PRELIMS Flashcards

1
Q

‘Educationally, legally, functionally’
- Often used to indicate visual impairment requiring specialist services or financial
assistance
- Carries the perception that ‘all sight is gone

A

BLIND

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2
Q

A person one who has impairment of visual function for whom full
remediation is not possible by conventional spectacles, contact lenses or medical
intervention and which causes restriction in that person’s everyday life

A

Low Vision

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3
Q

Broader spectrum of sight loss
- ‘Partial sight, low vision, subnormal vision’

A

Visual Impairmen

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4
Q

In 1950s and 1960, it was defined as visual acuity of 20/70 or worse with the best
conventional optical correction

A

Subnormal Vision

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5
Q

In 1975, defined as reduced central acuity or visual field loss which, even with the best
optical correction provided by regular lenses, still results in visual impairment

A

Low Vision

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6
Q

one of the major problems to collect data was non-standardization of definition. Around
65 different types of definitions were used worldwide to describe the definition of blindness and
poor vision

A

1973

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7
Q

low vision was defined as reduced visual acuity by disorder of the eye or visual system. A
level of vision which cannot be improved to within normal limits by medication, surgery, or use
of conventional correction.

A

1976

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8
Q

WHO proposed a standard classification that would be used worldwide. This was included
in 10th revision of the International Classification of Diseases (ICD-10) but unfortunately this
classification is not accepted worldwide although references to it are now common.

A

1978

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9
Q

WHO offered a new definition of Low Vision

A

1992

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10
Q

Refers to conditions encompassing the continuum from partial sight to blindness.

A

VIDION IMPAIRMENT

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11
Q

defined as visual acuity less than 3/60 in the better eye after best possible correction and
visual field < 10 degree from the point of fixation.

A

Blindness

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12
Q

is defined as visual acuity 3/60 (20/400) to less than 6/18 (20/70) in the better eye after
best possible correction in the better eye and visual field <20 degree from the point of
fixation.

A

WHO definition of Low Vision

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13
Q

refers to an individual’s functional visual ability in spite of loss, how an individual develops
creative ways of adapting to various situations. The use of low vision aids increases visual
efficiency. It depends on training, experience, intelligence level, and personality
characteristics of the individual, as well as other disabilities that may interfere with normal
function.

A

Visual Efficiency

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14
Q

the international standard diagnostic classification for all general epidemiological, many
health managements purposes and clinical use.
- It is used to classify diseases and other health problems recorded on many types of health
and vital records including death certificates and health records.

A

International Classification of Disease

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15
Q

It gives rise to anatomical changes in the visual organs
- For example, Glaucoma in its early stages can go unnoticed by the patient, without
affecting abilities

A

Visual Disorder

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16
Q

Functional loss from a visual disorder.
- It affects visual acuity, visual field, color vision, contrast sensitivity

A

Visual Impairment

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17
Q

It gives rise to vision-related changes in the skill and abilities
- It is measured in terms of the skills - can or cannot perform.

A

Visual Disability

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18
Q

It has psychosocial and economic consequences of visual loss.
- Skills of the person gets hampered
- Giving rise to barriers in the environment both physical and social.

A

Visual Handicap

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19
Q

Who are the Low Vision patients?

A

Patients with congenital eye diseases and diseases occurring early in life
2. Patients with degenerative diseases occurring later in life

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20
Q

Persons with such condition may indicate a diminution of vision, haziness, or foggy
vision.

A

Lower central acuity or fluctuating vision

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21
Q

Persons describes distortion of vision. Objects appear to bulge,
curve or look funny.

A

Metamorphopsia

22
Q

Person either complains of abnormal sensitivity to light or avoid high levels of
illumination recovery, from glare, is slow and adaptation of light is difficult.

A

Photophobia

23
Q

Person indicates they cannot detect colors or functional observations show that they
have trouble identifying colors

A

Color Vision Defects

24
Q

Persons report they have vision in specified sectors of the visual field and parts of the
object to be viewed are always missing.

A

Visual Field Defects

25
Q

Persons indicate decreased vision at night and difficulty in performing specific task at
night. This condition can be confirmed by clinical test or electrodiagnostic testing.

A

Night Blindness

26
Q

Persons with this condition sees floaters or spots before their eyes, which momentarily
interferes with vision. Such symptoms may indicate an acute pathology.

A

Entopic Images

27
Q

Persons with this condition reports that the world seems to be moving or jumping
around. This condition may be sign of neurological disorders. Therefore patient should
be referred to a neurologist

A

Oscillopsia

28
Q

Partially or complete absence of iris

A

Aniridia

29
Q

Present at birth or become apparent in the first year of life. It causes
significant visual morbidity because of associated amblyopia, even with
early surgical treatment; most common cause of leukocoria.

A

Congenital Catarac

30
Q

Rare life-threatening tumor with complex genetic inheritance; most
common cause of leukocoria.

A

Retinoblastoma

31
Q

Often presents with a “watery eye”. Crucial history taking should be
determine whether that ‘epiphora’ was present at birth or developed later.

A

CONGENITAL GLAUCOMA

32
Q

Rare causes of poor central vision. High refractive errors should always be
kept in mind in these cases

A

Nystagmus

33
Q

If the baby was of low birthweight of less than 1500 g or pre-term (born
earlier than 37 weeks), ROP should be considered.

A

Retinopathy of Prematurity

34
Q

The pupillary reflexes are normal, as are the optic discs, but the baby may
be photophobic. The fundus will appear albinotic or blond.

A

Ocular Albinism

35
Q

Manifests with normal ophthalmic findings, including the presence of
normal pupillary reflexes. Electroencephalogram (EEG) is abnormal; baby
often has signs of developmental delay and may have midline defects
including cleft lip or palate.

A

Cerebral blindness

36
Q
  • Involves no ophthalmological or electrophysiological abnormality. The baby
    is often premature or small for dates. Although prognosis for vision is
    generally good, a small proportion of patients are left with a residual deficit.
A

Delayed visual development

37
Q

Often shows no abnormality on fundoscopy in the early stages, however
the optic discs can sometimes appear slightly pale and early thinning of the
arterioles is an important early sign in this condition.

A

Leber’s congenital amaurosis

38
Q

Can be subtle and easily missed unless specifically looked for with the direct
ophthalmoscope. Other signs may include the presence of nystagmus,
slugging pupillary reflexes and the characteristic optic disc double ring sign.

A

Optic disc hypoplasia

39
Q

Result of complex hereditary and environmental factors

A

High Myopia

40
Q

Genetic condition that affects connective tissue of the fibrillin gene that
affects the cardiovascular, musculoskeletal, and ophthalmic systems.
Fibrillin is found in the ciliary zonule and lens capsule. Defect in fibrillin
causes ectopia lentis, axial myopia, glaucoma and retinal complications
- Most common cause of nontraumatic ectopia lentis

A

Marfan’s Syndrome

41
Q

Early-onset may report night blindness or restriction of visual fields, which
is often manifested as clumsiness

A

Retinitis Pigmentosa

42
Q

Progressive anteroposterior elongation of the scleral envelope associated
with a range of secondary ocular changes, which relates to mechanical
stretching of related tissues.

A

Pathological Myopia

43
Q

Inflammation of the optic nerve; most common cause of unilateral painful
visual loss in a young adult.

A

Optic Neuritis

44
Q

Lesions or inflammation encompasses the clinical entities of retinitis,
choiroditis, and retinal vasculitis

A

Posterior Uveitis

45
Q

Serous retinal detachments commonly seen in the macular region. RPE
detachment which facilitates the leakage of plasma into the subretinal
space.

A

. Central Serous Retinopathy

46
Q

Conditions Affecting the Elderly

A
  1. Age-related Macular Degeneration
  2. Diabetic Retinopathy
  3. Hypertensive Retinopathy
  4. Cataract
  5. Glaucoma
  6. Central Retinal Vein Occlusion
  7. Central Retinal Artery Occlusion
  8. Cerebrovascular accidents and visual function
47
Q

Affects the ability to see the objects or people in direct line of vision
- Color vision may be affected

A

Central Visual Field Loss

48
Q

Difficulty with individual travel
- Banging with obstacles on the sides such as furniture
- Need for increased in illumination
- Decreased visual efficiency: visual skills (scanning and tracking), saccades (horizontal and
vertical)
- Light and dark adaptation

A

Peripheral Visual Field Loss

49
Q

Affects ability to perceive sharpness of details due to alteration in the refractive media of
the eye
- Patient may suffer double vision
- Problems with poor night vision, poor contrast, and glare
- Difficulty judging distance

A

Over-all Blur

50
Q

ni

A