Introduction Flashcards
Bin
Two
Oculus
Eye
Coordinate use of BOTH eyes to produce single mental image
Binocular vision
blending of sight to form single percept
Fusion
ESSENTIALS FOR BV
Healthy functioning maculas
Efficiently working muscular mechanism
Efficiently working neural mechanism
Proper coordination of eyes and brain
Neuroplasticity
PREREQUISITES FOR BV
Frontally placed eyes, overlapping retinal fields.
Partial decussation of the optic nerve fibers.
Foveal region stimulate.
Corresponding or identical points.
Size of retinal images.
Efficient function of extra ocular muscles and nerves
Advantages of BV
Single vision.
Optical defects in one eye are made less obvious by the normal image of the other eye.
Enlarged field of vision.
Power to discriminate details and contours of an object is better with two eyes than with one eye alone.
Loss of one eye will not seriously handicap the individual.
Stereopsis or depth perception
Compensation of blindspot and other differences
At birth
Eyes are not associated with each other; act as two different organs
VA: not greater than 5/200; normally hyperopic
First sign of the development of fixation appears when the eyes follow light
Newborn
Eyes follow large objects
2 months
At 3 months:
Foveas are fully formed
They hold objects
Eyes are expected to be straight
3-4 months
6 months
Fixates at an object for 1-2 minutes
VA: 20/70
1 year old
Fusional mechanism becomes fully developed
1- 1 ½ year old:
VA: 20/20
Accommodation develops with sharpening of visual acuity
3 years old
ADDUCTION
movement of one eye inwards
movement of one eye outwards
ABDUCTION
movement of one eye upwards
SUPRADUCTION
INFRADUCTION
movement of one eye downwards
movement of one eye only
DUCTION
movement of the vertical corneal meridian of one eye outward
EXCYCLODUCTION
movement of the vertical corneal meridian of one eye inward
INCYCLODUCTION
synchronous and symmetric movement of both eyes in the same direction
Version
both eyes to the right
Dextroversion
LEVOVERSION
both eyes to the left
both eyes looking upward
SUPRAVERSION/ANAVERSION/SURSUMVERSION
both eyes looking downward
INFRAVERSION/CATAVERSION/DEORSUMVERSION
both eyes to the right & up
DEXTROSUPRAVERSION
DEXTROINFRAVERSION
both eyes to the right & down
both eyes to the left & up
LEVOSUPRAVERSION
synchronous and symmetric movement of both eyes in the opposite direction
Vergence
movement of both eyes inward
CONVERGENCE
DIVERGENCE
movement of both eyes outward
POSITIVE VERTICAL DIVERGENCE
right eye turns up and left eye turns down
right eye turns down and left eye turns up
NEGATIVE VERTICAL DIVERGENCE
vertical meridians of both eyes rotate inward
INCYCLOVERGENCE/CONCLINATION
EXCYCLOVERGENCE/DECLINATION
vertical meridians of both eyes rotate outward
Position which the eyes assume when with the head erect, point straight ahead on the horizon is fixed upon.
Primary Position
Position in which the eyes assume when the lateral or vertical movements are involved.
Secondary Position
Position in which the eyes assume when it moves in a direction which is a combination of both lateral and vertical movements
Tertiary Position
primary muscle” or “main muscle”
Agonist
“opposing muscle”
Muscle that opposes the action of the agonist
Antagonist
“helping muscle”
Muscle that acts in concert with the agonist to produce a given movement
Synergist
points of connections of all recti muscles
Spiral of Tillaux
States that when a nervous impulse is sent to a muscle causing it to contract, an equal impulse goes to the contralateral synergist (yoke muscle) in order to maintain parallelism of the visual axes
HERING’S LAW OF EQUAL INNERVATION
States that when a muscle contracts, its direct antagonist relaxes to an equal extent, allowing movement to take place.
SHERRINGTON’S LAW OF RECIPROCAL INNERVATION
Binocular Vision Tests:
Pressing the eyeball
Hole in the hand
Prism Test
Bar Reading Test
Maddox Rod Phoria Test
End goal of pressing the eyeball:
Doubling of vision (binocular vision is present)
End goal of Prism Test
Diplopia (doubling of vision)
Make a table of the primary, secondary, and tertiary position of EOMS
Visual angle fields
Superior – 60 degrees
Inferior – 70-75 degrees
Nasal – 60 degrees
Temporal – 100-110 degrees
Holds that if the two images of an object fall upon identical points in the retinas, the object is seen as one, but if the two images fall upon unidentical or disparate points, the object is seen as two
Doctrine of Corresponding Points
Normal Retinal Correspondence
Corresponding retinal points / homonymous points / identical points
A condition in which the two different visual direction.
Abnormal Retinal Correspondence
A reading matter is positioned at _____ in front of the patient’s eye, a pen is positioned _____ over the printed page, so that some of the letters are hidden from the left and other from the right eye.
40 cm/16 inches, 2-3 inches
Sufficient amount of prism _____ is placed before one eye to induce doubling.
6 Prism BU or BD
___ passing through a prism is bent towards the ____
Light, Base
___ looking through a prism is displaced on the ___
Eye, Apex
___ viewed through a prism is displaced towards the ____
Object, Apex
Two fields that mutually complement each other are presented
Stereoscopic Test
Divides the eyeball
Planes of the Eye
Imaginary line where movements of the eye takes place
Axes of the eye
24 mm
Horizontal line from vertex of the cornea to posterior pole of the eye
Torsional movement
Optic axis/Y axis/antero-postero/sagittal
22 mm
Line passing through the center of rotation of the eyeball and at right angle to optic axis Vertical movement
Transverse axis/X-axis/naso-temporal
22mm
Superior-inferior line passing through center of rotation
Horizontal movement
Vertical axis/ z-axis/supero-infero axis
Lie the optic axis and transverse axis
Divides eyeball to upper and lower portion
Horizontal Plane
Lie the optic axis and vertical axis
Divides eyeball to right and left hemispheres
Median Plane/Sagittal
Lie the transverse axis and vertical axis
Divides eyeball to anterior and posterior halves
Equatorial Plane/frontal
It is the act, condition or process of
directing the eye towards the object of
regard causing in a normal eye, the image of an object to be centered on the fovea
Fixation
Image of the real pupil found at the cornea
entrance pupil
Point towards which the observer directs his gaze.
object of regard
Point located 13.5 mm behind the cornea. All oblique axes pass and it is where the movement of eyes
take place.
center of rotation
Line drawn from the object of regard to the center of rotation
line of sight
Line drawn from the object of regard to the fovea passing through the nodal point
Visual Axis
Line from the center of entrance pupil and passes through
the center of curvature of the cornea.
Line perpendicular to the cornea and passing through the
center of the entrance pupil of the eye
pupillary axis
An imaginary straight line passing through the midpoint of the
cornea (anterior pole) and the midpoint of the retina (posterior pole)
optic axis
Angle formed by the intersection pupillary axis and the visual
axis
angle kappa
Angle formed by the intersection of the pupillary axis and the
line of sight.
angle lambda
Angle formed by the visual and optic axes at the nodal point.
angle alpha
Angle formed by the intersection of the optic axis and the line of sight at the center of rotation (formed behind)
angle gamma
Line connecting the centers of rotation of both eyes
baseline
Plane which includes both the object of regard and baseline.
plane of regard
Line in the primary position of the plane of regard which bisects the baseline
primary sagittal line
Plane tangent to the chin and the two super-ciliary ridges.
face plane