Inferior ophthalmic vein

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Inferior ophthalmic vein
Gray572.png
Veins of orbit.
Details
Drains to Superior ophthalmic vein or cavernous sinus, and pterygoid venous plexus
Identifiers
Latin vena ophthalmica inferior
TA98 A12.3.06.117
TA2 4900
FMA 51247
Anatomical terminology

The inferior ophthalmic vein is a vein of the orbit that - together with the superior ophthalmic vein - represents the principal drainage system of the orbit. It begins from a venous network in the front of the orbit, then passes backwards through the lower orbit. It drains several structures of the orbit. It may end by splitting into two branches, one draining into the pterygoid venous plexus and the other ultimately (i.e. directly or indirectly) into the cavernous sinus.

Contents

Structure

The inferior ophthalmic vein - together with the superior ophthalmic vein - represents the principal drainage system of the orbit. [1] It forms/represents a connection between facial veins, and intracranial veins. It is valveless. [2]

Origin

The inferior ophthalmic vein originates from a venous network at the anterior part of the floor [3] [2] and anterior part of the medial wall of the orbit. [2]

Course

The inferior ophthalmic vein passes posterior-ward through the inferior orbit [4] upon the inferior rectus muscle. It passes across (not through) the inferior orbital fissure before either draining into the superior ophthalmic vein within the orbit, or passing through or below the common tendinous ring and exiting the orbit through the superior orbital fissure to empty into the cavernous sinus. [2]

Distribution

The inferior ophthalmic vein drains venous blood from the inferior rectus muscle, inferior oblique muscle, lateral rectus muscle, lacrimal sac, lower conjunctiva, and lower vorticose veins. [3]

Fate

The inferior ophthalmic vein empties either into the superior ophthalmic vein (which subsequently drains into the cavernous sinus), or into the cavernous sinus directly. [2]

Depending upon the source, it may [3] terminate by splitting into two branches: one passing through the superior orbital fissure to drain into the superior ophthalmic vein or cavernous sinus; another passing through the inferior orbital fissure to empty into the pterygoid venous plexus. [3] [4] The branch to the pterygoid venous plexus may however instead be considered not a terminal branch but rather a communicating branch. [2]

Clinical significance

In periorbital cellulitis, the inferior ophthalmic vein may be compressed. [5] This can increase pressure, causing oedema. [5]

See also

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<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:

The infraorbital vein is a vein that drains structures of the floor of the orbit. It arises on the face and passes backwards through the orbit alongside infraorbital artery and nerve, exiting the orbit through the inferior orbital fissure to drain into the pterygoid venous plexus.

References

  1. Semmer, A. E.; McLoon, L. K.; Lee, M. S. (2010). "Orbital Vascular Anatomy". Encyclopedia of the Eye. Academic Press. pp. 241–251. doi:10.1016/B978-0-12-374203-2.00284-0. ISBN   978-0-12-374203-2.
  2. 1 2 3 4 5 6 Standring, Susan (2020). Gray's Anatomy: The Anatomical Basis of Clinical Practice (42nd ed.). New York. p. 780. ISBN   978-0-7020-7707-4. OCLC   1201341621.{{cite book}}: CS1 maint: location missing publisher (link)
  3. 1 2 3 4 Remington, Lee Ann (2012). "11 - Orbital Blood Supply". Clinical Anatomy and Physiology of the Visual System (3rd ed.). Butterworth-Heinemann. pp. 202–217. doi:10.1016/B978-1-4377-1926-0.10011-6. ISBN   978-1-4377-1926-0.
  4. 1 2 Gray, Henry (1918). Gray's Anatomy (20th ed.). p. 659.
  5. 1 2 Bair-Merritt, Megan H.; Shah, Samir S. (2007). "64 - Complications of Acute Otitis Media and Sinusitis". Comprehensive Pediatric Hospital Medicine. Mosby. pp. 352–359. doi:10.1016/B978-032303004-5.50068-5. ISBN   978-0-323-03004-5.