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48 Cards in this Set
- Front
- Back
What two membranes does the cornea rest on?
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Bowmans membrane anteriorly and descemets membrane posteriorly.
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What does Gonioscopy look at?
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The irridocorneal angle
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Clouding of the lens usually due to denaturation of protein.
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Cataract
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Near sightedness
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Myopia
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The term for double vision is...
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Diplopia
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Layers of the retina that contain axons and dendrites?
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Plexiform layers
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Layers of the retina.
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Retinal pigment epithelium
Photoreceptors External limiting membrane Outer nuclear layer Outer plexiform Layer Middle limiting membrane Inner nuclear layer Inner plexiform layer Ganglion cell layer Nerve fiber layer Internal limiting membrane |
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In the eye, inner refers to?
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Towards the vitreous humor.
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In the eye, outer refers to?
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Towards the sclera.
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Dry age related macular degeneration (AMD) affects...
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Central RPE
Retina Choriocapillaris Central retinal atrophy occurs in the end stage. |
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Wet age related macular degeneration (AMD)
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Dry AMD with leakage of fluid and bleeding
Central retinal scarring. 75-90% of patients with severe vision loss have wet AMD. |
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Composistion of the collagenous stroma of the cornea
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keratocytes and clefts
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Drusen
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Amorphous material accumulations along Bruch's membrane. (under RPE)
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Leading cause of permanent blindness in ages 20-65
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Diabetic retinopathy
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Basic pathogenesis of diabetic retinopathy
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high glucose=pericyte loss
Basement membrane thickening Endothelial dysfunction PDR or NPDR |
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Nonproliferative diabetic retinopathy
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Microaneurysms, intraretinal hemorrages, exudates and cotton wool spots.
Severe cases can be laser treated to reduce macular edema. |
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What is the pathology of Proliferative Diabetic Retinopathy?
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Retinal ischemia leads to abnormal neovascularization.
Vessels proliferate ON rather than IN the retina. Fragile new vessels can bleed into the vitreous Contractile elements of new vessels can cause retinal traction. Untreated, this causes BLINDNESS |
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Glaucoma
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Damage to pressure sensitive optic nerve.
Most Glaucomas are slow progressing, painless and asymptomatic in early stages. |
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Blood supply to the eye
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Opthalmic artery splits into the central retinal artery which enters via optic nerve and the long+short cilliary arteries.
Cilliaries enter between the sclera and RPE, serve the outer retina and form the choroid. |
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Cilliary muscle action for viewing close objects.
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Contraction causing release of tension in zonule fibers and allowing the lens to become more spherical for high power.
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Cilliary muscle action for viewing far objects.
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Relaxation leading to increased tension in the zonule fibers and stretching of the lens into a flat shape for low power.
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What happes in the near reflex?
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Convergence of the eyes
Pupil constriction Cilliary muscle contraction (Rounding of the lens for high power) |
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Accomodation innervation
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Edinger Westphal nucleus preganglionic parasympathetic to the cilliary ganglion.
Postganglionic impulse travels on the short cilliary nerves. |
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The function of the retinal pigment epithelium is to...
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provide metabolic support of the outer retina.
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The photoreceptor outer segment contains
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light sensitive elements
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Photoreceptor inner segment
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Contains synthetic machinery
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Outer nuclear layer of the retina
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Contains photoreceptor cell bodies.
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The outer plexiform layer of the retina contains
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The synapses between the photoreceptors and relay neurons
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The inner nuclear layer of the retina contains....
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Relay neuron cell bodies.
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The inner plexiform layer of the retina contains...
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Synapses between the relay neurons and ganglia
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The ganglionic layer of the retina contains..
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ganglion cell bodies
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Nerve fiber layer of the retina
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Contains ganglion cell axons
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Size of the fovea
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about 1.5mm
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What is the foveal pit
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An area in the central retina with no blood vessels for unobstructed light path.
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The foveola contains which types of cells?
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Only cone cells. (no rods)
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Rods use....as a light sensitive element.
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Rhodopsin
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In contrast to photosensitive rods which use rhodopsin to sense light, cones use....
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Three different opsins
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Pie in the sky visual field loss
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Contralateral Myers loop lesion
or Contralateral lesion in the lower bank of the calcarine fissure |
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Pie on the floor visual field loss
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Contralateral optic radiation lesion
or Contralateral lesion in the upper bank of the calcarine fissure |
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Retinal ganglionic P-Cells project to what parts of the LGN?
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Contralateral layers 6 and 4
Ipsilateral layers 5 and 3 |
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Retinal ganglionic M-cells go to what parts of the LGN?
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Contralateral layer 1
Ipsilateral layer 2 |
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All Magnocellular retinal ganglion cells (M-cells) project through layer....
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4C alpha
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All Parvocellular retinal ganglion cells (P-cells) project through layer.....
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4C beta
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In the context of hearing, ITD stands for....
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Interaural time delays
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ILD
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Sound pressure levels (interaural level difference)
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Left hemifield of hearing are processed in the.....
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Right inferior colliculs.
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Lesion in the inferior colliculus results in....
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Contralateral hemifield localization deficits
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Where is the primary auditory cortex?
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Temporal lobe
Area 41 By the lateral sylvian fissue. |