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Visual defects Flashcards

1
Q

Why is the pupil black?

A

Pupil is the opening that allows light to enter the eye; appears dark because of the light absorbing pigment epithelium in the retina.

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2
Q

What does the iris contain and what is its function?

A

Iris is pigmented to give the “eye’s colour”; contains two muscles to vary the size of the pupil.

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3
Q

Does Cornea contained blood vessels and if not what supports it?

A

Cornea lacks blood vessels and is nourished by aqueous humour.

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4
Q

What is the Cornea continous with?

A

The sclera of the eye

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5
Q

What is Conjunctiva?

A

Conjunctiva is a membrane that folds back from the inside of the eyelids and attaches to the sclera

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6
Q

What controls the movement of the eyeball in the orbit of the skull?

A

Extraoccular muscles

3 pairs

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7
Q

What is the vitreous humour?

A

Vitreous humour is a viscous jellylike substance that lies between the lens and the retina; it keeps the eye spherical.

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8
Q

What is the fovea?

A

Is the point of highest visual acuity in the retina, where light can reach photoreceptors directly.

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9
Q

What is the lens attached to and how is it suspended?

A

Lens is a transparent structure suspended by ligaments (zonule fibres) attached to the ciliary muscles which control the shape of the lens.

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10
Q

What is refraction?

A

Refraction is the bending of light rays.

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11
Q

When does refraction occur?

A

Refraction occurs when light passes from one transparent medium (e.g. air) to another (e.g. cornea).

Refraction occurs when light is slowed down as it changes from one media to another.

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12
Q

What occurs when light passess through the cornea?

A

Light rays that strike the curved surface of the cornea bend so that they converge on the back of the eye.

Light rays that enter the centre of the eye pass straight to the retina

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13
Q

Why does lens also refract light?

A

The lens also refracts light rays passing through it to produce a sharp image.

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14
Q

How does lens bring close images into focus?

A

Close images are brough into focus by the lens changing shape (accommodation)

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15
Q

What is the outcome of rounding the lens?

A

increases the curvature of The lens surface and increases the refractive power.

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16
Q

What changes occur to the lengs with change in age?

A

The ability to accommodate the lens changes with age.

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17
Q

Accomodation occurs due to what structure?

A

Accommodation is due to contraction of the ciliary muscles which relieves the tension on the zonule fibres, allowing the lens to become rounder due to its natural elasticity.

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18
Q

How does the lens change its shape?

A

By the contraction of the ciliary muscles

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19
Q

What is the optic disc?

A

origin of blood vessels; where optic nerve axons exit eye (blind spot)

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20
Q

What is the route of light and how is it focued?

A

Light is focused by the cornea and the lens and then passes through the vitreous humour to the retina.

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21
Q

What does the pigmented epithelium contain?

A

Cells in the pigment epithelium are filled with the black pigment melanin which absorbs any light not absorbed by the retina.

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22
Q

What are the two types of photoreceptors in retina?

A

Cones – colour system – daylight.

Rods – no colour – low light levels

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23
Q

Absorption occurs in what part of the photoreceptors?

A

The outer segment contains a stack of membranous disks which contain light sensitive photopigments.

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24
Q

What is the function of photoreceptors?

A

Photoreceptors transduce light energy into changes in membrane potential.

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25
In mesopic --> twilight what type of photoreceptor is active?
Both rods and cones
26
What is the pigment in rods called?
rhodopsin
27
How many types of pigments are there in cones?
In each cone there is one of three types of opsins
28
What is another name for colour blindness?
Dichromat
29
What is hyperopia?
“farsightedness” – close-up objects = blurry
30
How do you treat hyperopia?
Convex Lens glasses
31
What occurs in hyperopia?
Light focuses beyond retina (too far = hyper)
32
What is myopia?
nearsightedness” – far away objects = blurry
33
What occurs in myopia?
Light focuses infront of retina
34
What is the treatment of myopia?
Concave Lens glasses
35
What is normal colour vision?
trichromat--> create all the colours
36
Is rod cells specialised for night or day vision and give acount of its characteristics
* High sensitivity to light and more photopigment – captures more light e.g at dusk so specialized for night vision * low acuity * more sensitive to scattered light * Achromatic – black & white
37
Is cones cells specialised for night or day vision and give acount of its characteristics
* Low sensitivity to light so day vision * high acuity – concentrated in Foeva * More sensitive to direct light rays * Trichromatic – colour
38
What is the function of photoreceptors?
Photoreceptors - convert light energy to neural activity
39
what is the function bipolar cells?
Create the direct pathway from photoreceptors to ganglion cells.
40
What is the function of horizontal/amacrine cells?
Indirect pathways i.e. modulators
41
What is the fucntion of retinal ganglion cells?
Axons leave the eye, forming the optic nerve
42
On bipolar cells depolarise in response to what?
Response to light
43
Off bipolar cells depolarise in response to what?
Response to dark
44
Direct input to the bipolar cells comes from?
From the receptive field centre
45
Indirect input to the bipolar cells comes from?
From the receptive field surround via. Horizontal/Amacrine cells
46
Eeach bipolar recieves input from how many photoreeptors?
At least 1
47
What are the 3 types of retinal ganglion cells?
Magnocellular (M-type Parvocellular (P-type) Non-M non-P (K-Type)
48
What is Magnocellular and what is its function? How common is it?
Larger cell type 5% of population Large receptive field Important for detection of stimulus movement.
49
What is Parvocellular (P-type) and what is its function? How common is it?
Smaller cell type 90% of population Sensitive to stimulus form and fine detail
50
What is Non-M non-P (K-Type) and how common is it?
Medium cell type | 5% of population
51
What is receptive field?
Area of retina which alters (depolarizes) Voltage Magnitude (Vm) of a single bipolar cell
52
How is On centre ganglion cells depolarized?
ON-centre ganglion cell will be depolarized when a small spot of light is projected onto the middle of its receptive field.
53
What do Off centre ganglion cells response to?
OFF-centre ganglion cell will respond to a small dark spot presented to the middle of its receptive field.
54
Via what does neurones from the Lateral geniculate neurone of the thalamus project onto the visual cortex?
Neurons of LGN project to visual cortex via optic radiation
55
What is the striate cortex?
Striate cortex, is the first region of visual processing in the cortex.
56
What are the two cortical streams of visual processing?
One towards parietal lobe One towards temporal lobe
57
What is the cortical stream towards parietal lobe invovled in?
Visual motion
58
What is the cortical stream towards temporal lobe invovled in?
Recognition of objects (memory)
59
What are the different visual processes of the cortex? What are there function and what layer are they in?
M-Channels – detect movement (Layer III) P-IB Channels – detect object shape (Layer III) Blobs – analysis of colour (Layer III) Orientation Collums – oreination (Layer V) Occular Dominance – receive information from left or right eye
60
What are the 6 symptoms of visual loss?
Glare Distorted vision Things look pale Shadow Floater--> are small pieces of debris that float in the eye's vitreous humour.
61
What is the features of blurred vision?
Out of focus / not sharp No distortion Refractive problem Macular problem
62
What are the features of glare?
Difficulty seeing in bright light Low sun Driving at night Fluorescent light in supermarkets Corneal or lens problem Often due to cataract Vision may be good otherwise
63
What are the features of distrotion of vision?
Things look wavy, jumbled up. Lines not straight. Kink in lines
64
What are the features of things looking pale?
Things look darker / less colour Optic nerve disease Optic neuritis Compressive optic nerve disease Condition affecting retina Wet macular degeneration Central serous retinopathy
65
What is catarcts ?
Opacity of the lens Common aging change
66
What are the symptoms of cataracts?
Gradual onset Symptoms depend on type of cataract Blurred vision, glare, change in refraction Common and may be asymptomatic Difficult to judge effect on vision from examination
67
What is the treatment of cataract and what is the advtange and disadvantages?
Phacoextraction with lens implant Adv: Vision could probably be improved to near normal with operation Can be performed under local anaesthetic as day case Rapid rehabilitation Disadvantage Risk of serious complication leading to loss of vision (1-2%)
68
What are the signs of Dry Age-related macular degeneration?
Drusen which is yellow deposits under the retina Retinal pigment epithelium pigmentation Retinal pigment epithelium atrophy
69
What type of vision does Dry Age-related macular degeneration effect?
Reading vision
70
What would sudden detrioration of Dry Age-related macular degeneration indicate?
Wet Age-related macular degeneration?
71
What are the treatments of Dry Age-related macular degeneration?
``` No effective medical treatment Stop smoking Dark glasses to protect from bright sunshine Dietary changes / supplement Low visual aids ```
72
Causes of central retinal artery occlusion?
Embolic Carotid artery disease Most common cause Heart disease Valve disease
73
What is the symptoms of giant cell arteritis?
``` Systemic vasculitis of unknown cause Elderly Headache Malaise Visual loss Needs urgent treatment ```
74
How does Giant cell arteritis cause visual loss and is it treatable?
Causes visual loss due to Anterior Ischemic Optic Neuropathy or Central Retinal Artery Occlusion It is not treatable
75
What is a further risk of Giant cell arteritis and how is it detected?
Have high risk of Anterior Ischemic Optic Neuropathy or Central Retinal Artery Occlusion to fellow eye Confirm diagnosis with temporal artery biopsy

syposium control and movement (11 decks)

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