Clinical Medicine 3: Eyes Flashcards

1
Q

Accommodation:

A

adjustment of the eye for various distances through modification of the lens curvature

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2
Q

Amsler grid

A

a set of charts with various geometric shapes in black and white, used for detecting defects of the central visual field.

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3
Q

Anisocoria:

A

inequality of the diameter of the pupils; may be normal or congenital. Often normal if inequality is within 1mm.

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4
Q

Aphakia

A

a condition in which part or all of the crystalline lens of the eye is absent, usually because of surgical removal for the treatment of cataracts.

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5
Q

Aqueous humor

A

the watery transparent liquid containing trace albumin and small amount of salts produced by the iris, ciliary body, and cornea. It circulates through the anterior and posterior chambers of the eye.

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6
Q

Astigmatism

A

an abnormal condition in which the light rays cannot be focused clearly in a point on the retina because of an irregular curvature of the cornea or lens.

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7
Q

Cataracts

A

opacity of the lens; most commonly resulting from denaturation of the lens protein caused by aging.

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8
Q

Chalazion

A

small, hard tumor analogous to sebaceous cyst developing on the eye lids, formed by the distention of a meibomian gland with secretion.

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9
Q

Choroid

A

the middle vascular tunic of the eye lying between the retina and the sclera. Dark brown vascular coat of the eye between the sclera and retina, extending from ora serrata to optic nerve. Consists of blood vessels united by connective tissue containing pigmented cells and is made up of five layers.

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10
Q

Ciliary body

A

the thickened part of the vascular tunic of the eye that joins the iris with the anterior portion of the choroid. Consist of three zones: ciliary disk, ciliary crown, and ciliary muscle

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11
Q

Cones

A

the photosensitive, outward-directed, conical process of a cone cell essential for sharp vision and color vision; cones are the only photoreceptor in the fovea centralis and become interspersed with increasing numbers of rods toward the periphery of the retina

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12
Q

Confrontation

A

a test for estimating peripheral vision.

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13
Q

Conjunctiva

A

the mucous membrane investing the anterior surface of the eyeball and the posterior surface of the lids.

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14
Q

Conjunctivitis:

A

inflammation of the conjunctiva caused by infectious agents or by allergies; commonly called pinkeye.

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15
Q

Cornea

A

the clear, transparent anterior portion of the fibrous coat of the eye comprising about one sixth of its surface. It is the chief refractory structure of the eye.

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16
Q

Corneal arcus

A

opaque white ring about corneal periphery, seen in many individuals older than 60 years of age. This is due to deposit of lipids in the cornea or to hyaline degeneration. May indicate a lipid disorder, most commonly type II hyperlipidemia if present before the 40 years of age

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17
Q

Cotton wool spot

A

an ill-defined yellow areas due to infarction of the nerve layer of the retina

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18
Q

Depth perception

A

perception of spatial relationships; three dimensional perception. The visual ability to judge depth or distance

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19
Q

Diabetic retinopathy (background)

A

a condition characterized by dot hemorrhages or microaneurysms and the presence of hard and soft exudates.

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20
Q

Diabetic retinopathy (proliferative)

A

a condition characterized by development of new vessels as a result of anoxic stimulation; vessels grow out of the retina toward the vitreous humor

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21
Q

Diopter

A

refractive power of the lens with focal distance of 1 meter, used as unit of measurement in refraction.

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22
Q

Diplopia

A

the condition in which a single object is perceived as two objects (double vision).

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23
Q

Ectropion

A

eversion (outward rolling) of an edge or margin; as the edge of the eyelid

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24
Q

Episcleritis

A

inflammation of the superficial layers of the sclera located in front of the insertion of the rectus muscle.

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25
Q

Entropion

A

inversion (inward rolling) of an edge or margin; especially the margin of the lower eyelid

26
Q

Exophthalmos

A

an increase in the volume of the orbital content, causing a protrusion of the globes forward. It may be bilateral or unilateral. The most common cause of bilateral is Graves’ disease (thyroid disease), but when unilateral protrusion is noted a retro-orbital tumor must be suspected.

27
Q

Farsightedness

A

an error of refraction in which, with accommodation completely relaxed, parallel rays come to focus behind the retina

28
Q

Glaucoma

A

a disease of the optic nerve wherein the nerve cells die, producing increased cupping appearance of the optic nerve. An abnormal condition of elevated pressure within an eye resulting from obstruction of the outflow of aqueous humor. Produces defects in the visual field and may result in blindness

29
Q

Hemianopia

A

blindness for half the field of vision in one or both eyes

30
Q

Hordeolum (sty)

A

a suppurative inflammation of a sebaceous gland of the eyelid

31
Q

Hyperopia (farsightedness)

A

a refractive error in which light rays entering the eye are focused behind the retina

32
Q

Hypertelorism

A

eyes spaced widely apart.

33
Q

Hyphema

A

blood in the anterior chamber of the eye in front of the iris

34
Q

Iris

A

the colored contractile membrane suspended between the lens and cornea in the aqueous humor of the eye, separating the anterior and posterior chambers of the eyeball and perforated in the center by the pupil. By contraction and dilatation it regulates the entrance of light

35
Q

Iritis

A

inflammation of the iris.

36
Q

Legal blindness:

A

in the United States, a person is usually considered legally blind when vision in the better eye, corrected by glasses, is 20/200 or less, or in the case of a constricted field of vision: 20 degrees or less in the better eye.

37
Q

Macula (also known as fovea)

A

site of central vision.

38
Q

Mydriasis

A

pupillary dilation.

39
Q

Miosis

A

abnormal contraction of pupils.

40
Q

Myopia (nearsightedness)

A

a condition resulting from a refractive error in which light rays entering the eye are brought into focus in front of the retina.

41
Q

Night blindness

A

decreased ability to see in reduced illumination. Seen in patients with impaired rod function; often associated with a deficiency of vitamin A.

42
Q

Nystagmus

A

involuntary rhythmic movements of the eyes; the oscillations may be horizontal, vertical, rotary, or mixed.

43
Q

Papilledema

A

edema of the optic disc resulting in loss of definition of the disc margin; the cause often is increased intracranial pressure.

44
Q

Peripheral vision:

A

vision resulting from retinal stimulation beyond the macula

45
Q

Pinguecula

A

a harmless yellowish triangular nodule in the bulbar conjunctiva on either side of the iris that stops at the limbus.

46
Q

Presbyopia

A

hyperopia (farsightedness) and impaired near vision from loss of lens elasticity, generally developing during middle age.

47
Q

Pterygium

A

a triangular (patch like) thickening of the bulbar conjunctiva that grows slowly to the outer surface of the cornea, usually from the nasal side, and may cover a portion of the cornea

48
Q

Ptosis

A

the drooping of one or both upper eyelids

49
Q

Punctum

A

the tiny aperture (opening) in the margin of each eyelid that opens to the lacrimal duct.

50
Q

Red reflex

A

a response caused by light illuminating the retina.

51
Q

Refraction

A

the act of determining the nature and degree of the refractive errors in the eye and correction of them by lenses.

52
Q

Retina

A

the sensory network of the eye that transforms light impulses into electrical impulses, which are transmitted through the optic nerve.

53
Q

Retinitis pigmentosa

A

a chronic progressive disease, which may occur in childhood, characterized by degeneration of the retinal neuroepithelium.

54
Q

Retinoblastoma

A

an embryonic malignant glioma arising from the retina usually during the first two years of life. Initial diagnostic finding is usually a yellowish or white light reflex seen at the pupil. (Cat’s eye reflex).

55
Q

Rods

A

the photosensitive, outward-directed process of a rhodopsin-containing rod cell in the external granular layer of the retina; many millions of such rods, together with the cones, form the photoreceptive layer of rods and cones

56
Q

Sclera

A

a tough white fibrous tissue which covers the so-called white of the eye. It extends from the optic nerve to the cornea.

57
Q

Scleritis

A

superficial and deep inflammation of the sclera.

58
Q

Strabismus

A

a condition in which both eyes do not focus on the same object simultaneously, however either eye can focus independently.

59
Q

Uveitis

A

inflammation of the iris, ciliary body, and choroid, or the entire uvea.

60
Q

Vitreous body:

A

a transparent jellylike substance that fills the cavity of the eyeball, enclosed by the hyaloid membrane; it is composed of a delicate network (vitreous stroma) enclosing in its meshes a watery fluid (vitreous humor).

61
Q

Xanthelasma

A

an elevated plague commonly found on the nasal portion of the eyelid due to elevated cholesterol.

62
Q

Drusen:

A

tiny yellow or white deposits in the retina of the eye or on the optic nerve head