Saturday, November 15, 2008

- Anatomy and histology of eye lids.



- Eye lid :
  • It is movable muco-cutaneous fold covering anterior surface of eye globe.
  • Upper eye lid is more movable than lower eye lid as it have levator palpebrae superioris muscle and Muller's muscle .
  • The upper eyelid skin crease (superior palpebral furrow) is approximately 8-11 mm superior to the eyelid margin and is formed by the attachment of the superficial insertion of  levator aponeurotic fibers  (8-9 mm in men and 9-11 mm in women).
-The palpebral fissure is that empty space between the upper and  lower eyelid margins when the eyelids are open (that is, the space between the eyelids that allows you to see  your eyeball and your eyeball to see the world).

Sunday, November 9, 2008

- Development of eye lids.

Development of eye lids


Time :

Begins during 6th week.

process:

1- Eye lids develop from two folds of skins over the

cornea during 6th week.

2- Eye lids adhere to each other by the beginning of 10th week

& remain adhered till 26th to 28th weeks.

Congenital anomalies:

usually congenital anomalies appear together

to give a syndrome.


1-congenital ptosis:-

cause: failure of development of levator palpebrea

superioris muscle.


- It may be simple( alone).

- It may be associated eith other lid deformities or

congenital opthalmoplegia.

- it is usually bilateral & hereditary.

2- Epicanthus:

- is a semilunar skin fold at the side of the nose

covering the medial canthus & the caruncle leading

to false convergent squint.


3- Telecanthus:

increased distance () two
medial canthi.


4-Blepharo-phimosis:

-Diminution of the horizontal width of the palpebral

fissure from 25-30 mm (normal) to 18-22mm without

pathologic changes in the eyelids.

- It is rare & usually asscociated in

Blepharo-phimosis syndrome.

5-Blepharo-phimosis syndrome:

presence of congenital ptosis,Epicanthus,

elecanthus & Blepharo-phimosis with each other.


6- Congenital trichiasis ( distichiasis)

- rare condition.

- In which abnormal extra raw of lashes replacing white line.

7- Congenital entropion:

- rare with micropthalmos.


8- Congenital ectropion:

- rare with Blepharo-phimosis syndrome.


9- coloboma of the eye lids:

- It is triangular , quadrilateral or

irregular shaped defect of the lid margin.


10- Epiblepharon:

-horizontal redundant medial fold of skin of the

eye lid inducing vertical orientation of the cilia.

-Epiblepharon may co exist with entropion.

-It usually imrpoves by age as the eyelid skin stretches.

Thursday, November 6, 2008

- Vision.


- Vision: - is a complex sense composed of many elements including:-

Perception of image on retina.-

-Conduction of the image as nerve impulse to brain.

- Interpretation & recognition of the image by brain.

- Organ of Vision: - is the eye.

- Eye is formed of: -

-Eyeball which located inside the orbit.

-Extra ocular structures surrounding it

(eyelids – Conjunctiva - lacrimal apparatus - Extra ocular muscles)


N.B… nerve of vision is :-

optic nerve which is the second (2nd) cranial nerve.

N.B… Ocular muscles 2:-

1- Extra ocular muscles:-

-Levator Palpebrae Superioris.

-
Four recti :-
  • Lat. Rectus
  • Med. Rectus.
  • Sup. Rectus.
  • Inf. Rectus.
- Inf. Oblique.

- Sup. Oblique

2- Intra ocular muscles:-

- ciliary muscle.

- Sphincter pupillae muscle.

- Dilator pupillae muscle.


Monday, November 3, 2008

- last breath.

Please play the video then read



**last breath**

From those around I hear a cry
A muffled sob, a hopeless sigh,
I hear their footsteps leaving slow,
And then I know my soul must Fly!

A chilly wind begins to blow,
Within my soul, from Head to toe
And then, Last Breath escapes my lips,
It’s time to leave. And I must Go!

So, it is True (But It’s too late)
They said: Each soul has its Given Date,
When it must leave its body’s core,
And meet with its Eternal Fate>

On mark the words that I do say,
Who knows? Tomorrow could be your day,
At last, it comes to Heaven or Hell
Decide which now, Do NOT delay!
Come on my brothers lets pray
Decide which now do not delay….

Oh God! Oh God! I cannot see!
My eyes are blind! Am I still me?!!
Or has my soul been led astray,
And forced to pay a Priceless fee?!
Alas to Dust we all return,
Some shall rejoice, while others burn,
If only I knew that before
The line grew short, and came my Turn!

And now, as beneath the sod
They lay me (with my record flawed),
They cry, not knowing I cry worse,
For, they go home, I face my God!
Oh mark the words that I do say,
Who knows? Tomorrow could be your day,
At last, it comes to Heaven or Hell
Decide which now, Do NOT delay!
Come on my brothers lets pray
Decide which now do not delay….

Sunday, November 2, 2008

- Forgive me.

Please play the video then read......


*Forgive me*

Today, upon a bus,
I saw a girl with golden hair.
and wished I was as fair.
When suddenly she rose to leave,
I saw her hobble down the aisle.
She had one leg and wore a crutch.
But as she passed, she smile.
Oh God, forgive me when I whine.
I have 2 legs, the world is mine.
With feet to take me where I'd go.
With eyes to see the sunset's glow.
With ears to hear what I'd know.
Oh God, forgive me when I whine.
I've been blessed indeed, the world is mine
I stopped to buy to buy some candy.
The lad who sold it had such charm.
I talked with him, he seemed so glad.
If I were late, it'd do no harm.
And as I left, he said to me,
"I thank you, you've been so kind.
You see," he said, "I'm blind."
Oh God, forgive me when I whine.
I have 2 eyes, the world is mine.
With feet to take me where I'd go.
With eyes to see the sunset's glow.
With ears to hear what I'd know.
Oh God, forgive me when I whine.
I've been blessed indeed, the world is mine
I saw a child with eyes of blue.
He stood and watched the others play.
He did not know what to do.
I stopped a moment and then I said,
"Why don't you join the others, dear?"
He looked ahead without a word.
And then I knew, he couldn't hear.
Oh God, forgive me when I whine.
I have 2 ears, the world is mine.
With feet to take me where I'd go.
With eyes to see the sunset's glow.
With ears to hear what I'd know.
Oh God, forgive me when I whine.
I've been blessed indeed, the world is mine.