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The superior tarsus (tarsus superior; superior tarsal plate), the larger, is of a semilunar form, about 10 mm (0.4 in) in breadth at the center, and gradually narrowing toward its extremities. It is adjoined by the superior tarsal muscle. To the anterior surface of this plate the aponeurosis of the levator palpebrae superioris is attached.
The superior tarsal muscle receives its innervation from the sympathetic nervous system.Postganglionic sympathetic fibers originate in the superior cervical ganglion, and travel via the internal carotid plexus, where small branches communicate with the oculomotor nerve as it passes through the cavernous sinus. [1]
The levator palpebrae superioris receives motor innervation from the superior division of the oculomotor nerve. [1] [2] [3] The smooth muscle that originates from its undersurface, called the superior tarsal muscle is innervated by postganglionic sympathetic axons from the superior cervical ganglion.
An eyelid is a thin fold of skin that covers and protects the eye. The levator palpebrae superioris muscle helps in the movement of eyelid. The human eyelid features a row of eyelashes along the eyelid margin, which helps in protection of the eye from dust and foreign debris. The main function of eyelid is to keep the cornea moist and clean.
It attaches to the frontal process of the maxilla, the lacrimal groove, and the tarsus of each eyelid. It has a superficial (anterior) and a deep (posterior) layer, with many surrounding attachments. It connects the medial canthus of each eyelid to the medial part of the orbit. It is a useful point of fixation during eyelid reconstructive surgery.
In the upper eyelid, the orbital septum blends with the tendon of the levator palpebrae superioris, and in the lower eyelid with the tarsal plate. [2]When the eyes are closed, the whole orbital opening is covered by the septum and tarsi.
Due to its unique path, the superior oblique, when activated, pulls the eye downward and laterally. [ 9 ] The last muscle is the inferior oblique , which originates at the lower front of the nasal orbital wall, passes inferiorly over the inferior rectus muscle on its path laterally and posteriorly, and inserts under the lateral rectus muscle on ...
The superior tarsal muscle elevates the upper eyelid. The levator palpebrae superioris, which is supplied by a branch of the oculomotor nerve, also elevates the upper eyelid. Eyelid elevation is therefore under both voluntary and involuntary control. Interruption of either pathway will result in eyelid droop .