OPHTHALMIC NERVE [VI]
- The ophthalmic nerve is the most superior branch of the trigeminal ganglion, and it is exclusively sensory.
- It innervates the upper parts of the face:
- 1. The eyes, orbital contents.
- 2. Nasal cavity.
- 3. Dura matter of the anterior cranial fossa.
- 4....
- Has only sensory innervation.
Course
After the ophthalmic nerve. arises from the trigeminal ganglion, it passes forward in the dura of the cavernous sinus. leaves the cranial cavity, and enters the orbit through the superior orbital fissure.
- Cavernous Sinus :
= dural venous sinus .
- Contains :
(Ophthalmic n. + III C.N + IV C.N) In the lateral wall
(VI C.N + Internal carotid a.) In the cavity.
Divisions :
Just before leaves the cavernous sinus it divides into 3 branches (=receives 3 fibers)
- 1. Frontal n. :
- the thickest branch of the ophthalmic n.
- It course forward, directly beneath the roof of the orbit.
- Inside the orbit, the nerve divides into 2 terminal branches:
- 1.1 Supraorbital n. - Passes through the supraorbital notch before goes up to the forehead & splits into the lateral & medial branches.
- 2.1 Supratrochlear n.
- 2. Lacrimal nerve :
- Goes along the roof of the orbit & travels towards the lacrimal gland.
- 3. Nasociliary nerve :
- runs from the lateral part of the orbit to its medial wall.
- Has several important branches of its own :
- 1.3. Communicating br. - enters the ciliary ganglion.
- 2.3 Anterior Ethmoidal br. - Innervates the mucosa of the posterior ethmoidal air cells.
- 3.3 Posterior n . n - ,, ,, ant. ethmoidal air cells.
- 4.3 Long Ciliary Nerves: supply sensory fibers to the eyeball, including the cornea.
- 5.3 Infratrochlear n. - Innervates the skin of the lave eyelid and the side of the nose.