The six oculorotatory extraocular muscles (EOMs) are structurally and functionally unique among the cross-striated muscles of vertebrates. They exhibit a diverse repertoire of actions, including steady eyeball fixation, slow vergence movements, pursuit movements at various speeds, and high-speed saccades over a wide range of angles.
5 In comparison to isolated fast-twitch limb muscles,
6 7 isolated mammalian EOMs show a low force output and are characterized by an exceptionally high shortening velocity, a much more rapid time course of isometric twitch contractions, a higher fusion frequency, and a lower twitch-to-tetanus ratio combined with a higher fatigue resistance (cat,
8 9 10 11 12 rabbit,
13 14 15 monkey,
16 rat,
17 18 and mouse
19 ). Beside fast-twitch fibers, EOMs contain a minority of multiply innervated slow-tonic muscle fibers, common in skeletal muscles of lower vertebrates, but very rare in those of mammals
20 21 (except muscle spindles
22 ) that produce only slow local contractions and contract extremely slowly. Tonic fibers are possibly responsible for the fact that EOMs display some properties normally observed only in muscles of lower vertebrates or in neonatal or denervated mammalian muscles (e.g., acetylcholine contractures).
23 EOMs also possess some unusual structural features: They contain very thin fibers organized in layers with abundant capillaries,
24 25 26 their motor unit size is very small,
10 11 12 and many fibers branch and form muscle-to-muscle junctions.
27 With electron microscopy, it has been shown that EOMs unusually contain many mitochondria and an extensive sarcotubular (SR-T) system.
25 These functional and structural intricacies are reflected in complex muscle fiber types described in mammalian EOMs. Their fibers have been classified into six different types on the basis of their diameters, their arrangement in the muscle, their enzyme- and immunohistochemistry, and their innervation (for review, see Refs.
28 ,
29 ). This system of classification differs markedly from that normally used to classify functionally different limb muscle fibers (described earlier). Therefore, some (or perhaps all) fiber types in EOMs do not correspond to the fiber types normally observed in skeletal muscles (for review, see Ref.
30 ). Recently, it was shown in the rat that the expression of a lot of genes in EOMs is quite different in comparison to that of the anterior tibialis muscle.
31 32 Furthermore, EOMs exhibit a distinct allotype and a different sensitivity to disease. The muscles are spared in Duchenne’s muscular dystrophy, despite the widespread involvement of other skeletal muscles. On the other hand, they are early and prominent targets in chronic progressive external ophthalmoplegia, myasthenia gravis, Graves’ ophthalmopathy, and mitochondrial myopathies.
33 34