most complex of the cranial nerves. Its name (trigeminal, from Latin tri- 'three', and -geminus 'twin') derives from each of the two nerves (one on each side of the pons) having three major branches: the ophthalmic nerve (V1), the maxillary nerve (V2), and the mandibular nerve (V3). The ophthalmic and maxillary nerves are purely sensory, whereas the mandibular nerve supplies motor as well as sensory (or "cutaneous") functions. Adding to the complexity of this nerve is that autonomic nerve fibers as well as special sensory fibers (taste) are contained within it.

<span class="mw-page-title-main">Mandibular nerve</span> Branch of the trigeminal nerve responsible for the lower face and jaw

In neuroanatomy, the mandibular nerve (V3) is the largest of the three divisions of the trigeminal nerve, the fifth cranial nerve (CN V). Unlike the other divisions of the trigeminal nerve (ophthalmic nerve, maxillary nerve) which contain only afferent fibers, the mandibular nerve contains both afferent and efferent fibers. These nerve fibers innervate structures of the lower jaw and face, such as the tongue, lower lip, and chin. The mandibular nerve also innervates the muscles of mastication.

<span class="mw-page-title-main">Orbit (anatomy)</span> Cavity or socket of the skull in which the eye and its appendages are situated

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.

<span class="mw-page-title-main">Middle meningeal artery</span> Artery supplying the meninges

The middle meningeal artery is typically the third branch of the first portion of the maxillary artery. After branching off the maxillary artery in the infratemporal fossa, it runs through the foramen spinosum to supply the dura mater and the calvaria. The middle meningeal artery is the largest of the three (paired) arteries that supply the meninges, the others being the anterior meningeal artery and the posterior meningeal artery.

<span class="mw-page-title-main">Lacrimal gland</span> Exocrine gland, one for each eye, that secrete tears

The lacrimal glands are paired exocrine glands, one for each eye, found in most terrestrial vertebrates and some marine mammals, that secrete the aqueous layer of the tear film. In humans, they are situated in the upper lateral region of each orbit, in the lacrimal fossa of the orbit formed by the frontal bone. Inflammation of the lacrimal glands is called dacryoadenitis. The lacrimal gland produces tears which are secreted by the lacrimal ducts, and flow over the ocular surface, and then into canals that connect to the lacrimal sac. From that sac, the tears drain through the lacrimal duct into the nose.

<span class="mw-page-title-main">Levator palpebrae superioris muscle</span> Muscle in orbit that elevates upper eyelid

The levator palpebrae superioris is the muscle in the orbit that elevates the upper eyelid.

<span class="mw-page-title-main">Medial rectus muscle</span> Extraocular muscle that rotates the eye medially

The medial rectus muscle is a muscle in the orbit near the eye. It is one of the extraocular muscles. It originates from the common tendinous ring, and inserts into the anteromedial surface of the eye. It is supplied by the inferior division of the oculomotor nerve (III). It rotates the eye medially (adduction).

<span class="mw-page-title-main">Ophthalmic artery</span> Artery of the head

The ophthalmic artery (OA) is an artery of the head. It is the first branch of the internal carotid artery distal to the cavernous sinus. Branches of the ophthalmic artery supply all the structures in the orbit around the eye, as well as some structures in the nose, face, and meninges. Occlusion of the ophthalmic artery or its branches can produce sight-threatening conditions.

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

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.

<span class="mw-page-title-main">Frontal nerve</span> Nerve supplying the forehead, frontal sinus, and upper eyelid

The frontal nerve is the largest branch of the ophthalmic nerve (V1), itself a branch of the trigeminal nerve (CN V). It supplies sensation to the skin of the forehead, the mucosa of the frontal sinus, and the skin of the upper eyelid. It may be affected by schwannoma.

<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">Trigeminal ganglion</span> Sensory ganglion of the trigeminal nerve

The trigeminal ganglion is the sensory ganglion of each trigeminal nerve. The trigeminal ganglion is located within the trigeminal cave, a cavity formed by dura mater.

<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">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

PD-icon.svgThis article incorporates text in the public domain from page 887 of the 20th edition of Gray's Anatomy (1918)

  1. 1 2 3 4 5 Essential Clinically Applied Anatomy of the Peripheral Nervous System in the Head and Neck. Elsevier. 2016. pp. 58–59. doi:10.1016/c2014-0-05021-6. ISBN   978-0-12-803633-4.
  2. 1 2 Lin, Frank R.; Niparko, John K. (2009). "52 - Complications of Lateral Skull-Base Surgery". Complications in Head and Neck Surgery (2nd ed.). Mosby. pp. 689–701. doi:10.1016/B978-141604220-4.50056-0. ISBN   978-1-4160-4220-4.