Ophthalmology Flashcards
Sclera
Hard, inflexible white of the eye made of collagen
Uvea
Inner vascular layer containing the iris, ciliary body and choroid
Retina
Further inner layer that converts information into images
Lens
Causes image to be inverted
What type of vision does a visual acuity test check?
Central vision
Visual field
The portion of the external environment of the observer wherein the steadily fixating eye can detect visual stimuli
Size of monocular visual field
Vertical axis: 135˚ –60˚ superior field (limited because of brow) and 75˚ inferior field
Horizontal axis: 160˚ – 60˚ nasal field (limited because of nose) and 100˚ temporal field
Size of binocular visual field
180˚ in total with 120˚ overlap between right and left eye, allowing depth perception
Fovea
Centre of macula (1.5 mm diameter)
Peak in number of cones, therefore responsible for visual acuity
Macula
5 mm ring around fovea in the temporal retina
Foveola
Centre of fovea
0.2 mm diameter
Vertical meridian
Imaginary line that goes through the fovea
Nasal and temporal retina
Nasal retina is medial, temporal retina is lateral
The left temporal retina and the right nasal retina pick up the left nasal and right temporal visual fields and project to the left hemisphere
The right temporal retina and the left nasal retina pick up the right nasal and left temporal visual fields and project to the right hemisphere
Where is the defect in a patient with central scotoma?
In the temporal retina of the affected eye
Where is the defect in a patient with bitemporal hemianopia?
At the optic chiasm where the optic nerves meet, affecting both nasal retina tracts and inhibiting the temporal visual field in both eyes
Where is the defect in a patient with homonymous hemianopia?
Anywhere in the optic tract downstream of the optic chiasm, causing visual field loss on same side of both eyes
E.g., if a lesion in the left optic tract occurred, both eyes would lose the left visual field (nasal retina affected in the right eye affecting the temporal visual field and temporal retina affected in the left eye affecting the nasal visualfiel)
Extra-ocular muscles
Superior, inferior, lateral and medial rectus
Super and inferior oblique
Nerves that supply extra-ocular muscles
All by oculomotor nerve, except:
Lateral rectus, which is supplied by abducent nerve
Superior oblique, which is supplied by trochlear nerve
7 bones that make up the orbit
Frontal Sphenoid Lacrimal Ethmoid Maxillary Zygomatic Palatine
Obicularis oculi
Muscle that closes eyelid
Controlled by facial nerve
Levator palpebrae
Muscle that opens eyelid
Controlled by oculomotor nerve
Assembly of the eye
Cornea: Contains ganglion cells attached to processing and connecting cells and further in these are connected to photoreceptor rods and cones
Rods at a higher concentration in the peripheral retina and cones at a higher concentration near the fovea
Rods and cones attach to the retinal pigment epithelium at the back of the eye
Physiological blind spot
The optic nerve sits in the nasal retina but has no ability to detect light. This creates a blind spot normally filled in by the temporal retina of the other eye
Tear film
About 10 mincrons think on front of eye
Consists of oil from tarsal gland (stops evaporation of fluid from eye surface), an aqueous component from the lacrimal gland and mucin