OV1014 Visual Optics and Measurement techniques Flashcards
(89 cards)
What is Ametropia?
Abnormal refractive eye condition (myopia, hyperopia or astigmatism) which images fail to focus on the retina
What is vision?
- Perception of difference in the external world resulting from stimulation of the retina by light
- Smallest line of letter read with the unaided eye
Why assess vision?
Quantify what people can and cannot see
What were Snellen’s innovations?
- Special characters (optotypes/test types)
- Letter chart to test distance vision
- Defined ‘the standard observer’ for comparison
In a snellen chart what do the number by each line represent?
The letter size in meters
The distance at which a letter height subtends 5’ arc
or
The gap/limb width subtends 1’ arc
Why is ‘serif’ font used in snellen charts?
Helps readability in large sections of texts
How can you increase reliability of tests for Snellen charts?
- Include one or more difficult letters on each line
- Is ‘common confusion pairs’ (UV, FP. HN)
What is the progression of letter in Snellen chart?
No common ration so no geometric progression
What is the letter/line spacinging Snellen charts?
- Letter width - 4 units
- 20 mm between successive lines
What is the standard observer?
Visual acuity that just allows him/her to identify a letter with a stroke width subtending 1’ arc
What is form vision?
The ability to recognise an object from its form
What is resolution?
The ability to detect fine detail
What requires both resolution and form vision?
Recognition of letters as they get progressively smaller
What is visual acuity?
The smallest line of letters that can be read with spectacles or contact lenses worn ( provided all defects of focus are corrected)
What is the minimum angle of resolution?
Angular separation of two points/lines at the resolution acuity limits
What is the MAR for the standard observer?
1’
What to do if VA is below 6/60?
- Reduce distance to chart until Px can read top letter - 3/60
- Counting finger - Record CF at 25 cm if Px can count
- Hand movements - Record if Px can detect your HM
- Perception of light - Record if Px can detect PL ad which quadrant light is in
- No perception of light - Record NPL if patient cannot detect light
What are the advantages of Snellen Chart?
- Quick and Reliable
- Sensitive to ametropia
- Narrow
- Less affected by guessing compared to grating acuity etc
- Enshrined in legislation
What are the limitations of Snellen Chart?
- Unequal number of letters per line, so tasks in not equivalent at differing levels of VA
- Non-uniform change in letter size for successive lines
- Line by line scoring
- Fixed row spacing
- Unequal letter spacing, creates crowding
What are the features of LogMAR chart?
- Same number of letters per line (5)
- Letter of similar legibility chosen
- Approx equivalent task at each level
- Uses a fixed raitio between each line (0.1 Log unit)
- Each letter represents 0.02 LogMAR unit
- Letter spacing = letter width
What are Geometrical optics?
- That rays can be represented by straight lines along which light propagates
- Assumes light travels as rays in homogeneous medium
What are wavefronts?
- Surfaces of constant phase or more easily constant optical distance from the surface
- Perpendicular to the rays
What is the quantity of reduced vergence inked to ?
Curvature of wavefronts
What does vergence tell us?
How rapidly the wavefronts are converging or diverging