Lecture 5, 6, 7 dr chase old age Flashcards
Betweentheagesof35-45,myopeshave _______
accommodationamplitudethannon-myopes.
A) worse
B) better
C) thesame
B) better
AccordingtoChaseetal2009,eyestrainsymptomscorrelate best with:
A) amplitudeofaccommodation.
B) facilityofaccommodation.
C) openfieldautorefraction.
D) MEMretinoscopy.
C) openfieldautorefraction.
AmslerGridtestsfor A) distortionsinthevisualfield B) blindspotsinthevisualfield C)bothdistortionsandblindspotsinthevisualfield
C)bothdistortionsandblindspotsinthevisualfield
Amsler Grid abnormalities dramatically increase after the age of:
A) 55
B) 65
C) 75
D) 85
C) 75
A_____%reductioninUsefulFieldofViewisassociatedwitha
significantincreaseincaraccidents.
A) 20
B) 30
C) 40
D) 50
C) 40
Agingincreasesdarkadaptationthresholdof
A) rodsmorethancones.
B) conesmorethanrods.
C) bothrodsandcones.
D) neither, aging decreases dark adaption threshold
C) bothrodsandcones.
AccordingtoChaseetal(2010),symptomaticcollege studentswitheyestrain A) havetroublesoundingoutwords. B) havepoorreadingcomprehension. C) areslowerreaders. D)havetroublesoundingoutwords,havepoorreading comprehension,andareslowerreaders.
C) areslowerreaders.
Monoculardepthoffocusisabout\_\_\_\_\_\_fora5mmpupil but\_\_\_\_\_fora1mmpupil. A) 0.5D,0.5D B) 0.5D,2.5D C) 2.5D,0.5D D) 2.5D,2.5D
B) 0.5D,2.5D
Earlystudiesofaccommodationamplitudeshowedthat
sustainednearfocus
A) reducedamplitudeformostindividuals.
B) increasedamplitudeformostindividuals.
C) hadvariableeffectonamplitude.
C) hadvariableeffectonamplitude.
Using50%accommodationreservesasthecriteria,which
amplitudescorewouldbeconsideredevidenceofpresbyopia
fornormalreadingdistance?
A) 10D
B) 8D
C) 6D
D) 4D
D) 4D
AccordingtoBartuccioetal(2008),themostwidelyprescribe
treatment foraccommodationinsufficiencywas
A) visiontherapy.
B) pluslensof0.75Dand1.00D.
C) pluslensof1.25Dand1.50D.
D) selectedcoloroverlays.
B) pluslensof0.75Dand1.00D
IntheReindeletal.2010study,whatwasthemostcommon
accommodation abnormalityamongsymptomatic30 year
olds?
A) iIl-sustainedaccommodation.
B) Accommodationinsufficiency.
C) Accommodationinfacility.
A) iIl-sustainedaccommodation
IntheReindeletal.2010study,whatproportionof3040yearoldshadaccommodationabnormalities?
A) 50-60%
B) 60-70%
C) 70-80%
D) Over80%
D) Over80%
Hofstetter’sformulaforminimumaccommodationamplitude
(15-0.25xAge)impliesthat_____Dofamplitudeis
______witheachyearofageuntilabout40yearsold.
A) 15,lost
B) 15,gained
C) 0.25,lost
D) 0.25,gained
C) 0.25,lost
Whichofthefollowingstatementsistrue:
A) Symptomprevalenceamongcollegestudentsislessthan10%.
B) Symptomprevalenceamonggraduatestudentsislower
thancollegestudents.
C) Symptomprevalenceamonggraduatestudentsishigher
thancollegestudents
C)Symptomprevalenceamonggraduatestudentsishigher
thancollegestudents (17% of students from claremont college and 72% of them were female, graduate students were even higher)
UVAisabsorbedbythe_____andUV-B isabsorbedbythe_____.
A) cornea,lens
B) lens, cornea
C) cornea,retina
D) retina,cornea
B) lens, cornea (UVA=315-400nm, UVB=280-315nm)
Nuclearsclerosiscataractsaffectwhatproportionofthe
population?
A) 17%ofthose40yearsofageandolder.
B) 68%ofthose80yearsofageandolder.
C) 68%ofthose40yearsofageandolder.
D )17%ofthose40yearsofageandolderand68%of
those80yearsofageandolder.
D) 17%ofthose40yearsofageandolderand68%of
those80yearsofageandolder.
AccordingtoSheedyetal.2003,whatisthemostlikelycauseof the2 symptom clusters associated with eye strain:
A) binoculardisordersanddryeye.
B) dryeyeandglare.
C) blurredvisionandtearing.
D) glareandbinoculardisorders.
A) binoculardisordersanddryeye.
TheDDFmodelofpresbyopiashowsthat
A)withincreasesintheaccommodationstimulusdemand,
responsessteadilydecreasewithage.
B) withincreasesintheaccommodationstimulusdemand,
responsessteadilyincreasewithage.
C)withdecreasesintheaccommodationstimulusdemand, responses steadily increase with age
D)withdecreasesintheaccommodationstimulusdemand,
responses steadily decrease with age
A) withincreasesintheaccommodationstimulusdemand,
responsessteadilydecreasewithage.
For a sixty-year old, it takes less than 20 seconds to recover from glare of the on-coming lights of
another car, but for a person in her/his 80’s on average it could be as high as:
A) 25 seconds.
B) 30 seconds.
C) 40 seconds.
D) 50 seconds.
D) 50 seconds.
which is NOT a structural change in vision due to aging?
A) increased pupil diameter
B) loss of photoreceptors
C) increased light scatter and absorption by the ocular media
D) thicker lens
A) increased pupil diameter (pupils get smaller with age)
Which of the following is not one of the 3 related issues of eye strain?
A) accomodative function
B) age-related cataracts
C) changes in near-work tasks over time
D) near work in general
B) age-related cataracts
Which symptom is least common, most common
A) soreness, blur
B) movement/fading, re-reading
C) glare, diplopia
D) headache, blur
B) movement/fading, re-reading
Name the 2 accomodation systems
sensory-motor and perception
retinoscopy and amplitude _____ accommodation
A) overestimates
B) underestimates
A) overestimates (by about 2.00D in adults and much more in children)
only _____ ___ predicts asthenopia symptom severity
accommodative lag
which is better to use:
A) amplitude of accomodation
B) accommodative lag via autorefractor
B) accommodative lag via autorefractor
The lens ____ with accommodation
A) bulges
B) flattens
C) stays the same shape
D) moves side to side
A) bulges
with the rule (vertical) astigmatism ______ with age while against the rule (horizontal) astigmatism _______ with age and oblique astigmatism _____ with age
A) increases, decreases, stays the same
B) decreases, increases, stays the same
C) stays the same, increases, decreases
D) stays the same, decreases, increases
B) decreases, increases, stays the same
Amplitude of accommodation decreases ____ after age 40
A) 0.2D
B) 0.4D
C) 0.6D
D) 0.8D
B) 0.4D
_____ maintain better amplitude
A) myopes
B) hyperopes
A) myopes
anisometropia ______ with age
A) increases
B) decreases
C) tends to stay the same
A) increases (0.4D difference for 50 year olds, 0.9D difference for 85+ year olds). Amsler grid abnormalities, stereopsis, contrast sensitivity and color vision failures also increase with age.
Which hazard factor is worse for elderly risk of car accident?
A) binocular visual fields
B) useful field of view
C) glare sensitivity
D) near work eye strain
C) glare sensitivity. Glare for elderly is practically blinding, this is why they drive so slow.