click below
click below
Normal Size Small Size show me how
Vision Assess
Assessment
Question | Answer |
---|---|
Layers of eyeball | sclera, uvea, retina |
Sclera | white of eye, outer layer |
Uvea | middle layer, contains choroid, ciliary body, iris |
Choroid | blood vessels |
Ciliary body | connects choroid and iris, secretes aqueous humor |
Iris | colored portion |
Pupil | center of iris |
Retina | innermost layer, sensory receptor that send info to optic nerve, contains rods & cones |
Rods | low light, peripheral vision |
Cones | bright light, color, central vision |
Optic fundus | inside & back of eye, contains optic disc |
Optic disc | depressed area in optic fundus, where optic nerve enters eye, AKA blind spot |
Fovea centralis | where vision is most accurate, in center of macula lutea which is to the side of the optic disc |
Cornea | clear layer on front of eye |
Aqueous humor | continuous production, drains through canal of Schlemm to balance IOP (intraocular pressure) |
Lens | convex, behind iris and in front of vitreous body |
Vitreous body | contains vitreous humor, non-replaceable |
Canthus | place where upper & lower iris meet |
Conjunctivae | mucous membrane of eye |
Lacrimal gland (Location) | upper outer part of each orbit |
Tears | flow across eye, to nose; drain through punctum into lacrimal duct & sac then into nose |
Ocular muscle innervation | CN III (Oculomotor), IV (Trochlear), VI (Abducens) |
Blink reflex | CN V (trigeminal) |
Lacrimal gland & lid closure muscle innervation | CN VII (facial) |
Superior rectus muscle + Lateral rectus | moves eye diagonally upward toward side of head |
Superior rectus + Medial rectus | moves eye diagonally toward upper medial head |
Lateral rectus + Medial rectus | holds eye in straight position |
Lateral rectus | turns eye toward side of head |
Medial rectus | turns eye toward nose |
Inferior rectus + Lateral rectus | diagonally downward toward side of head |
Inferior rectus + Medial rectus | moves eye diagonally downward toward middle of head |
Superior oblique | pulls eye downward |
Inferior oblique | pulls eye upward |
Functions of eye that provide clear images | Refraction, papillary constriction, accommodation, convergence |
Curved surfaces + Refractive media | light refraction to focus image directly on retina |
Refraction result | image inverted & reversed left to right when it reaches retina |
Emmetropia | perfect refraction; image converges on retina |
Hyperopia/farsightedness | eye does not refract enough light; image converges behind retina |
Hyperopia (Effect on vision) | distance vision normal, near vision poor |
Myopia/nearsightedness | eye over refracts light; image converges in front of retina |
Myopia (Effect on vision) | distance vision poor, near vision normal |
Astigmatism | refractive error due to unevenly curved surfaces |
Astigmatism (Effect on vision) | distorts vision |
Miosis | pupillary constriction |
Mydriasis | pupillary dilation |
Accommodation | maintain clear image when gaze is shifted from distant to nearby changing curve of lens |
Exophthalmos (proposes) | eye protrusion |
Enophthalmos | sunken eye |
Ptosis | drooping of eyelids |
Anisocoria | difference in pupil sizes; normal in 5% of people |
Normal pupil size | 3 to 5mm |
Consensual response | constriction of left pupil when light is shined at right pupil and vice versa |
To assess for accommodation | hold index finger 18cm from pt nose and move it toward nose; normal result is both eyes converge and constrict equally |
Hemianopia | blindness of ½ the field of vision |
Quadrantanopia | blindness in ¼ the field of vision |
Scotomas | blind spots in field of vision |
Nystagmus | involuntary and rapid twitching of eyeball |
Tonometry | assesses IOP, normal IOP is 10-21mmHg |