Neuro - Visual System pt. 2 Flashcards

1
Q

What is refraction?

A

when light passes through one medium to another, its velocity changes

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2
Q

How is the index of refraction calculated?

A

index of refraction (n) = speed of light in a vacuum / speed of light in a more dense medium = c/v

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3
Q

What are the basic types of lenses?

A

→ convex

→ concave

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4
Q

What is a convex lens?

A

→ almond shaped
→ converging lens
→ bring light rays to a point

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5
Q

What is a concave lens?

A

→ diverging lens

→ spreads light rays away

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6
Q

What are some applications of lenses?

A

cameras, etc.

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7
Q

What is emmetropia?

A

→ adequate correlation between axial length + refractive power
→ parallel light rays fall on the retina without accommodation

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8
Q

What is ametropia?

A

→ refractive error
→ mismatch between axial length + refractive power
→ parallel light rays don’t fall on the retina (no accommodation)

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9
Q

What are some examples of ametropia?

A

→ myopia (near-sightedness)
→ hyperopia (far-sightedness)
→ astigmatism
→ presbyopia

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10
Q

What is myopia?

A

→ short-sightedness

→ parallel rays converge at a focal point anterior to the retina

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11
Q

What are symptoms of myopia?

A

→ blurred distance vision
→ squint in an attempt to improve uncorrected visual acuity when gazing into distance
→ headache

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12
Q

What are causes of myopia?

A

→ not clear, possible genetic factors
→ excessive long globe (axial myopia)
→ excessive refractive power (refractive myopia)

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13
Q

What is myopia treatment?

A

→ correction with diverging lenses
→ correction with contact lens
→ correction by removing the lens to reduce refractive power of the eye

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14
Q

What is hyperopia?

A

→ long-sightedness

→ parallel rays converge at focal point posterior to the retina

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15
Q

What are causes of hyperopia?

A

→ not clear, possible genetic factors
→ excessive short globe (axial hyperopia)
→ insufficient refractive power (refractive hyperopia)

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16
Q

What are symptoms of hyperopia?

A

→ visual acuity at near tends to blur relatively early
→ nature of blur varies from inability to read fine print, to near vision is clear but suddenly and intermittently blurred
→ blurred vision is more noticeable if person is tired, printing is weak or light inadequate
→ eyepain, headache in frontal region, burning sensation in the eyes, blepharoconjunctivitis

17
Q

What is amblyopia?

A

uncorrected hyperopia > 5D

18
Q

How is hyperopia treated?

A

→ correction with converging lenses (positive lenses)
→ correction with positive lens + cataract extraction
→ correction with contact lenses
→ correction with intraocular lenses

19
Q

What is astigmatism?

A

parallel rays come to focus in 2 focal lines rather than a single focal point

20
Q

What are causes of astigmatism?

A

→ hereditary
→ refractive media is not spherical –> refract differently along one meridian than along meridian
→ perpendicular to it –> 2 focal points (punctiform object is represent as 2 sharply defined lines)

21
Q

What are asthenopic symptoms?

A
→ fatigue
→ pain in or around the eyes
→ blurred vision
→ headache
→ occasional double vision
22
Q

What is asthenopia?

A

→ eye strain

→ non-specific disorder

23
Q

What are symptoms of astigmatism?

A

→ asthenopic symptoms
→ blurred vision
→ distortion of vision
→ head tilting + turning

24
Q

How do you treat regular astigmatism?

A

cylinder lenses with or without spherical lenses

25
How do you treat irregular astigmatism?
→ rigid cylinder lenses | → surgery
26
What is the Near Response Triad?
how near vision is mediated by 3 separate but simultaneous pathways: → pupillary miosis → convergence → accommodation
27
What is the Pupillary Miosis pathway?
→ sphincter pupillae muscle in iris contracts → causes the pupil to constrict → increases depth of field
28
What is the Convergence pathway?
→ medial rectus muscle contract → both eyes adduct medially → aligns both eyes towards a near object
29
What is the Accommodation pathway?
→ circular ciliary muscle | → lens accommodates, increasing refractive power required to focus on a near object
30
What is presbyopia?
→ naturally occurring loss of accommodation (focus for near objects) due to loss of lens elasticity → onset from age 40 years → distant vison intact
31
How can presbyopia be corrected?
→ corrected by reading glasses (convex lenses) to increase refracting power of the eye → bifocal glasses → trifocal glasses → progressive power glasses
32
What are the advantages of having contact lenses?
higher quality of optical image + less influence in size of retinal image than spectacle lenses
33
What are the disadvantages of having contact lenses?
``` → careful daily cleaning and disinfection → expense complication → infectious keratitis → giant papillary → conjunctivitis → corneal vascularisation → severe chronic conjunctivitis ```
34
What are the advantages of intraocular lenses?
→ replacement of cataract crystalline lens → give best optical correction for aphakia → avoid significant magnification and distortion caused by spectacle lenses
35
What are the different surgical options for correction?
Keratorefractive surgery :RK, AK, PRK, LASIK, ICR, thermokeratoplasty Intraocular surgery : clear lens extraction (with or without IOL), phakic IOL
36
What is the method of laser surgical correction?
``` → Initial cutting of corneal flap → Cutting of corneal flap → Flipping of corneal flap → Photorefractive treatment (laser) → Corneal stroma reshaped post laser → Corneal flap back in position ```
37
What is the ICL?
→ Staar Intra-Collamer Lens | → inserted into the eye for the correction of myopia + astigmatism