[PRACTICAL] Flashcards
Confrontation test helps diagnose
generalized field of contraction
scotomas
neurological defects due to lesions
Perimetry test helps diagnose
generalized field of contraction
scotomas
neurological defects due to lesions
dimensions of visual field
60 upwards
60 nasally
100 temporally
75 downwards
physiological blind spot is located___to fovea centralis
3mm nasal
physiological blind spot
site of exit of optic nerve & entry of BV
insensitive to light (no photoreceptors)
1.5mm diameter
15 degrees temporal to centre of field vision
importance of pupillary light reflex (4)
diagnosis of lesions
protective
regulates amount of light
distinguishes stages of anesthesia
diagnosis of death
light reflex in lesion before pretectal nucleus is
impaired
light reflex in lesion after pretectal nucleus is
intact
receptors of light reflex
rods & cons
center of light reflex
pretectal nucleus
afferent of light reflex
optic n–>optic chiasma–>optic tract till anterior 2/3
efferent of light reflex
oculomotor
effector organ of light reflex
constrictor pupillae of both eyes
response in light reflex
direct & indirect miosis of both eyes
accommodation reflex stimulus
blurry image
accommodation reflex afferent
optic n–>optic chiasma–>optic tract–>LGB–>optic radiation–>area 17–>area 18,19–>area 8
accommodation reflex center
superior colliculus
accommodation reflex efferent
oculomotor
accommodation reflex effector organs
constrictor pupillae
ciliary muscle
medial recti
accommodation reflex components
bilateral convergence
bilateral miosis
bilateral accommodation
fundus of diabetic patient shows
microaneurysms
intraretinal Hgs
Vitreous Hgs
Neovascularization
fundus examination helps diagnose
errors of refraction
systemic diseases (diabetes, HTN)
ocular diseases (optic atrophy, retinitis pigmentosa, papilledema)
observations in fundus exam
retinal proper
macula
optic disc
retinal BV
what color does the retina appear to be in fundus exam? why?
pale pink
choroidal vessels