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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 |