Final Exam Peavc Flashcards
Is defined as a condition in which the refractive status of one eye different from that the other
ANISOMETROPIA
The condition in which the refractive status is equal in the two eyes
ISOMETROPIA
A form of anisometropia in which one eye is myopic and the other is hyperopic
ANTIMETROPIA
Anisometropia is has 3 generally classified
BY TYPE
By DEGREE
BY ETIOLOGY
By type
Different amount of the same error of refraction
ANISOMETROPIA
By type
Different types of errors such as hyperopia vs myopia or spherical vs astigmatic.
ANTIMETROPIA
By degree
Difference in error totaling no more than 2.00D
LOW
ANISOMETROPIA IS DERIVED FROM THE GREEK AND MADE UP OF FOUR PARTS
AN-NOT
ISO-EQUAL
METR-MEASURE
OPIA-VISION
THE CONDITION IN WHICH THE TWO EYES UNEQUAL REFRACTIVE POWER.ONE EYE MAY BE MARKEDLY STRONGER THAN THE OTHER
ANISOMETROPIA OR ASYMMETROPIA
By etiology
This occurs because of differential growth of the eyeball of both eyes. It is hereditary in origin.
CONGENITAL ANISOMETROPIA
Created by trauma, pathology,or the results of systematic changes.
-uniocular aphakia, wrong IOL power, trauma, keratoplasty
Acquired anisometropia
It is a condition in which the refractive power of the two eyes is unequal
Absolute anisometropia
It is a type of REFRACTIVE anomaly in which although the total refraction of the two eyes is equal the components elements in each show relatively large differences. In other words the total refraction of the two eyes can be equal but the axial lenght may be different
Relative anisometropia
Type of absolute anisometropia
-simple
-compound
-mixed
-simple astigmatic anisometropia
-compound astigmatic anisometropia
One eye is normal and the other is either hypermetropic or myopic
Simple anisometropia
Both eyes are ametropic either hyperopic or myopic ;but one eye has a higher refractive error
Compound
Both eyes are ametropic, one eye is hyperopic and the other is myopic.
Mixed ANTIMETROPIA
When one eye is normal and the other has either myopic or hyperopic astigmatism
Simple astigmatic anisometropia
When both eyes are astigmatic but of unequal degree
Compound astigmatic anisometropia
CLINICAL FEATURES:
Small degree of anisometropia.
If there is a difference of more than 5D between the two eyes the patient loses binocularity
Binocular vision
If the ANISOMETROPIA IS HIGH AND THE EYES HAVE A GOOD VISUAL ACUITY,THE PATIENTS GETS INTO THE HABIT OF USING THE HYPERMETROPIC EYE FOR DISTANCE AND THE MYOPIC EYE FOR NEAR VISION
ALTERNATING VISION
If the defect is one eye is high and if its visual acuity is not good, the eye can be excluded altogether from vision and the eye becomes amblyopic
Amblyopia
A concomitant convergent squint occurs in children with the eye having the defect becoming convergent
Strabismus
Is a serious concern in newborns and young children because it can lead to amblyopia (impaired vision in one eye) with a major degree of anisometropia the brain cannot reconcile the difference in images coming from two eyes it develops a preference for the image coming from one eye suppresses the image from the other eye and in time the brain loses the ability to see the image from the suppressed eyes
ANISOMETROPIA
This is commonly referred to as lazy eye,this is when a child has reduced vision in one of their eyes because during childhood they have not used that eye adequately.
Amblyopia
This is when a person is not able to align both of their eyes under normal conditions simultaneously and is referred as being cross eyed.
Strabismus
This is when a person has double vision
DIPLOPIA
Symptoms of anisometropia
Amblyopia
Strabismus
Diplopia
Eye strain
Headaches
Sensitivity to light
Complexity in reading
Nausea
Fainting
Sheer tiredness
Their depth perception is impaired
Causes:
There are many different reasons why a person can have anisometropia
-an uneven growth in both eyes
-during cataract surgery there is miscalculation of Lens power
-inborn defects in the eye
Is a clinical test mainly used for assessing a patient’s degree of binocular vision and binocular single vision.
Worth’s fours dot test or w4LT
-Is also used in detection of suppression of either the right or left eye.
-suppression occurs during binocular vision when the brain does not process the information received from either of the eyes. This is a common adaptation to strabismus, amblyopia and aniseikonia
WORTH FOUR LIGHT TEST
When light is transmitted though the transparent portion of the eye and reflects off the retina,creating a reddish orange reflection in the eyes.
Red reflex
Because iSCREEN VISION TECHNOLOGY
Photoscreening
Photoscreening used to detect
ANISOMETROPIA
The corrective spectacles can be tolerated up to maximum difference of 4D. Higher than that,diplopia may occur.
Spectacles
Advised for higher degrees of anisometropia
Contact lens