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Eyes
Nursing skills test 3
47
Nursing
Undergraduate 3
10/23/2010

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Cards

Term
palpebral fissure
Definition
is the elliptical open space between the eyelids
Term
limbus
Definition
the border between the cornea and the sclera
Term
canthus
Definition
this is the corner of the eye, the angle where the lids meet
Term
meibomian gland
Definition
modified sebaceous glands that secrete an oily lubricating material onto the lids this stops the tears fromoverflowing and helps to form an airtight seal when the lids are closed
Term
conjunctiva
Definition

this is a thin mucous membrane folded like an envelope between the eyelids and the eyeball.

palpebral- lines the lids and is clear

bulbar- overlays the eyeball, with the white sclera showing through

Term
lacrimal apparatus
Definition
this provides consitant irrigation to keep the conjunctive and cornea moist and lubricated, secretes tears
Term
puncta
Definition
the tears drain into this, visible onthe upper and lower lids at the inner canthus
Term
Extraocular muscles
Definition
six muscles, the four stright or rectus muscles are superior, inferior, lateral and medical, the two slanting or oblique are superior and inferior
Term
The eye is composed of three concentric coats
Definition

1. the outer fibrous sclera

2. the middle cascular choroid

3. the inner nervous retina

Term
sclera
Definition
this is a tough protetive white covering.
Term
cornea
Definition

this is part of the rfracting media of the eye, bending incoming light rays so they will be focused on the inner retina. it also covers the iris and pupil.

 

cranial nerve V carries the afferent sensation into the brain and facial nerve VII carries the efferent message that stimulates the blink

Term

middle layer

choroid

Definition
this has a dark pigmentation to pervent light fro relecting internally and is heavily vascularized to delever blood to the retina.
Term
iris
Definition
functions as the diaphragm, varying the opening at its center, the pupil.  this controls the amount of light admitted into the retina. the muscle fibers of this contract the pupil in bright light to accommodate for near vision, and dilate when light is dim for far vision
Term
pupil
Definition
this is round and regularthe size is determined by the balance between the parasympathetic and sympathetic. sympathetic branch dilates the pupil and elevates the eyelid, parasympathetic causes constriction
Term
Lens
Definition
biconvex disc located ust posterior to the pupil, serves as a refracting medium keeping a viewed object in continual focus on the retina
Term

anterior/posterior chamber

 

Definition

 this one is behind the cornea and in front of the iris and lens

this one is behind the iris to the sides of the lens

Term

the inner layer

retina

Definition
this is the visual receptiv elayer of the eye in which light waves are changed into nerve impulses
Term
optic disk
Definition
this is the area in which fibers from the retina converge to form this. located towards the nasal side of the retina, it has these characteristics: color varies from creamy yellow orange to pink, a round or oval shape
Term
fovea centralis
Definition
the area of sharpest and kneest vision.
Term
visual pathway
Definition

light rays are refracted throught the transparent media and strike the retina. the retina trans forms the light stimulius into nerve impulses that are conducted through the optic nerve and the optic tract to the visual cortex of the occipital lobe

 

the right side of the brain looks ar the left side of the world.

Term
pupillary light reflex
Definition
this is the normal constriction of the pupils when bright light shines on the retina. when one eye is expose to rbight light, a direct light reflex occurs (constriction of that pupil) as well as consensual light reflex (simultaneous constriction of the other pupil)
Term
fixation
Definition
this is a reflex direction of the eye toward an object atrracting a persons attention, this consists of very rapid ocular movement to put the target back on the fovea.
Term
accommodation
Definition
adaptation of the eyes for near vision. it is accomplished by increasing the curvature of the lens through meovement of the ciliary muscles.
Term
subjective data
Definition

vision difficulty- decreased acuity, blurring, blind spots

pain- any eye pain, onset quality

strabisus diplopia- crossed eyes

redness or swelling- any infections

watering or discharge

history of ocular problems, glaucoma, glasses or contacts

Term
snellen eye chart
Definition

this is a alphabet chart that is mot commonly used and accurate meausre of visual acuity.

normal visual acuity is 20/20, the top number indicates the distance at which a normal eye could have read that particular line. the larger the bottom number (denominator) the poorer the vision

Term
presbyopia
Definition
this is a decrease in power of accommodation with aging, sugguested when the person moves the card farther away.
Term
confrontation test
Definition
 this is a gross measrue of peripheral vision, it compares the persons peripheral vision with your own. hold a pencil as a target midline between you and the other person and slowly advance it in from the periphery in serveral directions. ask the person to say now as the target is first seen and this should be just as you see it too.
Term
external ocular structure inspection
Definition
eyebrows are present bilaterally, move symmetrically as the facial eprssions change. eyelids and lashes, eyeballs- are aligned normally in their sockets with no protrusion or sunken appearence. conjunctiva and sclera, lacrimal apparatus
Term
anisocoria
Definition
a small number of people normall have this which is pupils of two differnt sizes
Term
retinal vessels
Definition

this is the only place in the body where you can view blood vessels directly.

number- a pair of artery and vein pass to each quadrant, color- arteries are bright red

A:V ratio- comparing the artery to vein width is 2:3 or 4:5

caliber- arteries and veins show a regular decrease in caliber

Term
Strabismus
Definition
cross eyed, untreated it can lead to permanent visional damage
Term
periorbital edema
Definition
lids are swollen and puffy, this occurs with local infection crying and systemic condtions such as congestive heart failure, renal failure, allergies
Term
exophthalmos
Definition
protruding eyes
Term
enophthalmos
Definition
sunken eyes
Term
ptosis
Definition
drooping upper lid
Term
blepharitis
Definition
inflammation of the eyelids, red, scaly, greasy flakes and thckened crusted lid
Term
hordeolum
Definition
stye, infetion of the hair follicles at the lid margin
Term
dacryoadenitis
Definition
inflammation of the lacrimal gland
Term
anisorcoria
Definition
unequal pupil size
Term
miosis
Definition
constricted and fixed pupils
Term
mydriasis
Definition
dilated and fixed pupils
Term
conjunctivitis
Definition
infection, pink eye, has red beefy looking vessels at periphery but usually clearer around iris
Term
subconjunctival hemorrhage
Definition
a red patch on the sclera, occurs from increased intraocular pressure form coughing, sneezing, weight lifting
Term
iritis
Definition
deep dull red halo around the iris and cornea, pupil shape maybe irregular
Term
acute glaucoma
Definition
narrow-angle shows a circumcorneal redness aroudn the iris, with a dilated pupil, occurs with sudden increase in intraocular pressure form blocked outflow from anterior chamber.
Term
central gray opacity
Definition
nuclear cataract, gray surrounded by black background as it forms inthe center of lens nucleus.
Term
star-shaped opacity
Definition
cortical cataracts shows as asymmetrical radial white spkes with black center
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