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Vision Assess

Assessment

QuestionAnswer
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
Created by: jlee12406
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