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98 Cards in this Set

  • Front
  • Back
Superior Rectus

Major Action?
Innervation?
Elevation
CN 3
Inferior Rectus

Major Action?
Innervation?
Depression
CN 3
Medial Rectus

Major Action?
Innervation?
Adduction
CN 3
Lateral Rectus

Major Action?
Innervation?
Abduction
CN 6
Superior Oblique

Major Action?
Innervation?
Depression
CN 4
Inferior Oblique

Major Action?
Innervation?
Elevation
CN 3
the function, whereby the eyes turn in to maintain single vision
Convergence
total amount of turning in of two eyes to fixate at a distance
Fusion-Meter Angles (Dioptric Stimulus)
1 cm deviation of light at 1 meter
Prism Diopter
distance between the two eyes
Interpupillary distance
Name all the EOMs
Superior and Inferior Rectus, Medial and Lateral Rectus, Superior and Inferior Oblique
movement of the line of sight of one eye toward the body's midline
adduction
movement of the line of sight of one eye away from the body's midline
abduction
movement of the line of sight of one eye above the straight ahead position
supraduction
movement of the line of sight of one eye below the straight ahead position
infraduction
parallel movement to the right
dextroversion
parallel movement to the left
levoversion
parallel movement upward
supraversion
parallel movement downward
infraversion
movement of lines of sight towards the body's midline, or towards each other
convergence
movement of lines of sight away from the body's midline, or way from each other
divergence
the lines of sight meet at the same point, after any tendency has been overcome
phorias
convergence movement with no associated change in accommodation
fusional vergence
the two eyes converge directly on the target, with no tendency to turn in or out, up or down
orthophoria
the tendency of the two eyes to turn out for target
exophoria
exophoria is overcome with what type of fusional vergence
postive (PFV)
the tendency of the two eyes to turn in for a target
esophoria
esophoria is overcome with what type of fusional vergence
negative (NFV)
the tendency of one eye to look above the other
hyperphoria
hyperphoria is overcome with what type of vergence
Vertical fusional vergence
a deviation of one eye relative to the other
strabismus
tropia, squint, strab are all collectively known as a
strabismus
the deviation of one eye out; without fusional vergence
exotropia
the deviation of one eye in; without fusional vergence
esotropia
the deviation of one eye up; without fusional vergence
hypertropia
the deviation of one eye down; without fusional vergence
hypotropia
the images seen by two eyes being coordinated into one image cortically
fusion
What do we see with?
occipital cortex
cutting off vision in one eye cortically, because fusion is not possible
suppression
depth perception; highest level of binocular vision
stereopsis
only one function eye, or only one of the two eyes seeing
monocular
each eye focusing on an object, but two images are not fused; the patient sees double vision or diplopia
biocular
the ability of the two eyes to focus on one object and fuse the two images into one
binocular
the poistion of the two eyes at far point (6m) with no STIMULUS TO ACCOMMODATION OR CONVERGENCE
tonic position
the physiological position of rest and measured at far point
Tonic position
aka as psychic; vergence brought about due to the awareness of the nearness of an object
proximal convergence
vergence movement with no associated change in accommodation
fusional vergence
when all innervation to the EOMs has been removed, in deep anesthesia or death; the eyes are usually up and out
anatomical position of rest
a series of prisms apex to apex
minus lens
a series of prisms base to base
plus lens
where does the light go in the prism?
to the base
where does the image go in the prism?
to the apex
An orthophore is made artificially esophoric by the addition of _______. The patient then has to use ________ to maintain fusion.
BI prism; NFV
where does BI prism on anyone move the image?
further out
What type of prism is needed to make an orthophore and artificial exophore and why type of vergence is required to maintain single vision?
BO prism; PFV
Where does BO prism on anyone move the image?
closer in
what is the goal when correcting phorias?
making them work less
What type of prisms do exophores need to neutrilize and what type of vergence are they using less?
BI prism; PFV
What type of prisms make exophores worse?
BO prism
What type of prism will correct esophore and what type of fusional vergence do they use?
BO and NFV
When correcting a phoria, where do you place the image?
at their tendency to take away all fusional vergence
What type of prism makes and esophore worse?
BO prism
the position of the lines of sight when fusion is removed during far point fixation with accommodation relaxed, position of tonic convergence; the distance from which the eyes have to move located on the z-axis
punctum remotum
where is the PR of an orthophore?
infinity
Where is the PR of an exophore?
beyond infinity
Where is the PR of an esophore?
inside infinity
the closes point at which the patient can maintain single binocular vision; determined by performing the near point of convergence
punctum proximum
How are hyperphores corrected?
with base down prism in from of the ye with the tendency to move up or base up in front of the other eye
if light hits the fovea where does the pt think the image is
straight ahead
how would a right hyperphore be correct?
base down in front of the OD or base up in front of the OS
what happens to the accommodative convergence with the accommodation is stimulated?
it is stimulated
what happens to the accommodative convergence when accommodation is relaxed?
it is relaxed
the amount of accommodative-convergence change per diopter change in accommodation
AC/A ratio
what is the AC/A ratio?
6/1
do plus lenses relax or stimulate accommodation on an orthophore?
relax
What do minus lens do to orthophores?
artificial esophore
With an esophore, what type of lens makes the NFV less and what type of lens makes it more?
plus less; minus more
With an exophore, what type of lens makes the PFV less and what type of lens makes it more?
minus less; plus more
shifts the image further away from the pt
base in prism
helps exophoric patients
base in prism
what type of prism hurts an esophore?
base in
prism that shifts the image closer to the pt
base out prism
what type of pt needs base out prism?
esophore
accommodative/convergence points the eyes at the target after the accommodative stimulus for target is met
orthophoria
accommodative/convergence points the eyes further out than the target after accommodating for the target
exophoria
what are two ways to correct exophores?
base in or over-minus
accommodative/convergence points the eyes closer in than the target after accommodating for the target
esophoria
what are two ways to correct esophores?
base out or over-plus
where there is inadequate fusional vergence or accommodative/convergence to maintain focus, or improper function of the EOMs, or improper innervation of the cranial nerves, or refractive problems
tropia
name the things that can cause tropia.
1- Inadequate fusional vergence
2- Inadequate accommodative/convergence
3- improper function of the EOMs
4- Improper innervation of the cranial nerves
5- refractive problem causing misalignment of the eyes
Types of Visual Acuities
1- Detection
2- Resolution
3- Recognition
4- Contrast
the visualization of an object on a background different from the object itself
detection acuity
the ability to just recognize a lateral misalignment on a frontal plane; the most accurate type of acuity
resolution acuity
the determination of a threshold of recognition of two ore more targets or objects on a contrasting background
recognition acuity
minimum contrast which is required to distinguish that there is a bar pattern rather than a uniform grey
contrast sensitivity
Visual acuity notation: distance of testing situation or where the patient stands
numerator
Visual Acuity notation: distance at which the letters subtend 5' of arc at the nodal point of the eye or the letter the patient reads
denominator
what is the metric conversion of 20/20?
6/6