7: Refractive States of the Eye Flashcards

1
Q

in an unaccommodated myopic eye, light from a distant object is image:

A

anterior to the fovea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

in an unaccommodated hyperopic eye, light from a distant object is imaged:

A

posterior to the fovea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

in myopia, the eye’s power is too ____ for its axial length

A

great

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

in hyperopia, the eye’s power is too ____ for its axial length

A

low

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

define the far point of the eye (R)

A

it is the object point conjugate with the fovea (R’) of the unaccommodated eye

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

define the far point distance (k)

A

is that from the first principal point (P) of the eye to the far point (R)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

where is the far point of the myopia eye located?

A

is located in real space somewhere closer than infinity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

are the far point distances (k) negative or positive for myopia and hyperopia

A

myopic eye: k is negative (-)

hyperopia eye: k is positive (+)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

where is the far point of the hyperopic eye located?

A

the far point is a virtual object point located somewhere behind the corneal vertex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is the ocular refraction (K)?

A

it is the reciprocal of the far point distance k

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

ocular refraction depends on a balance between the:

A

eyeball length and the eye power

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

total hyperopia is

A

the amount of hyperopia determined with ‘adequate’ cycloplegia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

manifest hyperopia is

A

the portion of the total that can be obtained without cycloplegia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

latent hyperopia is

A

the portion of the total that remains hidden (or latent) without cycloplegia
(determined by calculation)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

facultative component of hyperopia

A

can be overcome with accommodation

this includes the latent component

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

absolute component of hyperopia

A

cannot be overcome with accommodation

17
Q

in young patients, the amplitude of accommodation far exceeds total hyperopia,
total= ? and absolute=?

A

total=facultative

absolute=zero

18
Q

regular astigmatism is when

A

the eye power is maximal and minimal at two meridians separated by 90 degrees

19
Q

irregular astigmatism can occur when

A
  • the meridians of maximal and minimal power are not separated by 90 degrees
  • when the eye cannot be corrected by a regular spherocylinder lens
20
Q

example of irregular astigmatism and how it occurs

A

keratoconic eyes develop markedly irregular astigmatism, due to a highly aberrated corneal shape

21
Q

with the rule astigmatism

A
  • the meridian of highest positive ocular power is closer to vertical
  • the eye is corrected with a negative cylinder device that has its axis in the range of 180
22
Q

against the rule astigmatism

A
  • the meridian of highest positive ocular power is closer to horizontal
  • the eye is corrected with a negative cylinder device that has its axis in the range of 90
23
Q

oblique astigmatism

A

the axis of the correcting cylinder is neither with-the-rule nor against-the-rule

24
Q

anisometropia

A

the mean spherical equivalent ocular refraction (M) is different in the two eyes

25
Q

what occurs in an individual with anisometropia

A

they are unable to obtain a clear focus in both eyes simultaneously

26
Q

what is ametropia and how can it occur

A

when one eye is hyperopia and the other is myopic, occurs if the eye is too short or too long for its dioptric power

27
Q

the process of emmetropization occurs in which

A
  1. the distribution mean moves toward emmetropia or low hyperopia
  2. the standard deviation of the distribution decreases
28
Q

with time, the distribution of ocular refraction becomes

A

leptokurtotic and skewed towards myopia

29
Q

ocular diffraction has a ______ distribution in neonates, but this distribution changes with development

A

Gaussian

30
Q

leptokurtotic distribution is one that has

A

relatively lower proportions in the shoulders and relatively higher proportions near the peak and in the tails

31
Q

skewed distribution is one in which

A

the mean and mode do not coincide

in the case of ocular refraction, the mean is more myopic than the mode

32
Q

many individuals are classified as having correlation ametropia. this is when

A

their components are within the usual range for emmetropes, but those components do not balance correctly

33
Q

what is component ametropia?

A
when one (or more) components fall outside the usual range for emmetropes 
-there are two types
34
Q

describe the two types of component ametropia?

A

axial ametropia occurs when the axial length is abnormal, and refractive ametropia occurs when one or more of the refractive components are abnormal

35
Q

Javal’s rule proposed what relationship

A

between corneal astigmatism (Cc), presumed lenticular astigmatism, and total astigmatism (Ct)
Ct= (1.25)Cc - 0.5

36
Q

Javal’s rule sign conventions are

A

+ indicates with the rule astigmatism

- indicates against the rule astigmatism