Normal anatomy and abnormalities of the rectus extraocular muscles in humans
DOI:
https://doi.org/10.26641/1997-9665.2020.3.177-185Keywords:
extraocular muscles, normal anatomy, abnormalitiesAbstract
The development of modern surgical techniques makes a deep knowledge of anatomy, in the case of ophthalmic surgery, also functional problems of the extraocular muscles. Thus, the purpose of our review was to summarize the latest findings on normal anatomy and anomalies of rectus extraocular muscles (ERMs). Particular attention was paid to the presentation of detailed and structured data on the general anatomy of the ERMs, including their attachment, topography, vascularization and innervation. The question of ERMs innervation is presented in detail, taking into account recent studies on human material using methods.References
- Farzavandi S, authors; Farzavandi S, editor. Color Atlas of Strabismus Surgery. New York, NY, USA: Springer; 2007. 200 p. English.
- Peng M, Poukens V, da Silva Costa RM, Yoo L, Tychsen L, Demer JL. Compartmentalized innervation of primate lateral rectus muscle. Investigative Opthalmology & Visual Science. 2010;51(9):4612–4617. English.
- Nam YS, Kim I-B, Shin SY. Detailed anatomy of the abducens nerve in the lateral rectus muscle. Clinical Anatomy. 2017;30(7):873–877. English.
- Shin HJ, Lee S-H, Shin K-J, Koh K-S, Song W-C. Intramuscular distribution of the abducens nerve in the lateral rectus muscle for the management of strabismus. Current Eye Research. 2018;43(6):689–695. English.
- Shin HJ, Lee S-H, Ha T-j, Song W-C, Koh K-S. Intramuscular nerve distribution in the medial rectus muscle and its clinical implications. Current Eye Research. 2019;44(5):522–526. English.
- Haladaj R, Wysiadecki G, Tubbs RS. Intramuscular innervation of the lateral rectus muscle evaluated using Sihler’s staining technique: potential application to strabismus surgery. Clinical Anatomy. 2020; 33(4):585-591. English.
- Standring S. Gray’s Anatomy: The Anatomical Basis of Clinical Practice. American Journal of Neuroradiology November 2005;26(10):2703-2704. English.
- Fernandez Cabrera A, Suarez-Quintanilla J, authors; Fernandez Cabrera A, Suarez-Quintanilla J, editors. Anatomy, head and neck, eye lateral rectus muscle. Treasure Island, FL, USA: StatPearls Publishing; 2019. 200 p. English.
- Shumway CL, author; Motlagh M, Wade M, editors. Anatomy, head and neck, eye medial rectus muscles. Treasure Island, FL, USA: StatPearls Publishing; 2019. 200 p. English.
- Shumway CL, Motlagh M, authors; Wade M, editor. Anatomy, head and neck, eye superior rectus muscle. Treasure Island, FL, USA: StatPearls Publishing; 2019. 250 p. English.
- Shumway CL, author; Motlagh M, Wade M, editors. Anatomy, head and neck, eye inferior rectus muscle. Treasure Island, FL, USA: StatPearls Publishing; 2019. 210 p. English.
- Zampieri F, Marrone D, Zanatta A. Should the annular tendon of the eye be named “annulus of Zinn” or “of Valsalva?” Acta Ophthalmologica. 2015;93(1):97–99. English.
- Pihlblad MS, Erenler F, Sharma A, Manchandia A, Reynolds JD. Anterior segment optical coherence tomography of the horizontal and vertical extraocular muscles with measurement of the insertion to limbus distance. Journal of Pediatric Ophthalmology & Strabismus. 2016;53(3):141–145. English.
- Stark N., Kuck H. Distance of muscle insertions in the corneal limbus. Klinische Monatsblätter für Augenheilkunde. 1986;189(2):148–153. English.
- Miyake MM, Bleier BS, authors; Chiu AG, Palmer JN, Adappa ND, editors. Endoscopic approach and removal of orbital tumors. Philadelphia, PA, USA: Elsevier; 2019. 170 p. English.
- Holstein GR, author; Mai J. K., Paxinos G., editors. The vestibular system. Amsterdam, Netherlands: Elsevier; 2012. 1280 p. English.
- da Silva Costa RM, Kung J, Poukens V, Yoo L, Tychsen L, Demer JL. Intramuscular innervation of primate extraocular muscles: unique compartmentalization in horizontal recti. Investigative Opthalmology & Visual Science. 2011;52(5):2830–2836. English.
- Clark RA, Demer JL. Differential lateral rectus compartmental contraction during ocular counter-rolling. Investigative Opthalmology & Visual Science. 2012;53(6):2887–2896. English.
- Demer JL, Oh SY, Poukens V. Evidence for active control of rectus extraocular muscle pulleys. Investigative Opthalmology & Visual Science. 2000;41(6):1280–1290. English.
- Demer JL, Clark RA, Lim K-H, Engle EC. Magnetic resonance imaging evidence for widespread orbital dysinnervation in dominant Duane’s retraction syndrome linked to the DURS2 locus. Investigative Opthalmology & Visual Science. 2007;48(1):194–202. English.
- Demer JL, Clark RA. Magnetic resonance imaging of differential compartmental function of horizontal rectus extraocular muscles during conjugate and converged ocular adduction. Journal of Neurophysiology. 2014;112(4):845–855. English.
- Demer JL. Compartmentalization of extraocular muscle function. Eye. 2015;29(2):157–162. English.
- Hwang K, Shin YH, Kim DJ. Conjoint fascial sheath of the levator and superior rectus attached to the conjunctival fornix. The Journal of Craniofacial Surgery. 2008;19(1):241–245. English.
- Ettl A, Priglinger S, Kramer J, Koornneef L. Functional anatomy of the levator palpebrae superioris muscle and its connective tissue system. British Journal of Ophthalmology. 1996;80(8):702–707. English.
- Hwang K. Surgical anatomy of the upper eyelid relating to upper blepharoplasty or blepharoptosis surgery. Anatomy & Cell Biology. 2013;46(2):93–100. English.
- Byun JS, Lee JK. Relationships between eyelid position and levator-superior rectus complex and inferior rectus muscle in patients with Graves’ orbitopathy with unilateral upper eyelid retraction. Graefe’s Archive for Clinical and Experimental Ophthalmology. 2018;256(10):2001–2008. English.
- Sevel D. Ptosis end underaction of the superior rectus muscle. Ophthalmology. 1984;91(9):1080–1085. English.
- Kocabiyik N, author; Tubbs RS, Shoja MM, Loukas M, editors. Bergman’s Comprehensive Encyclopedia of Human Anatomic Variation. Hoboken, NJ, USA: Wiley; 2016. 220 p. English.
- Nayak SB, Shetty SD, Kumar N, Aithal AP. Double-bellied superior rectus muscle. Surgical and Radiologic Anatomy. 2019;41(6):713–715. English.
- Bagheri A, Ferdosi A, Bottros A, Hunter D. Unilateral superior rectus aplasia without craniofacial anomaly. Digital Journal of Ophthalmology. 2005;11(5). English.
- Mather TR, Saunders RA. Congenital absence of the superior rectus muscle: a case report. Journal of Pediatric Ophthalmology and Strabismus. 1987;24(6):291–295. English.
- Ingham PN, McGovern ST, Crompton JL. Congenital absence of the inferior rectus muscle. Australian and New Zealand Journal of Ophthalmology. 1986;14(4):355–358. English.
- Law G, Khan HM, Lyons CJ, Anderson DP. Unilateral absence of the superior rectus muscle: an unusually delayed presentation. Canadian Journal of Ophthalmology. 2019;54(6):e297–e300. English.
- Cuttone JM, Brazis PJ, Miller MT, Folk ER. Absence of the superior rectus muscle in Apert’s syndrome. Journal of Pediatric Ophthalmology and Strabismus. 1979;16(6):349–354. English.
- Diamond GR, Katowitz JA, Whitaker LA, Quinn GE, Schaffer DB. Variations in extraocular muscle number and structure in craniofacial dysostosis. American Journal of Ophthalmology. 1980;90(3):416–418. English.
- Yang S, Guo X. Treatment of large hypertropia following absence of inferior rectus by integrated anteriorization of inferior oblique combined with recession of superior rectus. Zhonghua Yan Ke Za Zhi. 2015;51(6):424–428. Chinese.
- Astle WF, Hill VE, Ells AL, Chi NTT, Martinovic E. Congenital absence of the inferior rectus muscle-diagnosis and management. Journal of American Association for Pediatric Ophthalmology and Strabismus. 2003;7(5):339–344. English.
- Shazly TA, Stefko ST. Congenital entropion and hypotropia secondary to duplication of the inferior rectus muscle. Journal of American Association for Pediatric Ophthalmology and Strabismus. 2017;21(1):85–87. English.
- Djordjevic B, Novakovic M, Milisavljevic M, Milicevic S, Malikovic A. Surgical anatomy and histology of the levator palpebrae superioris muscle for blepharoptosis correction. Vojnosanitetski Pregled. 2013;70(12):1124–1131. English.
- Bye LA., Modi NC authors; Stanford M, editor. Basic Sciences for Ophthalmology. Oxford, UK: Oxford University Press; 2013. 144 p. English.
- Black EH, Nesi FA, Gladstone GJ, authors; Levine MR, editor. Smith and Nesi’s Ophthalmic Plastic and Reconstructive Surgery. Berlin, Germany: Springer; 2012. 250 p. English.
- Bergman RA, Afifi AK, authors; Miyauchi R, editor. Illustrated encyclopedia of human anatomic variation. Related Digital Libraries. 2015. 500 p. English.
- Haładaj R, Wysiadecki G, Polguj M, Topol M. Bilateral muscular slips between superior and inferior rectus muscles: case report with discussion on classification of accessory rectus muscles within the orbit. Surgical and Radiologic Anatomy. 2018;40(7):855–862. English.
- Bohnsack BL, Gallina D, Thompson H, et al. Development of extraocular muscles requires early signals from periocular neural crest and the developing eye. Archives of Ophthalmology. 2011;129(8):1030–1041. English.
- Kightlinger BS, Saraf-Lavi E, Sidani C. Anomalous extraocular muscles: a case series of orbital bands connecting the superior rectus to inferior rectus. Neurographics. 2017;7(2):88–91. English.
- Von Ludinghausen M. Bilateral supernumerary rectus muscles of the orbit. Clinical Anatomy. 1998;11(4):271–277. English.
- Kakizaki H, Zako M, Nakano T, Asamoto K, Miyaishi O, Iwaki M. An anomalous muscle linking superior and inferior rectus muscles in the orbit. Anatomical Science International. 2006;81(3):197–199. English.
- Khitri MR, Demer JL. Magnetic resonance imaging of tissues compatible with supernumerary extraocular muscles. American Journal of Ophthalmology. 2010;150(6):925–931. English.
- Sachdev N, Tiakumzuk S, Aulakh R, Brar GS. Anomalous bilateral lateral rectus muscles and anterior polar cataract with dysmorphic features. Journal of American Association for Pediatric Ophthalmology and Strabismus. 2009;13(3):319–321. English.
- Park CY, Oh SY. Accessory lateral rectus muscle in a patient with congenital third- nerve palsy. American Journal of Ophthalmology. 2003;136(2):355–356. English.
- Liao YJ, Hwang JJ. Accessory lateral rectus in a patient with normal ocular motor control. Journal of Neuro-Ophthalmology. 2014;34(2):153–154. English.
- Sandall GS, Morrison JW. Congenital absence of lateral rectus muscle. Journal of Pediatric Ophthalmology and Strabismus. 1979;16(1):35–39. English.
- Keith CG, Webb GC, Rogers JG. Absence of a lateral rectus muscle associated with duplication of the chromosome segment 7q32—q34. Journal of Medical Genetics. 1988;25(2):122–125. English.
- Lee S. C., Kim U. Accessory medial rectus muscle in strabismus fixus convergens. Eye. 2009;23(11):p. 2119. English.
- Murthy R. Congenital dystrophic medial rectus muscles. Indian Journal of Ophthalmology. 2017;65(1):62–64. English.
- Nam YS, Park Y, Kim I-B, Shin SY. Detailed anatomy of the lateral rectus muscle-superior rectus muscle band. Journal of Ophthalmology. 2019;2019:p. 4. English.
- Lueder GT. Anomalous orbital structures resulting in unusual strabismus. Survey of Ophthalmology. 2002;47(1):27–35. English.
- Shumway CL, Motlagh M, authors; Wade M, editor. Anatomy, head and neck, eye extraocular muscles.Treasure Island, FL, USA: StatPearls Publishing; 2019. 2000 p. English.
- Erdogmus S, Govsa F. Arterial vascularization of the extraocular muscles on its importance for orbital approaches. Journal of Craniofacial Surgery. 2017;18(5):1125–1132. English.
- Zhang Y, Liu H, Liu E-Z, Lin Y-Z, Zhao S-G, Jing G-H. Microsurgical anatomy of the ocular motor nerves. Surgical and Radiologic Anatomy. 2010;32(7):623–628. English.
- Oh SY, Poukens V, Demer JL. Quantitative analysis of rectus extraocular muscle layers in monkey and humans. Investigative Ophthalmology and Visual Science. 2001;42(1):10–16. English.
- Park HK, Rha HK, Lee KJ, Chough CK, Joo W. Microsurgical anatomy of the oculomotor nerve. Clinical Anatomy. 2017;30(1):21–31. English.
- Tsuda H, Tanaka K. Clinico-anatomical analysis of the fibers to the inferior rectus muscle in the oculomotor fascicles. Internal Medicine. 2012;51(15):2031–2034. English.
- Wysiadecki G, Polguj M, Topol M. An unusual variant of the abducens nerve duplication with two nerve trunks merging within the orbit: a case report with comments on developmental background. Surgical and Radiologic Anatomy. 2016;38(5):625–629. English.
- Bruenech JR, Kjellevold Haugen IB. How does the structure of extraocular muscles and their nerves affect their function? Eye. 2015;29(2):177–183. English.
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Syrvakova, A. O. (2020). Normal anatomy and abnormalities of the rectus extraocular muscles in humans. Морфологія / Morphologia / Morfologìâ, 14(3), 177–185. https://doi.org/10.26641/1997-9665.2020.3.177-185
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