Properties of light and visual function Flashcards

1
Q

What is the optic radiation

A

Optical radiation lies between X-rays and microwaves in the electromagnetic spectrum

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2
Q

How many wavebands are there in optic radiation

A

7

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3
Q

What are the 7 wavebands of the optic radiation

A

UV-C 200-280nm
UV-B 280-315nm
UV-A 315-400nm
Visible light 400-700nm
IRA 700-1400nm
IRB 1400-3000nm
IRC 3000-10000nm

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4
Q

Relationship between wavelength and energy

A

The shorter the wavelength, the greater the energy of the individual quanta, or photons, of optical radiation.

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5
Q

What structures in the eye absorb the short and long wavelengths

A

Cornea and Sclera (absorb UVB,C, IRB,C)

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6
Q

Where is UVA absorbed

A

Lens which absorbs 400-1400nm wavelengths

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7
Q

What is the colour of an object determined by

A

the wavelengths emitted or reflected from the surface

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8
Q

Which cone photoreceptors determine colour

A

three populations of cone photoreceptors in the retina which are sensitive to light of short (blue), middle (green), or long (red)

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9
Q

What is deuteranopia

A

Absence of green cone function

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10
Q

What is protanopia

A

Absence of red cone function

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11
Q

What is tritanopia

A

Absence of blue cone function

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12
Q

Which chromosome carries genes encoding for red and green pigment

A

X chromosome

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13
Q

Which chromosome carries genes encoding for blue pigment

A

7

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14
Q

What colour defect does acquired optic nerve disease cause

A

red-green defects

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15
Q

What colour defect does autosomal dominant optic neuropathy and glaucoma cause

A

blue yellow. it has recently been found that visual field loss in glaucoma is detected earlier if perimetry is performed using a blue light stimulus on a yellow background.

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16
Q

Colour defect in acquired retinal disease

A

blue-yellow defects

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17
Q

Colour defect in cone dystrophy and Stargardt’s disease

A

Red-green defect

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18
Q

What is the FM hue 100 test

A

most comprehensive method. It comprises 84 coloured discs, numbered in sequence on the undersurface and divided into four groups of 21. The colours of each group occupy a portion of the colour spectrum. The colours differ only in hue and have equivalent brightness and saturation. Each group must be arranged in a row with the reference colours at each end and the intervening discs in order of closest colour match. The order of placement indicates the nature of the colour defect

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19
Q

What is the D-15 colour vision test

A

uses colours from all parts of the spectrum which must be arranged in order from a single reference colour. The test does not distinguish mild colour defects, but for most purposes those passing the test are unlikely to have problems with hue discrimination

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20
Q

What is the ishihara test

A

test plates specifically test for congenital red–green defects, the most common abnormality of colour vision. The test plates consist of random spots of varying isochromatic density. Numbers or wavy lines (for illiterates) are represented by spots of different colours. A patient who is colour blind will see only a random pattern of spots or incorrect numbers. The figures can only be distinguished from their background by their colour and not by a difference in contrast

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21
Q

What is the Lanthony New colour test

A

tests hue discrimination and can be used by children

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22
Q

Which wavelengths in the visible spectrum are shown to cause retinal damage under normal conditions

A

350nm to 441nm. Desirable for intraocular lenses to have UV filters on them

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23
Q

What is fluorescence

A

property of a molecule to spontaneously emit light of a longer wavelength when stimulated by light of a shorter wavelength. For example, the orange dye fluorescein sodium when excited by blue light (465–490 nm) emits yellow–green light

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24
Q

How does fluorescein angiography work

A

White light from the flash unit of a fluorescein camera passes through a blue ‘excitation’ filter to illuminate the fundus with blue light The wavelengths transmitted by the excitation filter approximate to the absorption spectrum of fluorescein. Most of the light is absorbed, some is reflected unchanged, and some is changed to yellow–green light by fluorescence. The blue reflected light and yellow–green fluorescent light leaving the eye are separated by a yellow–green ‘barrier’ filter in the camera. This blocks blue light and exposes the camera film only to yellow–green light from the fluorescein, thereby delineating vascular structures and leakage of dye

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25
Q

What is pseudofluorescence

A

occurs if there is an overlap in the spectral transmission of the excitation and barrier filters. This allows reflected wavelengths at the green end of blue to pass through the barrier filter and appear as fluorescence

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26
Q

What wavelength does ICG absorb and emit

A

absorbs 805 nm and emits 835 nm

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27
Q

Uses of ICG

A

1) delineate occult choroidal neovascularisation not visible with fluorescein
2) photosensitise vascular lesions to diode laser photocoagulation

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28
Q

Define wavelength

A

distance between two symmetrical parts of the wave motion

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29
Q

Define a cycle

A

One complete oscillation is called a cycle

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30
Q

Define amplitude

A

maximum displacement of an imaginary particle on the wave from the base line

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31
Q

Define phase difference

A

If two waves of equal wavelength (but not necessarily of equal amplitude) are travelling in the same direction but are ‘out of step’ with each other, the fraction of a cycle or wavelength by which one leads the other is known as the phase difference

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32
Q

What are out of phase light waves termed

A

incoherent

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33
Q

What are in phase light waves termed

A

Coherent

34
Q

Define constructive interference

A

2 light waves in phase to result in a summation of the 2

35
Q

Define destructive interference

A

two waves of equal amplitude are out of phase by half a cycle they will cancel each other out: destructive interference

36
Q

Where does destructive interference occur in the eye

A

cornea. The collagen bundles of the stroma are so spaced that any light deviated by them is eliminated by destructive interference

37
Q

What is diffraction

A

when a wave front encounters a narrow opening or the edge of an obstruction, the wave motion spreads out on the far side of the obstruction. It is as if the edge of the obstruction acts as a new centre from which secondary wave fronts are produced which are out of phase with the primary waves. This phenomenon is called diffraction

38
Q

What is an airy disc

A

When light passes through a circular aperture, a circular diffraction pattern is produced. This consists of a bright central disc surrounded by alternate dark and light rings. The central bright zone is known as the Airy disc

39
Q

What is the limit of resolution/resolving power of the eye

A

the smallest angle of separation (w) between two points which allows the formation of two discernible images by an optical system

40
Q

When is the limit of resolution reached

A

when two Airy discs are separated so that the centre of one falls on the first dark ring of the other.

41
Q

Visual acuity tests for babies

A

Fixation with either eye should be central, steady and maintained (CSM). The best target is a face (especially that of the mother), a toy, or a television cartoon. A strong preference for one eye, indicated by an aversive response to occlusion of that eye, squint, nystagmus, roving gaze, and eye poking, all suggest poor visual acuity

42
Q

When does visually directed reaching develop

A

between 2 and 5 months of age

43
Q

What is the Catford drum

A

comprises a white cylinder marked with black dots of increasing size corresponding to visual acuities ranging from 6/6 to 2/60 when viewed from 60 cm. his spot is made to oscillate horizontally and stimulates corresponding eye movement if seen by the child.

44
Q

What is the STYCAR test

A

rolling balls are ten white polystyrene spheres ranging in size from 3.5 mm to 6 cm in diameter. They are rolled across a well illuminated contrasting floor 3 m from the child. Pursuit eye movements indicate that they are seen. The Worth’s ivory ball test is similar.

45
Q

Other methods of measuring VA in preverbal chldren

A

depend upon preferential looking and the measurement of visually evoked potentials

46
Q

What is an optotype

A

a symbol, the identification of which corresponds to a certain level of visual acuity. All tests employ black letters or pictures on an opaque or retroilluminated white background in order to maximise contrast

47
Q

What is the Kay picture test

A

uses pictures of objects such as a cat, train or house. The Cardiff cards also use pictures.

48
Q

What are the first letters recognised by children

A

HOTVX. The Sheridan–Gardiner test uses seven letters, adding U and A

49
Q

On the Snellen chart what is the angle subtended by the bars and spaces of each letter

A

1 minute of degree (1 arc minute).
1 minute of a degree= 1/60th of 1 degree

50
Q

Why are LogMAR and Bailey Lovie charts more precise than Snellen

A

because they have a regular progression in the size and spacing of the letters from one line to the next and the same number of letters on every line

51
Q

What is the nodal point of the eye

A

at the junction of anterior 2/3 to posterior 1/3 of lens lies the nodal point from which 2 images are discerned by minimum 1 minute of angle

52
Q

What is vernier acuity

A

smallest offset of a line which can be detected. An offset of 3–5 seconds of arc is normally discernible.

53
Q

What is blue field entopic phenomenon

A

ability to see moving white dots when blue light diffusely illuminates the retina. They are thought to represent light transmitted by white blood cells in the perifoveal capillaries. When this phenomenon is present, macular function is grossly intact

54
Q

How is contrast sensitivity measured

A

using a sine wave grating. This is a pattern in which there is a gradual transition between alternating light and dark bands, i.e. the edges of the bands appeared blurred.

55
Q

What is the Pelli-Robson chart

A

Pelli–Robson contrast test chart displays letters that have decreasing levels of contrast to their background

56
Q

What is polarized light

A

a beam of light in which the individual wave motions are lying parallel to each other. Such a beam is said to be polarized.

57
Q

What are some examples of polarising substances

A

Calcite crystals. polarising medium reduces radiant intensity but does not affect spectral composition

58
Q

How is light polarized

A

on reflection from a plane surface, such as water, if the angle of incidence is equal to the polarising angle for the substance. The polarising angle is dependent on the refractive index of the substance comprising the reflecting surface. At other angles of incidence the reflected light is partly polarised, i.e. a mixture of polarised and non-polarised light

59
Q

What is birefringence

A

Some substances have a molecular structure which transmits light waves lying parallel to its structure but which selectively slows and therefore redirects light waves vibrating in a plane perpendicular to its structure. Crystals of quartz have this property, which is known as birefringence. Because they split incident unpolarised light into two polarised beams travelling in different directions, they have two refractive indices.

60
Q

what do dichroisim substances do

A

completely blocks transmission of light waves not aligned with its structure by absorption. Thus, only one beam of polarised light emerges, much weakened in intensity compared with the incident non-polarised light

61
Q

Examples of dichroic substances

A

Tourmaline and polaroid (the latter made from fine iodine and quinine sulphate crystals embedded in plastic) are dichroic substances, polaroid being commonly used in sunglasses.
Other examples of the use of polarised light in ophthalmology are the assessment of binocular vision in which polarising glasses may be used to dissociate the eyes, e.g. in the Titmus test

62
Q

What is stereopsis

A

Stereopsis is the ability to fuse slightly dissimilar images, which stimulate disparate retinal elements within Panum’s fusional areas in the two eyes, with the perception of depth.
It s measured in seconds of arc.

63
Q

What is normal stereoacuity

A

approximately 60 seconds of arc or better (slightly different values are quoted by different workers). An individual with very good stereoscopic vision may have a stereoacuity of better than 15 seconds of arc which is the smallest disparity offered in the Frisby stereotest

64
Q

Range of stereoacuity tested by Frisby test

A

600–15 seconds of arc

65
Q

Where on the retina is the max stereoacuity achieved

A

when the images fall on the macula area

66
Q

What stereoacuity is said to exclude significant amblyopia

A

A stereoacuity of better than 250 seconds of arc. A stereoacuity of worse than 250 seconds of arc may be an indicator of amblyopia.

67
Q

Stereoacuity tests

A

Titmus test, the TNO test, the Frisby test and the Lang stereotest

68
Q

What range of stereoacuity does the Wirt fly test

A

The test must be viewed at 40 cm, and covers a range of stereoacuity from approximately 3000 to 40 seconds of arc

69
Q

What range of stereoacuity does the TNO test

A

480 to 15 seconds of arc

70
Q

What range of stereoacuity does the Lang stereotest

A

1200 to 550 seconds of arc. The test is viewed at a normal reading distance.

71
Q

How does radiometry measure light

A

in terms of how much is emitted from a source (radiant flux), its intensity (radiant intensity) and the amount falling on a surface (irradiance) or reflected from it (radiance)

72
Q

What are the equivalent photometric measurements of radiometry

A

luminous flux, luminous intensity, illuminance and luminance

73
Q

What is the peak photopic sensitivity of the eye

A

to the wavelength of 555 nm (yellow–green), at which 1 watt of monochromatic light has a photometric equivalent of 685 lumens. This wavelength is therefore said to have maximum luminous efficiency

74
Q

What is luminous efficiency

A

Radiometric and photometric units are related by the luminous efficiency of the radiation, a conversion factor specific for each wavelength determined by the sensitivity of the eye to it. The eye is progressively less sensitive to wavelengths towards each end of the visible spectrum. In other words, the luminous efficiency of the radiation becomes lower and the same energy flux (radiometric unit) is equivalent to a lower luminous flux (photometric unit). The conversion factor falls towards zero outside the range 400–700 nm (visible light).

75
Q

Units for radiant intensity

A

watts per steradian

76
Q

units for luminous intensity

A

candelas (lumens per steradian)

77
Q

units for irradiance

A

watt/metre squared

78
Q

units for illuminance

A

lux=lumens/metre squared

79
Q

Units for radiance

A

watt/steradian/metre squared

80
Q

Units for Luminance

A

candela/metre squared

81
Q

What is an apostilb

A

A luminous flux of one lumen per square metre corresponds to a luminance of one apostilb. (An alternative definition is 1 apostilb = 1/π candelas per square metre.)