Eye and ear disorders

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Questions and Answers

What is one consequence of prolonged otitis media in children?

  • Increased communication skills
  • Permanent conductive hearing loss (correct)
  • Enhanced social development
  • Improved auditory function

Which drug is commonly associated with ototoxicity and may lead to hearing impairment?

  • Furosemide (correct)
  • Acetaminophen
  • Amoxicillin
  • Ibuprofen

What is a notable early sign of ototoxicity caused by certain medications?

  • Tinnitus (correct)
  • Increased sensitivity to sound
  • Hearing aids malfunctioning
  • Loss of balance

Which condition is referred to as presbycusis?

<p>Hearing loss related to aging (D)</p> Signup and view all the answers

What factor can block sound waves from reaching the tympanic membrane?

<p>Accumulation of wax (D)</p> Signup and view all the answers

What is the initial effect of the vibration of the tympanic membrane?

<p>It vibrates the malleus. (C)</p> Signup and view all the answers

How do nerve impulses from the ear ultimately reach the brain?

<p>They travel through the cochlear branch of the auditory nerve. (A)</p> Signup and view all the answers

What is the primary function of the crista ampullaris?

<p>Detecting rotational movement. (A)</p> Signup and view all the answers

What typically causes sensorineural hearing loss?

<p>Damage to the organ of Corti or auditory nerve. (C)</p> Signup and view all the answers

What does the tympanic membrane separate?

<p>The external ear and the middle ear (D)</p> Signup and view all the answers

In which part of the ear is the macula located?

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

Which of the following structures is NOT part of the ossicles?

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

Which disorder is characterized by a sense of rotation of self or the environment?

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

What role does the eustachian tube play in ear function?

<p>It equalizes pressure between the middle ear and the nasopharynx (D)</p> Signup and view all the answers

What is the main distinction between conduction deafness and sensorineural deafness?

<p>One affects the auditory nerve, while the other does not. (D)</p> Signup and view all the answers

Which fluid is found inside the membranous labyrinth of the inner ear?

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

Which fluid movement within the cochlea is stimulated by the stapes against the oval window?

<p>Both perilymph and endolymph. (D)</p> Signup and view all the answers

What is the primary function of the organ of Corti?

<p>To transmit sound waves to the auditory nerve (C)</p> Signup and view all the answers

What distinguishes otitis media from otitis externa?

<p>Otitis media affects the tympanic membrane, while otitis externa does not. (B)</p> Signup and view all the answers

The semicircular canals are primarily involved in which aspect of ear function?

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

What clinical test is employed to differentiate between types of hearing loss?

<p>Rinne test comparing air and bone conduction. (D)</p> Signup and view all the answers

Which bone is NOT directly associated with the ear structure?

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

What type of membrane connects the middle ear to the inner ear?

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

Which structure in the middle ear helps to equalize pressure during atmospheric changes?

<p>Auditory or eustachian tube (A)</p> Signup and view all the answers

Which of the following correctly describes the structure of the inner ear?

<p>It consists of the cochlea, semicircular canals, and vestibule separated by fluid (B)</p> Signup and view all the answers

What is the primary cause of detached retina?

<p>Tension on the retina from scar tissue (A)</p> Signup and view all the answers

Which statement about age-related macular degeneration (AMD) is true?

<p>Blurred central vision is a common early symptom of AMD. (A)</p> Signup and view all the answers

What distinguishes wet AMD from dry AMD?

<p>It involves the formation of abnormal blood vessels. (D)</p> Signup and view all the answers

Which symptom is commonly associated with a detached retina?

<p>Seeing a 'dark curtain' across the visual field (C)</p> Signup and view all the answers

What is the role of photodynamic therapy in treatment for AMD?

<p>It seals off new blood vessels formed in wet AMD. (B)</p> Signup and view all the answers

What can increase the risk of developing age-related macular degeneration?

<p>Genetic predisposition coupled with environmental factors (D)</p> Signup and view all the answers

What does not typically happen in both types of AMD?

<p>Loss of peripheral vision (C)</p> Signup and view all the answers

Which intervention is necessary for a detached retina?

<p>Surgical intervention such as laser therapy (A)</p> Signup and view all the answers

How do central vision symptoms differ between the two types of AMD?

<p>Dry AMD does not affect central vision until the later stages. (A), Wet AMD leads to sudden and severe blurred central vision. (B)</p> Signup and view all the answers

Which structural defect is characterized by difficulty seeing objects both at a distance and up close due to the shape of the eyeball?

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

What condition can result from untreated otitis media and lead to permanent hearing loss?

<p>Chronic otitis media (A)</p> Signup and view all the answers

Which of the following is NOT a common effect of elevated intraocular pressure?

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

What is the primary distinguishing feature of acute glaucoma compared to chronic glaucoma?

<p>Sudden onset of symptoms (A)</p> Signup and view all the answers

Which type of hearing loss is primarily caused by damage to the inner ear structures or auditory nerve?

<p>Sensorineural hearing loss (A)</p> Signup and view all the answers

Which condition is characterized by the accumulation of fluid in the inner ear, affecting balance and hearing?

<p>Ménière’s syndrome (A)</p> Signup and view all the answers

Which type of structural defect in vision is often associated with experiencing blurred vision at all distances?

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

Flashcards

Orbit

The bony socket that protects the eye and houses the extraocular muscles.

Extraocular Muscles

Six muscles that control eye movement, enabling it to look up, down, side to side, and rotate.

Sclera

The tough, white outer layer of the eye that provides structural support.

Conjunctiva

A clear membrane covering the surface of the eye and inner surface of the eyelids, protecting and lubricating the eye.

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What are the functions of the extraocular muscles?

The extraocular muscles are responsible for the movement of the eye in all directions. They control upward, downward, side to side, and rotational movement, ensuring that the eye can focus on targets in its field of vision.

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How does the Sclera protect the eye?

The sclera acts as a tough outer layer that provides structural support and protection to the eye. It maintains the eye's shape and shields the delicate inner structures from injury.

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What role does the conjunctiva play in eye health?

The conjunctiva forms a protective barrier over the eye's surface and the inner eyelid. It secretes mucus to lubricate the eye, preventing dryness, and also contains immune cells to fight infection.

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Detached Retina

A serious condition where the retina tears away from the choroid, causing vision loss due to lack of blood supply.

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Causes of Detached Retina

Common causes include: high myopia (nearsightedness), aging, and scar tissue pulling on the retina.

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Symptoms of Detached Retina

Initially, patients may see floating spots. A darkened or blind area then develops, growing larger over time, like a dark curtain.

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Macular Degeneration (AMD)

A common cause of vision loss in older people, affecting the central part of the retina, leading to blurred or lost central vision.

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Types of AMD

Dry AMD is more common and involves deposits destroying retinal cells. Wet AMD involves abnormal blood vessels leaking fluid, causing rapid damage.

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AMD: Dry Type

This type of AMD is characterized by deposits in retinal cells, gradually damaging them.

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AMD: Wet Type

This type involves new, leaky blood vessels forming in the retina, causing rapid damage.

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AMD Treatment

For dry AMD, focus is on nutritional intake. For wet AMD, photodynamic therapy may help seal off leaky vessels.

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Visual Field Test (AMD)

A test used to diagnose AMD by evaluating the central and peripheral vision.

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Otitis Media

An inflammation or infection of the middle ear cavity, often caused by a buildup of fluid due to blocked Eustachian tube.

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Eustachian Tube Obstruction

A blockage of the Eustachian tube, preventing drainage of fluid from the middle ear, contributing to otitis media.

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Tympanic Membrane Rupture

A tearing of the eardrum, often caused by pressure from fluid buildup in the middle ear during otitis media.

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Scar Tissue and Adhesions in Otitis Media

Prolonged otitis media can lead to scar tissue and adhesions in the middle ear, interfering with sound transmission and causing hearing loss.

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Enlarged Adenoids

Swollen adenoids can compress the Eustachian tube, contributing to otitis media by hindering fluid drainage.

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Ear Sections

The ear is divided into three main sections: the external ear, middle ear, and inner ear, each playing a crucial role in hearing and balance.

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External Ear

The outermost part of the ear, consisting of the pinna and the external auditory canal, responsible for capturing and funneling sound waves.

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Tympanic Membrane

A thin, flexible membrane that separates the external ear from the middle ear, vibrating in response to sound waves.

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Middle Ear

A hollow space within the temporal bone containing the ossicles (malleus, incus, and stapes) that transmit vibrations from the eardrum to the inner ear.

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Ossicles

The three tiny bones in the middle ear (malleus, incus, and stapes), responsible for amplifying and transferring sound vibrations.

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Stapes

The smallest bone in the body, the stapes connects to the oval window, transmitting vibrations from the middle ear to the inner ear.

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Eustachian Tube

A canal connecting the middle ear to the nasopharynx, helping to equalize pressure on both sides of the eardrum.

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Inner Ear

The innermost part of the ear, containing the cochlea and semicircular canals filled with fluids (perilymph and endolymph) responsible for hearing and balance.

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Cochlea

A spiral-shaped, fluid-filled structure in the inner ear containing the organ of Corti, responsible for converting sound vibrations into electrical signals.

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Semicircular Canals

Three fluid-filled loops in the inner ear that are responsible for detecting movement and maintaining balance.

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Tympanic Membrane Vibration

The vibration of the tympanic membrane (eardrum) sets the three bones of the middle ear (malleus, incus, and stapes) into motion.

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Stapes and Oval Window

The stapes, the last bone in the middle ear, pushes against the oval window, a membrane-covered opening in the inner ear.

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Perilymph and Endolymph

The stapes' movement against the oval window creates waves in the fluids of the inner ear, perilymph and endolymph, which transmit sound vibrations.

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Organ of Corti

The organ of Corti, located in the cochlea, contains hair cells that convert the fluid waves into electrical signals.

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Auditory Nerve

Electrical signals from the hair cells in the organ of Corti travel along the auditory nerve to the brain.

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Temporal Lobe

The auditory area in the temporal lobe of the brain receives and interprets the sound information transmitted by the auditory nerve.

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Crista Ampullaris and Macula

The crista ampullaris in the ampulla of each semicircular canal and the macula in the vestibule contain hair cells sensitive to endolymph movement due to head movement.

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Vestibular Nerve

The vestibular branch of the auditory nerve carries signals about head position and movement from the semicircular canals and vestibule to the brain.

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Vertigo

Vestibular damage can cause vertigo, a sensation of rotation of oneself or the environment.

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Study Notes

Pathophysiology (2) (MBS 253M) Lecture 9: Disorders of the Eye and Ear

  • Course: Pathophysiology (2) (MBS 253M)
  • Lecture: 9
  • Textbook: Pathophysiology for the Health Professions, 4th edition, 2011
  • Chapter: 24 (pages 529-544)

Lecture Outline: Disorders of the Eye and Ear

  • The Eye

    • Review of Normal Structure and Function
    • Diagnostic Tests
    • Structural Defects
      • Myopia
      • Hyperopia
      • Presbyopia
      • Astigmatism
      • Amblyopia
      • Nystagmus
    • Infections and Trauma
      • Stye
      • Conjunctivitis
      • Trachoma
      • Keratitis
    • Glaucoma
      • Acute
      • Chronic (open-angle)
    • Cataracts
    • Detached Retina
    • Macular Degeneration
  • The Ear

    • Review of Normal Structure and Function
    • Parts of the Ear
    • Pathway for Sound
    • The Semicircular Canals
    • Hearing Loss
      • Conduction deafness
      • Sensorineural deafness
    • Ear Infections
      • Otitis Media
      • Otitis Externa
    • Chronic Disorders of the Ear
      • Otosclerosis
      • Ménière's Syndrome

Learning Objectives

  • Describe common structural defects impairing vision.
  • Describe common eye infections and their effects on vision.
  • Explain how intraocular pressure becomes elevated and its effect on vision.
  • Compare signs of chronic glaucoma, acute glaucoma, cataract, macular degeneration, and detached retina, including the rationale for each.
  • Describe how the retina may detach and its effects on vision.
  • Describe types of hearing loss with examples.
  • Describe otitis media, its cause, pathophysiology, and signs.
  • Describe pathophysiology and signs of otosclerosis and Ménière’s syndrome.
  • Explain how permanent hearing loss results from acute otitis media, chronic otitis media, Ménière's syndrome, and auditory damage.

Review of Normal Structure and Function (Eye)

  • Protection for the Eye
  • The Eyeball
  • Fluids in the Eye
  • The Visual Pathway
  • Optic Nerve
  • Retina
  • Macula
  • Lens
  • Iris
  • Pupil
  • Cornea
  • Conjunctiva
  • Vitreous Body
  • Ciliary Body and Ciliary Muscle (Accommodation)

Review of Normal Structure and Function (Ear)

  • Pinna
  • External Auditory Canal
  • Tympanic Membrane (Eardrum)
  • Malleus
  • Incus
  • Stapes
  • Oval Window
  • Cochlea
  • Semicircular Canals
  • Auditory (Eustachian) Tube
  • Vestibule
  • Hair Cells (Organ of Corti)
  • Auditory Nerve (Cranial Nerve VIII)
  • Temporal Lobe of Brain

Diagnostic Tests (Eye)

  • Snellen Chart (visual acuity)
  • Visual Field Tests
  • Tonometry (intraocular pressure)
  • Ophthalmoscope (interior structures)
  • Gonioscopy (anterior chamber angle)
  • Muscle Function and Coordination Tests

Diagnostic Tests (Ear)

  • Tests to differentiate between conduction or sensorineural hearing loss
  • Balance Test
  • Electronystagmography (ENG)
  • Electrocholeography (ECOG)
  • MRI

Infections and Trauma (Eye)

  • Styes (hordeolum): infection of a hair follicle.
  • Conjunctivitis (pink eye): superficial inflammation, often caused by bacteria or viruses.
  • Trachoma: chronic eye infection caused by Chlamydia trachomatis.
  • Keratitis: inflammation of the cornea, potentially from infection, trauma or chemicals.

Infections and Trauma (Ear)

  • Otitis media: inflammation of the middle ear due to infection.
  • Otitis externa: inflammation of the external ear canal (often from infection).

Chronic Disorders of the Ear

  • Otosclerosis: a bone growth disorder, particularly affecting the stapes bone in the middle ear.
  • Ménière's Syndrome: inner ear disorder characterized by episodic vertigo, tinnitus, hearing loss, and nausea/vomiting, associated with fluid buildup in the inner ear.

Other Important Eye Concepts

  • Accommodation (eye adjusting to focus on near or far objects)
  • Refraction (bending of light by the eye's lens and cornea)

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