Module 3 Flashcards
(63 cards)
Accommodation
functional reflex allowing the eyes to Focus on NEAR objects
Cataracts
CLOUDING of the usually clear lens of the eye, causing a person to see as though looking through a frosty or fogging window
- Leading cause of Blindness worldwide
- Diabetes mellitus increases risk
RISK factors for CATARACTS
- High BP
- Increasing age
- cigarette smoking
- Alcohol use
- Female gender
- EARLY detection & wearing sunglasses reduces risk
Glaucoma
an acute or chronic condition in which there is an increasing of IOP which leads to damage of the retina and optic nerve, resulting visual field loss.
- “silent thief of sight”
- Normal IOP is 10-21 mm Hg
- If IOP if left untreated, Blindness results
myopia
nearsighted-close objects appear clearly, but far ones don’t
- SPOTS or FLOATERS
- AGING (over age 40) and requires no intervention
Blind spots
- may be constant or intermittent
- may be from GLAUCOMA, VASCULAR SPASMS, or pressure on the ophthalmic nerve from a tumor or increased intracranial presssure.
- ANY REPORT OF BLIND SPOT REQUIRES IMMEDIATE MEDICAL ATTENTION
What mat be associated with “HALOS or RINGS AROUND lights”
GLAUCOMA
What chart is used for Distant Visual Acuity?
- Snellen Chart
- normal= 20/20
Ptosis
dropping of the upper lid may be due to oculomotor nerve (CN II) damage, myasthenia gravis, weakened muscle tissue or damage, or a congenital disorder
Exophthalmos
protrusion of the eyeballs accompanied by the retracted eyelid margins.
-Graves’ disease (hyperthyroidism)
Testing accommodation of pupils
- occurs when the client moves focus of vision from FAR to NEAR, causing the pupils to constrict.
- Normally, pupils CONSTRICT when they focus on a NEAR object and DILATE on a DISTANT object
Pupils are __mm and equal in size
3
PERRLA
Pupils Equal, Round, React to Light, and Accommodation (far to near)
Presbyopia
- impaired near vision
- common in clients over 45 year old
Miosis
- Pinpoint pupils
- constricted & fixed pupils
- possibly result of narcotic drugs or brain damage
External Structures of the eye
- eyelids
- Lateral & Medial canthus
- eyelashes, conjunctiva
- lacrimal appartus
- extraocular muscles
Eyelids purpose are to
- protect the eye from foreign bodies and limit the amount of light entering the eye
- distribute tears and lubricate the surface of the eye
eyelashes filter dust and …?
dirt from air entering the eye
conjunctiva
thin, transparent, continuous membrane divided (palpebral & bulbar portion)
lacrimal apparatus
- located in the upper outer corner of the orbital cavity just above the eye
- produces tears
- consists of glands & ducts that lubricate the eye
extraocular muscles
- 6 muscles attached to the outer surface of each eyeball
- control 6 different directions of eye movement
- 4 rectus muscles =straight movement
- 2 oblique muscles= straight movement
ophthalmoscope
- hand-held instrument that allows the examiner to view the fundus of the eye by the projection of the light through a prism that bends the light 90 degrees.
- Darken room to allow pupils to dilate
- do not use your right eye to examine the client’s left eye or vise versa, your noses will bump
In the event of an eye trauma in which the client is experiencing eye pain, discomfort, or something in the eye observe for:
- foreign body that remains after gentle washing
- perforated globe
- blood in eye
in the case for BLUNT eye trauma observe for:
- lid swollen shut
- blood in anterior chamber
- white/hazy cornea
- irregularly shaped, fixed, dilated, or constricted pupil