Ophthalmology Quiz on Eye Anatomy and Conditions
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Questions and Answers

Cylindrical lenses are primarily used for which condition?

  • Protection against UV rays
  • Treatment of corneal ulcer
  • Treatment of strobismus
  • Correction of astigmatism (correct)

What is the typical condition associated with increased production of intraocular fluid?

  • Scleritis
  • Uveitis
  • Retinitis
  • Glaucoma (correct)

Which optic lens type is used to correct myopia?

  • Toric
  • Spherical concave (correct)
  • Spherical convex
  • Cylindrical

What instrument is used to measure intraocular pressure?

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

The causative agent of trachoma is primarily which of the following?

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

What is binocular vision?

<p>Ability to look with two eyes without mixing two monocular images (A)</p> Signup and view all the answers

In patients with conjunctivitis, what is a common complaint?

<p>Sensation of sand in the eye (D)</p> Signup and view all the answers

What type of examination is gonioscopy used for?

<p>Anterior chamber angle evaluation (C)</p> Signup and view all the answers

Pulsating proptosis is most commonly associated with which condition?

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

What is the upper border of normal intraocular pressure?

<p>21 mm Hg (B)</p> Signup and view all the answers

Which vital stain is commonly used for corneal staining?

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

Which nerve innervates the superior oblique muscle?

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

Which muscles are responsible for eyelid movement?

<p>M.orbicularis oculi and M.levator palpebrae superior (A)</p> Signup and view all the answers

What is the expected power of near vision spectacles for a 60-year-old emmetropic person?

<p>+4.0 dptr (B)</p> Signup and view all the answers

Which structure produces intraocular fluid?

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

What describes the regenerative ability of endothelial cells of the cornea?

<p>Present across the cornea (A)</p> Signup and view all the answers

Which condition is characterized by the symptom of 'crushed tomato'?

<p>Central retinal vein occlusion (A)</p> Signup and view all the answers

What are the stages of primary glaucoma?

<p>Beginning, non-advanced, advanced, terminal (A)</p> Signup and view all the answers

Where is the crystalline lens located?

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

Which of the following is considered an acquired disease of the lens?

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

What is the primary nerve responsible for sensory innervation of the eye?

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

What describes intraocular pressure in normotensive glaucoma?

<p>Within normal limits (D)</p> Signup and view all the answers

After retinal stimulation, the visual impulse reaches the occipital cortex after how long?

<p>124 m sec (D)</p> Signup and view all the answers

What provides the main nutriment of the choroid?

<p>a.ciliaris posterior breves (A)</p> Signup and view all the answers

Which sequence correctly describes the tear drainage pathways?

<p>points, saccus, canaliculis, canalis nasolacrimalis (D)</p> Signup and view all the answers

Chalcosis occurs when which metal remains inside the eye for a long time?

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

What is described by Dychromasia?

<p>low sensitivity to two colors (D)</p> Signup and view all the answers

What is posterior synechias?

<p>attachment between the posterior surface of the iris and the anterior surface of the lens (C)</p> Signup and view all the answers

Which structure passes through the superior orbital fissure?

<p>N.oculomotorius (D)</p> Signup and view all the answers

What is Pterigium?

<p>thicken sclera conjunctiva that passes over the cornea (D)</p> Signup and view all the answers

Which layer of the eye is the retina?

<p>inner layer of the eye (C)</p> Signup and view all the answers

What is the normal tonometric measurement of the intraocular pressure by Machlakov?

<p>13-26 mm Hg (B)</p> Signup and view all the answers

What method is used for removing a foreign body from the cornea?

<p>Use a special needle (D)</p> Signup and view all the answers

What supplies the blood to the ciliary body and iris?

<p>Long posterior ciliary arteries (A)</p> Signup and view all the answers

What is a pathogenetic cause of optic nerve edema?

<p>Increased intracranial pressure (D)</p> Signup and view all the answers

What vascular change occurs in papilledema?

<p>Veins are dilated, arteries are narrowed (D)</p> Signup and view all the answers

Which nerve provides innervation to the cornea?

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

What condition is typically associated with primary open angle glaucoma?

<p>Colored halos around light (B)</p> Signup and view all the answers

What is typically seen in the eye fundus on retinitis pigmentosa?

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

In optic neuritis, which of the following is observed?

<p>Non-distinguished borders of optic disc (C)</p> Signup and view all the answers

What are the two main refracting mediums of the eye?

<p>Cornea, lens (D)</p> Signup and view all the answers

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Flashcards

What is binocular vision?

Binocular vision refers to the ability to see with both eyes simultaneously and fuse the two monocular images into a single, three-dimensional perception.

What are symptoms of conjunctivitis?

Conjunctivitis is an inflammation of the conjunctiva, the transparent membrane lining the inner surface of the eyelid and covering the white part of the eye. It causes redness, irritation, and a feeling of grittiness in the eye.

Which nerve controls the superior oblique muscle?

The superior oblique muscle is responsible for rotating the eye downwards and outwards. It's controlled by the trochlear nerve, the fourth cranial nerve.

What does gonioscopy examine?

Gonioscopy is a specialized examination used to assess the angle of the anterior chamber of the eye, the space between the cornea and the iris. It helps detect abnormalities and evaluate the risk of glaucoma.

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What does a monocular patient see in the Worth apparatus?

A monocular patient, with vision in only one eye, would see only one circle in the Worth apparatus, as the test assesses binocular vision and the ability to fuse images from both eyes.

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What condition is pulsating proptosis characteristic of?

Pulsating proptosis, or exophthalmos, is a protrusion of the eyeball that pulsates with each heartbeat. It's a classic symptom of an arteriovenous aneurysm, an abnormal connection between an artery and a vein.

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What is the sensory innervation of the choroid?

The choroid, the vascular layer of the eye, has a weak sensory innervation. The choroid's primary function is to provide blood supply to the outer layers of the retina.

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Visual Impulse Travel Time

The time taken for the visual impulse to travel from retinal stimulation to the occipital cortex is approximately 124 milliseconds. This relatively short duration is due to the fast transmission speed of neural signals.

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Chalcosis

Chalcosis is a condition where copper deposits accumulate inside the eye, often due to a foreign body injury involving copper. This can lead to sight impairment and requires prompt medical attention.

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Dychromasia

Dychromasia refers to a type of color vision deficiency where an individual has reduced sensitivity to two colors. This can impact their ability to distinguish between certain shades.

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Posterior Synechiae

Posterior synechiae are adhesions that form between the posterior surface of the iris and the anterior surface of the lens. These adhesions can obstruct the flow of aqueous humor, leading to complications like glaucoma.

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Pterigium

Pterigium is a condition where the conjunctiva, the thin membrane covering the white part of the eye, thickens and grows over the cornea. It typically occurs on the nasal side of the eye and can affect vision if it grows too large.

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Retina

The retina is the innermost layer of the eye and is responsible for converting light into electrical signals that are transmitted to the brain. It contains specialized cells called photoreceptors that detect light.

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Corneal Optical Power

The cornea is the transparent, outermost layer of the eye that helps focus light onto the retina. Its optical power, or refractive power, is approximately 45 diopters.

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Tear Drainage Sequence

The sequence of tear drainage starts with the lacrimal gland producing tears, which flow through the lacrimal puncta (tear points) and lacrimal canaliculi into the lacrimal sac. Finally, the tears drain into the nasal cavity through the nasolacrimal duct.

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Choroid Nutrition

The choroid is a layer of blood vessels that provides nourishment to the outer layers of the eye, including the retina. It is primarily supplied by the short posterior ciliary arteries.

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Normal IOP range (Machlakov)

The normal range of intraocular pressure (IOP) measured using a tonometer, as defined by Machlakov, is between 13 and 21 mmHg.

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Removing a foreign body from the cornea

The cornea is the transparent outer layer of the eye. Foreign bodies (like dust particles or small objects) can lodge on the cornea, causing discomfort and potentially damage. Removing the foreign body requires precise and gentle techniques.

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Blood supply to the ciliary body and iris

The ciliary body and iris are structures within the eye that produce aqueous humor and control pupil size. They receive their blood supply from the short posterior ciliary arteries.

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Causes of optic nerve edema

Optic nerve edema, or swelling, can occur due to various factors, including increased pressure within the eye, inflammation, or increased pressure within the skull.

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Vascular changes in papilledema

Papilledema is swelling of the optic nerve head (the part of the optic nerve where it enters the eye). In papilledema, the veins are dilated (wider) while the arteries are narrowed.

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Innervation of the cornea

The cornea's sensitivity to touch is provided by the trigeminal nerve, specifically its ophthalmic branch.

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Typical signs of Primary Open Angle Glaucoma (POAG)

Primary open-angle glaucoma (POAG) is a common eye condition that causes damage to the optic nerve due to increased intraocular pressure. A characteristic symptom is the perception of colored halos around light sources.

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Eye fundus appearance in retinitis pigmentosa

Retinitis pigmentosa is a group of inherited diseases that affect the retina. A hallmark of retinitis pigmentosa is the appearance of bone-like structures, known as 'bone spicules', in the eye fundus.

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Optic nerve disc appearance in optic neuritis

Optic neuritis is inflammation of the optic nerve. A characteristic feature is the blurring or indistinct borders of the optic nerve disc.

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Main refractive mediums of the eye

The two primary refractive mediums of the eye are the cornea, the clear outer layer, and the lens, the transparent structure behind the iris.

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What is glaucoma?

A condition characterized by increased production of intraocular fluid or blockage of its outflow, resulting in elevated pressure inside the eye. This pressure can damage the optic nerve, leading to vision loss.

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What is a cylindrical lens used for?

A type of lens used to correct astigmatism, a refractive error where the eye's cornea has an irregular shape. This type of lens has a different curvature in one direction to compensate for the corneal irregularity.

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What is phacoemulsification?

A medical procedure that uses ultrasound waves to break up a cataract, a clouding of the natural lens in the eye, into small fragments which are then aspirated. This is a common treatment for cataracts.

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What is cryoextraction?

This is a medical procedure that involves surgically removing a cataract using extremely cold instruments (cryo means 'cold'). This was a common technique but is less frequent now.

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When is miosis seen?

This is a condition where the pupil of the eye becomes constricted, making the opening smaller. It can be caused by several things, including certain drugs or inflammation. This is the opposite of dilation, which is a widening of the pupil.

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Orbicularis oculi muscle

The orbicularis oculi muscle is a circular muscle surrounding the eye, responsible for closing the eyelids.

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Levator palpebrae superior muscle

The levator palpebrae superior muscle is responsible for lifting the upper eyelid, opening the eye.

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What produces aqueous humor?

Ciliary body produces the aqueous humor, the fluid that fills the front part of the eye.

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Where does the corneal endothelium regenerate?

The corneal endothelium has regenerative ability, but mainly in the limbal area, the edge of the cornea.

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What condition has a 'crushed tomato' appearance?

The central retinal vein occlusion is characterized by a 'crushed tomato' appearance due to hemorrhages in the retina.

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Where is the crystalline lens located?

The crystalline lens is located in the posterior chamber, behind the iris and in front of the vitreous body.

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What is cataract?

Cataract is a clouding of the natural lens of the eye, affecting its ability to focus properly.

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How is progressive myopia surgically treated?

Scleroplasty is a surgical procedure used to treat progressive myopia, where the sclera is reinforced to prevent further elongation of the eye.

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What nerve provides sensory innervation to the eye?

The trigeminal nerve provides sensory innervation to the eye, responsible for feeling sensations in the eye and surrounding structures.

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What is normotensive glaucoma?

Normotensive glaucoma is a type of glaucoma where intraocular pressure is within normal limits without any characteristic symptoms.

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Study Notes

Eye Part Origins

  • The lens originates from neural ectoderm
  • The iris originates from ectoderm of skin
  • Neuroreceptors originate from mesenchyme

Binocular Vision

  • Binocular vision is the ability to look with two eyes without mixing the two separate monocular images
  • It is not the ability to look alternately.

Conjunctivitis Symptoms

  • Patients with conjunctivitis may complain of a sensation of sand in the eye
  • Other symptoms may include: diminishing vision, visual dimness and dizziness.
  • Colored rings around light are not related to conjunctivitis.

Superior Oblique Muscle Innervation

  • The superior oblique muscle is innervated by the trochlear nerve.

X, Y, and Z Eye Structures

  • X: Transparent
  • Y: Non transparent
  • Z: Has muscles

Gonioscopy

  • Gonioscopy examines the anterior chamber angle.

Monocular Vision in Worth Apparatus

  • In a Worth apparatus, one circle is seen if a patient has monocular vision.

Pulsating Proptosis

  • Pulsating proptosis, which is an exophthalm, may be seen in cases of orbital varicose vein, arteriovenous aneurism, and cavernous sinus thrombosis.

Sensory Innervation of Choroid

  • The average rate of sensory innervation of the choroid is weak.

YAG Laser Use

  • YAG laser is a medical technology.

Types of Cataracts

  • Congenital, traumatic, nuclear, cortical, and secondary cataracts are different types of the eye condition.

Squint Types

  • Anisometropic, dysbinocular, occlusion, concomitant, hysteric squints are different.

Corneal Staining Stains

  • Vital stains used for corneal staining include silver nitrate, fluorescein, and carbolic acid.

Intraocular Pressure

  • Normal intraocular pressure is approximately 13-21 mm Hg.

Optic Nerve Components

  • Optic nerve components include: the optic nerve; chiasm; visual pathways; and visual center.

Signs of Illness

  • Miosis: A-1b, B-2c, C-1a, 2b, 3c
  • Midriasis: A-1a, C-2b, D-1c, 2a, E-1a, 2c, 3b
  • Hyphema: A-1b, C-2a, D-1c, 2a, 3b

Nutriment of Choroid

  • Nutriment of the choroid is acquired via the posterior ciliary arteries

Tear Production Sequence

  • The tear ducts begin with tear glands, move to the points, the canaliculi to the sac and then the nasolacrimal canal.

Chalcosis

  • Eye conditions are listed for chalcosis. Chalcosis occurs when a foreign metal remains in the eye.

Dychromasia

  • Dychromasia is a color disorder in the visual field.

Posterior Synechiae

  • Posterior synechiae are an adhesion forming between the posterior surface of the iris and the anterior surface of the lens.

Structures Through Superior Orbital Fissure

  • Structures passing through the superior orbital fissure include the oculomotor nerve, along with the central retinal artery, and anterior ciliary arteries as well as the central retinal vein.

Retina Structure

  • The retina is the innermost layer of the eye, and is posterior to the vascular layer.

Optic Power of the Cornea

  • The optic power of the cornea is approximately 45 diopters.

Normal Intraocular Pressure

  • Normal intraocular pressure is usually between 13 and 21mm Hg.

Blood Supply to Ciliary Body and Iris

  • Blood supply is primarily via long posterior ciliray arteries, but also short posterior ciliary arteries and from medial arteries of eyelids

Pathogenic Causes of Optic Nerve Edema

  • Increased intraocular pressure; inflammatory diseases of optic nerve; increased intracranial pressure; retinal detachment; dystrophic retinal illnesses are potential pathogenic causes of optic nerve edema.

Compliance with Structure & Layer

  • Cornea (1) layers: connective tissue (c)
  • Eyelid (2) layers: connective tissue (c)
  • Retina (3): neuroreceptor (a)
  • Choroid (4): choroidal capillary (b)

Vascular Changes in Papilledema

  • In papilledema, blood vessels (veins and arteries) become dilated.

Innervation of the Cornea

  • The trigeminal nerve innervates the cornea.

Primary Open Angle Glaucoma Features

  • Primary open angle glaucoma may be characterized by colored halos around lights, pain, and photophobia as well as lacrimation.

Retinal Pigmentosa Features, in fundus

  • Retinitis pigmentosa can show local hemorrhages, bone crumbs, and dystrophic lesions, amongst other symptoms.

Optic Neuritis Symptoms

  • Optic neuritis demonstrates possible deepening cup, unclear borders of the optic nerve disc, or "crushed tomatoes" along with red cherry spot.

Refractive Mediums of the Eye

  • The two main refractive mediums of the eye are the cornea and lens.

Sequence of Parenchymatous Syphilitic Keratitis

  • The three phases of parenchymal syphilitic keratitis are infiltration, vascularization, and resolution, which are ordered sequentially.

Eye Drainage System

  • The drainage system involves the trabecula, Schlemm's canal, and collector veins.

Eyelid Muscle

  • 1.M. orbicularis oculi
  • 3.M. levator palpebrae superior
  • 4.M. rectus superior

Emmetrop Person with Near Vision Spectacles

  • Emmetropic persons of 60 years of age require approximately +3 diopters for near vision.

Intraocular Fluid Production

  • The ciliary body produces intraocular fluid.

Corneal Endothelial Cell Regeneration

  • The regenerative ability of endothelial cells in the cornea is only present in the limbal area.

Symptom of Central Retinal Artery Occlusion

  • The symptom of central retinal artery occlusion is described as amaurotic catseye.

Symptoms of Glaucoma

  • Some common effects of glaucoma include symptoms like colored halos, pain, worsening vision, elevated intraocular pressure and disturbance of functions.

Lamina Cribrosa Location

  • The lamina cribrosa is situated within the retina.

Normal Central Vision

  • Normal central vision in most humans is 20/20

Blind Spot Location

  • In campymetry, the blind spot is approximately 15 degrees nasal to the fixation point.

Complication of Cellulitis

  • The most dangerous complication of cellulitis is cerebral involvement.

Cataract Extraction Procedures

  • Ocular operations for cataract include: nuclear removal, opaque lens removal, anterior capsule removal and posterior capsule removal, and vitreus body removal.

Tear Production Origin

  • Tears are secreted by the lacrimal glands, and then travel via the nasolacrimal ducts and eventually to the lacrimal puncta.

Sudden Vision Loss Causes

  • Sudden vision loss can be caused by optic atrophy, thrombosis of the central retinal branch vein, retinitis pigmentosa and neuritis among other causes .

Common Factor Between Open & Closed Angle Glaucoma

  • Swelling of the root of the iris is common in open and closed angle glaucomas, although other symptoms differ

Scotopic Vision Cause

  • Scotopic vision is due to rods and cones.

Most Common Retinitis Pigmentosa Symptom

  • The most frequent symptom associated with retinitis pigmentosa is metamorphopsia.

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Description

Test your knowledge on the intricate details of eye anatomy, including the origins of various parts of the eye and conditions such as conjunctivitis. This quiz covers topics like binocular vision and the anatomy of the structures involved in eye function.

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