S3C3 (2.0) Flashcards
What is the pathophysiology of myopia?
Axial length of the eye is too long for its refraction
This can be due to an elongated axial diameter of the eye or due to increased refraction (less common)
Focal point anterior to the retina
What are the symptoms of myopia?
Near vision clear
Far vision unclear
What glasses are needed to correct myopia?
Concave
What is the pathophysiology of hyperopia/presbyopia?
Axial length too short for its refraction (hyperopia)
Decreased lens accommodation (presbyopia)
Focal point posterior to retina
What are the symptoms of hyperopia/ presbyopia?
Near vision unclear
Far vision clear
What glasses are needed to correct hyperopia/presbyopia?
Convex
What is the pathophysiology of an astigmatism?
Curvature of cornea hinders even refraction
Eye cannot collect light evenly on the retina
Focal point can be anterior or posterior
What is the main symptom of an astigmatism?
Unclear vision at all distances
What glasses are needed to correct an astigmatism?
Cylindric lenses
What is a strabismus?
Abnormal alignment of the eyes
Visual axes of the eyes of not parallel (cross eyed)
What is amblyopia?
Functional reduction in visual acuity of an eye caused by disuse during visual development.
What is the treatment for amblyopia?
Spectacles or contact lenses /Cataract removal/Patching
What are the 2 types of stabismus?
Esotopia (convergent squint) – the directions of gaze of the two eyes cross, and the person is said to be cross-eyed.
Exotopia (divergent squint) – the directions of the gaze diverge, and the person is said to be wall-eyed.
What are the extraocular muscles?
Superior oblique Superior rectus Medial rectus Lateral Rectus Inferior rectus Inferior Oblique
Where do the recti muscles originate from?
The common tendinous ring
What is transduction?
The process by which the sense organs convert energy from environmental events into neural activity
What is anatomical coding?
Different nerves represent different sensory modalities
Distinctions between stimuli of the same modality (e.g. Arising from different spatial locations)
What is temporal coding?
Rate of firing or axons represents stimulus intensity
What is signal detection theory?
Detecting a stimulus involves discriminating between a signal and noise (background stimulus and random neural activity)
What is perception?
Our interpretation of what is being represented by sensory input - can be influenced by higher-level cognitive processes such as expectations
What is visual perception?
We perceive objects and background rather than a complex pattern
This is helped by boundaries and the Gestalt principles
What are the Gestalt principles?
Adjacency/proximity principle The similarity principle Good continuation The law of closure The principle of common fate
What is the Adjacency/proximity principle?
Elements of a visual scene that are close are grouped together
What is the similarity principle?
Similar elements are perceived as belonging together
What is good continuation?
Elements that smoothly follow a line tend to belong together
What is the law of closure?
Missing information is supplied to close or complete a figure
What is the principle of common fate?
Elements on the same movement trajectory belong together
What are the models of pattern perception?
Templates - stored visual memories of patterns compared with visual input
Prototypes - flexible, idealised stored patterns compared with visual input
Feature detection models - Distinctive features model
(Geons - the simple 2D/3D shapes that form objects)
What is the perceptual set?
Selectivity and bias with respect to what we perceive
What is the perceptual set influenced by?
Previous experience Current drive state (arousal and motivation) Environment Cultural factors Threshold for perception
What is attention?
The allocation of awareness to stimuli
How can attention be shfited?
Disengagment
Shifting
Focus
Can be
bottom-up - in response to a stimuli appearing suddenly
Top-down - looking out the corner of your eye (conscious)
What is unattended stimuli?
Inattentional blindness - when fixating, we can ignore otherwise obvious events
Change blindness - we can miss otherwise obvious changes to stimuli
Unattended stimuli can affect us
Salient events can grab our attention - can be retained in implicit memory
What is the individual model of disability?
This suggests that disability has occurred on a personal level due to:
Personal tragedy
Medical problem
Individual adjustment
What is the social model of disability?
Disability is caused by the way society is organised, rather than by a person’s impairment or difference –discrimination.
It looks at ways of removing environmental barriers that restrict life choices for disabled people.
When barriers are removed, disabled people can be independent and equal in society, with choice and control over their own lives.
What does the social model of disability emphasise?
That community participation is hindered by inaccessible environments.
That those with disabilities are oppressed by medical and social service professionals.
Underestimation of needs, poverty and deprivation.
Disabled people developed the social model of disability because the traditional medical model did not explain their personal experience of disability or help to develop more inclusive ways of living.
What is the medical model of disability?
People are disabled by their impairments or differences.
Under the medical model, these impairments or differences should be ‘fixed’ or changed by medical and other treatments, even when the impairment or difference does not cause pain or illness
What is the psychological model of disability?
That activities performed (or not performed) by someone with a “health condition” are influenced by the same psychological processes that affect the performance of these behaviours by non-disabled people
two people with identical medical conditions, living in identical social and environmental situations, may have very different activity limitations because of their cognitions, emotions or coping strategies
How is disability assessed?
Disability is typically assessed by measures of activities of daily living (ADL), which assess the person’s ability to perform everyday self-care or mobility activities.
These measures assess activities that virtually everyone would wish to perform and, therefore, do not include activities that may be important for particular individuals.
There are two main methods of assessment;
Self-report
Observation
What are the 3 layers of the eye?
Fibrous tunic
Vascular tunic
Nervous tunic
What are the 3 chambers of the eye?
Anterior
Posterior
Vitreous
What is the refractory media of the eye?
Cornea
Lens
Vitreous humour
Aqueous humour
What is in the fibrous tunic?
Cornea
Sclera
Describe the cornea
Anterior
Transparent
No vasculature - requires aqueous humor for nutrients
Function: refracts the light
Describe the sclera
Posterior
Opaque
Fibrous
Function: Protect and stabilise
What is in the vascular tunic?
Iris
Ciliary body
Choroid
What is the Iris?
Pigmented diaphragm with a central opening that adjusts in size in response to light
What fibres does the Iris contain?
Radial fibres are arranged in parallel (iris dilator muscle)
Sympathetic stimulation
Dilation (Mydriasis)
Circular fibres arranged around the pupil (iris sphincter muscle)
Parasympathetic stimulation
Contraction (Miosis)
What is the function of the Iris?
Regulate the amount of light that impinges on the retina
What is the ciliary body composed of?
Ciliary ring
Ciliary epithelium
Outer layer - pigmented
Inner layer - unpigmented
Ciliary processes - fibres the encircle the border of the lens
Ciliary muscle - smooth muscle innervated by parasympathetic fibres
What are the functions are the ciliary body?
Anchors the lens
Accommodation: adjusts the lens for seeing at different distances
Produces aqueous humor
How does accommodation happen?
Contraction of the ciliary muscle causes relaxation of the zonular fibers, which releases the tension on the lens. This causes the lens to become more spherical
What is the choroid formed of?
Formed by two layers
Outer - pigmented
Inner - highly vascularised
What is the function of the choroid?
Nourishes the retina
What are the layers of the retina? (in order of light hitting them)
Ganglion cell layer Inner Plexiform Inner nuclear layer Outer Pelxiform Outer nuclear Layer of rods and cones Pigment epithelium
What is the function of the pigment epithelium?
Aids in formation of rhodopsin and storage of Vit A
Provides nutrition to photoreceptors
Absorbs light and prevents reflection
Describe rod cells
First order receptors of slender, cylindrical cells
Contain rhodopsin
Achromatic - specialised for sim light and motion
Located around fovea centralis
Describe cone cells
First order receptors of flask-shaped cells containing photopsin/ iodopsin
Chromatic - RGB, specialised for colour vision, bright light, object recognition and visual acuity
Located in fovea centralis
What neurotransmitter do rod and cone cells use?
Glutamate
What does the outer nuclear membrane contain?
Nuclei of rods and cones
What does the outer plexiform layer contain?
Synapses between bipolar cells and cone/rods
What does the inner nuclear layer contain?
Contains the cell bodies of bipolar neurons
Second order
Transmit information to ganglion cells
Contains muller cells (supporting glial cells)
What does the inner plexiform layer contain?
The synapses between ganglionic cells and bipolar neurons
What does the ganglion cell layer contain?
Contains nuclei and cell bodies of ganglion cells
Third order
Form optic nerve (CN3)
Project to the hypothalamus, pretectal nucleus, lateral geniculate body and superior colliculus
Contain neuroglia
How many rod cells are there?
90 million
How many cone cells are there?
4.5 million
What is the outer segment of a photorecptor cell composed of?
membranous disks that contain light-sensitive photopigment
Photopigments absorb light, thereby triggering changes in the photoreceptor membrane
What is the inner segment of a photorecptor cell composed of?
the cell nucleus and gives rise to synaptic terminals that contact bipolar or horizontal cells
What is the foveola?
All cone, no rod - central 300µm of fovea
What is the life span of the membranous disks in the outer segment?
12 days
What is the life cycle of the membranous disks?
Disks move progressively from the base of the outer segment to the tip, where the pigment epithelium plays an essential role in removing the expended receptor disks
Shedding involves ‘pinching off’ a clump of receptor disks by the outer segment membrane of the photoreceptor -
Phagocytosed by the pigment epithelium
What is the blood supply to the photoreceptors?
Choroidal blood vessel
What features of photoreceptor cells contribute to superior visual acuity?
The layers of cell bodies and processes that overlie the photoreceptors retina are displaced in fovea
The retinal blood vessels are diverted away from foveola
Foveola is dependent on the underlying choroid and pigment epithelium for oxygenation and metabolic sustenance
What is the functional specialisation of rod cells?
These have a long, cylindrical outer segment containing many disks - making them extremely sensitive to light
Rods have a low spatial resolution - it is therefore specialised for sensitivity at the expense of resolution
What is the functional specialisation of cone cells?
These have sorter tapering outer segment with fewer membranous disks - relatively insensitive to light
High spatial resolution
Allows colour vision
What happens re: photoreceptor cells at light intensity increases?
cones become more dominant in determining what is seen and they are the major determinant of perception under relatively bright conditions