Test 1 Flashcards
Primary care
The diagnosis and management of ocular disease, refractive error and the co management of ocular systems in patients 12 or older
Pediatrics
typically 6 months to 12 years old
TBI
traumatic brain injury
Visual Rehabilitation
the examination, treatment and management of patients with visual impairments which cannot be fully treatable by medical surgical or conventional eye wear or contact lenses.
Contact lenses/ cornea
management of the antior segment disease including fitting of specialty lenses
ocular disease
management of ocular disease including but not limited to neuro-ophthalmic, vitreo-retinal, glaucoma and emergency
Areas of specialty
primary care. pediatrics. vision rehabilitation, contact lenses/ cornea, ocular disease
components of visual function
- optics/ refractive error
- binocular vision/ functional vision
- ocular health
optics/ refractive error
results when light entering the eye does not focus on the retina
Entrance testing
Tests to give general info regarding a patients visual system.
Entrance tests
Visual acuity, color vision, stereopsis, pupil testing, confrontational visual field, extra ocular muscles, cover test
Visual acuity
Resolving ability of the eye sc or cc
Color vision
Evaluates patients ability to accurately discriminate color. Screening for color deficiency or color blindness
Stereopsis
Evaluates patients 3 dimensional vision. Screening test of binocular functional vision
Pupil testing
Tests the eyes ability to respond to light appropriately. Primarily a neurological test: neurological pathways control function of papillary muscles and the manner in which they respond to light
CVF
confrontation visual field
confrontation visual field
tests peripheral vision, screening test to see if there are any defects in patients visual field
EOM
extraocular muscles
extraocular muscles
tests the ability of the eye muscles to function properly and accurately move eyes into different positions of gaze
can also evaluate alignment of eyes
CT
cover test
cover test
evaluates alignment of eyes/ the ability of both eyes to simultaneously point to an object: test of binocular vision
refraction
tests that provide info on the optical error of a patients eyes. doctor analyzes all the results to determine the best prescription for a patient
refractive tests
lensometry, keratometry/ opthalmometry, retinoscopy (autorefractors, or manifest/ subjective refraction)
lensometry
objective measure of the power in a spectacle correction: uses a lensometer to focus a pattern called mires. manual or automated.
keratometry/ ophthalmometry
objective measure of the curvature of the cornea
uses a keratometer - info for refractive and ocular health info
helpful in fitting contact lenses
retinoscopy
objective measure of refractive error using a hand held retinoscope and lenses. the examiner shines a light with the retinoscope into a patients eye and judges by the light reflex how accurately the eye focuses the light on the retina
determines if a patient is hyperopic, myopic, or astigmatism
autorefractors
an automated instrument can also provide objective measure of refractive errors but tends to be over-minus
manifest/ subjective refraction
subjective assessment of patients refractive error. involves changing lenses in a systematic way in response to a patients perception of clarity: clearer one or two
objective tests
lensometry, keratometry, retinoscopy, etc
subjective tests
relies on patients responses: ex visual acuity, manifest refraction
binocular/ near tests- function
evaluates patients visual function at near distances with common working distance of 40 cm for reading, 50 cm for computers
binocular test examples
phoria, vergence, near point of convergence, accomodation
vergence
coordinated eye movements necessary to avoid diplopia by keeping both eyes pointed at the same object
NPC
near point convergence
near point convergence
measure of the eyes inward ability to maintain single and clear vision
accomodation
coordinated focusing of the eyes necessary to keep objects clear. associated with the the crystalline lens of the eye with variable focus. have a hard time transitioning from looking at near than far
presbyopia
normal decrease in the focusing ability with age that causes patients over 40 to have trouble seeing near. associated with accommodation problems
macula
the most sensitive part of the retina
peripheral retina
portion of the retina that can only be seen by dilating pupils
optic nerve
transmits visual info to the brain
biomicroscopy (slit lamp)
examination of the anterior segment of the eye using a bright illumination, variable magnification , and various widths of light to examine front surface of the eye with binocularity
tonometry
objective technique to measure IOP
goldmann tonometry attach to and are used in conjunction with a slit lamp