Orbitalis Muscle - Pathology

Pathology

Horner's syndrome causes paralysis of the structures of the eye and orbit that receive sympathetic innervation. The signs of Horner's syndrome are ptosis, miosis, anhydrosis, and (apparent) enophthalmos. While some attribute the enophthalmos of Horner's Syndrome to paralysis of the orbitalis muscle, this is inaccurate. Enophthalmos in Horner's syndrome is an illusion created by the subtle ptosis of the upper eyelid caused by paralysis of the superior tarsal muscle.

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