EYES Flashcards
Bending of light
Refraction
Lobe responsible for vision
Occipital lobe
Primary site of refraction
Secondary site
- Cornea
- Lens
Eyeball normal shape
Sphere
Part of eye for windshield and outside protection
Cornea
Gives color to eyes
Iris
Responsible sa constrict/ dilate
Pupil
Jelly like that gives shape
Vitreous humor
Pinakalikod na part ng eye
Retina
Sphere or not ang eyeball ng may refractive errors
Not
MYOPIA: ___sighted
Near
MYOPIA: ___eyeball
Elongated
MYOPIA: ___refraction
Strong
MYOPIA: ___focal pt
Anterior to retina
MYOPIA: ___lens
Concave/ diverging
HYPEROPIA:___vision
Long sighted
HYPEROPIA: ___eyeball
Shortened
HYPEROPIA: ___refraction
Weak
HYPEROPIA: ___focal pt
Posterior to retina
HYPEROPIA: ___lens
CONVEx/ CONVErging
ASTIGMATISM:__vision
Both
ASTIGMATISM : ___eyeball
Abnormal
ASTIGMATISM : ___refraction
Uneven curvature of cornea and lens
ASTIGMATISM : ___focal pt
Multiple
ASTIGMATISM : ___lens
Cylindrical
Used to measure distance vision test
Snellen chart
Snellen ilang ft or meters
20 ft or 16 m.
Snellen Eye glasses on? Exception?
Yes except reading glass
Snellen Sequence
R-L-both
Snellen instruction
Basahin smallest line na kaya nya
Snellen interpretation
Pt/ normal vision
Ano normal vision and ano medical term
20/20 EMMETROPIA
Legal blindness: ________
20/200
cloudiness or opacity of the _____ and ano sakit
Lens, Cataract
Colorless, transparent, biconvex structure
Lens
Puting part ng mata
Iris
Pinakaharap na oart ng mata
Cornea
Contains ________ which are proteins that affect the opacity of the lens.
Crystallins
2 main functions ng lens
Refraction and Accommodation
Ability to focus to near/ distant parang portrait mode sa camera
Accommodation
Ability to focus to near/ distant parang portrait mode sa camera
Accommodation
Confirmatory test in cataract
Slit Lamp Examination
Used to assess anterior eye structure w/ binocular microscope.
Slit Lamp Examination
2 Hallmark ng cataract
Cloudy vision
Color perception
Late sx ng cataract
White pupil
Diplopia
Gradual painless loss of vision
Cataract painful or painless
painless
Ambulate or lagay gamit sang side ng pt
Affected (scan)
Surgical removal of ALL parts of the lens:
Intracapsular extraction
Surgical removal of all parts of the lens, EXCEPT posterior capsule:
Extracapsular extraction
Use of ultrasonic devices to liquefy the nucleus and cortex, followed by micro suction
PHACOEMULSIFICATION
Use of pencil-like instrument with a supercooled metal tip (-35° C) to extract lens:
Cryosurgery
Lens Replacement:
â 1st choice: ________________________
â 2nd choice:
â ________________________
â ________________________
Intaocular lens implants
Aphakic eye glass
Contact lens
2 Preop eyedrops
Flubirprofen (analgesics)
Tropicamide (mydriatics)
Wina WOF sa mydriatics
Photophobia
Miotic , constrict or dilate
Constrict
Post op position ng cataract
S fowlers
Side lying on unaffected
3 mngt to protect the eyes
Metal shield
Eyepatch
Sunglasses
Notify HCP if:
â Signs of bleeding: ________________
â Signs of infection: ________________
â Signs of increased IOP: ________________
Floaters
Rubor, dolor, calor, tumor, drainage
Headache, blurring of vision, N/V, restless
Rubor, dolor, calor, tumor meaning
Redness, pain, fever, inflammation
increased IOP caused by congestion of aqueous humor
Glaucoma
3 CHAMBERS of eye
Chambers of the eye
â Anterior- bet cornea and iris
â Posterior- bet iris and lens
â Vitreous
Anong dalawang chamber ang aqueous humor
Anterior
Posterior
is a liquid produced by the ciliary body that nourishes the cornea and maintains the normal IOP.
Aqueous humor
Normal IOP
10-21 mmhg
Type ng glaucoma caused ng inc Arbc, wbc, retinal detachment
OPEN ANGLE
Type ng glaucoma caused ng neovascularization and mydriasis
Closed angle
Type ng glaucoma na painful and rapid
Closed angle
Describe sx ng open angle
Painless, gradual
Pathognomonic sign ng open angle
Tunnel vision
Pathognomonic sign ng closed angle
Halos around lights
Type ng glaucoma na may ocular erythema aka ciliary flush
Closed angle
Ano idodocument pag nag assess using tonometry
Time of iop measurement
measures IOP by determining the pressure necessary to indent or flatten small anterior area of the eye.
Tonometry
Ano meron sa contact tonometry
anesthetic eye drop
Ano meron sa noncontact tonometry
Puff of air lang kaya least accurate
2 meds nagpapa dec production ng IOP
2 meds nagpapa inc outflow
beta and carbonic blocker (acetazolamide)
Prostaglandin analogs(Latanoprost) and Miotics (Pilocarpine)
Lifetime na iniinom sa iop mngt
Miotics (Pilocarpine)
Antidote for pilocarpine
Atropine sulfate
Open angle glaucoma surgical
Basta targets trabecular meshwork
Laser trabeculoplasty (obstruction)
Trabeculectomy
Close angle glaucoma surgical
Laser iridotomy
Otomy means
Incision
Inaavoid activities glaucoma
nagpapainc ng iop
Lifting obj more than 5 lbs
Sympathomimetics
Mydriatics
separation of the neurosensory of the retina from the Retinal Pigmented Epithelium
RETINAL DETACHMENT
3 Layers of the eye
Outer/ fibrous- sclera
Middle/ vascular- choroid
Inner/ neural- retina
Translates light sa nerve impulses
Neurosensory area
Lining between NSA and retina
Retinal Pigmented Epithelium( RPE)
2 classification ng NSA
Rods and cones
2 fxn ng cones
Central and color vision
2 fxns ng Rods
peripheral and night vision
Type ng retinal detachment na age related and trauma
Rhegmatous
2 causes ng non rhegma
Traction- scar
Exudative- neovascularization
3 hallmark ng Retinal detachment (3Fâs)
Floaters
Field cut/ veil like/ curtain like
Flashing of lights
used to assess posterior anterior ng eye and for retinal detachment
Ophthalmoscopy
Ophthalmoscopy dapat gawin prior
Room darkened
Right hand for right eye
12-15 inch away from his eyes, 15 degrees lateral to his vision
Use of a scleral buckle or a silicone band to hold the retina and choroid together:
scleral buckling
A gas bubble, silicone oil, or perfluorocarbon and liquids may be injected into the vitreous cavity to help push the sensory retina up against the RPE:
Pneumatic retinopexy
Use of a heated probe to the sclera causing scarring which helps reattachment:
Diathermy
Interventions for retinal detachment
Bedrest or
Superior affected: supine
Inferior: fowlers
Avoid anything na nagpapa further detachment
Aside sa color and central vision ano pa isang fxn ng cones
Motion detection
Contains the area of sharpest vision called
________________
Fovea Centralis
Type ng macular degeneration na age related
Dry
Type ng macular degeneration na dt exudative
Wet
Anong naga build up sa dry macular degeneration na yellow waste deposits
Drusens
Alinng type ng macular degeneration ang gradual
Dry
Hallmark ng macular degeneration
Loss of central vision and distortion
Ano dx for macular degeneration
Amslee grid
Ilang inch of holding chart away
12-14 inches
Abnormal ng amsler grid
Wavy or crooked lines
Aling type ng macular degeneration ang walang cure
Dry
Meds for wet macular degeneration
Anti VEGF intraocularly (pegaptanib, -zumab, aflibercept)
Photodynamic laser with verteporfin
Ano iwa watch out sa meds ng wet macular degeneration and mngt?
Photophobia and sunburn
Avoid direct sunlight
Wag lalabas 10-4
Protective clothing
instruction sa macular degeneration
Antioxidants (vitamin C E, beta carotene) and use of amsler grids
Ano lang ang painful eye disorder
Closed angle glaucoma