Visual system optics Flashcards

1
Q

what is refraction?

A

change in velocity and path that occurs when light passes through one medium to another

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2
Q

how is the index of refraction calculated?

A
  • Ratio 2 speeds can be compared
  • Denominator will ALWAYS be smaller and produce answer > or equal 1 = INDEX OF REFRACTION, n
  • all substances have index of refraction which can be used to identify the material
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3
Q

what happens when light reaches a new medium?

A

some reflects

some refracts through boundary

angle refraction depends on the direction of light

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4
Q

what does the angle of incidence equal?

A

angle of reflection

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5
Q

what are the 2 types of lenses?

A

convex lens

concave lens

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6
Q

what does a convex lens do?

A

converging lens takes light rays and brings them to a point

camera/ eye

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7
Q

what does a concave lens do?

A

diverging lens takes light rays and spreads them outwards

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8
Q

what is an emmetropia?

A

perfect eye

adequate correction between axial length and refractive power

parallel light rays fall on the retina (no accommodation)

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9
Q

what is ametropia?

A

refractive error

mismatch between axial length and refractive power

parallel light rays don’t fall on the retina (no accommodation)

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10
Q

what are the types of ametropia?

A
  • Near sightedness (myopia)
  • Farsightedness (hyperopia)
  • Astigmatism
  • Presbyopia
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11
Q

what is myopia?

A
  • near sightedness
  • parallel rays converge at a focal point anterior to retina
  • aetology not clear (genetic factor)
    • excessive long globe (axial myopia)
    • excessive refractive power (refractive myopia)
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12
Q

what are the symptoms of myopia?

A
  • Blurred distance vision
  • Squint
  • Headache
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13
Q

what is the treatment of myopia?

A
  1. Correction with diverging lens (-ve lens)
  2. Correction with contact lens
  3. Correction by removing lens to reduce refractive power of eye
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14
Q

what is hyperopia?

A

long sightedness

  • Parallel rays converge focal point posterior to retina
  • Aetiology not clear, inherited
    • Excessive short globe (axial hyperopia)
    • Insufficient refractive power (refractive hyperopia)
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15
Q

what are the symptoms of hyperopia?

A
  • Visual acuity at near tend blur relatively early
    • Inability to read fine print but blur can vary from clear to suddenly and intermittently blur
    • More noticeable if person is tired, printing is weak or light inadequate
  • Eye pain, headache in frontal region, burning sensation in eyes, blepharoconjunctivitis
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16
Q

what is amblyopia?

A

uncorrected hyperopia >5D

17
Q

what is the treatment of hyperopia?

A
  • Correction with converging lens (+ve lens)
  • Correction with positive lens + cataract extract
  • Correction with contact lens
  • Correction with intraocular lens
18
Q

what is astigmatism?

A
  • Parallel rays come to focus in 2 focal lines rather than single focal point
  • Aetiology heredity
    • Refractive media is not spherical= refract differently along one meridian than along meridian perpendicular to it= 2 points
  • Two meridians perpendicular to each other
  • Midway between two focal points = circle of least confusion (location with least loss of image definition)
19
Q

what are the symptoms of astigmatism?

A
  • Asthenopia symptoms (headache, eyepain)
  • Blurred vision
  • Distortion of vision
  • Head tilting and turning
20
Q

what is the treatment of astigmatism?

A
  • Regular astigmatism: cylinder lens with or without spherical lenses (Convex or concave)
  • Irregular astigmatism: rigid cylinder lenses or surgery
21
Q

what is the near response triad?

A

adaptation for near vision

22
Q

what pathways is the near response triad mediated by?

A
  1. Pupillary miosis (circular sphincter pupillae contraction mediation within iris), pupil constricts, increasing depth of field of optic of the eye
    1. Larger field depth= maintain clear focus over certain range of viewing distances without relying on accommodation
      1. Important for near vision, Eyes with shallow depth loose focus easily
  2. Convergence- both eyes adduct medially at same time to align both eyes towards near object
    1. Mediated by simultaneous contraction of medial rectus extra-ocular muscles from both eyes
  3. Accommodation- increase refractive power of lens required for near vision focus
    1. Mediated by circular ciliary muscle
23
Q

what is presbyopia?

A
  • Naturally occurring loss accommodation – lose elasticity of eye
  • Onset from 40years old
  • Distant vision intact
24
Q

what is presbyopia corrected by?

A
  • Corrected by reading glasses (convex lenses) to increase refractive power of eye
25
Q

what are the types of optical correction?

A

contact lenses

intraocular lenses

surgical correction

26
Q

what are the indications of contact lenses?

A
  1. Cosmetic, occupational, irregular corneal astigmatism, high anisometropia, corneal disease
27
Q

what are the disadvantages of contact lenses

A

careful cleaning and disinfection

expensive

28
Q

what are intraocular lenses?

A
  1. Replacement cataract crystalline lens
  2. Give best optical correction for aphakia, avoid significant magnification and distortion caused by spectacle lenses
29
Q

what are the surgical correction options for eye sight?

A
  1. Keratorefractive surgery (LASIK)
  2. intra-collamer lens (correction myopia and astigmatism)
  3. clear lens extraction & intraocular lens
30
Q

how does lazer eye surgery work?

A
31
Q

where do ICL get implanted?

A

between lens of eye and iris

32
Q

what happens in clear lens extraction and intraocular lens replacement?

A

same as cataract extraction

implantation of artifical lens

33
Q

what are the negatives of a clear lens extraction?

A

loose accommodation (require reading glasses)

34
Q
A