
The eyelids are a crucial part of the human body, protecting the eyes and maintaining their lubrication. The opening between the eyelids is known as the palpebral aperture or opening. The eyelids consist of five main layers, with the skin and subcutaneous tissue forming the most superficial layer. The orbicularis oculi muscle, located just beneath the eyelid skin, is essential for eyelid movement. It extends from the medial to the lateral canthal region, enhancing the eyelid's structural integrity and functionality. While the orbicularis oculi muscle is responsible for closing the eyelids, the levator palpebrae superioris and superior tarsal muscles are responsible for opening the eyelids.
| Characteristics | Values |
|---|---|
| Muscle that opens the eyelid | Levator palpebrae superioris |
| Muscle that closes the eyelid | Orbicularis oculi |
| Location of the orbicularis oculi muscle | Just under the skin, circling the eyes |
| Function of the orbicularis oculi muscle | Eyelid movement, tear drainage, and facial expression |
| Parts of the orbicularis oculi muscle | Orbital, palpebral, and ciliary (marginal) |
| Arteries directing blood to the levator palpebrae muscle | Lacrimal, supratrochlear, supraorbital, and muscular branches |
| Veins draining the levator palpebrae muscle | Superior ophthalmic vein and inferior ophthalmic vein |
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What You'll Learn
- The levator palpebrae superioris muscle opens the eyelid
- The superior tarsal muscle (Müller muscle) is a smooth muscle
- The orbicularis oculi muscle closes the eye
- The marginal portion of the palpebral orbicularis muscle is also known as the muscle of Riolan
- The orbicularis oculi muscle has three distinct parts

The levator palpebrae superioris muscle opens the eyelid
The levator palpebrae superioris muscle, also known as the lavetor palpabrae superior muscle, is responsible for opening the eyelid. It is a skeletal muscle, not a smooth muscle, and it courses anteriorly along the superior orbit, running superiorly to the superior rectus muscle. The levator palpebrae superioris muscle is innervated by the oculomotor nerve, specifically CN III, which exits the brainstem between the superior and posterior cerebellar arteries. This nerve then traverses the cavernous sinus laterally before exiting the cranium through the superior orbital fissure and dividing into superior and inferior branches.
The superior branch of CN III directly innervates the levator palpebrae superioris muscle and plays a crucial role in eyelid elevation. During an upward gaze, the activation of M-group neurons in the midbrain excites the CCN, leading to the contraction of the levator palpebrae superioris muscle and subsequent eyelid opening. This coordination between vertical eye movements and lid position is facilitated by the M-group, located in the supraoculomotor area or supra III region of the midbrain.
The levator palpebrae superioris muscle is associated with several surrounding structures, including the Whitnall ligament and levator aponeurosis. Distally, the muscle expands to form the levator aponeurosis, a tendon sheath that lies near the Whitnall ligament. The levator aponeurosis inserts into the upper eyelid skin anteriorly and the upper tarsal plate's anterior surface inferiorly. The levator palpebrae superioris muscle is also closely related to the superior tarsal muscle, also known as Müller's muscle, which attaches to the superior tarsal plate and lies posterior to the levator aponeurosis.
The blood supply to the levator palpebrae superioris muscle is directed by four arterial systems: the lacrimal, supratrochlear, supraorbital, and muscular branches. These vessels connect to the superior peripheral arcade, providing circulation to the upper eyelid's superior aspect. Additionally, the lymphatic drainage of the upper eyelid, including the levator palpebrae superioris muscle, has been found to occur solely laterally to the preauricular and parotid lymph nodes, as well as the deep cervical lymph nodes.
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The superior tarsal muscle (Müller muscle) is a smooth muscle
The superior tarsal muscle, also known as Müller's muscle, is a smooth muscle found within the superior eyelid. It is a structural component of the larger skeletal muscle of the eyelid, the levator palpebrae superioris. The superior tarsal muscle originates from the deep surface or underside of the levator palpebrae superioris and inserts onto the superior tarsal plate of the eyelid. This muscle is responsible for elevating the upper eyelid, particularly in states of sympathetic predominance such as excitement, fear, or surprise. This elevation provides a wider visual field in acute life-threatening situations, triggering a fight or flight response.
The superior tarsal muscle is innervated by the sympathetic nervous system. Specifically, the postganglionic sympathetic fibres originate in the superior cervical ganglion and travel through the internal carotid plexus. These fibres then continue through the cavernous sinus and access the orbit, where they form a tight plexus around the ophthalmic artery. The ophthalmic artery provides the blood supply for the superior tarsal muscle.
The superior tarsal muscle works in conjunction with the levator palpebrae superioris to raise the upper eyelid. This collaboration helps to maintain the eyes in an open position and keeps the size of the palpebral fissure constant during wakefulness. The static tone of the superior tarsal muscle contributes to this balance, counteracting the tone of the orbicularis oculi muscle, which is responsible for eyelid closure and tear drainage.
Injuries or damage to the sympathetic nervous system can lead to a condition known as Horner's syndrome, characterised by partial ptosis or drooping of the upper eyelid. This occurs due to the loss of effective innervation of the smooth muscles in the head, specifically the superior tarsal muscle.
The superior tarsal muscle has been studied in the context of surgical correlations, with anatomical variations observed in its connections to the upper tarsal border and the extension and angle of attachment. These morphological patterns have led to a proposed anatomical pattern classification of the superior tarsal muscle.
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The orbicularis oculi muscle closes the eye
The orbicularis oculi muscle is a sphincter-like muscle that surrounds the eye and is involved in eyelid movement. It is situated just beneath the skin of the eyelid and extends from the medial to the lateral canthal region. The muscle has three distinct parts: the palpebral, lacrimal, and orbital. The palpebral part can be further subdivided into the preseptal and pretarsal muscles, with the latter believed to be responsible for the spontaneous blink. The lacrimal part is small and thin, situated behind the medial palpebral ligament and lacrimal sac. The orbital portion is thicker and reddish in colour, with its fibres forming a complete ellipse without interruption at the lateral palpebral commissure.
The main function of the orbicularis oculi muscle is to close the eyelids. It is the only muscle capable of doing so. The orbital portion of the muscle facilitates the voluntary, forceful closure of the eyelids. The palpebral part can also involuntarily close the eyelids as a reflex mechanism, which helps to wipe tears across the surface of the eyeball and keep it moist and free of irritating particles. This protective function can partially or completely close the eyelids, limiting exposure to potential damage from bright light or blowing dust.
The orbicularis oculi muscle is also involved in tear drainage. During blinking or eyelid closure, the preseptal and pretarsal parts of the palpebral orbicularis oculi contract, compressing the small channels that drain tears from the eye's surface to the lacrimal sac (canaliculi). This action also pulls the lacrimal sac laterally and forward, creating a negative pressure that draws tears down the nasolacrimal duct toward the nasal cavity. The lacrimal part of the orbicularis oculi further facilitates tear drainage by compressing the lacrimal gland and ducts, improving tear flow.
The orbicularis oculi muscle is associated with several auxiliary muscles that cooperate with the eyelid muscles. For example, the corrugator supercilii pulls the eyebrows down to protect the eyes from excess sunlight, while the procerus muscles pull the skin into horizontal wrinkles. The frontalis muscle, an antagonist of the orbicularis oculi, pulls the eyebrows upward. The levator palpebrae superioris is another antagonist of the orbicularis oculi, raising the upper eyelid and exposing the front of the eyeball.
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The marginal portion of the palpebral orbicularis muscle is also known as the muscle of Riolan
The eyelids are opened by the levator palpebrae superioris and superior tarsal muscles. The levator palpebrae superioris is a skeletal muscle, not a smooth muscle, and it acts to open the eyelid. The superior tarsal muscle, also known as the Müller muscle, is a smooth muscle that attaches to the superior tarsal plate.
The orbicularis oculi muscle, situated just beneath the eyelid skin, is crucial in eyelid movement. This muscle extends from the medial to the lateral canthal region, enhancing the eyelid's structural integrity and functionality. The main function of the orbicularis oculi muscle is to close the eyelids, and it also assists with tear drainage. The muscle has three distinct parts: palpebral, lacrimal, and orbital.
The marginal portion of the palpebral orbicularis muscle, also known as the muscle of Riolan or pars ciliaris, is adjacent to the eyelid margin. This muscle segment appears as a distinct coloured line along the length of the upper and lower eyelid margins. This feature, known as the gray line, is a critical surface anatomical landmark for the surgical repair of eyelid margin lacerations. It helps surgeons to precisely realign the eyelid edges for optimal healing and functional recovery.
The muscle of Riolan is a section of the palpebral orbicularis, lying near the lid margin on both sides of the meibomian gland openings. It maintains the lid margins close to the globe. The palpebral portion of the orbicularis oculi can act under both voluntary and involuntary control to close the eyelids during normal blinking and sleeping.
The orbicularis oculi muscle interacts with the nasolacrimal duct system to facilitate tear drainage. The preseptal and pretarsal parts of the palpebral orbicularis oculi contract during blinking or eyelid closure. Consequently, the small channels draining tears from the eye's surface to the lacrimal sac, called canaliculi, are compressed.
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The orbicularis oculi muscle has three distinct parts
The orbicularis oculi muscle is situated just beneath the skin of the eyelid and is crucial for eyelid movement. It extends from the medial to the lateral canthal region, enhancing the eyelid's structural integrity and functionality. This muscle is a facial expression muscle that may be affected by conditions such as Bell's palsy and blepharospasm. It has three distinct parts: the orbital, palpebral, and lacrimal parts.
The orbital part of the orbicularis oculi muscle originates from the nasal part of the frontal bone, the frontal process of the maxilla, and the medial palpebral ligament. It overlays the orbital rim and is pierced by two major neurovasculature structures: the supraorbital vein and zygomaticofacial nerve. Contraction of the orbital part draws the skin of the forehead and cheek towards the nose, which can partially or completely close the eyelids. This protective function limits exposure to potential damaging factors such as bright light or blowing dust.
The palpebral part of the muscle originates from the bifurcation of the medial palpebral ligament and forms a series of concentric curves. It is thin and pale and is inserted into the lateral palpebral raphe at the outer canthus (corner) of the eye. The preseptal and pretarsal parts of the palpebral orbicularis oculi contract during blinking or eyelid closure, compressing the small channels that drain tears from the eye's surface to the lacrimal sac (canaliculi). This simultaneous action also pulls the lacrimal sac laterally and forward, creating a negative pressure that effectively draws tears and ensures their passage down the nasolacrimal duct toward the nasal cavity.
The lacrimal part of the orbicularis oculi arises from the posterior lacrimal crest of the lacrimal bone. It is a small, thin muscle, about 6 mm in breadth and 12 mm in length, situated behind the medial palpebral ligament and lacrimal sac. This part of the muscle draws the eyelids and the ends of the lacrimal canals medialward, compressing them against the surface of the globe of the eye. This action places the lacrimal canals in the most favourable situation for receiving tears and also compresses the lacrimal sac. The lacrimoral orbicularis facilitates the tear pump into the lacrimal sac, improving tear flow.
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Frequently asked questions
The levator palpebrae superioris and superior tarsal (Müller's) muscles act to open the eyelid.
The levator palpebrae superioris muscle is a skeletal muscle that opens the eye. It is supplied by nerve 3 oculomotor. The eyelid position depends on the resting tone of the levator muscles, which varies according to the patient's state of arousal.
The superior tarsal muscle is a smooth muscle that attaches to the superior tarsal plate and lies posterior to the levator aponeurosis. It is innervated by oculosympathetic neurons.
The orbicularis oculi muscle is responsible for closing the eyelid. It is a sphincter-like muscle arranged concentrically around the upper and lower eyelids. It is divided into orbital and palpebral sections, each further subdivided based on function.







































