Shared Flashcard Set

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Eyes
Eye Exam
40
Nursing
Graduate
05/15/2012

Additional Nursing Flashcards

 


 

Cards

Term
Retina
Definition
Rod predominant at birth; Cones migrate toward the center as retina is exposed to light. Photoreceptors; translates impulses received by the brain then perceived as images
Term
Conjunctiva
Definition
Formed by mucous membrane lining the anterior surface of the sclera and eyelids and acts along with the tear film as a protective covering for the cornea. Palebral and Bulbar surfaces.
Term
Palebral Surface
Definition
Conjunctiva surface that lines the eyelids; is vascular and covered by papillae.
Term
Bulbar Surface
Definition
Conjunctiva surface that covers the sclera, is clear, and contains no papillae and very few blood vessels.
Term
Sclera
Definition
The outermost layer of the exterior wall of the eye, is the firm collagenous layer that protects the intraocular structures.
Term
Cornea
Definition
The most anterior aspect of the eye and acts as a refractory surface for the eye
Term
Anterior Chamber
Definition
Directly posterior to the cornea and filled with aqueous humor and when inflamed or injured collects WBC's.
Term
Limbus
Definition
The junction of the cornea and the sclera.
Term
Iris
Definition
The pigmented structure containing the sphincter and the dilator muscles, connective tissue, and pigmented epthelium
Term
Albinism
Definition
The absence of color in the iris
Term
Aperture
Definition
Pupil; The center of the iris; controlled by the ciliary body and iris muscles. Constricts of dilates depending on the amount of light entering the eye.
Term
Ciliary Body
Definition
 Produces aqueous humor and controls accomodation.
Term
Posterior Chamber
Definition
Vitreous body, contains a clear gel and is attached to the inner eye at the optic nerve head and anterior margin of the retina.
Term
Choroid
Definition
The interior layer of the eye between the sclera and the retina and is continuous with the iris and ciliary body. Highly vascular; nourishes the receptor cells of the retinal epithelium.
Term
Lacrimal Gland
Definition
Located in the lateral aspect of the frontal bone in the orbital cavity. Opens into the eyelid margin. Tear production
Term
Nasolacrimal duct
Definition
Opens into the lacrimal sac, burried in the frontal process of the maxillary bone.
Term
Meibomian Glands
Definition
Sebaceous glands; located near the hair follicles of the eyelashes in the upper and lower lids. Exude yellowish material in people with allergic reactions
Term
Eye movement muscles
Definition

1. Oblique-arise from ant/post orbit

2. Superior obliques-passes through the trochlea

3. Superior rectus

4. Inferior rectus

5. Lateral rectus

6. Medial rectus

Term
Levator Muscle
Definition
Upper eyelid is elevated by this muscle; inserts into the tarsal plate in the upper eyelid; innervated by the third CN (oculomotor)
Term
Ptosis
Definition
An eyelid that droops or has absent or faint lid crease, may be a normal variant or the result of a brachial plexus injury during difficuld delivery.
Term
Optic cup
Definition
Retinal vessels and optic nerve fibers enter and exit through this and divide into tow branches on the surface of the optic disc.
Term
Optic disc
Definition
Pink to orange-red or pale with a yellow cut at its center.
Term
Macula
Definition
Lies medially to the optic nerve on the fundus 
Term
Fovea
Definition
A central depression in the macula without vessels and is darker in pigmentation than the retina. The area where vision is the most perfect.
Term
Ocular Arteries
Definition
On the fundus appear thinner and more orange-red than the veins, which are larger and darker.
Term
A:V ratio
Definition
Arterial to venous ratio is approximately 2:3 in the healthy individual. Vascular changes in the retina reflect abnormal conditions in the systemic vasculature.
Term
Papilledema
Definition
Bilateral optic disc edema; associated with increased ICP.
Term
Incomplete closure of the eyelid
Definition
May indicate hyperthyroidism.
Term
Coloboma
Definition
An irregular or teardrop shaped iris, indicates a deficit in the visual field and requires immediate referral.
Term
Red Light Reflex
Definition
Determines the clarity of the posterior chamber of the eye, the receptivity to light, and the sensitivity of the retina to the visual stimulus. Defects of the cornea, aqueous chamber, lens and vitreous chamber found with assessing RLR.
Term
Leukokoria
Definition
A whitish opacity of the pupil visible in dim light or in room light is highly abnormal and appears as an absent RLR or partially darkened reflex.
Term
Congenital Cataracts & Retinoblastoma
Definition
Associated with an absent or incomplete RLR and may have a presenting sign of leukokoria.
Term
Corneal Light Reflex
Definition
Hirschberg test; assess alignment of the EOM in the infant and young child. Reflection of light from cornea at distance of 12 inches; determines clarity of lens & alignment and position of the pupil in the visual field.
Term
6 Cardinal fields of gaze
Definition
Evaluates 6 extraocular muscles and the 3 ocular CN.
Term
Cover/Uncover test
Definition
Further evaluates ocular alignment and can be performed as early as 4 months. Deviation=tropia (eso or exo). Continued till 10 years old in order to detect strabismus.
Term
Strabismus
Definition
Nonbinocular vision or nonalignment of the eyes causing the visual image to fall on the retina at a distance from the fovea. (Cover test & corneal light reflex)
Term
Amblyopia
Definition
Monocular loss of vision due to insufficient visual stimulation during the critical part of visual development. 
Term
Pseudotropia
Definition
A crossed appearance of the eyes caused by the large epicanthal folds covering the sclera
Term
Nystagmus
Definition
Spontaneous, involuntary movement of one or both eyes and is an indication of poor visual acuity. Down syndrome, atrophy of the optic nerve, congenital cataracts, vestibular disturbances and decreased visual acuity. Drug overdose or chemical toxicity
Term
Visual acuity testing
Definition
Begins 2-3 yoa with Allen near card. 15-20 ft for the 3-5yoa. Allen cards test to 20/30 or 15/30. Snellen E cards begin in prekindergarten, used until child knows standard letters with accuracy.
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