Monitoring visual function Flashcards

1
Q

what is the main structure responsible for reflecting light rays onto the retina

A

cornea

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2
Q

what is the blind spot

A

point where optic nerve leaves the eyeball so contains no photoreceptors

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3
Q

what is accommodation

A

the change in the shape of the lens to focus objects from a particular distance

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4
Q

how does the lens focus on a nearby object

A

Ciliary muscles contract
Suspensory ligaments slacken
lens becomes more spherical
refracts light more

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5
Q

how does the lens focus on a distant object

A

ciliary muscles relax
suspensory ligaments pulled taut
lens becomes less spherical
refracts light less

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6
Q

myopia. Possible causes? lens?

A

lens too thick. Use concave lens

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7
Q

hyperopia. possible causes? lens?

A

lens too thin. Use convex lens

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8
Q

why are rod and cone cells in contact with pigmented epithelium

A

it will absorb any light that passes through rod and cone cells so that it is not reflected back into the eye

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9
Q

similarities between rod and cone cells

A

-both photoreceptors
-both detect and respond to stimulus (receptors)
-Transducers
-both contains opsins
-Outer segment (stacks of membranes), inner segment (mitochondria), connecting cilium, synaptic bulb

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10
Q

info about rod cells

A

Night vision
High sensitivity
Rhodopsin (opsin + retinal)
Low visual acuity (many rod cels converge into one bipolar cell)
Not in fovea

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11
Q

info about cone cells

A

Colour vision
Low sensitivity
3 types of cell: each sensitive to a different wavelength
3 different types of opsin called iodopsin
High visual acuity (1 cone cells only goes to 1/2 bipolar cell)
In fovea

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12
Q

where is the highest concentration of cone cells

A

centre of fovea

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13
Q

what happens in the retina when no light is present

A

Na/K pump transports Na out and K in
open Na channels allow Na in
open K channels allow K out
This prevents potential difference from becoming greater than -40
rod cells release small amounts of glutamate
it is an inhibitory neurotransmitter
prevents bipolar cells from getting depolarised
so no action potential cases to ganglion cell. no electrical impulse sent along optic nerve

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14
Q

what happens when light hits the retina

A

Rhodopsin absorbs light
Causes kinked 11-cis-retinal to be converted to straight all-trans-retinal
Retinal no longer fits opsin binding site
Causes Na channels to close
Rod cell become hyperpolarised
No Glutamate is released
Bipolar cell becomes depolarised
so action potential is generated in ganglion cell
impulse sent along optic nerve

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15
Q

dark adaptation

A

unstable rhodopsin broken down into all-trans-retinal and opsin
all-trans-retinal is converted back to 11-cis-retinal
combined with opsin and rhodopsin is reformed

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16
Q

how cone cells respond to light

A

at high light intensity, iodopsin breaks
causes cone cell to become hyper polarised

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17
Q

what is visual acuity

A

the resolution of an image that is perceived by the brain

18
Q

outline the role of the autonomic NS on pupil action

A

sympathetic: radial –> open pupil
parasympathetic: circular –> closed pupil

light intensity detected by retina –> optic nerve –> brain

too much light –> reflex action –> impulses sent to iris

circular muscles contract/radial muscles relax –> pupil constricts

too little light –> reflex action –> impulses sent to iris

radial muscles contract/circular relaxes –> pupil dilates

19
Q

What parts of the eye refract light?

A

-cornea
-aqueous humour
-lens
-vitreous humour

20
Q

Sclera

A

-Outer layer (very tough with collagen fibres)
-Protects+maintains shape of eyeball

21
Q

Conjunctiva

A

Thin layer of protective cells which covers cornea

22
Q

Lachrymal gland

A

Secretes tears (contain lysosomes) to lubricate conjunctiva + kill pathogens

23
Q

Cornea

A

-Continuous with sclera
-Main refractor

24
Q

Vitreous humour

A

-Maintains shape of eye by exerting outward pressure on sclera
-Supplies oxygen to cornea + lens
-INSIDE

25
Aqueous humour
-Supplies oxygen to cornea + lens -Behind cornea in front of lens -Maintains shape of eye by exerting outward pressure on supporting tissue
26
Choroid (Pigmented epithelium)
-Rich supply blood vessels -oxygen + nutrients to retina
27
Iris
Circular tissue= radial + circular muscles -> control size of pupil
28
Radial muscles
-stimulated by sympathetic NS
29
Circular muscles
-stimulated by parasympathetic NS
30
Pupil
-Radial muscles contract, circular muscles relax = DILATES in dim -Radial muscles relax, circular muscles contract = CONSTRICT in bright
31
Lens (4mm thick)
-Made of stacks of long, transparent cells -Biconvex -responsible for Fine Focussing
32
what conditions can eye tests detect?
blindness signs of tumours diabetes
32
how frequently should you have an eye test?
2 years
33
outline the visual acuity test
uses a Snellen chart reading letters < 1 cm in height 20/20 - being able to read the letters at 20ft variables to be controlled: distance to check light intensity cover one eye random letters (to prevent learning)
34
outline the colour vision test
Ishihara test - series of pictures of coloured spots diagnosis of red/green colour deficiencies can alter colour combinations BUT might not know numbers
35
outline the Farnsworth-Munselll 1000 hue test
arranging coloured caps in hue order can be used as an industry test
36
what is an OCT scan?
optical coherence tomography optical beam directed at tissue (normally retina) –> light can be reflected and is collected
37
what conditions can an OCT scan diagnose?
ARMD diabetic retinopathy macular holes macular oedema
38
what is the consequence of retinal detachment?
retina comes away from blood supply in choroid –> lack of oxygen and glucose to retinal cells for aerobic respiration
39