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Pure and visual optics
Hyperopia
28
Other
Undergraduate 1
11/17/2013

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Cards

Term
WHAT IS HYPEROPIA
Definition

Power of the cornea and lens is not strong enough. 

posterior surface of the lens does not converge the light enough for a sharp image to be formed on the retina.

the light rays come to a focus behind the retina but the retina blocks this so a blurred image is formed on the retina

Term
TYPES
Definition
Axial and refractive
Term
AXIAL HYPEROPIA
Definition

Most common

the eyeball is too short 

more powerful lense needed to converge the light to a focus on the retina because the retina is closer to the lens of the eye than in an emetropic eye

common in young children - still growing so shorter eye balls

Term
REFRACTIVE HYPEROPIA
Definition
Power of the optics of the eye are not powerful enough... the cornea is flatter than that of an emetropic eye therefore less powerful so less convergence takes place, therefore the focus of the light rays would be behind the retina
Term
HYPEROPIC FAR POINT
Definition

behind eye 

 

Term
HOW DOES A HYPEROPE SEE CLEARLY?
Definition

Convergent light needs to enter the eye 

 

Term
OCULAR REFRACTION (IN HYPEROPES)
Definition

The convergenc eof light hitting the cornea in order for a clear image to be formed on the retina

 

Term
FAR POINT
Definition
1/ocular refraction
Term
FAR POINT
Definition
Point where light that hits cornea would converge to if the eye were not there
Term
HOW TO CORRECT HYPEROPIA
Definition
Use positive lenses to change the vergence of the incoming light from a dsitant object (zero) to converging light
Term
LENS AND EYE
Definition
Image focal point of lens must be the same as farpoint if hyperopic eye in order to give the right amount of convergence to give a clear image on the retina
Term
FOCAL LENGHT, SPEC DISTANCE AND FAR POINT
Definition
Spec focal length = spec distance + distance to far point
Term
NOTE
Definition
ALWAYS USE SIGN CONVENTION
Term
CONTACTS
Definition
The prescription for contacts for hyperopes is always stronger than specs because it's closer to the eye. this is the opposite to myopes
Term
DIFFERENCES BETWEEN SPEC AND CONTACT PRESCRIPTION
Definition
The greater the amount of correction needed, the bigger the difference between contact pres. and spec pres
Term
ACCOMMODATION
Definition
Accommodation increases the power of the lens.
hyperopes may be able to see distant object by accommodating
if sufficient accommodation, they can see clearly in the distance but myopes never can
Term
WHY CAN'T HYPEROPES SEE UP CLOSE?
Definition

They use the accommodation which they have to focus on distant objects. 

No accommodation left to focus on things close up therefore thier near point becomes more further away than usual

Term
FACULTATIVE HYPEROPIA
Definition
amount of hyperopia which can be compensated for by accommodation
Term
ABSOLOUTE HYPEROPIA
Definition
The amount of hyperopia left over when all accommodation has corrected some
Term
TOTAL HYPEROPIA
Definition
Absoloute + facultative the total hyperopia is another term for the ocular refraction
Term
WHAT IF ALL THE ACCOMMODATION IS USED UP TO SEE DISTANT OBJECTS CLEARLY?
Definition

The near point does not exist so they cannot see anything clearly. 

 

this can happen if they patient has little accommodation left probably due to age and the amount of hyperopia they have exceeds the amount of accommodation availiable. 

Term
HOW TO DETERMINE THE FACULTATIVE HYPEROPIA
Definition
Subjective refeaction - the smallest positive lense added which allows the patient to read the 6/6 line gives the absoloute hyperopia whereas the highest plus power lens which allows the patient to see the letter chart clearly gives the total hyperopia. the facultative can be calculated from this
Term
YOUNG HYPEROPES
Definition

Seems to be more hyperopic using ret than subjective tests. accommodation is more releaxed during ret than by subjective tests but unknown as to why. 

in ret the accommodation is still not completely relaxed however

Term
HOW TO GET TOTAL HYPEROPIA
Definition
Accommodation is not totally relaxed during ret therefore a cycloplegic drug is used to paralyze the ciliary muscles to completely relax the accommodation while doing ret
Term
MANIFEST HYPEROPIA
Definition
Hyperopia measured by subjective methods
Term
LATENT HYPEROPIA
Definition
The difference between subjective (mentioned before) and objective (ret using cycloplegic drug)
Term
WHAT IS LATENT HYPEROPIA
Definition

Like facultative hyperopia, however it does not disappear by increasing the power of lenses

 

Term
PROBLEMS OF LATENT HYPEROPIA
Definition

People can't immediatly see clearly in the distance when specs are prescribed to them 

if only manifest hyperopia is corrected, the patient can see clearly in the distance, however some accommodation is still used to correct the latent hyperopia so the near point is still further away than usual 

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