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The lateral rectus muscle is a muscle on the lateral side of the eye in the orbit. It is one of six extraocular muscles that control the movements of the eye . The lateral rectus muscle is responsible for lateral movement of the eyeball, specifically abduction.
Horizontal movement is controlled entirely by the medial and lateral recti muscles; the medial rectus muscle is responsible for adduction, the lateral rectus muscle for abduction. Vertical movement requires the coordinated action of the superior and inferior recti muscles, as well as the oblique muscles.
These changes serve to reduce the variation in the misalignment of the two eyes in different gaze positions (incomitance). Where this process has fully developed, the preferred option is a simple recession, or weakening, of the medial rectus of the affected eye, combined with a resection, or strengthening, of the lateral rectus of the same eye.
The initial clinical examination of the extraoccular eye muscles is done by examining the movement of the globe of the eye through the six cardinal eye movements. When the eye is turned out (temporally) and horizontally, the function of the lateral rectus muscle is tested.
The abducens nucleus contains two types of cells: motor neurons that control the lateral rectus muscle on the same side, and interneurons that cross the midline and connect to the contralateral oculomotor nucleus (which controls the medial rectus muscle of the opposite eye). In normal vision, lateral movement of one eye (lateral rectus muscle ...
Since the lateral rectus controls movement away from the center of the body, a lesion in the abducens nucleus disrupts the pathways controlling outward movements, not allowing the right eye to move right and the left eye to move left. Nerve VI has the longest subarachnoid distance to its target tissue, making it susceptible to lesions. [5]
The result is a compensatory movement of the eyes. The vestibulo-ocular reflex (VOR) is a reflex that acts to stabilize gaze during head movement, with eye movement due to activation of the vestibular system, it is also known as the cervico-ocular reflex. The reflex acts to stabilize images on the retinas of the eye during head movement. Gaze ...
Vergence eye movements result from the activity of six extraocular muscles. These are innerved from three cranial nerves: the abducens nerve , the trochlear nerve and the oculomotor nerve . Horizontal vergence involves mainly the medial and lateral rectus .