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Topic 15b: Aging of the Visual System
Adult Aural Rehabilitation
23
Audiology
Graduate
03/14/2019

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Term
Label this diagram of the eye:
[image]
Definition
[image]
Term
is a transparent covering of the eye and assists in focusing light coming into the eye
Definition
Cornea
Term
is transparent and focuses the light entering the eye, changing its shape based on whether objects are close or far
Definition
Lens
Term
is the white part of the eye
Definition
Sclera
Term
is the colored part of the eye
Definition
Iris
Term
is the opening to the eye that gets larger and smaller to let more or less light into the eye
Definition
Pupil
Term
is a thin lining of the back of the eye that is sensitive to light and is nourished by the retinal vessels
Definition
Retina
Term
is the center of the retina and contains a high density of photoreceptor cells that enables site of fine details (sensory organ)
Definition
Macula
Term
is the center of the macula and the location of the sharpest image
Definition
Fovea
Term
consists of a bundle of nerve fibers that sends visual information to the brain
Definition
Optic nerve
Term
-Intracellular residue on the macular region between the retinal pigment epithelial cells and Bruch’s membrane
-Appears as dots of yellow or white lying below retinal vessels resulting in a loss of central vision and central visual field
Definition
Macular degeneration
Term
What are some functional consequences of macular degeneration?
Definition
-Loss of contrast sensitivity
-Difficulty reading print and identifying faces
-Difficulty with depth cues and distance
-Loss of color and contrast sensitivity leading to: Mobility difficulty, Image distortion, and Blurred vision
Term
Opacity or clouding of the lens of the eye. Interferes with the passing of light. [image]
Definition
Cataracts
Term
What are some functional consequences of cataracts?
Definition
-Decreased: Visual activity, Contrast sensitivity, and Color perception
-Difficulty in detail perception
-Loss of perception of depth and distance
-Blurred vision
Term
Damage to the retina associated with complications with diabetes mellitus
Definition
Diabetic retinopathy
Term
What are some functional consequences of diabetic retinopathy?
Definition
Glare disability, decreased acuity, decreased dark/light adaptation, possible blindness, loss of color and contrast sensitivity, etc.
Term
Occurs when a sustained increase in intracellular pressure damages the retinal nerve fibers. Results in the gradual degeneration of the optic nerve.
Definition
Glaucoma
Term
What are some functional consequences of glaucoma?
Definition
-Decreased ability to function in dim light
-Decreased dark adaptation
-Glare disability
-Gradual loss of visual fields
-Severe visual impairment
-Possible blindness
-Difficulty reading and writing due to narrowed visual field
Term
What are some clinical adjustments that we can make for overall poor vision (presbyopia)?
Definition
Increase illumination and advise use of corrective lenses to focus the light, especially during auditory rehabilitation
Term
What are some clinical adjustments that we can make for age-related decreases in the visual field?
Definition
-Increase illumination without increasing glare
-Increase contrast during interactions with patients
-Use large-print materials and large images on written instructions and when performing paper-and-pencil evaluations
-Establish eye contact and position yourself in person’s line of sight
Term
What are some clinical adjustments that we can make for age-related decreases in contrast sensitivity?
Definition
Use:
-Magnifiers
-Good illumination
-Bright colors (e.g., red and yellow)
-Contrast between colors(e.g., dark object on a bright surface)
-Contrasting colors (e.g., blue and yellow) for identifying and locating information such as hearing aid controls
Term
What are some clinical adjustments that we can make for age-related decreases in dark adaptation?
Definition
-Advise the patient to take a moment to dark/light adapt
-Use sunglasses to facilitate speechreading ability
-Avoid abrupt changes in lighting when moving from light to dim environments
Term
What are some clinical adjustments that we can make for age-related decreases in glare?
Definition
-Advise patient to use less fluorescent lighting
-Use of visors and hats with brims to promote speechreading ability
-Light should be even and from multiple sources to ensure adequate light levels without glare
-Curtains or blinds should be adjusted to diffuse sunlight and to prevent direct illumination
-Shiny surfaces, reflective fixtures, or waxed floors add to problems created by glare
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