The Eye in its Relation to Health ================================= By Chalmer Prentice, M.D. Chicago, A.C. McClurg & Company, 1895 Transcription (c) A. Wik, 2004 +-------------+ | Chapter XII | pages 171-173 +-------------+ 171 THE superior oblique muscle receives its nerve- supply through the Fourth Cranial nerve; the external rectus, through the Sixth; the supe- rior, inferior, internal rectus, both obliques and the ciliary, through the Third. That various parts receive their nerve-supply from the same nerve does not imply that their functions are necessarily similar, or that the gov- erning nerve-centers are in the same locality; for two fibrilla in a nerve, lying side by side, may have the most widely separate origin possible in the nerve-centers. Considered individually, the actions of the long muscles of the eye are as follows: The ex- ternal rectus turns the eye outward; the internal inward; the superior, upward and slightly inward with a tortional movement of the upper aspect of the eye toward the nose. The inferior moves the eye downward, slightly inward with a slight tor- tion of the upper aspect of the eye from the nose. The superior oblique makes a tortion of the upper aspect of the eye toward the nose, with a slight movement of the optic axes outward and down- ward; the inferior oblique produces tortion of 172 the upper aspect from the nose, with a small tendency to turn the optic axes outward and upward. Considered relatively, there are four antagon- istic sets of muscles: First, the superior and inferior recti; second, the external and internal; third, the superior and inferior obliques; fourth, the superior and inferior recti as antagonized by the superior and inferior obliques. The latter set slightly diverges the optic axes, and the former set slightly converges them. There are six sets of synchronously acting muscles: First, the superior recti turn both eyes upward; second, the inferior recti move them downward; third, the right external and left in- ternal recti turn both eyes to the right; fourth, the left external and right internal recti turn both eyes to the left; fifth, the superior and inferior obliques of the right eye, acting together, in con- nection with the superior and inferior recti of the left eye, have a tendency to turn both eyes slightly to the right; sixth, the superior and inferior ob- liques of the left eye, acting synchronously with the superior and inferior recti of the right eye, turn the eyes slightly to the left. A still further secondary action takes place as follows: When the eye is turned upward so that the relative equator of the eye-ball is thrown below the parallelism of the internal and external 173 recti, a contraction of these muscles will assist in turning the eye upward. Conversely, when the eye is turned downward so that its equator lies above the line of these muscles, their contraction will assist in turning the eye downward. When the eye is turned outward so that its equator lies inside the line of the superior and inferior recti, their contraction would assist in turning the eye outward. When the eye is turned inward so that the equator lies outside of the line of the superior and inferior recti, their contraction would assist in turning the eye inward. In taking into consideration the chief action of any one or more muscles, the above associated movements should always be understood and considered. +--------------------+ | End of Chapter XII | pages 171-173 +--------------------+