The anatomy of the eyes, eyelids and eye sockets

Anatomy of the eyes head

The anatomy of the eyes, eyelids and eye sockets

Orbit (eye socket)

The orbit is a bony structure that houses the eye. The base is made up of several bones, including the zygomatic bone (os zygomaticum) and the maxilla. The orbit also has a lateral wall formed by the zygomatic bone (os zygomaticum) and the sphenoid bone (os sphenoidale), a medial wall consisting of the ethmoid bone (os ethmoidale), lacrimal bone (os lacrimale) and the maxilla, and an upper wall formed by the frontal bone (os frontale) and the sphenoid bone (os sphenoidale).

Bulbus oculi (eyeball)

The bulbus oculi, the eyeball, has an axial length of approximately 24 millimeters and lies in the orbita, the eye socket. The eyeball contains various structures that contribute to the function of the eye. The eyeball consists of three layers. From outside to inside, these are the tunica fibrosa, tunica vasculosa and tunica interna.

  • Cornea (cornea)
    The cornea is the transparent, spherical front part of the eye that transmits light and helps the eye focus.
  • Sclera (hard layer of the eye)
    The sclera is the white, outer layer of the eye. This connective tissue layer provides protection and strength. The sclera transitions into the cornea at the front of the eye.
  • Front chamber
    The anterior chamber is a space filled with aqueous humor between the cornea and the iris.
  • Iris (rainbow membrane)
    The colored part of the eye is the iris. It regulates the size of the pupil and thus the amount of light that enters the eye.
  • Pupil
    The black part of the eye, in the center of the iris, allows light to pass through to the lens.
  • Lens
    The lens is a transparent structure behind the iris that further bends light and focuses it on the retina.
  • retina
    The retina consists of rods and cones.
    Rods: sensitive to light and dark. Help with night vision and peripheral vision.
    Cones: sensitive to color and detail. Help with color vision and central vision.
  • Fovea
    Contain the highest concentration of cones, essential for sharp vision.
  • Macula (yellow spot)
    This is the central part of the retina responsible for sharp, detailed vision.
  • Papilla (blind spot)
    At the blind spot the optic nerves converge and leave the eyeball.
  • Uvea
    The uvea lies between the sclera and the retina. In the uvea are cells that make pigment, melanocytes.
  • Choroid (vascular membrane)
    This vascular layer lies between the sclera and the retina and supplies nutrition and oxygen to the eye.
  • Ciliary body (radial body)
    The ciliary body is the thickening just before the transition from the choroid to the iris.
  • Vitreous body
    This is a clear gelatin substance that fills most of the space within the eye and gives shape to the eye.

Innervation (optic nerves and muscles)

The eye contains several nerves that are essential for the functions of vision, eye movements and reflexes. The main nerves involved in the eye are:

  • Optic nerve (Nervus Opticus):
    Responsible for carrying visual information from the retina to the brain. The optic nerve originates at the retina, passes through the eye socket, and partially crosses at the optic chiasm before reaching the visual cortex in the brain.
  • Eye movement nerves
    These nerves control the muscles that control the movements of the eye:Oculomotor nerve (III):
    It innervates four of the six extrinsic eye muscles (the superior, medial, and inferior rectus muscles, and the inferior oblique muscle), and the muscle that raises the upper eyelid (levator palpebrae superioris). It also innervates the muscles that control pupil size and lens shape for accommodation. The oculomotor nerve runs from the brainstem through the orbit to the ocular muscles.Trochlear Nerve (IV):
    Innervates the superior oblique muscle, which turns the eye downward and inward. The Trochlear Nerve runs from the brainstem through the orbit to the superior oblique muscle.

    Abducens Nerve (VI):
    Innervates the lateral rectus muscle, which moves the eye outward. The Nervus Abducens runs from the brainstem through the orbit to the lateral rectus muscle.

    Trigeminal Nerve (V):
    Supplies sensation to the face and has a branch (ophthalmic nerve) that supplies sensation to the front of the eye, eyelids, and conjunctiva. The ophthalmic nerve, a branch of the trigeminal nerve, divides into several branches that pass through the eye socket and provide sensory information to the eye and the environment.

    Facial Nerve (VII):
    Innervates the orbicularis oculi muscle, which is involved in closing the eyelids. The facial nerve runs from the brainstem through the face and supplies nerve signals to the facial muscles.

  • Sympathetic and parasympathetic fibers:Sympathetic fibers: Regulate pupil dilation and eyelids.
    Parasympathetic fibers: Control pupillary constriction and accommodation via the oculomotor nerve.

These nerves work together with muscles to coordinate the movements of the eye. Eye movements are controlled by six additional ocular muscles:

Rectus superior: lifts the eye upward.
Rectus inferior: turns the eye downward.
Rectus medialis: moves the eye toward the nose.
Rectus lateralis: moves the eye toward the temple.
Oblique superior: moves the eye downward and outward.
Oblique inferior: moves the eye upward and outward.

Fat pads

Fat in the eyelids are natural fat pads that are located in both the upper and lower eyelids. These fat pads have a protective function and provide support to the eyes. However, for various reasons, these fat pads can become more visible and cause cosmetic problems.

  • Aging
    As we age, the skin and muscles around the eyes lose their elasticity and strength. This can cause the fat that is normally supported by these structures to protrude, making the eyelids appear puffy or swollen.
  • Genetics
    Hereditary factors play an important role in the formation of fat pads in the eyelids. Some people are naturally more prone to accumulating fat in this area.
  • Moisture retention
    Fluid retention, often caused by factors such as lack of sleep, high dietary salt, allergies or hormonal changes, can lead to swollen eyelids.
  • Lifestyle
    An unhealthy lifestyle such as excessive alcohol consumption, smoking, stress and insufficient sleep can contribute to the formation of swollen eyelids.

For cosmetic or functional reasons, it may be decided to surgically remove fat from the eyelids. This is also called blepharoplasty.

  • Cosmetic reasons for blepharoplasty:
    Excess fat causes a puffy or swollen appearance of the upper and/or lower eyelids.
    Droopy eyelids that give a tired or older look.
    Bags under the eyes that do not appear to be resolved with other treatments.
  • Functional reasons for blepharoplasty:
    Excess skin and fat that restrict vision by hanging over the eyelashes.
    Eye irritation from excess skin rubbing against the eyelids.
    Difficulty wearing glasses or contact lenses due to excess oil and skin.

Superior/inferior palpebra (eyelids)

The eyelids are thin folds of skin that protect the eye from dirt and light and help keep the surface of the eye moist. The anatomy of the eyelids can be divided into several layers and components:

  • Skin
    The skin of the eyelids is the thinnest of the entire body and contains no subcutaneous fat. The eyelid is a thin, elastic skin.
  • Subcutaneous tissue
    Under the skin is a thin layer of connective tissue. This layer connects the skin to the underlying muscles.
  • Muscles
    The eyelids are moved mainly by the Musculus Orbicularis Oculi and the Musculus Levator Palpebrae Superioris.Musculus Orbicularis Oculi: This muscle is responsible for closing the eyelids. It plays a crucial role in blinking, which is essential for spreading tear fluid over the surface of the eye and removing small particles and dust. The orbicularis oculi muscle consists of three parts:
  1. Pars Palpebralis: provides for soft blinking.
  2. Pars Orbitalis: ensures forceful closure of the eyelids, such as in bright light or when protecting the eye.
  3. Pars Lacrimalis: helps pump tears into the lacrimal duct system.Musculus Levator Palpebrae Superioris
    This muscle is responsible for lifting the upper eyelid, which is essential for opening the eye.Musculus Tarsalis Superior (Müller's Muscle)
    This is a smooth muscle that helps open the eye. It plays a role in maintaining eyelid position during wakefulness. Dysfunction of this muscle can lead to ptosis (drooping eyelid).
  • Tarsal plate
    This is a firm, yet flexible structure that shapes the eyelid.
  • Conjunctiva
    The conjunctiva is a thin, transparent mucous membrane that covers the inner surface of the eyelids and extends to the surface of the eye. This layer helps protect and lubricate the eye.
  • Glands
    Meibomian Glands: The meibomian glands are located in the tarsal plate and produce oil to keep the tear layer stable and prevent drying out.
    Sebaceous glands (Zeiss glands): further empty into the hair follicles of the eyelashes.
    Sweat glands (Moll glands): open further into the hair follicles of the eyelashes or directly onto the skin surface
    Eyelashes: The eyelashes run along the edge of the eyelid and protect the eye from dirt and small particles.

Glandulae lacrimales (tear glands)

The lacrimal glands (glandulae lacrimales) are an important part of the lacrimal system and play a crucial role in the production of tears. The lacrimal glands are located in the upper outer corners of the eye sockets, just above the eyeballs. Each lacrimal gland is about the size of an almond and consists of two parts: a larger orbital (eye socket) lobe and a smaller palpebral (eyelid) lobe. The main function of the lacrimal glands is the production of tears. Tears are essential for the surface of the eye, supplying nutrients and oxygen to the outer layers of the eye, and removing dirt and microorganisms.

The composition of tears consists of:

  • An oily (lipid) layer.
  • A watery (aqueous) layer.
  • A slimy (mucin) layer.

The production of tears is regulated by both the autonomic nervous system and reflex mechanisms.

  • Basal tear production occurs continuously to keep the eye moist.
  • Reflex tears are produced in response to irritation of the eye, such as dust, smoke, or strong emotions (crying).

The entire system of eyes, eyelids and orbits work together to receive, process and protect visual information. This is crucial for vision.