問題一覧
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Transmits and interpret visual stimuli
visual system
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Located at eye orbit
eyeball
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Specialized to detect light
visual apparatus
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external structures of the eye
eyeball, muscle, nerve, fat, bone
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Surrounds and protects the eyes
bony orbit
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6 ocular muscles
6 cardinal gazes
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Moves the eyes horizontal and vertical
4 rectus muscles
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rotate the eyes in circular movements
2 oblique muscles
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Elastic folds that protects the anterior eyeballs
upper and lower eyelids
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distributes tears, prevents evaporation and drying of the surface epithelium
upper and lower eyelids
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oil secreting embedded in the eyelids
meibomian glands
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produces tears thru secretory ducts(located at the upperlids outer canthus)
lacrimal glands
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Small opening at the inner canthus(directs tears to the lacrimal sac)
puncta
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Directs tears to the nose
nasolacrimal duct
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Lubricates, clean, protects the ocular surface
tear film
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Transparent avascular structure with a brilliant,shiny surface thats acts to bend and direct(refract) rays of light to the retina
cornea
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Fibrous protective coating which is white and dense
sclera
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Thin transparent layer of mucous membrane that lines and covers the eyeball
conjunctiva
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Middle vascular layer of the eye that furnishes blood to the retina
uveal tract
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Thin pigmented diaphragm with central aperture, the pupil
iris
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Produces and secretes aquenous humor
ciliary body
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a clear alkaline fluid between the iris and cornea
aqueous humor
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Is maintained as long as there is balance between the aquenous production and outflow
normal intraocular pressure
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posterior segment of the uveal tract
choroid
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a biconvex, avascular, colorless, and transparent structure tp focus light to the retina
lens
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the change of focus from distant to near
accommodation
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a clear avascular jelly like structure
vitreous body
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the largest cavity in the eye
vitreous chamber
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A thin semitransparent layer of nerve tissue that forms the innermost lining in the eyes
retina
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2 types of retina receptors
rods and cones
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function best in dim light
rods
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provides resolution of small visual angles and responsible for color vision
cones
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Nourished by the capillaries of the choroid layer
photoreceptor cells
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Located at the posterior eye and transmits visual impulses from the retina to the brain
optic nerve
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the head of the optic nerve
optic disc
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the head of the optic nerve can be seen by blank
opthalmoscopic examination
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Decreased flexibility and elasticity leads to a decrease or lost of accomodation
presbyopia
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Aids in the distortion of colors, diminishes the ability of the person to adapt to dim light and darkness
senile miosis
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Decrease in lens transparency or increased opaqueness of the lens
cataract
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irregular curvature of the cornea, causing distorted or blurred image
astigmatism
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aquenous humor is filtered out through the blank into the blank
trabecular meshwork, schlemm's canal
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instruments used in measuring intraocular fluid pressure
tonometer
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a method of measuring into ocular fluid pressure with the use of calibrated instruments
tonometry
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pressures between blank are considered within normal range
8 to 21 mmhg
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this test assess eye muscle strength and cranial nerve function
position's test
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deviation turn downward
hypotropia
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deviation turned upward
hypertropia
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deviation away from the nose
exotropia
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deviation toward the nose
esotropia
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it's a constant deviation of ocular alignment
tropia
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an eye disorder in which eye axes cannot be directed to the same object
strabismus
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asymmetrical reflection is abnormal and may indicate what
strabismus
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determines eye alignment
corneal light reflex test
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how to test accommodation
HIO
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observing one pupil while the penlight is shined on the opposite pupil
consensual response
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should be constrict briskly and even
illuminated pupil
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bring the pen light in from the side to shine directly over the center of the pupil
pupillary light reflex test
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indicate that nerves are intact
blinking and tearing
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is performed to assess the function of the fifth cranial nerve
corneal reflex test
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defined as 20/200 or less with corrected vision
legal blindness
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has results of 20/30 or greater (nearsightedness)
myopia
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The client is able to read a 20 ft
20/20
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traditionally measured at a distance of 20 ft
snellen chart
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the standard and routine method used to determine the clarity of ocular media and the function of visual pathway
visual acuity
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May occur with mild corneal irritation
dryness or burning
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a sign of an allergic response
itching
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indicates glaucoma, inflammation,muscle spasm, or infection
deep internal eye pain
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caused by foreign body
sharp superficial pain
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non-specific complaints include eye strain, pulling, pressure, fullness, our generalized headache
eye pain
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maybe caused by minor irritation, subconjunctival hemorrhage, inflammatory disorders, infection, allergy and trauma
red eye
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double vision
diplopia
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may occur in one eye or both cost by refractive correction, muscle imbalance or neurologic disorders
diplopia
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May represent normal vitreous body strands or the pathology presence of blood pigment or anti-inflammatory cells
floating spots
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May indicate retinal detachment or migraine
flashing light
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result from uncorrected refractive error scratches on glosses, dilated pupils, or cataracts
glare of halos
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drooping eyelid
ptosis
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visual changes or loss of vision may be caused by abnormalities such as
RPCM
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Most common chief complaint
change or loss of vision
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it is an eye disorder characterized by increased in intraocular pressure and visual field loss
glaucoma
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it is a crystal clear fluid, and fills anterior and posterior chambers of the eye
aqueous humor
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what are the classifications of glaucoma
open angle and close angle glaucoma
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it is a multi-factorial disorder that is often genetically determined, bilateral, insidious in onset, slow to progress, and most common form
open angle glaucoma(chronic)
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it is often referred as "thief in the night" because no early clinical manifestation is present
open angle glaucoma(chronic)
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aqueous humor is load or stop because obstruction by the blank
trabecular meshwork
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an acute attack of angle-closure glaucoma can develop only in an eye which the anterior chamber angle is anatomically narrow
close angle glaucoma(acute)
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the attack occurs because of a sudden blockage of the anterior chamber angle by the base of the iris
close angle glaucoma(acute)
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this is irreversible due to compression and damage of the retina and optic nerve
vision loss
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blockage to the circulation of aqueous humor maybe secondary to what
HIIN
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The loss of peripheral vision
tunnel vision
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medications used to promote aqueous flow and reduce intraocular pressure
collaborative management
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acts by constricting the pupil and draw the smooth muscle of the iris away from the schlemm's canal for the aqueous humor to drain out
topical miotic
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suppress secretion of aqueous humor
topical beta blockers
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reduce and inhibit the production of aqueous humor
oral carbonic anhydrase inhibitors(ocai)
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recommended with medical therapy fails to help the progression of visual loss and optic nerve damage
surgical management
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use of laser to create an opening in the trabecular meshwork
laser trabeculoplasty
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it is the creation of an opening through which the aqueous fluid escape
trabeculectomy
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most common glaucoma surgery which allows drainage of aqueous humor
trabeculectomy
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surgical removal of part of the iris, frequently performed in the treatment of close angle glaucoma
iridectomy
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in glaucoma avoid what
atropine, benadryl, cogentin
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signs of infection in glaucoma
RSDBP