Ciliary Ganglion

Lateral_orbit_nerves.jpg

Location

  • The ciliary ganglion lies within the lateral orbit between the optic nerve and lateral rectus muscle.

  • It is approximately 1 cm in front of the annulus of Zinn.

Nerves

From the cavernous sinus

  • Inferior division of CN III

    • Branch to inferior oblique muscle

    • Preganglionic parasympathetic pupillomotor fibers (cell bodies in Edinger-Westphal nucleus)

  • CN V1

    • Carries sensory input from cornea, orbit, and face to trigeminal ganglion

  • Postganglionic sympathetic pupillomotor fibers (to iris dilator)

To the eye

These nerves travel along the optic nerve and pierce the sclera around the optic nerve, traveling anteriorly between the choroid and sclera.

  • Short ciliary nerves

    • Postganglionic parasympathetic myelinated pupillomotor fibers (to iris sphincter)

    • Terminal branches of V1 for eye, orbit, and face

  • Long ciliary nerves

    • Postganglionic sympathetic pupillomotor fibers (to iris dilator)

Reference

  • Basic and Clinical Science Course, Section 2. Fundamentals and Principles of Ophthalmology. American Academy of Ophthalmology. San Francisco: 2018-2019 edition, 11-12.