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Anatomie et histologie de l'œil. 2e éd Paris : Masson ; 1982. [7] Hugonnier R, Hugonnier S. Strabismes. Hétérophories. Paralysies oculo-motrices. 4e éd Paris : Masson ; 1981. [8] Demer JL, Kerman BM. Comparison of standardized echography with magnetic resonance imaging to measure extraocular muscle size. Am J Ophthalmol 1994 ; 118 : 351–61. [9] Tian S, Nishida Y, Isberg B, Lennerstrand G. MRI measurements of normal extraocular muscles and other orbital structures. Graefes Arch Clin Exp Ophthalmol 2000 ; 238 : 393–404.

Anatomie de l'appareil suspenseur du globe oculaire Le globe oculaire et les muscles oculomoteurs sont suspendus dans l'orbite par un appareil fibro-musculo-élastique constitué de la partie antérieure de la capsule de Tenon et de ses expansions orbitaires (cf. chapitre 2). 17) [10,49] : • l'une, antérieure ou musculaire, est latérobulbaire et recouvre la sclère depuis les points de tangence des muscles droits jusqu'au limbe cornéoscléral ; • l'autre, postérieure ou sclérale, est rétrobulbaire et recouvre la sclère de l'hémiglobe postérieur.

Anatomie chirurgicale de l'appareil oculomoteur • simultanément les muscles droits se rapprochent de l'axe orbitaire en se contractant et s'en éloignent en se relâchant ; l'amplitude de ce déplacement est d'environ 3,5 mm au milieu de leur trajet ; • la longueur de l'arc de contact des muscles varie lorsqu'ils se contractent ou se relâchent ; l'inflexion de leur trajet change à l'endroit de la poulie musculaire lors des mouvements perpendiculaires à leur axe. In vivo donc, à chaque étape du déplacement des yeux correspondent une position et une morphologie précise de chacun des muscles impliqués.

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Basic Ophthalmology for Med. Students, Pri Care Resids


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