VISION - THE EYE Flashcards
name the 3 layers of the eye?
- outer = cornea and sclera
- middle = uveal tract
- inner = retina
explain the function of the eye?
- transmits light to the sensitive tissue
- metabolic functions mentioning the eye
- direction and focus of gaze
- protection of the delicate features
- the conversion of light to a nerve impulse
state the requirements for vision?
- transparency
- refractive power
- direction of gaze
- metabolic functioning
- brain capable of perceiving image
describe refractive power as a function of vision?
-the eye acts as a set of lenses focusing light onto the retina (macula).
—this is known as refraction
-this is mainly a function of the cornea and the length of the eyeball (e.g. position of the macula)
—the lens only makes adjustments for near vision
define myopia and how it is corrected?
too much refractive power (short sightedness)
-requires a minus spherical lens (concave) to reduce focusing power
define hypermetropia and how it is corrected?
not enough focussing power
-plus lenses (convex) are used to add focussing power to the eye
define presbyopia?
describes the changes which occur to the lens resulting in loss of accommodating power
define astigmatism?
a curvature in the eye that causes blurred distance and near vision
-measured along one axis as a cylinder
state which structures of the eye allow vision through transparency?
- tear film
- cornea
- anterior chamber and aqueous
- lens
- vitreous
- transparent layers of the retina
explain the functions of the transparent media (cornea and lens).
- transmission of light to the sensitive tissues
- focus of gaze
- protection of delicate structures
what is the tear film and lacrimal gland?
- produces by various glands in the eye lids
- the lacrimal gland produces excess tears seen in injury or times of emotion
state the role of the tear film?
- protection
- transparency
what are the 3 layers to tear film?
- oily outer layer
- watery middle layer
- inner mucin layer
what is the cornea, and what are its 2 main functions?
- it covers the anterior one-fifth of the eye ball
- it is a dome shaped oval consisting of 5 distinct layers
- these are all transparent, allowing protection and refraction
describe the functions of the cornea and the lens?
-they are transparent and the main refractive media of the eye
-aqueous and vitreous have very low refractive power
-overall power of the eye is 58 dioptres
—lens contributes about 15 D (range of about 8D before presbyopia)
—cornea contributes to about 43D
describe the structure and function of the pupil?
-the pupil is a hole in the centre of the thin, contractile circular iris muscle
-regulates the amount of light entering the posterior segment of the eye
—avoiding bleaching of the retinal pigments
-pupil dilates in dark and constricts in bright light
state the difference between the dilator and sphincter pupillae muscles of the iris?
*dilator pupillae
-when contracted = dilated pupil, sympathetic reflex follwoing 3rd nerve pathway (mydriasis)
*sphincter pupillae
-when contracted, moves pupil inwards
—e.g. constricts via parasympathetic reflex following blood vessel pathway (miosis)
list the 9 positions of gaze?
- forward gaze
- elevation
- depression
- left and up
- left gaze
- left and down
- right and up
- right gaze
- right and down
describe binocular single vision (BSV)?
-each eye sees a slightly different image
-the brains ability to see this as one image is BSV
—simultaneous perception
—fusion
—stereopsis
-corneal light reflexes to assess alignment
describe the 3 factors required for BSV development?
- reasonable clear vision in both eyes
- the ability of the visual areas in the brain to promote fusion of the two slightly dissimilar images
- the precise coordination of the two eyes for all directions of gaze
what is amblyopia?
-until the age of 8, the visual process has not matured
—if the eye is not used it may lose the ability to see
— this results in reduced visual acuity and is a condition called amblyopia (lazy eye)
list the structures if the retina?
-ora serrata anterior
-optic disk posterior
-macula
-retinal artery arcades
-retina
—inner neurosensory
—outer pigmented
what is the choroid and retinal blood supply?
-all branch from the ophthalmic artery: first branch off internal carotid
*central retinal artery supplies the inner 2/3 if retina and optic nerve = extraocular part
-anatomical idiosyncrasy = the posterior ciliary artery supplies optic nerve head including optic disk
= intraocular part
*the choroid supplies the other 1/3 (from ciliary artery too)
name and describe the metabolic functions in the eye?
*tear film production —goblet cells, meibomian glands, krausse + wolfring, lacrimal gland *cornea —oxygen, deturgesence (Na pump) *uveal tract —aqueous production *lens —epithelial pump mechanism, glucose metabolism *retina —photoreceptor activity