Vision 1 - refraction and accommodation Flashcards

1
Q

what is refraction

A

bending of light as it passes from one optical medium to another

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2
Q

what are the refractive media in the eyeball (and in what order from out to in)

A

cornea - aqueous humour - lens - vitreous humour

transparent to allow light to fall on retina

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3
Q

how does a sharp image form on the retina

A

light waves from an object bend at the cornea - bend more at the lens - forms a clear image on the retina - - REFRACTION

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4
Q

what needs to happen to allow the eye to focus on an object that has come closer

A

eye needs more bending power to focus on object - lens becomes thicker and more powerful - clear image is formed on retina again = ACCOMMODATION

*cornea most powerful bender (45D) but lens (15D) has capacity to change its bending power

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5
Q

what is the definition of accommodation

A

the changes occurring in both eyes as it changes focus from a distant object to a close object

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6
Q

what are the 3 things that happen simultaneously in accommodation

A
  1. lens changes shape - becomes thicker and more spherical
  2. pupil constricts
  3. eyes converge
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7
Q

what causes the lens to become thicker

A

ciliary body contraction (parasympathetic)

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8
Q

how does the parasympathetic innervation of the ciliary body cause the lens to thicken

A

innervation - ciliary body contracts - ciliary body bulges - space in the middle decreases - suspensory ligaments become last - lens is no longer under stretch - LENS BECOMES THICKER

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9
Q

why do the pupils constrict in accommodation

A

allows only a few rays from object to pass through - allows sharper focus

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10
Q

what causes pupil constriction in accommodation

A

parasympathetic innervation of the pupillary constrictor muscle

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11
Q

what causes the eyes to converge in accommodation

A

eyes have to turn in to look at close object - extrinsic muscles move eyes - BOTH MEDIAL RECTI

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12
Q

what are 4 refractive errors that can occur

A
  1. myopia - short sightedness
  2. hyperopia - long sightedness
  3. astigmatism - non-spherical curvature of the cornea (or lens)
  4. presbyopia - long sightedness of old age
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13
Q

what is the effect on vision in myopia

A

close objects look clear, distant objects appear hazy

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14
Q

what is the most common cause of myopia and how does this cause it

A

eyeball too long - when cornea and lens bend rays of light - form image IN FRONT of retina - far away objects not seen clearly

ie bending power for eye TOO MUCH

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15
Q

what are symptoms of myopia

A
  1. headaches
  2. divergent squint in infants/preverbal children
  3. toddlers - loss of interest in sports/people, more interest in books/picures
  4. teachers may notice child losing interest in class
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16
Q

how can myopia be corrected

A

bending power needs to be DECREASED - BICONCAVE lens

  • spectacles
  • contact lenses
  • laser eye surgery
17
Q

what is the effect of hyperopia on vision

A

close objects look hazy, distant objects appear clear

18
Q

what is the cause of hyperopia

A

eyeball too short and lens too flat - image of distant image initially formed BEHIND the retina

19
Q

how can people with hyperopia still see distant objects clearly if the image is initially formed BEHIND the retina

A

person automatically uses accommodative power to make lens thicker - causes image to form on retina

i.e. uses his lens power to see far off things when in normal people no lens power would be used

20
Q

why can people with hyperopia not see close up objects

A

because they are already accommodating for far away objects - as objects get closer - use more and more power until power is used up

21
Q

what are the symptoms of hyperopia

A
  1. eyestrain after reading/working on computer in young individual
  2. convergent squint in children toddlers - need immediate correction to preserve vision in both eyes and prevent lazy eye
22
Q

how can hyperopia be corrected

A
  • BICONVEX glasses - alleviates use of lens for focusing distant objects and “rests” accommodative power
  • contact lenses
  • laser eye surgery
23
Q

what is the effect of astigmatism on vision

A

close AND distant objects appear hazy

24
Q

what causes astigmatism

A

surface of eyeball has different curvatures in different meridian - e.g. like a rugby ball

ie bending of light rays along one taxi never the same as the other axis - image formed is always hazy

25
Q

how can astigmatism be corrected

A
  • special glasses needed - CYLINDRICAL glasses - curved in only one axis
  • laser eye surgery
  • special contact lenses - topic lenses
26
Q

what causes presbyopia

A

with age lens gets less mobile/elastic - when ciliary muscle contracts - not as capable as before to change shape - seeing near objects becomes difficult

27
Q

when does presbyopia usually start to occur

A

in the 5th decade of life

28
Q

how can presbyopia be corrected

A

correction using BICONVEX reading glasses