Anatomy of the Ocular Adnexa, Orbit, and Related Facial Structures

  • Bradley N. Lemke
  • Mark J. Lucarelli
Chapter

Abstract

Understanding the structural abnormalities and the corrective surgical procedures described in this volume is predicated on a familiarity with normal anatomy. This chapter is designed to discuss this anatomy in sufficient detail and to provide key past and current references so as to be useful to the physician and surgeon working in this area.

Keywords

Depression Adenoma Meningioma Antimony Crest 

References

  1. 1.
    Mann I. The development of the human eye. New York: Grune & Stratton; 1950.Google Scholar
  2. 2.
    Blechschmidt E, Gasser RF. Biokinetics and biodynamics of human differentiation. Springfield: Charles C Thomas; 1978. p. 130.Google Scholar
  3. 3.
    Whitnall SE. The anatomy of the human orbit and accessory organs of vision. 2nd ed. New York: Oxford University Press; 1932.Google Scholar
  4. 4.
    Webster RC et al. Supraorbital and supratrochlear notches and foramina: anatomical variations and surgical relevance. Laryngoscope. 1986;96:311.PubMedGoogle Scholar
  5. 5.
    Wulc AE, Adams JL, Dryden RM. Cerebrospinal fluid leakage complicating exenteration. Arch Ophthalmol. 1989;107:827.PubMedGoogle Scholar
  6. 6.
    Diamond MK. Homologies of the meningeal-orbital arteries of humans: a reappraisal. J Anat. 1991;178:223.PubMedPubMedCentralGoogle Scholar
  7. 7.
    Whitnall SE. On a tubercle on the malar bone, and on the lateral attachments of the tarsal plates. J Anat Physiol. 1911;45:426.PubMedPubMedCentralGoogle Scholar
  8. 8.
    Jo A, Rizen V, Nikolic V, Banovic B. The role of orbital wall morphological properties in the etiology of “blow-out” fractures. Surg Radiol Anat. 1989;11:241.PubMedGoogle Scholar
  9. 9.
    Kurihashi K, Yamashita A. Anatomical consideration for dacryocystorhinostomy. Ophthalmologica. 1991;203:1.PubMedGoogle Scholar
  10. 10.
    Natori Y, Rhoton AL. Microsurgical anatomy of the superior orbital fissure. Neurosurgery. 1995;36:762.PubMedGoogle Scholar
  11. 11.
    Bansberg SF, Harner SG, Forbes G. Relationship of the optic nerve to the paranasal sinuses as shown by computed tomography. Otolaryngol Head Neck Surg. 1987;96:331.PubMedGoogle Scholar
  12. 12.
    Goalwin HA. One thousand optic canals. JAMA. 1927;89:1745.Google Scholar
  13. 13.
    Goldberg RA, Hannani K, Toga AW. Microanatomy of the orbital apex: computed tomography and microcryoplaning of soft and hard tissue. Ophthalmology. 1992;99:1447.PubMedGoogle Scholar
  14. 14.
    Rochels R. Holographic deformation analysis of the optic canal in blunt cranial trauma. Fortschr Ophthalmol. 1990;87:182.PubMedGoogle Scholar
  15. 15.
    Cares HL, Bakay L. The clinical significance of the optic strut. J Neuro-surg. 1971;34:355.Google Scholar
  16. 16.
    Blanton PL, Biggs NL. Eighteen hundred years of controversy: the paranasal sinuses. Am J Anat. 1969;124:135.PubMedGoogle Scholar
  17. 17.
    Langman J. Medical embryology. 2nd ed. Baltimore: Williams & Wilkins; 1969. p. 355.Google Scholar
  18. 18.
    Bridger MWM, VanNostrand AWP. The nose and paranasal sinuses – applied surgical anatomy. J Otolaryngol. 1978;7:2.Google Scholar
  19. 19.
    Ritter FN. The paranasal sinuses, anatomy and technique. 2nd ed. St. Louis: CV Mosby; 1978.Google Scholar
  20. 20.
    Serdahl CL, Berris CE, Chole RA. Nasolacrimal duct obstruction after endoscopic sinus surgery. Arch Ophthalmol. 1990;108:391.PubMedGoogle Scholar
  21. 21.
    Penne RB et al. Ocular motility disorders secondary to sinus surgery. Ophthal Plast Reconstr Surg. 1993;9:53.PubMedGoogle Scholar
  22. 22.
    Bolger WE et al. Lacrimal drainage system injury in functional endoscopic sinus surgery. Arch Otolaryngol Head Neck Surg. 1992;118:1179.PubMedGoogle Scholar
  23. 23.
    Bailey JH. Surgical anatomy of the lacrimal sac. Am J Ophthalmol. 1923;6:665.Google Scholar
  24. 24.
    Hinton P, Hurwitz JJ, Cruickshank B. Nasolacrimal bone changes in diseases of the lacrimal drainage system. Ophthalmic Surg. 1984;15:516.PubMedGoogle Scholar
  25. 25.
    Patton JM. Regional anatomy of the tear sac. Ann Otol Rhinol Laryngol. 1923;32:58.Google Scholar
  26. 26.
    Whitnall SE. The relations of the lacrimal fossa to the ethmoidal cells. Ophthalmic Rev. 1911;30:321.Google Scholar
  27. 27.
    Whitnall SE. The nasolacrimal canal: the extent to which it is influenced by the maxilla, and the influence of this upon its calibre. Ophthalmoscope. 1912;10:557.Google Scholar
  28. 28.
    deHaan AB, Willekens BL. Embryology of the orbital walls: a preliminary report. Proceedings of the 2nd international symposium on orbital disorders, Amsterdam, 1973, Mod Prob Ophthalmol. 1975;14:57.Google Scholar
  29. 29.
    Mishima S. Some physiologic aspects of the precorneal tear film. Arch Ophthalmol. 1965;73:233.PubMedGoogle Scholar
  30. 30.
    Mathers WD, Daley TE. Tear flow and evaporation in patients with and without dry eye. Ophthalmology. 1996;103:664.PubMedGoogle Scholar
  31. 31.
    Mathers WD. Ocular evaporation in meibomian gland dysfunction and dry eye. Ophthalmology. 1993;100:347.PubMedGoogle Scholar
  32. 32.
    Ford LC, Delange RJ, Petty RW. Identification of a nonlysozymal bactericidal factor (beta lysin) in human tears and aqueous humor. Am J Ophthalmol. 1976;81:30.PubMedGoogle Scholar
  33. 33.
    Hurwitz JJ. The lacrimal system. Philadelphia: Lippincott-Raven; 1996. p. 331.Google Scholar
  34. 34.
    Lemp MA, Dohlman CH, Holly FJ. Corneal dessication despite normal tear volume. Ann Ophthalmol. 1970;2:258.Google Scholar
  35. 35.
    Jones LT. The lacrimal secretory system and its treatment. Am J Ophthalmol. 1966;62:47.PubMedGoogle Scholar
  36. 36.
    Jordan A, Baum J. Basic tear flow. Does it exist? Ophthalmology. 1980;87:920–30.PubMedGoogle Scholar
  37. 37.
    Scherz W, Dohlman CH. Is the lacrimal gland dispensible? Keratoconjunctivitis sicca after lacrimal gland removal. Arch Ophthalmol. 1975;93:281.PubMedGoogle Scholar
  38. 38.
    Holly FJ, Lemp MD. Tear physiology and dry eyes. Surv Ophthalmol. 1977;22:69.PubMedGoogle Scholar
  39. 39.
    Lemp MA, Hamill JR. Factors affecting tear film break-up in normal eyes. Arch Ophthalmol. 1973;89:103.PubMedGoogle Scholar
  40. 40.
    Iwamoto T, Jakobiec FA. Lacrimal glands. In: Jakobiec F, editor. Ocular anatomy, embryology, and teratology. New York: Harper & Row; 1982. p. 762.Google Scholar
  41. 41.
    Smith B, Petrelli R. Surgical repair of the prolapsed lacrimal gland. Arch Ophthalmol. 1978;96:113.PubMedGoogle Scholar
  42. 42.
    Roen JL, Stasior OG, Jakobiec FA. Aging changes in the human lacrimal gland: role of the ducts. CLAO J. 1985;11:237.PubMedGoogle Scholar
  43. 43.
    Obata H et al. Histopathologic study of human lacrimal gland: statistical analysis with special reference to aging. Ophthalmology. 1995;102:678.PubMedGoogle Scholar
  44. 44.
    Ruskell GL. The distribution of autonomic post-ganglionic nerve fibers to the lacrimal gland in monkeys. J Anat. 1971;109:229.PubMedPubMedCentralGoogle Scholar
  45. 45.
    Botelho SY, Hisada M, Fuenmayor N. Functional innervation of the lacrimal gland in the cat. Arch Ophthalmol. 1966;76:581.PubMedGoogle Scholar
  46. 46.
    Whitwell J. Denervation of the lacrimal gland. Br J Ophthalmol. 1958;42:518.PubMedPubMedCentralGoogle Scholar
  47. 47.
    Ruskin SL. Control of tearing by blocking the nasal ganglion. Arch Ophthalmol. 1930;4:208.Google Scholar
  48. 48.
    Riley CM et al. Central autonomic dysfunction with defective lacrimation. Pediatrics. 1949;3:468.PubMedGoogle Scholar
  49. 49.
    Sevel D. Development and congenital abnormalities of the nasolacrimal apparatus. J Pediatr Ophthalmol Strabismus. 1981;18:13.PubMedGoogle Scholar
  50. 50.
    Carter KD, Nelson CC, Martonyi CL. Size variation of the lacrimal punctum in adults. Ophthal Plast Reconstr Surg. 1988;4:231.PubMedGoogle Scholar
  51. 51.
    Gosain AK et al. Surgical anatomy of the SMAS: a reinvestigation. Plast Reconstr Surg. 1993;92:1254.PubMedGoogle Scholar
  52. 52.
    Homer WE. Description of a small muscle at the internal commissure of the eyelids. J Med Phys Sci. 1824;8:70.Google Scholar
  53. 53.
    Aubaret E. The valves of the lacrymonasal passages. Arch Ophthalmol. 1908;28:211.Google Scholar
  54. 54.
    Tucker NA, Tucker SM, Linberg JV. The anatomy of the common canaliculus. Arch Ophthalmol. 1996;114:1231.PubMedGoogle Scholar
  55. 55.
    Ahl NC, Hill JD. Horner’s muscle and the lacrimal system. Arch Ophthalmol. 1982;100:488.PubMedGoogle Scholar
  56. 56.
    Jones LT, Wobig JL. Surgery of the eyelids and lacrimal system. Birmingham: Aesculapius; 1976.Google Scholar
  57. 57.
    Masi AV. Congenital fistula of the lacrimal sac. Arch Ophthalmol. 1969;81:701.PubMedGoogle Scholar
  58. 58.
    Cassady JV. Developmental anatomy of nasolacrimal duct. Arch Ophthalmol. 1952;47:141.Google Scholar
  59. 59.
    Ffooks OO. Dacryocystitis in infancy. Br J Ophthalmol. 1962;46:422.PubMedPubMedCentralGoogle Scholar
  60. 60.
    Petersen RA, Robb RM. The natural course of congenital obstruction of the nasolacrimal duct. J Pediatr Ophthalmol Strabismus. 1978;15:246.PubMedGoogle Scholar
  61. 61.
    Kushner BJ. Congenital nasolacrimal system obstruction. Arch Ophthalmol. 1982;100:597.PubMedGoogle Scholar
  62. 62.
    Robb RM. Probing and irrigation for congenital nasolacrimal duct obstruction. Arch Ophthalmol. 1986;104:378.PubMedGoogle Scholar
  63. 63.
    Kirk RC. Developmental anomalies of the lacrimal passages: a review of the literature and presentation of three unusual cases. Am J Ophthalmol. 1956;42:227.PubMedGoogle Scholar
  64. 64.
    Lemke BN, Stasior OG. Eyebrow incision making. Adv Ophthalmic Plast Reconstr Surg. 1983;2:19.Google Scholar
  65. 65.
    Lemke BN, Stasior OG. The anatomy of eyebrow ptosis. Arch Ophthalmol. 1982;100:981.PubMedGoogle Scholar
  66. 66.
    Mitz V, Peyronie M. The superficial musculoaponeurotic system (SMAS) in the parotid and cheek area. Plast Reconstr Surg. 1976;58:80.PubMedGoogle Scholar
  67. 67.
    Jost G, Levet Y. Parotid fascia and face lifting: a critical evaluation of the SMAS concept. Plast Reconstr Surg. 1984;74:42.PubMedGoogle Scholar
  68. 68.
    Thaller SR et al. The submuscular aponeurotic system (SMAS): a histologic and comparative anatomy evaluation. Plast Reconstr Surg. 1990;86:690.PubMedGoogle Scholar
  69. 69.
    Kikkawa DO, Lemke BN, Dortzbach RK. Relations of the superficial musculoaponeurotic system to the orbit and characterization of the orbitomalar ligament. Ophthal Plast Reconstr Surg. 1996;12:77.PubMedGoogle Scholar
  70. 70.
    Har-Shai Y et al. Mechanical properties and microstructure of the superficial musculoaponeurotic system. Plast Reconstr Surg. 1996;98:59.PubMedGoogle Scholar
  71. 71.
    Charpy A. Le coussinet adipeux du sourcil. Bibl Anat. 1909;19:47.Google Scholar
  72. 72.
    Putterman AM, Urist MJ. Surgical anatomy of the orbital septum. Ann Ophthalmol. 1974;6:290.PubMedGoogle Scholar
  73. 73.
    McCord CD, Doxanas MT. Browplasty and browpexy: an adjunct to blepharoplasty. Plast Reconstr Surg. 1990;86:248.PubMedGoogle Scholar
  74. 74.
    Stasior OG, Lemke BN. The posterior eyebrow fixation. Adv Ophthalmic Plast Reconstr Surg. 1983;2:193.Google Scholar
  75. 75.
    Knize D. An anatomically based study of the mechanism of eyebrow ptosis. Plast Reconstr Surg. 1996;97:1321.PubMedGoogle Scholar
  76. 76.
    Lemke BN, Stasior OG. Eyebrow considerations in blepharoptosis. Adv Ophthalmic Plast Reconstr Surg. 1982;1:55.Google Scholar
  77. 77.
    Barnes HO. Frown disfigurement and ptosis of the eyebrow. Plast Reconstr Surg. 1959;19:337.Google Scholar
  78. 78.
    Castanares S. Forehead wrinkles: glabellar frown and ptosis of the eye-brows. Plast Reconstr Surg. 1964;31:106.Google Scholar
  79. 79.
    Johnson C, Anderson J, Katz R. The brow lift, 1978. Arch Otolaryngol. 1979;105:124.PubMedGoogle Scholar
  80. 80.
    Spira M, Hardy S. The brow lift. In: Conley J, Dickerson J, editors. Plastic and reconstructive surgery of the face and neck: first international symposium, vol. 1. New York: Grune & Stratton; 1970. p. 17–20.Google Scholar
  81. 81.
    Vinas J. Forehead rhitidoplasty and brow lifting. Plast Reconstr Surg. 1976;57:445.PubMedGoogle Scholar
  82. 82.
    Hargiss JL. Surgical anatomy of the eyelids. Trans Pac Coast Otolaryngol Soc. 1963;44:193.Google Scholar
  83. 83.
    Cartwright MJ et al. Measurements of upper eyelid and eyebrow dimensions in healthy white individuals. Am J Ophthalmol. 1994;117:231.PubMedGoogle Scholar
  84. 84.
    Gavaris P. Editor’s note: the lid crease. Adv Ophthalmic Plast Reconstr Surg. 1982;1:89.Google Scholar
  85. 85.
    Doxanas MT, Anderson RL. Clinical orbital anatomy. Baltimore: William & Wilkins; 1984.Google Scholar
  86. 86.
    Johnson CC. Epicanthus and epiblepharon. Arch Ophthalmol. 1978;96:1030.PubMedGoogle Scholar
  87. 87.
    Lemke BN, Stasior OG. Epiblepharon: an important and often missed diagnosis. Clin Pediatr. 1981;20:661.Google Scholar
  88. 88.
    Spivey BE, Allen L, Stewart W. Surgical correction of superior sulcus deformity occuring after enucleation. Am J Ophthalmol. 1976;82:365.PubMedGoogle Scholar
  89. 89.
    Dutton JJ. Atlas of clinical and surgical orbital anatomy. Philadelphia: WB Saunders; 1994. p. 116.Google Scholar
  90. 90.
    Jones LT. An anatomical approach to the problems of the eyelids and lacrimal apparatus. Arch Ophthalmol. 1961;66:111.PubMedGoogle Scholar
  91. 91.
    Duverney M. Oeuvres anatomiques. Paris: Biblioteque Nationale de France; 1761. p. 130.Google Scholar
  92. 92.
    Becker BB. Tricompartment model of the lacrimal pump mechanism. Ophthalmology. 1992;99:1139.PubMedGoogle Scholar
  93. 93.
    Jones LT. Epiphora: its causes and new surgical procedures for its cure. Am J Ophthalmol. 1954;38:824.PubMedGoogle Scholar
  94. 94.
    Wulc AE, Dryden RM, Khatchaturian T. Where is the gray line? Arch Ophthalmol. 1987;105:1092.PubMedGoogle Scholar
  95. 95.
    Aiche AE, Ramirez OH. The suborbicularis oculi fat pads: an anatomic and clinical study. Plast Reconstr Surg. 1995;95:37.Google Scholar
  96. 96.
    Anderson RL. The medial canthal tendon branches out. Arch Ophthalmol. 1977;95:2051.PubMedGoogle Scholar
  97. 97.
    Williams PL, Warwick R, editors. Gray’s anatomy. 36th ed. Philadelphia: WB Saunders; 1980. p. 531.Google Scholar
  98. 98.
    Sullivan TJ, Welham RAN, Collin JRO. Centurion syndrome: idiopathic anterior displacement of the medial canthus. Ophthalmology. 1993;100:328.PubMedGoogle Scholar
  99. 99.
    Hill JC. Treatment of epiphora owing to flaccid eyelids. Arch Ophthalmol. 1979;97:323.PubMedGoogle Scholar
  100. 100.
    Jacobs HB. Epiphora due to weak lid muscles. Br J Ophthalmol. 1959;43:332.PubMedPubMedCentralGoogle Scholar
  101. 101.
    Hill JC. An analysis of senile changes in the palpebral fissure. Can J Ophthalmol. 1975;10:32.PubMedGoogle Scholar
  102. 102.
    Ousterhout DK, Weil RB. The role of the lateral canthal tendon in lower eyelid laxity. Plast Reconstr Surg. 1982;69:620.PubMedGoogle Scholar
  103. 103.
    Jones LT. The anatomy of the lower eyelid and its relations to the cause and cure of ectropion. Am J Ophthalmol. 1960;49:29.PubMedGoogle Scholar
  104. 104.
    Gioia VM, Linberg JV, McCormick SM. The anatomy of the lateral canthal tendon. Arch Ophthalmol. 1987;105:529.PubMedGoogle Scholar
  105. 105.
    Kestenbaum A. Applied anatomy of the eye. New York: Grune & Stratton; 1963. p. 264.Google Scholar
  106. 106.
    Jones LT. A new concept of the orbital fascia and rectus muscle sheaths and its surgical implications. Trans Am Acad Ophthalmol Otolaryngol. 1968;72:755.PubMedGoogle Scholar
  107. 107.
    Lemke BN, Stasior OG, Rosenberg PN. The surgical relations of the levator palpebrae superioris muscle. Ophthal Plast Reconstr Surg. 1988;4:25.PubMedGoogle Scholar
  108. 108.
    Sevel D. Ptosis and underaction of the superior rectus muscle. Ophthalmology. 1984;91:1080.PubMedGoogle Scholar
  109. 109.
    Frueh BR, Musch DC. Levator force generation in normal subjects. Trans Am Ophthalmol Soc. 1990;88:109.PubMedPubMedCentralGoogle Scholar
  110. 110.
    Frueh BR, Musch DC. Evaluation of levator muscle integrity in ptosis with levator force measurement. Ophthalmology. 1996;103:244.PubMedGoogle Scholar
  111. 111.
    Whitnall SE. On a ligament acting as a check to the action of the levator palpebrae superioris. J Anat Physiol. 1910;14:131.Google Scholar
  112. 112.
    Anderson RL, Dixon RS. The role of Whitnall’s ligament in ptosis surgery. Arch Ophthalmol. 1979;97:705.PubMedGoogle Scholar
  113. 113.
    Goldberg RA et al. Eyelid anatomy revisited. Dynamic high-resolution images of Whitnall’s ligament and upper eyelid structures with the use of a surface coil. Arch Ophthalmol. 1992;110:1598.PubMedGoogle Scholar
  114. 114.
    Shore JW, McCord CD. Anatomic changes in involutional blepharoptosis. Am J Ophthalmol. 1984;98:21.PubMedGoogle Scholar
  115. 115.
    Codere F, Tucker NA, Renaldi B. The anatomy of Whitnall ligament. Ophthalmology. 1995;102:2016.PubMedGoogle Scholar
  116. 116.
    Anderson RL, Beard C. The levator aponeuros s attachments and their clinical significance. Arch Ophthalmol. 1977;95:1437.PubMedGoogle Scholar
  117. 117.
    Whitnall SE. The levator palpebrae superioris muscle: the attachments and relations of its aponeurosis. Ophthalmoscope. 1914;12:258.Google Scholar
  118. 118.
    Siegel R. Surgical anatomy of the upper eyelid fascia. Ann Plast Surg. 1984;13:263.PubMedGoogle Scholar
  119. 119.
    Collin JRO, Beard C, Wood I. Experimental and clinical data on the insertion of the levator palpebrae superioris muscle. Am J Ophthalmol. 1978;85:792.PubMedGoogle Scholar
  120. 120.
    Stasior GO, Lemke BN, Wallow IH, Dortzbach RK. Levator aponeurosis elastic fiber network. Ophthal Plast Reconstr Surg. 1993;9:1.PubMedGoogle Scholar
  121. 121.
    Dortzbach RK, Sutula FC. Involutional blepharoptosis: a histopathological study. Arch Ophthalmol. 1980;98:2045.PubMedGoogle Scholar
  122. 122.
    Kuwabara T, Cogan DG, Johnson CC. Structure of the muscles of the upper eyelid. Arch Ophthalmol. 1975;93:1189.PubMedGoogle Scholar
  123. 123.
    Collin JRO, Beard C, Wood I. Terminal course of nerve supply to Muller’s muscle in the rhesus monkey and its clinical significance. Am J Ophthalmol. 1979;87:234.PubMedGoogle Scholar
  124. 124.
    Manson PN et al. Pathways of sympathetic innervation to the superior and inferior (Muller’s) tarsal muscle. Plast Reconstr Surg. 1986;78:33.PubMedGoogle Scholar
  125. 125.
    Lyon DB et al. Sympathetic nerve anatomy in the cavernous sinus and retrobulbar orbit of the cynomolgous monkey. Ophthal Plast Reconstr Surg. 1992;8:1.PubMedGoogle Scholar
  126. 126.
    Lemke BN. Anatomic considerations in upper eyelid retraction. Ophthal Plast Reconstr Surg. 1991;7:158.PubMedGoogle Scholar
  127. 127.
    Chafflin J, Putterman AM. Muller’s muscle excision and levator recession in retracted upper lid: treatment of thyroid-related retraction. Arch Ophthalmol. 1979;97:1487.Google Scholar
  128. 128.
    Lemke BN, Shovlin JP. Thyroid eye disease. In: Dortzbach R, editor. Ophthalmic plastic surgery: prevention and management of complications. New York: Raven Press; 1994. p. 402.Google Scholar
  129. 129.
    Hawes MJ, Dortzbach RK. The microscopic anatomy of the lower eyelid retractors. Arch Ophthalmol. 1982;100:1313.PubMedGoogle Scholar
  130. 130.
    Goldberg RA et al. Physiology of the lower eyelid retractors: tight linkage of the anterior capsulopalpebral fascia demonstrated using dynamic ultrafine surface coil MRI. Ophthal Plast Reconstr Surg. 1994;10:87.PubMedGoogle Scholar
  131. 131.
    Wesley RE, McCord CD, Jones NA. Height of the tarsus of the lower eyelid. Am J Ophthalmol. 1980;90:102.PubMedGoogle Scholar
  132. 132.
    Liu D, Stasior OG. Lower eyelid laxity and ocular symptoms. Am J Ophthalmol. 1983;95:545.PubMedGoogle Scholar
  133. 133.
    Culbertson WW, Ostler HB. The floppy eyelid syndrome. Am J Ophthalmol. 1981;92:568.PubMedGoogle Scholar
  134. 134.
    Netland PA, Sugrue SP, Albert DM, Shore JW. Histopathologic features of the floppy eyelid syndrome. Involvement of tarsal elastin. Ophthalmology. 1994;101:174.PubMedGoogle Scholar
  135. 135.
    Jester JV, Nicolaides N, Smith RE. Meibomian gland studies: histologic and ultrastructural investigations. Invest Ophthalmol Vis Sci. 1981;20:537.PubMedGoogle Scholar
  136. 136.
    Scheie HG, Albert DM. Distichiasis and trichiasis: origin and management. Am J Ophthalmol. 1966;61:718.PubMedGoogle Scholar
  137. 137.
    Jones LT, Reeh MJ, Tsujimura JK. Senile entropion. Am J Ophthalmol. 1963;55:463.PubMedGoogle Scholar
  138. 138.
    Tse DT, Anderson RL, Fratkin JD. Aponeurosis disinsertion in congenital entropion. Arch Ophthalmol. 1983;101:436.PubMedGoogle Scholar
  139. 139.
    Stock AL, Collins HP, Davidson TM. Anatomy of the superficial temporal artery. Head Neck Surg. 1980;2:466.PubMedGoogle Scholar
  140. 140.
    Tucker SM, Lindberg JV. Vascular anatomy of the eyelid. Ophthalmology. 1994;101:1118.PubMedGoogle Scholar
  141. 141.
    Huber E. Zur morphology der supraorbital und glabellarmuskulatur des menschen. Experimentelle bestimmung der innervation des M. procerus nasi. Anatomischer Anseiger. 1926/7;62:25.Google Scholar
  142. 142.
    Stuzin JM et al. Anatomy of the frontal branch of the facial nerve: the significance of the temporal fat pad. Plast Reconstr Surg. 1989;83:265.PubMedGoogle Scholar
  143. 143.
    Knize DM. A study of the supraorbital nerve. Plast Reconstr Surg. 1995;96:564.PubMedGoogle Scholar
  144. 144.
    Gasser RF. The development of facial muscles in man. Am J Anat. 1967;120:357.Google Scholar
  145. 145.
    Sevel D. A reappraisal of the development of the eyelids. Eye. 1988;2:123.PubMedGoogle Scholar
  146. 146.
    Barber AN. Embryology of the human eye. St Louis: CV Mosby; 1955.Google Scholar
  147. 147.
    Koornneef L. Spatial aspects of orbital musculo-fibrous tissue in man: a new anatomical and histological approach. Amsterdam: Swets and Zeitlinger; 1977.Google Scholar
  148. 148.
    Koornneef L. Orbital septa: anatomy and function. Ophthalmology. 1979;86:876.PubMedGoogle Scholar
  149. 149.
    Sutton JE. The fascia of the human orbit. Anat Rec. 1920;18:141.Google Scholar
  150. 150.
    Hosakawa H. A note on the fibrous apparatus surrounding the human eyeball. Okajimas Folia Anat Jpn. 1956;28:165.Google Scholar
  151. 151.
    Goodall KL et al. Enlargement of the tensor intermuscularis muscle in Graves’ ophthalmopathy. Arch Ophthalmol. 1995;113:1286.PubMedGoogle Scholar
  152. 152.
    Fink WH. An anatomical study of the check mechanism of the vertical muscles of the eyes. Am J Ophthalmol. 1957;44:800.PubMedGoogle Scholar
  153. 153.
    Lockwood CB. The anatomy of the muscles, ligaments, and fasciae of the orbit, including an account of the capsule of Tenon, the check ligaments of the recti, and of the suspensory ligament of the eye. J Anat Physiol. 1886;20:1.Google Scholar
  154. 154.
    Long JA, Baylis HI. Hypoglobus following orbital decompression for dysthyroid ophthalmopathy. Ophthal Plast Reconstr Surg. 1990;6:185.PubMedGoogle Scholar
  155. 155.
    Manson PN et al. Mechanisms of global support and posttraumatic enophthalmos: I. The anatomy of the ligament sling and its relation to intramuscular cone orbital fat. Plast Reconstr Surg. 1986;77:193.PubMedGoogle Scholar
  156. 156.
    Goldberg RA, Shorr N, Cohen MS. The medial orbital strut in the prevention of postdecompression dystopia in dysthyroid ophthalmopathy. Ophthal Plast Reconstr Surg. 1992;1992(8):32.Google Scholar
  157. 157.
    Koornneef L. New insights in the human orbital connective tissue: results of a new anatomic approach. Arch Ophthalmol. 1977;95:1269.PubMedGoogle Scholar
  158. 158.
    Koornneef L. Eyelid and orbital fascial attachments and their clinical significance. Eye. 1988;2:130.PubMedGoogle Scholar
  159. 159.
    Kronish JW et al. The pathophysiology of the anophthalmic socket. Part I. Ananysis of orbital blood flow. Ophthal Plast Reconstr Surg. 1990;6:77.PubMedGoogle Scholar
  160. 160.
    Hudson HL, Levin L, Feldon SE. Graves’ exophthalmos unrelated to extraocular muscle enlargement. Ophthalmology. 1991;98:1495.PubMedGoogle Scholar
  161. 161.
    Kronish JW et al. The pathophysiology of the anophthalmic socket. Part II. Analysis of orbital fat. Ophthal Plast Reconstr Surg. 1990;6:88.PubMedGoogle Scholar
  162. 162.
    Neely KA, Ernest JT, Mottier M. Combined superior oblique paresis and Brown’s syndrome after blepharoplasty. Am J Ophthalmol. 1990;109:347.PubMedGoogle Scholar
  163. 163.
    Wesley RE, Pollard SF, McCord CD. Superior oblique paresis after blepharoplasty. Plast Reconstr Surg. 1980;66:283.PubMedGoogle Scholar
  164. 164.
    Castanares S. Blepharoplasty for herniated intraorbital fat: anatomical basis for a new approach. Plast Reconstr Surg. 1951;8:46.Google Scholar
  165. 165.
    Barker DE. Dye injection studies of intraorbital fat components. Plast Reconstr Surg. 1977;59:82.PubMedGoogle Scholar
  166. 166.
    Jordan DR, Anderson RL, Thiese SM. Avoiding inferior oblique injury during lower blepharoplasty. Arch Ophthalmol. 1989;107:1382.PubMedGoogle Scholar
  167. 167.
    Kruger P. Die innervation der tetanischen and tonischen fasern der quergestreiften skelettmusculatur der wierbeltiere. Anat Anaz. 1949;97:169.Google Scholar
  168. 168.
    Eggers HM. Functional anatomy of the extraocular muscles. In: Jakobiec F, editor. Ocular anatomy, embryology, and teratology. New York: Harper & Row; 1982. p. 783.Google Scholar
  169. 169.
    Apt L. An anatomic reevaluation of rectus muscle insertions. Trans Am Ophthalmol Soc. 1980;78:365.PubMedPubMedCentralGoogle Scholar
  170. 170.
    Fink WH. The surgical anatomy of the superior oblique muscle. Trans Am Ophthalmol Soc. 1948;46:154.PubMedPubMedCentralGoogle Scholar
  171. 171.
    Helveston EM et al. The trochlea: a study of the anatomy and physiology. Ophthalmology. 1982;89:124.PubMedGoogle Scholar
  172. 172.
    Sacks JG. The shape of the trochlea. Arch Ophthalmol. 1984;102:932.PubMedGoogle Scholar
  173. 173.
    Porter JD et al. Extraocular muscles: basic and clinical aspects of structure and function. Surv Ophthalmol. 1995;39:451.PubMedGoogle Scholar
  174. 174.
    Fledelius HC, Stubgaard M. Changes in eye position during growth and adult life based on exophthalmometry, interpupillary distance, and orbital distance measurements. Acta Ophthalmol (Copenh). 1986;64:481.Google Scholar
  175. 175.
    Warwick R. Eugene Wolff s anatomy of the eye and orbit. 7th ed. Philadelphia: WB Saunders; 1976.Google Scholar
  176. 176.
    Dailey RW, Robertson WD, Rootman J. Globe tenting: a sign of increased orbital tension. Am J Neuroradiol. 1989;10:181.Google Scholar
  177. 177.
    Dolman PJ et al. Mechanisms of visual loss in severe proptosis. Ophthal Plast Reconstr Surg. 1991;7:256.PubMedGoogle Scholar
  178. 178.
    Drysdale DB. Experimental subdural retrobulbar injection of anesthetic. Ann Ophthalmol. 1984;16:716.PubMedGoogle Scholar
  179. 179.
    Hornblass A. Pupillary dilation in fractures of the floor of the orbit. Ophthalmic Surg. 1979;10:44.PubMedGoogle Scholar
  180. 180.
    Abad JM, Alvarez F, Blazquez MG. An unrecognized neurological syndrome: sixth-nerve palsy and Homer’s syndrome due to traumatic intracavernous carotid aneurysm. Surg Neurol. 1981;16:140.PubMedGoogle Scholar
  181. 181.
    Hartmann B et al. Cavernous sinus infection manifested by Horner’s syndrome and ipsilateral sixth nerve palsy. J Clin Neuroophthalmol. 1987;7:223.PubMedGoogle Scholar
  182. 182.
    Jordan DR. The nerves intermedius. Arch Ophthalmol. 1993;111:1691.PubMedGoogle Scholar
  183. 183.
    Sinnreich Z, Nathan H. The ciliary ganglion in man (anatomical observations). Anat Anz. 1981;150:287.PubMedGoogle Scholar
  184. 184.
    Hayreh SS, Dass R. The ophthalmic artery. I. Origin and intracranial and intracanalicular course. Br J Ophthalmol. 1962;46:65.PubMedPubMedCentralGoogle Scholar
  185. 185.
    Bergen MP. A literature review of the vascular system in the human orbit. Acta Morphol Neerl Scand. 1981;19:273.PubMedGoogle Scholar
  186. 186.
    Hayreh SS. The ophthalmic artery. III. Branches. Br J Ophthalmol. 1962;46:212.PubMedPubMedCentralGoogle Scholar
  187. 187.
    Singh S, Dass R. The central artery of the retina. Br J Ophthalmol. 1960;44:193.PubMedPubMedCentralGoogle Scholar
  188. 188.
    Pearson BW, Mackenzie RG, Goodman WS. The anatomical basis of transantral ligation of the maxillary artery in severe epistaxis. Laryngoscope. 1969;79:969.PubMedGoogle Scholar
  189. 189.
    Bergen MP. A spatial reconstruction of the orbital vascular pattern in relation with the connective tissue system. Acta Morphol Neerl Scand. 1982;20:117.PubMedGoogle Scholar
  190. 190.
    Bergen MP. Relationship between arteries and veins and the connective tissue system in the human orbit, Parts I, II, and III. Acta Morphol Neerl Scand. 1982;20:1.PubMedGoogle Scholar
  191. 191.
    Bergen MP. Microvessels in the human orbit in relation to the connective tissue system. Acta Morphol Neerl Scand. 1982;20:139.PubMedGoogle Scholar
  192. 192.
    Rojanapongpun P, Drance SM. Velocity of ophthalmic arterial flow re-corded by Doppler ultrasound in normal subjects. Am J Ophthalmol. 1993;115:174.PubMedGoogle Scholar
  193. 193.
    Greenfield DS, Heggerick PA, Hedges TR. Color Doppler imaging of normal orbital vasculature. Ophthalmology. 1995;102:1598.PubMedGoogle Scholar
  194. 194.
    Jordan DR. The orbital muscle of Muller. Arch Ophthalmol. 1992;110:1798.PubMedGoogle Scholar
  195. 195.
    Duke-Elder S, Wybar KC. The anatomy of the visual system. St. Louis: CV Mosby; 1961. p. 479.Google Scholar
  196. 196.
    Wolter JR, Roosenberg RJ. Ectopic lymph node of the orbit simulating a lacrimal gland tumor. Am J Ophthalmol. 1977;83:908.PubMedGoogle Scholar
  197. 197.
    Millen JW, Woollam DHM. The reticular perivascular tissue of the central nervous system. J Neurol Neurosurg Psychiatry. 1954;17:286.PubMedPubMedCentralGoogle Scholar
  198. 198.
    Foldi M et al. Lymphogenic haemongiopathy. Angiologica. 1968;5:250.PubMedGoogle Scholar
  199. 199.
    Gruntzig J, Huth F. Studien zur lymphdrainage des auges: 3 untersu-chungen zum tuscheabfluss aus dem glaskorper nach beidseitiger zer-vikaler lymphblockade. Klin Monatsbl Augenheilk. 1977;171:774.Google Scholar
  200. 200.
    Gruntzig J et al. Abfluss der radioaktiven lymphpflichtigen substan-zen Au-198-kolloid und Tc-99 m-schwefelkolloid aus der orbita des kan-inchens. Graefes Arch Klin Exp Ophthalmol. 1977;204:161.Google Scholar
  201. 201.
    Gruntzig J et al. Studien zur lymphdrainage des auges: 2. Abfluss lymphpflichtiger radioaktiver indicatoren aus der vorderkammer. Klin Monatsbl Augenheilk. 1977;171:571.Google Scholar
  202. 202.
    Gruntzig J et al. Studien zur lymphdrainage des auges: 4. Abfluss lymphpflichtiger radioaktiver tracer (99mTC-mikrokolloid) nach intra-virtealar injektion. Klin Monatsbl Augenheilk. 1978;172:87.Google Scholar
  203. 203.
    Gruntzig J et al. Studien zur lymphdrainage des auges: 5. Quantitative erfassung des lymphtransportes ans dem subkonjunctivalraum mit einem radioaktiven tracer. Klin Monatsbl Augenheilk. 1978;172:872.Google Scholar
  204. 204.
    Sherman DD et al. Identification of orbital lymphatics: enzyme and histochemical light microscopic and electron microscopic studies. Ophthal Plast Reconstr Surg. 1993;9:153.PubMedGoogle Scholar
  205. 205.
    Werner JA et al. Description and importance of lymphatics of the vocal fold. Otolaryngology. 1990;102:13.Google Scholar
  206. 206.
    Harris FS, Rhoton AL. Anatomy of the cavernous sinus: a microsurgical study. J Neurosurg. 1976;45:169.PubMedGoogle Scholar
  207. 207.
    Umansky F, Nathan H. The lateral wall of the cavernous sinus with special reference to the nerves related to it. J Neurosurg. 1982;56:228.PubMedGoogle Scholar
  208. 208.
    Umansky F, Valarezo A, Elidan J. The superior wall of the cavernous sinus: a microanatomical study. J Neurosurg. 1994;81:914.PubMedGoogle Scholar
  209. 209.
    Kline LB, Acker JD, Post MJD. Computed tomographic evaluation of the cavernous sinus. Ophthalmology. 1982;89:374.PubMedGoogle Scholar
  210. 210.
    Kaplan HA, Browder J, Krieger AJ. Intercavernous connections of the cavernous sinuses: the superior and inferior circular sinuses. J Neurosurg. 1976;45:166.PubMedGoogle Scholar
  211. 211.
    Goldberg RA et al. Management of cavernous sinus – dural fistulas. Arch Ophthalmol. 1996;114:707.PubMedGoogle Scholar
  212. 212.
    Grove AS. The dural shunt syndrome: pathophysiology and clinical course. Ophthalmology. 1984;91:31.PubMedGoogle Scholar
  213. 213.
    Dandy WE, Follis RH. On the pathology of carotid-cavernous aneurysms (pulsating exophthalmos). Am J Ophthalmol. 1941;24:365.Google Scholar
  214. 214.
    Meadows SP. Intracavernous aneurysms of the internal carotid artery: their clinical features and natural history. Arch Ophthalmol. 1959;62:56.Google Scholar
  215. 215.
    Barrat JOW. Observations on the structure of the third, fourth, and sixth cranial nerves. J Anat Physiol. 1901;35:214.Google Scholar
  216. 216.
    Wolff E. A bend in the sixth cranial nerve and its probable significance. Br J Ophthalmol. 1928;12:22.PubMedPubMedCentralGoogle Scholar
  217. 217.
    Meltzer PE. Gradenigo’s syndrome: anatomic aspects. Arch Otolaryngol. 1931;13:87.Google Scholar
  218. 218.
    Frazier DH, Whitehead E. The morphology of the gasserian ganglion. Brain. 1925;48:458.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Bradley N. Lemke
    • 1
  • Mark J. Lucarelli
    • 2
  1. 1.University of Wisconsin School of Medicine and Public HealthMadisonUSA
  2. 2.Department of Oculoplastics Service, Ophthalmology & Visual SciencesUniversity of Wisconsin Hospital and ClinicsMadisonUSA

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