Neuroanatomical structures in human extraocular muscles and their potential implication in the development of oculomotor disorders
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PADUCA, Ala, BRUENECH, Jan Richard. Neuroanatomical structures in human extraocular muscles and their potential implication in the development of oculomotor disorders. In: Journal of Pediatric Ophthalmology and Strabismus, 2018, nr. 1(55), pp. 14-22. ISSN 0191-3913. DOI: https://doi.org/10.3928/01913913-20170703-16
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Journal of Pediatric Ophthalmology and Strabismus
Numărul 1(55) / 2018 / ISSN 0191-3913 /ISSNe 1938-2405

Neuroanatomical structures in human extraocular muscles and their potential implication in the development of oculomotor disorders

DOI:https://doi.org/10.3928/01913913-20170703-16

Pag. 14-22

Paduca Ala12, Bruenech Jan Richard2
 
1 ”Nicolae Testemițanu” State University of Medicine and Pharmacy,
2 University of South-Eastern Norway, Kongsberg
 
 
Disponibil în IBN: 23 iulie 2021


Rezumat

The potential role of sensory feedback from human extraocular muscles has been subjected to considerable speculation in the ophthalmic literature. Extraocular muscles pull against a fairly even load and do not initiate a stretch reflex, even when the eyes are directed toward the boundaries of their respective field of action. These unique working conditions and physiological properties have led to the notion that the sensory signal arising from receptors in extraocular muscles differs from the conventional proprioceptive signal arising from their somatic counterparts. The interest in the receptors at the myotendinous junction of human extraocular muscles has been renewed due to their alleged role in the development of binocular vision and their potential implication in the etiology of binocular vision anomalies. The idea that extraocular muscles provide knowledge of eye position and whether this function can be affected by surgical intervention has initiated several clinical and neuroanatomical studies. Many of these studies support this concept and suggest that surgical procedures that impose only minimal interference with the proprioceptive signal will give a better postoperative result. However, other studies contradict this view because the afferent capacity of the receptors can be questioned and some uncertainties remain. The purpose of this study was to review the related literature and discuss the possible role of ocular proprioceptors in relation to binocular vision and the development of eye motility disorders.

Cuvinte-cheie
Eye Movements, Humans, Ocular Motility Disorders, Oculomotor Muscles, Ophthalmic Nerve, Proprioception, vision, Binocular