Eyes Flashcards

(15 cards)

1
Q

What is Sherrington’s Law?

A

When a muscle contracts, its direct antagonist relaxes to an equal extent, allowing smooth movement.

This law illustrates the coordinated action of muscle pairs in the body.

THINK SHARING

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2
Q

What does Hering’s Law state?

A

During any conjugate eye movement, equal and simultaneous innervation flows to the yoke muscles.

This law explains the synchronization of eye movements.

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3
Q

What is the term for deviation medially of the eye?

A

ESO

ESO stands for esotropia, a condition where one or both eyes turn inward.

Think oooooo looking at nose

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4
Q

What is the term for deviation laterally of the eye?

A

EXO

EXO stands for exotropia, a condition where one or both eyes turn outward.

EX BE LEAVING. BOY BYE

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5
Q

What is the term for deviation above the midline of the eye?

A

HYPER

HYPER refers to hypertropia, where one eye is higher than the other.

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6
Q

What is the term for deviation below the midline of the eye?

A

HYPO

HYPO refers to hypotropia, where one eye is lower than the other.

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7
Q

What does diplopia mean?

A

Double vision.

Diplopia can be monocular or binocular.

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8
Q

What is monocular diplopia?

A

Diplopia that affects only one eye.

It is less common and usually caused by refractive issues.

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9
Q

What are some causes of monocular diplopia?

A
  • Light diffraction
  • Metamorphopsia
  • Cerebral polyopia
  • Cataracts
  • Astigmatism
  • Extra-pupillary openings
  • Tear-film disturbance
  • Corneal and vitreous opacities

These conditions can distort vision and lead to monocular diplopia.

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10
Q

What is metamorphopsia?

A

A type of distorted vision where a grid of straight lines appear wavy or absent.

It is not true double vision and is usually caused by conditions like macular edema.

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11
Q

What is a common presentation of third nerve palsy?

A

Down and out eye, ptosis, large unreactive pupil, and vertical diplopia.

This condition can be caused by compression from an aneurysm or tumor.

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12
Q

What is the first sign of third nerve palsy due to compression?

A

Dilated pupil.

This occurs because parasympathetic fibers are compressed.

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13
Q

What are the two main considerations for third nerve palsy?

A
  • Medical: vasculitic, infective, inflammatory causes
  • Surgical: fixed non-reactive pupil or painful palsy

These considerations guide the approach to diagnosis and treatment.

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14
Q

What is a common characteristic of fourth cranial nerve palsy?

A

Patients will tend to have slight hypertropia and a head tilt to the contralateral side.

This can lead to difficulties in reading and double vision.

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15
Q

What is a common cause of sixth cranial nerve palsy?

A

Increased intracranial pressure.

It can lead to the appearance of cross eyes.

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