Human Eye Anatomy and Function Quiz

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Questions and Answers

Which structure includes the uvea?

  • Choroid (correct)
  • Lens
  • Optic nerve
  • Vitreous

Which statement is true regarding the lens of the eye?

  • All stated (correct)
  • Ectoderm of origin
  • Epithelium is single layer
  • Avascular

What is the average axial length of the eyeball?

  • 16mm
  • 24mm (correct)
  • 20mm
  • 28mm

Which structure in the human eye has the highest refractive index?

<p>Lens (A)</p> Signup and view all the answers

Which of the following statements about the layers of the cornea is false?

<p>Type 2 &amp; type 4 type of collagen are present in Descemet's membrane (B)</p> Signup and view all the answers

At what age can a baby typically follow a bell with their eyes?

<p>3 months (B)</p> Signup and view all the answers

Which factor is not responsible for lens transparency?

<p>Aquaporins (B)</p> Signup and view all the answers

Which is not a feature of right-sided VI nerve palsy?

<p>Convergent squint (B)</p> Signup and view all the answers

Which muscle forms an angle of about 51° with the optical axis?

<p>Superior oblique (B)</p> Signup and view all the answers

Which statement is not true regarding binocular single vision?

<p>Is the cause of diplopia in paralytic squint (D)</p> Signup and view all the answers

What is the primary treatment for amblyopia in a 3-year-old child?

<p>Occlusion of one eye (C)</p> Signup and view all the answers

A 6-month-old girl with esotropia would most likely have which condition?

<p>Strabismic amblyopia (A)</p> Signup and view all the answers

Which statement regarding prism adaptation testing in a 4-year-old boy with esotropia is true?

<p>No response to prism adaptation indicates surgery will not help (A)</p> Signup and view all the answers

During a routine eye check-up, which structure cannot be seen through a slit lamp examination?

<p>Vitreous (C)</p> Signup and view all the answers

What is the primary use of an anomaloscope?

<p>Detect color blindness (A)</p> Signup and view all the answers

What does the 'Snellen' chart primarily test?

<p>Vision (A)</p> Signup and view all the answers

What is the most likely diagnosis for a 60-year-old man with sudden onset of floaters and decreased vision in the left eye?

<p>Retinal detachment (C)</p> Signup and view all the answers

Which type of uveitis is likely responsible for causing vitreous hemorrhage in the context of retinal detachment?

<p>Posterior uveitis (A)</p> Signup and view all the answers

What is the most likely diagnosis for a patient who struggles to read a newspaper in bright sunlight?

<p>Posterior subcapsular cataract (A)</p> Signup and view all the answers

What complication in cataract surgery may be linked to uncontrolled hypertension?

<p>Suprachoroidal hemorrhage (A)</p> Signup and view all the answers

Which association regarding cataracts is accurate?

<p>Posterior subcapsular cataract in Retinitis pigmentosa (D)</p> Signup and view all the answers

What is a true statement about congenital cataract surgery compared to senile cataract surgery?

<p>Incidence of Posterior capsular opacification is higher (D)</p> Signup and view all the answers

During the assessment for open angle glaucoma, which finding would be most indicative?

<p>Cupping of the disc (D)</p> Signup and view all the answers

Which medication is typically not used in a hypertensive patient with glaucoma?

<p>Laser trabeculoplasty (C)</p> Signup and view all the answers

Pseudoesotropia is associated with which of the following?

<p>Hyperrtelorism (C), Positive angle kappa (A)</p> Signup and view all the answers

Which condition is Pseudoextropia associated with?

<p>Positive angle kappa (A), Prominent epical fold (B)</p> Signup and view all the answers

What is a common treatment for accommodative strabismus?

<p>Prism correction (A), Refractive correction (D)</p> Signup and view all the answers

Which statement about complications following strabismus surgery is true?

<p>Diplopia is common in patients with a consecutive deviation (A), Scleral perforation requires prophylactic treatment for possible endophthalmitis (C)</p> Signup and view all the answers

For which condition is Botulinum toxin injection least suitable?

<p>Large-angle exotropia (A), Nystagmus (C)</p> Signup and view all the answers

Which of the following is not a source of error in applanation tonometry?

<p>Pupil size (C)</p> Signup and view all the answers

Which condition shows a positive result in a photostress test?

<p>Optic neuritis (A), Ethambutol toxicity (C), Central serous retinopathy (D)</p> Signup and view all the answers

What diagnostic test is not particularly useful for penetrating eye injuries?

<p>Electrophysiology (D)</p> Signup and view all the answers

What is the primary cause of colliquation necrosis in ocular injuries?

<p>Alkali (C)</p> Signup and view all the answers

What condition can be inferred from the symptoms of edema of both eyelids and crepitation on palpation?

<p>Fracture of medial wall of the orbit (A)</p> Signup and view all the answers

From which part of the eye does retinoblastoma arise?

<p>Neurosensory retina (A)</p> Signup and view all the answers

Which treatment is considered the best option for anterior lesions of retinoblastoma?

<p>Both cryotherapy and photocoagulation (B)</p> Signup and view all the answers

What is the most common clinical manifestation of retinoblastoma?

<p>Leucocoria plus strabismus (D)</p> Signup and view all the answers

Which finding is least likely to be associated with increased intracranial pressure in a patient presenting with visual obscuration?

<p>Normal visual acuity (B)</p> Signup and view all the answers

What is the probable diagnosis for a patient with sudden, painless vision loss and a cherry red spot on the fundus?

<p>Central retinal artery occlusion (C)</p> Signup and view all the answers

In a case of suprachoroidal hemorrhage with an increase in intraocular pressure, which statement is true?

<p>Bleeding from short posterior ciliary artery into the suprachoroidal space occurs. (D)</p> Signup and view all the answers

What is the treatment of choice for the condition presented with visual acuity of 6/6 in the right eye and 6/60 in the left eye with blurred edges of the left optic disc?

<p>IV steroids (A)</p> Signup and view all the answers

Which stage is identified as subtotal retinal detachment in retinopathy of prematurity?

<p>Stage 3 (A)</p> Signup and view all the answers

Which investigation is not necessary for diagnosing optic neuritis in the patient described?

<p>USG B scan (C)</p> Signup and view all the answers

With dilated pupils and lost light reflexes, what is the likely diagnosis?

<p>3rd nerve palsy (A)</p> Signup and view all the answers

In the child presenting with ptosis of the right eye, which cranial nerve palsy is likely related?

<p>CN 3 (C)</p> Signup and view all the answers

Which of the following is NOT a characteristic of gyrate atrophy?

<p>Abnormalities of chromosome 10 (C)</p> Signup and view all the answers

For a patient with blurred vision, what would be an unexpected finding in the intraocular examination?

<p>Macular edema (D)</p> Signup and view all the answers

What visual acuity was recorded for the right eye in a patient presenting with sudden loss of vision?

<p>Counting fingers (D)</p> Signup and view all the answers

Flashcards

What is the uvea?

The uvea is the middle layer of the eye. It is composed of the choroid, ciliary body, and iris.

True facts about the lens.

The lens of the eye is avascular, meaning it doesn't have blood vessels. It's also derived from the ectoderm and has a single layer of epithelial cells.

What is the average axial length of the eye?

The average axial length of the eyeball is approximately 24mm. This distance is measured from the front of the cornea to the back of the eye.

Which structure has the highest refractive index?

The lens has the highest refractive index in the eye, bending light more than the other structures.

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Layers of the cornea.

The corneal stroma is the thickest layer of the cornea, composed of collagen fibers. Descemet's membrane is the innermost layer, containing type 2 & type 4 collagen. The endothelium maintains the cornea's dehydrated state.

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When does a baby start following objects with their eyes?

A baby can typically follow objects with their eyes by 6-8 weeks of age. This is a sign of normal visual development.

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Which anti-epileptic drug can cause vision problems?

Vigabatrin can cause progressive constriction of visual fields. This is a side effect that can occur with long-term use.

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What contributes to lens transparency?

Avascularity means the absence of blood vessels, which is crucial for lens transparency. The lens also relies on hydration, antioxidants, and aquaporins to maintain its clarity.

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Superior Oblique Muscle

The muscle responsible for depressing the eye and rotating it inwards. It originates from the orbital apex, passes through the trochlea, and inserts on the sclera.

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Binocular Single Vision

Binocular single vision is the ability to see one single image with both eyes. It relies on fusion of two images from each eye into one perception. It is important for depth perception and spatial awareness.

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Amblyopia

Amblyopia, commonly referred to as lazy eye, is a condition characterized by reduced vision in one eye despite proper eye health. It is most commonly caused by misalignment of the eyes (strabismus) in childhood.

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Treatment of Amblyopia

Treatment options for amblyopia vary depending on age and severity, but often involve patching the good eye to encourage the weaker eye to work harder.

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Esotropia in Infants

Esotropia is a type of strabismus where one or both eyes turn inwards. When it occurs in infancy, it often has an accommodative component, meaning it is linked to focusing effort.

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Prism Adaptation Testing

Prism adaptation testing is used to assess a patient's ability to adapt to a change in their vision. This helps predict the success of surgical correction for strabismus.

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Vitreous Humor

The vitreous humor is a gel-like substance that fills the space between the lens and the retina. It is normally transparent, and its changes can cause visual disturbances.

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Snellen Chart

The Snellen chart is a widely used tool for measuring visual acuity, assessing sharpness of vision. It consists of rows of letters of varying sizes.

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What is pseudoesotropia?

Pseudoesotropia is a condition where the eyes appear to be crossed, but the actual eye alignment is normal. It occurs when the angle kappa, which measures the angle between the visual axis and the pupillary axis, is negative. This means the visual axis is slightly turned inward, while the pupillary axis stays parallel.

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What is positive angle kappa associated with?

Positive angle kappa means the pupillary axis is turned inward more than the visual axis, making the eyes appear slightly divergent. This is associated with pseudoextropia, where the eyes appear to be turned outward, but are actually properly aligned.

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How is accommodative strabismus treated?

Accommodative strabismus occurs when the eyes turn inward (esotropia) due to excessive focusing effort (accommodation). It is often corrected by addressing the underlying refractive error using glasses or contact lenses.

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What is the most serious complication in strabismus surgery?

A scleral perforation during strabismus surgery is a serious complication that requires immediate attention. It increases the risk of endophthalmitis (eye infection) and retinal detachment. Prompt antibiotic treatment and possibly surgical repair are essential.

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Why is botulinum toxin injection unsuitable for large angle exotropia?

Botulinum toxin injections are generally not suitable for treating large angle exotropia. This is because the effect of weakening the eye muscles with Botox is not strong enough to correct large deviations in eye alignment.

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What are the sources of error for applanation tonometry?

Applanation tonometry is a technique used to measure the pressure inside the eye (intraocular pressure). Errors in measurement can occur due to factors like tear film variation, high pressure on the eyeball, astigmatism (uneven corneal curvature), and variations in blood pressure.

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What does a positive photostress test indicate?

A positive photostress test indicates that the eye is not properly responding to light stimulus. This can be a sign of various retinal conditions, such as central serous retinopathy, optic neuritis, ethambutol toxicity, and central retinal artery occlusion.

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How does an indentation tonometer work?

An indentation tonometer measures intraocular pressure by measuring the depth of indentation created by a plunger on the cornea. The depth of indentation depends on the stiffness of the eye. A softer eye will be indented further, while a harder eye will resist indentation more.

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What is a retinal detachment?

A sudden onset of floaters and decreased vision, often accompanied by a vitreous hemorrhage and retinal detachment. It can be caused by various factors, including trauma, but is most commonly associated with age-related changes in the vitreous.

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What is acute angle-closure glaucoma?

This is a serious condition where the iris blocks the flow of aqueous humor, causing a rapid increase in intraocular pressure. Symptoms include severe eye pain, blurred vision, halos around lights, nausea, and vomiting.

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What is a cataract?

This is a clouding of the natural lens of the eye, which can lead to blurry vision, halos around lights, and difficulty seeing in bright light.

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What is endophthalmitis?

This is an infection of the inner eye, which can occur after cataract surgery. It is a serious complication that can lead to vision loss. Symptoms usually start within 2 weeks of surgery.

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What is presbyopia?

This is a condition that causes nearsightedness, particularly in older adults. This means that they have difficulty seeing objects that are close to them.

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What is a posterior subcapsular cataract?

This type of cataract forms at the back of the lens, often in people with diabetes or those taking certain medications. It can cause blurry vision and halos around lights, especially in bright light.

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What is refractive surprise?

This refers to the difference in refractive error between eyes, which can occur due to the development of a cataract in one eye. This can cause blurry vision and difficulty with depth perception.

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What is open angle glaucoma?

This condition is characterized by an increased pressure within the eye, which can damage the optic nerve and lead to vision loss, especially in the peripheral areas. This is often diagnosed by finding a deep cup-to-disc ratio and an elevated intraocular pressure.

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Uvea

The middle layer of the eye, composed of the choroid, ciliary body, and iris, responsible for providing nourishment and regulating the amount of light entering the eye.

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What causes colliquation necrosis?

Colliquation necrosis is a type of liquefactive necrosis characterized by the breakdown of tissue into a liquid mass. It's often caused by strong acids or alkalis, as they disrupt cell membranes leading to cell lysis and release of enzymes that further digest tissue.

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What does eyelid crepitation indicate?

Crepitation on palpation of the eyelid suggests air trapped within the subcutaneous tissue. This often occurs due to a fracture of the orbital walls, allowing air to escape from the sinuses into the surrounding tissues.

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Where does Retinoblastoma originate from?

Retinoblastoma is a malignant tumor arising from the developing retinal cells in the eye. It typically originates from the primitive neuroectoderm that forms the neurosensory retina, the light-sensing tissue at the back of the eye.

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What is the treatment of choice for anterior Retinoblastoma?

Cryotherapy and photocoagulation are effective treatments for anterior retinoblastoma. Cryotherapy involves freezing the tumor with a cryoprobe, while photocoagulation uses a laser to destroy tumor cells.

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What is the most common presentation of Retinoblastoma?

Leucocoria, also known as 'white pupil,' is a hallmark symptom of retinoblastoma. It refers to an abnormal white reflection of light from the pupil, instead of the normal red reflex. This is often accompanied by strabismus, where the eyes are misaligned, as the tumor disrupts normal eye movement.

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What can cause transient visual obscurations, headache, and diplopia?

Transient visual obscurations, headache, and diplopia are common symptoms of increased intracranial pressure (ICP). This can be caused by various conditions, including cerebral venous thrombosis, which is a blockage of veins in the brain, leading to a backup of blood and increased pressure.

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What does a sudden painless loss of vision, cherry-red spot, and murmur suggest?

A cherry-red spot on the fundus, along with a sudden painless loss of vision in one eye and a heart murmur, strongly suggests central retinal artery occlusion. This occurs when the central artery supplying the retina becomes blocked, leading to vision loss. The cherry-red spot results from the healthy macula being visible against the surrounding ischemic retina.

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What causes suprachoroidal hemorrhage?

Suprachoroidal hemorrhage usually occurs due to bleeding from the short posterior ciliary artery, which supplies the choroid. The blood pools in the suprachoroidal space, a potential space between the choroid and the sclera. This condition is associated with increased intraocular pressure (IOP).

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Study Notes

Ophthalmology Study Notes

  • Uvea: The middle layer of the eye, including the choroid.
  • Lens of the eye: Avascular, single-layer epithelium, of ectodermal origin.
  • Axial length of the eyeball: Approximately 24mm.
  • Cornea: Has the highest refractive index in the human eye.
  • Corneal layers (except): Type 2 & 4 collagen are present in Descement's membrane. Predescement's layer is also known as Dua's layer. Corneal Stroma is the thickest layer. Endothelium maintains a dehydrated state of the cornea.
  • Probable age of a baby following a stethoscope: 5-6 months.
  • Drug causing visual field constriction: Vigabatrin (anti-epileptic drug).
  • Factors for lens transparency: Hydration, antioxidants, aquaporins; not Avascularity.
  • Right sided VI nerve palsy features (not): Inability to abduct the right eye.
  • Retinoscopy factors: Distance at 1m, correction factor of -1.0 D.
  • Glasses for near work (55-year-old myopic patient): Spherical +2.5 D.
  • Cycloplegic retinoscopy: +1.0D sphere at a 1m distance
  • Common cause of night blindness: Oguchi disease.
  • Structures not in the optical system: sclera, vascular layer, anterior chamber, vitreous humor.
  • Focus of spherical lens +0.5 D: 2.0 meters.
  • Astigmatism type: Mixed.
  • Myopia in one eye at 3D, another eye at 6D: Anisometropia.
  • Best Correction of Unilateral Aphakia: Intraocular lens implantation.
  • Accommodative lens power: Decreases with age.
  • Accomodative lens power at 75 years: Not stated.
  • Accomodative lens Power at 80 yrs: 6 diopters

Additional Notes

  • Many questions involve patient characteristics, symptoms, and examinations. These details are not summarized as requested, as they are not general concepts in ophthalmology. Always consult the original text for such specific details.

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