Muscles of the eye - extraocular muscles and movements

The muscles that move the eye within the orbit appear straightforward at first sight, but the ways in which they work together to move the eye can lead to confusion. Let's look at the anatomy!
When looking medially, the superior oblique muscle depresses the eyeball/direction of the pupil & the inferior oblique elevates the eyeball. Not what I said at the end of the video. The cranial nerves of the extraocular muscles will describe this more slowly & clearly. I hope.
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[@AkingAquila]

This video is highly underrated! I could not for the life of me understand why the Superior oblique caused depression (and the converse, why the Inferior oblique caused elevation). I had watched several videos (KenHub and AnatomyZone) and they all just stated the actions of the muscles. Dr. Webster here was the only one who took the time to explain the axes of the eye, and how the various muscles crossing those axes result in their primary and secondary eye movements. BTW the answer to my question was that the Superior oblique actually runs anterior to posterior, so when it contracts, it pulls the anterior portion of the eye downwards! Hence the depression. I'm sure I'm not the only one who had that problem haha. Dr. Webster, you've got yourself an extra subscriber! Thanks for the great, hands-on explanation!

[@olivia31192]

So so true! Thanks so much Dr Webster!

[@AliAhmed-rr6ny]

exactly what happened with me

[@cowsmoon8686]

I totally understand everything as to what you had just said there...

[@expectopeetrrronium7349]

still didnot understand why sup oblique cause depression. pls explain

[@hiefia8568]

@@expectopeetrrronium7349 muscles have an origin point and an insertion. When they contract, they move the organ they are attached to toward the direction of their origin. The superior oblique muscle moves from the back of the orbit( posteriorly) along the side( medially) until it gets to the trochlea where it switches direction from medially to laterally. From here it moves from front to back( anterior to position). The ability of the superior oblique to depress the eye occurs when the eye is moved medially. I think this eliminates the contribution of the medial to lateral angulation of the muscle. Hence your eye is stuck with only the influence of the anterior to posterior angulation. And since the muscle will pull towards the origin and since the anterior has become the "origin" in a sense, your eye will move from back to front. But remember that the eye is now adducted ( medial ) so your final eye direction will be down toward the side( ie inferomedially).

[@valentinemcdermott]

6:50-7:30 deals with the anatomy of the superior oblique and is an excellent explanation of why the SO can cause depression of the eye.

[@indianindian7757]

Tysm for this

[@ShreyaRajgopal]

Amazing clarity. Also, you look very much like Dr. House.

[@mcmoodoo]

Incredible clarity! Super comprehensive! 24 minutes of pure ocular value!

[@kathmandunepal9547]

OH MY GOD! Its been 5 YEARS!! Since 5 years i was soooo confused about how superior oblique could cause the eye to look down when it lies upward! I checked for videos back in 2014, didn't find any! Finally you've made that point super clear!

[@gopalreddy7582]

I still didn’t get it can u explain me pls

[@andreiacastanheiradasilva8287]

While it's easy to just memorize the actions, it's hard to really understand it deeply - thank you so much for not being concise and really care to explain the logic behind it all! 👏 Your video was, amongst all the other videos I've watched and all the descriptions I've read in textbooks, what helped me most! I'm sure your channel will be accompanying me through the rest of med' school 🤗🙏

[@lexihernandez4191]

Ive been watching your videos for couple months now, and I just wanted to say your passion for anatomy is inspiring. Thank you, for teaching and possibly never even being able to see the fruits from which the seeds you have planted.

[@RohanBanerjee0]

Whenever I'm stuck with some anatomical problem, I know there's one man I can look up to for solution, and that is Dr Sam Webster. You truly are a great teacher sir. Thank you very very much for posting these gems.

[@souviksikdar3180]

Tomar pod marboh

[@jamescartwright387]

I've lived for 25 years without knowing that my eyes rotate...mind blown

[@nnassa4489]

Must’ve never rolled ur eyes at someone

[@ruby-pm8zw]

first of all- beautiful eyes, secondly thank you I will be spending NYE with you- so happy New year to you and to every student on this platform

[@irenacastle5482]

Best explanation I have found. Not even expensive anatomy books touch on this.

[@muskangaba4341]

Thank you for giving everyone an access to quality medical education ❤️

[@rohangandhi28]

You are amazing man, I mean I was struggling to understand the “complex” movements of SR, IR, and SO,IO. Thanks for explaining!!

[@itsayush_]

After reading out most of those beautiful comments people have posted for you Sir dr. Sam,nothing is left to say for me. But just to say thank you so so very much sir for making this subject super interesting just the way you present every bit of it. Mannn, I'm just speechless. hats off to you and your efforts.❤ Edit : and yeah I'm very well keeping up my promise of commenting and givin' a thumbs up on every single video of yours present on this channel cause' there is no better way of givin' u a present as of now for ur efforts when we r living thousands of miles away unfortunately. 😅

[@danielpa8644]

Excellent lecture, especially the part where the bony cavity AP axis that holds the eyeball and muscles is actually laterally deviated. So when pupils appear to be in the center of the eyeball the pupils are actually medial to the bony AP axis. This is why the eye muscles cannot work in isolation. Because the muscles are attached past the vertical and horizontal equators the eyeball, contractions of the eye muscle cause the eyeball to move along multiple planes. This is why the inferior oblique muscle pulls the eyeball up and out. The name of the muscle is just its location not its function. How this was engineered is incredible.

[@corn1078]

This is cool, helps me understand last week’s strabismus surgery a bit better :)

[@tesla-f7y]

This is the best video i’ve seen of the movements of the eye🎯. I’ll upload mine version in spanish this weekend!

[@lyndawson7567]

good stuff

[@toniencheff4046]

Happy New Year, Sam to you and your family. I hope you all had a great Christmas. I saw the video with you getting the Christmas tree with your wife. I am very grateful for your excellent videos. Thank you from the bottom of my heart.

[@medicine4094]

i really ask god to bless u every day

[@missunknownps3]

Superior oblique causes intorsion Inferior oblique causes extorsion When they work together they cause Abduction Superior oblique pulls eye down Inferior oblique pulls eye up THANK YOU FOR EXPLAINING THIS IVE BEEN LOOKING FOR A GOOD EXPLANATION!

[@s.a5590]

I am so bored for lockdown so I here just to learn something new haha

[@nsglaasakr8217]

I have been searching for a compelling explanation for the written actions of the extra ocular muscles and u r the best....ty so much

[@Mariam_oluwaseyi_]

Finally! Whew. Your explanation is so explicit I'm so grateful

[@rbg7408]

When fun and wisdom goes together... thank you sir!

[@hilal5159]

omg what a perfect teacher, cause of the pandemy I'cant go to university and can't do our lab lessons conclusion of it I can't picture these anatomic structure in my head but this video helps so much. thanks a lot

[@rajatsingh24k]

The insertion points and the fact that the axis of the eyeball in the normal physiological setting (baseline) is different from the axis of the orbit are key. Watched 4 other videos before this one and they were all sh**. This video is the only one so far that made this concept clear. What an amazing teacher. Med schools should just show Dr. Webster's videos for anatomy and save everyone a ton of time!

[@عليسلامخزعل]

Amazing tutorial

[@nataliebray]

This video helped me understand the extrinsic eye muscles for my anatomy practical exam. Thank you so much!

[@tommybryant4985]

Wonderfully informative 🫶

[@hebaelnabawy8871]

I have watched several videos and didn't want to watch this since it's longer but seriously this is the best and I've wasted more time by watching the other videos wish I've watched this earlier. Thank you wish you all the best doctor :D

[@kikibear12146]

Well done video!!!

[@debarghapati8917]

I have no words to thank you.

[@rezarezanaghibi]

Wow terribly informative 😮

[@喵シーアー]

Thank you very much for this video! I had so much doubt studying the extraocular muscles movements, and was at the same time wondering why everything goes in the opposite direction in the H test! I agree with you that these take a bit studying, but it’s now much more better after your explanation. Thanks again!!

[@atomoyoga]

Great video! Just pointing that the explanation of why we move the eyes does not explain why we move the eyes when we sleep. Looking is not the same than seeing

[@IldaBegic-wz8oe]

Thank you so much! I`ve been looking for this kind of explanation forever. You saved me 🥰

[@kareenabudhrani9261]

This is sooooo gud ... SO was irritating me and I got it now.

[@duocphamtruongtho4462]

Thanks very much!

[@clearwavepro100]

Wonderful thank you!

[@mariashieladolosa8239]

I need to watch this video. Thanks to you Sir. I like your accent, it's very nice to hear.

[@keertidpai7939]

Thank you sooooooooooooooooooo much

[@gaynorankamah7381]

Great video, thank you.

[@VMGChannel]

Really helpful. Thanks

[@lenaatyat5186]

You’re the best ❤❤❤

[@Disha-k4f]

You've made this so interesting. Thank you!

[@ramahmardini222]

the best anatomist evvver

[@kishorekumarbangi512]

Nice job.

[@fatimaa-q6f]

Amazing!

[@charlesdartagnan8788]

I'm slightly confused by how the superior and inferior rectus muscles cause adduction of the globe when they work together. Is it because they both insert into the medial hemisphere of the globe?

[@juliethomas8401]

Beautifully explained !!

[@amulcool7229]

Thank u so much sir❤️❤️❤️.... Literally searched every other video but never understood the secondary and tertiary actions of oblique muscle...

[@palashbinayake6904]

Thank you sir, this video made it easy to visualise and imagine how those muscles work , excellent job.

[@rafal3941]

Thank youuuu really I mean it you’re pretty good ❤ الله يوفقك

[@watermelonsugar_1535]

Thankyou so much, my confusion about intorsion and extorsion is resolved. 😊

[@ruthdominguez1542]

Watching your videos helps me understand the concepts. Thank you!!!

[@Chrysolite-kn3mz]

Thank you so much Dr Webster; you explained all so well, especially the reasons behind the actions of each muscle, which all kind of depend upon the axis they lie upon.. as I was watching your video, I came to a realization how unique and amazing God's creation are.. thank you.

[@PatDotto]

Amazing explanation!! Tks ❤️

[@suyukthaseelam4297]

Such beautiful eyes..

[@محمدالدوسري-ق1ذ7ر]

U are really amazing!

[@MustafaAli-ug3qw]

Brilliant, thank you so much.

[@kalpanayadav2836]

Thank you for making it easier to understand 😊

[@WmTyndale]

Very nice. I do not believe that science understands how the eye works at the computer level. Stimulation to output, mapped out like the circuits of a computer chip. It is only understood crudely on the basis of Newtonian Optics. I say this because a certain Dr. Bates linked the misuse of these muscles to the development of refractive errors. My feeling is that cramping, spasms and other muscular stresses brought on by long periods of optical duress weakens the organ. Glasses finish the job as does any intervention on the basis of incomplete information. Using these insights many individuals including myself have been able to partially or completely reverse myopia. Muscular Rehabilitation is the key.

[@anfaljaryan4268]

you are amazing

[@countto5591]

Very helpfull...man..really thank you

[@islamislife1780]

thanks

[@ቡጡቃ]

Excellent explanation, Dr.! I've become your humble subscriber😊 Thank you!!!

[@omarisam3650]

excellent video!! thank you

[@rafiatajani1712]

His eyes are so pretty 🥺

[@qudsiashakeel7920]

THIS WAS AWESOMEEEE!! thank you Dr.Webster

[@sibunal7410]

Why so good 😭

[@sriparnaacharya2696]

This is the best video on movements of eye ball.. Thank you so much sir...

[@igorlimamaldonado725]

Excellent.

[@bball44j]

Do you think it's possible that the extraocular muscles could slightly alter the shape of the eye if they don't coordinate properly with each other?

[@saddikhaddad1586]

Thank you Sir!

[@Knucklesdeadlypunch]

Thank you so much Dr. For sharing your knowledge now I have a better understanding of eye movement and I can finally help my anxiety bc I have a better understanding. Again thank you. Be blessed 🙏🏾🙏🏾

[@rafiatajani1712]

How would it cure your anxiety tho

[@ngocminh8068]

Thank you again

[@YH-nr7my]

thank you so much! it was the most helpful video :)

[@pc_opinions]

An excellent video on eye movements. Great job!

[@doctora.s3461]

That waaaas perfeeeeect .. thaaaanks alooooot, your explination was really beautiful, i just remembered the greatness of god, he is reaally powerful.. i loved him more because he give us such a great eye, more powerful than any camera. Thanks alot again and again

[@MokieHotSquad]

Allah smiles at our salvation brother

[@Saidoromo2024]

Informative 👊

[@jenniferzhou4264]

very usefully thank you

[@martynasvenckus423]

Never thought I would learn from Dr. House himself

[@davidadegboyega1941]

Do you have video on levator palpebrae superioris?

[@mzml4696]

Even a non anatomist like me can make sense out of it. Nice and interesting Sam . :)

[@th3mllkm4n66]

13:40 man’s spitting straight facts

[@MehediHasan-yl5ly]

Effective 💥

[@shorouksalem5371]

More than wonderful

[@amanagarwal2746]

Superbbb... Sir And the thing you said at the end was just amazing

[@yixuan_yx]

Great explanation. Thank you so much!

[@curtisamos1615]

I've lived for 40+ years and I learned about many different things......today I learned about my eyes....... How does someone learn about eye muscle and movement?

[@matwil7530]

I would really appreciate some advice. I’ve been getting headaches for over 20 years. After watching this video I suspect it’s due to over straining of my superior oblique (this is the location of the pain). Pain is always above left eye. I believe my left eye is lower than my right and I tilt my head to the right to compensate for this. Would this situation put more strain on my superior Oblique muscle? Thanks for any help!

[@jibansharma4227]

It was damn impressive. made it so easier to understand. big thanks Sam. Best in the internet for extraocular muscles.

[@gavinpersaud4243]

excellent video and good commentary. Thanks mate

[@h0m0.sapien]

Simply amazing!!

[@zeelpatel8049]

Very well explained.Thanks.

[@narasimha7870]

Thank you for saying why adduction by RECTI!!!!!

[@elchin571]

thank You for great explanation!

[@priyankarane6554]

Just love you for this one 😊🤗 I like that color of your eyes.. Seriously 😍😘

[@rahavpokhrel8748]

Awesome!

[@shavisingh6393]

Thank u soo much sir for interesting demo nd stressing ur eye . Great work