VD Exam 2 Flashcards
REFRACTIVE ERROR IN CHILDREN: Axial length in full-term newborns vs. adults
FT newborns: 16mm (90D)
Adults: 24mm (60D)
REFRACTIVE ERROR IN CHILDREN: Limits of emmetropization
+0.50 to +1.00 D of hyperopia with a SD of +/- 1.00D
REFRACTIVE ERROR IN CHILDREN: When does the greatest degree of emmetropization occur?
Within the first 2 years of life
REFRACTIVE ERROR IN CHILDREN: When does myopia increase and what are the incidences?
Myopia increases in prevalence during SCHOOL YEARS
6% of 6-year-olds are myopic
15% of 15-year-olds are myopic
Although 80-85% remain hyperopic (+0.50 to +3.00D)
REFRACTIVE ERROR IN CHILDREN: What is considered an extreme newborn refractive error
> +5.00 or -4.50 D
emmetropization usually does not occur
REFRACTIVE ERROR IN CHILDREN: How does the compensation range of humans compare to that of chicken and monkey models?
Chickens: -10 to +15D
Monkeys: -2D to +8D
Humans: +1 to +5D (estimate)
REFRACTIVE ERROR IN CHILDREN: How many grams is a low birth weight (LBW), very low (VLBW), and extremely low (ELBW) baby?
LBW: 2500g
VLBW: 1500g
ELBW: <1000g
REFRACTIVE ERROR IN CHILDREN: Retinopathy of Prematurity (ROP) affects infants born around what week and weighing how much?
Before 31 weeks of gestation
Weighing 2-3/4 pounds (1250 grams)
REFRACTIVE ERROR IN CHILDREN: What is the average refractive error of premature infants at birth?
-0.50D (S.D. +/- 2.80)
REFRACTIVE ERROR IN CHILDREN: What is the average refractive error of FULL term infants at birth?
+2.00D (S.D. +/- 2.00D)
REFRACTIVE ERROR IN CHILDREN: What is the axial length of FULL term newborns?
16 mm
REFRACTIVE ERROR IN CHILDREN: Average refractive error of 1-year-old child
+ 1.00D (S.D. +/- 1.10D)
REFRACTIVE ERROR IN CHILDREN: Average error of 3-year-old child
+0.95D (S.D. +/- 1.00D)
REFRACTIVE ERROR IN CHILDREN: Spectrum age in months from 1 to 48 and spherical equivalent (mean SD)
First month: 2.20 (SD 1.60)
48th month: 1.13 (SD 0.85)
*preschool age (mean refractive error +0.50 to +1.00D) (SD +/- 1.00)
REFRACTIVE ERROR IN CHILDREN: When does the refractive state of children reach an emmetropic plateu?
5 to 7 years of age
REFRACTIVE ERROR IN CHILDREN: Compare age with shape of refractive error distribution curve (at birth, preschool years, age 10-11, beyond 11)
At birth: bell shaped
Preschool years: Leptokurtotic- steeper towards hyperopia
Age 10-11: Leptokurtotic - symmetrical
Beyond 11: Leptokurtotic - skewed towards myopia
REFRACTIVE ERROR IN CHILDREN: What are the three different degrees of myopia and their corresponding spherical equivalents?
Low myopia: < -3.00D
Moderate: -3.00 to -5.75D
High: > -6.00D
REFRACTIVE ERROR IN CHILDREN: What is the spherical equivalent for high hyperopia?
> +5.00D
often associated with congenital or early onset anomalies
REFRACTIVE ERROR IN CHILDREN: Astigmatism decreases rapidly over the first ___ years of life
2
REFRACTIVE ERROR IN CHILDREN: At 6 months vs. 2 years, what is the level of astigmatism for children?
6 months: mean of 2.00 DC (ATR)
2 years: reduced to 0.50 DC
REFRACTIVE ERROR IN CHILDREN: Age and mean astigmatism (astigmatic error)
6 months: 2.00 to 2.50 DC
18 months: 1.00 DC
24 months: 0.50 DC
REFRACTIVE ERROR IN CHILDREN: At around what age do the ATR and WTR slopes intersect (age = x axis, proportion of ATR and WTR = y axis)
54 months (mostly ATR before, but ATR decreases)
REFRACTIVE ERROR IN CHILDREN: By what age does WTR astigmatism become predominant among child popularions?
By 5.5 years of age, WTR predominant (up to 3.5 years it was ATR)
REFRACTIVE ERROR IN CHILDREN: When does astigmatism become adult level?
By 5 years
REFRACTIVE ERROR IN CHILDREN: By school age, what is the prevalence of significant astigmatism?
Between 2-4% only (school age = 5 to 7 years)
DEVELOPMENT OF COLOR VISION IN CHILDREN: What is the difference in spectral sensitivity between 1 month old infants and adults?
1 month old infants have 1 log unit less spectral sensitivity in the short wavelengths than adults (approx. 80x less sensitive)
DEVELOPMENT OF COLOR VISION IN CHILDREN: What is the difference in spectral sensitivity between 3-month-old infants and adults?
3 month olds are about 15 times less sensitive than adults
DEVELOPMENT OF COLOR VISION IN CHILDREN: Rod responses from peripheral retina reach 50% adult values by what age?
3 months
DEVELOPMENT OF COLOR VISION IN CHILDREN: Rod responses close to the fovea reach 50% of adults levels by what age
5 months
DEVELOPMENT OF COLOR VISION IN CHILDREN: Is there any difference in photopic spectral sensitivity between infants 2,3 and 5 months old?
NO!
DEVELOPMENT OF COLOR VISION IN CHILDREN: By what age can infants discriminate between red, yellow, green, and blue from gray?
3 months
DEVELOPMENT OF COLOR VISION IN CHILDREN: For 3 WEEK OLD infants, which color vision tests indicate discrimination not entirely driven by intensity differences?
645nm and 547nm surround
DEVELOPMENT OF COLOR VISION IN CHILDREN: By what age is there evidence that all test wavelengths can be discriminated from the surround largely independent of relative intensities?
7 weeks
DEVELOPMENT OF COLOR VISION IN CHILDREN: By what age is there AT LEAST SOME ABILITY to discriminate among chromatic stimuli across most of the visible spectrum
2-3 months (normal rod + cone functioning)
DEVELOPMENT OF COLOR VISION IN CHILDREN: At which age is the INFANT SPECTRAL SENSITIVITY CURVE closely similar to adult curves?
5 months
DEVELOPMENT OF COLOR VISION IN CHILDREN: The form (shape) of the scotopic sensitivity function is adult-like at what age?
1 month
but REACHES adult levels only around 4-7 months of age ~closer to 6
DEVELOPMENT OF COLOR VISION IN CHILDREN: What is the absolute sensitivity of the scotopic system?
The sensitivity for a stimulus of 507nm presented under conditions that maximize scotopic sensitivity
DEVELOPMENT OF COLOR VISION IN CHILDREN: Absolute sensitivity of the scotopic system reaches adult levels by:
around 6 months
DEVELOPMENT OF COLOR VISION IN CHILDREN: Newborns can discriminate only between red and achromatic stimuli until what age?
around 3 months
DEVELOPMENT OF COLOR VISION IN CHILDREN: Photopic sensitivity curve reaches adult levels at what age (according to VEP studies)?
!!!!!NEWBORN!!!!!