In 1994, we published the first edition of this book. Gratifyingly, this book was well received, and won awards for the best medical illustrations for 1994, as well as recognition as one of the 100 most important books published in ophthalmology in the 20th century (Thompson HS, Blanchard DL. Arch Ophthalmol 2001; 119:761-763). Our goal at that time was to produce a visual atlas of orbital and eyelid anatomy, describing anatomic details in a logical sequence following regional, functional, or morphologic criteria. These mental or eidetic images would help the reader create meaningful mental pictures that can be recalled from memory, like reading the pages of an open book. Since our goal was clinical anatomy, we included some clinically relevant correlations related to normal anatomic structures, and to some pathologic conditions.
Anatomy of relatively well-known regions of the body tends to be rather stable, with few significant changes in knowledge, at least with respect to major structures. However, during the 16 years since publication of the first edition, a great deal of new information has been added to the medical literature, especially as regards eyelid anatomy, the orbital fascial connective tissue structures, and extraocular muscle pulley systems. Some refinements also have been made to our understanding of other anatomic systems, including the vascular, neural, and muscular systems. All of these findings have been updated in the current edition. We have added a section on facial anatomy to the Eyelid Anatomy chapter that is relevant to facial and SOOF lift procedures. Also, we added a new chapter on the cavernous sinus, since many orbital structures and pathologic conditions involving the orbital apex also involve the cavernous sinus and middle cranial fossa, so that knowledge of anatomic continuity between these structures is important. References have been updated throughout, and a number of new or modified illustrations have been added to several chapters based on recent anatomic findings. We also added new subheadings to most chapters, in order to more clearly delineate specific areas of information. We expanded sections on clinical correlations in all chapters, to better relate disease processes with anatomic structures.

As we stated in the first edition, for those students of orbital anatomy interested in details of structure, functional morphology, and clinical correlations, we suggest a careful reading of the text in conjunction with a systematic sequential review of the illustrations. For those more familiar with orbital anatomy who may wish only to review certain anatomic systems or structures, the illustrations can be used independent of the text.
Jonathan J. Dutton, Thomas G. Waldrop
Key Features
- Clearly see the nuances of each anatomic system with layered illustrations that use multiple artworks to display relevant structures and highlight key intricacies.
- Visualize each system three-dimensionally through depictions from frontal, lateral, and superior angles.
- Apply a comprehensive approach to common orbital diseases using coverage of clinical correlations from embryology to adult anatomy.
Website Features
- Consult the book from any computer at home, in your office, or at any practice location.
- Instantly locate the answers to your clinical questions via a simple search query.
- Quickly find out more about any bibliographical citation by linking to its MEDLINE abstract.
- Images: Browse a Library of all book images. Easily select, organize, and download your images into a presentation.
Contents
CHAPTER 1 - Cavernous Sinus
- Embryology
- Anatomy of the adult cavernous sinus
- Clinical correlations: orbital apex/cavernous sinus syndromes
- References
CHAPTER 2 - Osteology of the Orbit
- Embryology
- The adult bony orbit
- Aging phenomena
- Clinical correlations
- The intracranial compartment
- References
CHAPTER 3 - Extraocular Muscles
- Embryology
- Adult anatomy
- The annulus of Zinn
- Clinical correlations
- The rectus muscles
- Accessory muscles
- Muscle sheaths and pulleys
- The rectus muscle insertions
- The intermuscular septum
- The superior oblique muscle
- The inferior oblique muscle
- The levator palpebrae superioris muscle
- Clinical correlations
- References
CHAPTER 4 - Orbital Nerves
- The optic nerve
- Optic nerve clinical correlations
- The oculomotor nerve
- The ciliary ganglia
- The trochlear nerve
- The abducens nerve
- Defects affecting neuronal control of ocular movement
- The trigeminal nerve
- Clinical correlations
- Sympathetic system
- Parasympathetic system
- The facial nerve
- Clinical correlations
- References
CHAPTER 5 - Arterial Supply to the Orbit
- Embryology
- Adult arterial system
- Anastomotic connections of the orbital arterial system
- Clinical correlations
- References
CHAPTER 6 - Venous and Lymphatic Systems
- Embryology
- The venous drainage system in the adult
- Clinical correlation of the venous system
- The lymphatic system
- Clinical correlations of the lymphatic system
- References
CHAPTER 7 - Orbital Fat and Connective Tissue Systems
- Embryology
- Orbital fat
- Tenon's capsule
- Relationship of extraocular muscles to Tenon's capsule
- The anterior suspensory systems
- The intermuscular septum
- The extraocular suspensory systems
- The rectus muscle pulley systems
- The posterior suspensory systems
- Orbital muscle of Moller
- Clinical correlations
- References
CHAPTER 8 - The Eyelids and Anterior Orbit
- Soft tissue layers and spaces
- The eyebrows
- The eyelids
- The adult eyelid
- Nerves to the eyelids
- Vascular supply of the eyelids
- Periorbital facial anatomy
- The aging face
- References
CHAPTER 9 - The Lacrimal Systems
- The lacrimal gland
- The lacrimal drainage system
- Clinical correlations
- References
CHAPTER 10 - Histologic Anatomy of the Orbit
CHAPTER 11 - Radiographic Correlations
- Computerized tomography of the orbit
- Magnetic resonance imaging
- Normal orbital anatomy in the axial plane
- Normal orbital anatomy in the coronal plane
- References
About the Authors
- JONATHAN J. DUTTON, M.D., Ph.D. is currently Professor and Vice Chair of Ophthalmology at The University of North Carolina at Chapel Hill. He completed his masters and doctorate degrees in zoology, evolutionary biology, and vertebrate paleontology at Harvard University in 1970, and joined the faculty of Princeton University as Sinclair Professor of Vertebrate Paleontology from 1970 to 1973. Between 1965 and 1973 he conducted ten research expeditions to East Africa and published widely on vertebrate morphology and mammalian evolution. After returning to school and receiving his M.D. degree in 1978, and going on to residency training at Washington University Medical School, he completed a research fellowship in glaucoma at Washington University, and another fellowship in oculoplastic and orbital surgery at the University of Iowa. From 1983 to 1999 he was Professor of Ophthalmology and head of the Oculoplastic and Orbital Service at Duke University Medical Center. He served as CEO and Medical Director of the Atlantic Eye and Face Center in Cary, NC from 2000-2003 and then joined the full-time faculty at the University of North Carolina at Chapel Hill, where he is currently Professor and Vice Chair. Dr Dutton is senior preceptor of an ASOPRS-approved fellowship program that has trained 15 fellows. He specializes in oculoplastic reconstructive and orbital surgery, thyroid eye disease, and periorbital and intraocular ophthalmic oncology.
- THOMAS G. WALDROP, M.S.M.I. received his Master of Science degree in medical illustration from the Medical College of Georgia in 1978. He directed the ophthalmic photography and ultrasound section of the Retina Institute in St Louis before establishing his medical illustration service in Hillsborough, North Carolina in 1980. Since then, he has worked closely with the Duke University Eye Center producing ophthalmic illustrations for publication, and he has collaborated with Dr. Dutton on several major atlases of ophthalmic surgery.
Product Details
- Hardcover: 280 pages
- Publisher: Saunders; 2 edition (June 10, 2011)
- Language: English
- ISBN-10: 1437722725
- ISBN-13: 978-1437722727
- Product Dimensions: 11.1 x 8.8 x 0.8 inches
List Price: $229.00