Questions in Special Senses Report

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Question 1: List down the refractive errors that can be detected by visual acuity

test

 Myopia (near sightedness), the point of focus is in front of the retina because the
cornea is too steeply curved, the axial length of the eye is too long, or both.
Distant objects are blurred, but near objects can be seen clearly. To correct
myopia, a concave (minus) lens is used. Myopic refractive errors in children
frequently increase until the child stops growing.

 Hyperopia (farsightedness), the point of focus is behind the retina because the
cornea is too flatly curved, the axial length is too short, or both. In adults, both
near and distant objects are blurred. Children and young adults with mild
hyperopia may be able to see clearly because of their ability to accommodate. To
correct hyperopia, a convex (plus) lens is used.

 Astigmatism, non-spherical (variable) curvature of the cornea or lens causes light


rays of different orientations (eg, vertical, oblique, horizontal) to focus at different
points. To correct astigmatism, a cylindrical lens (a segment cut from a cylinder)
is used. Cylindric lenses have no refractive power along one axis and are concave
or convex along the other axis.

 Presbyopia is loss of the lens’ ability to change shape to focus on near objects
due to aging. Typically, presbyopia becomes noticeable by the time a person
reaches the early or mid 40s. A convex (plus) lens is used for correction when
viewing near objects. These lenses may be supplied as separate glasses or built
into a lens as bifocals or variable focus lenses.

 Anisometropia is a significant difference between the refractive errors of the 2


eyes (usually > 3 diopters). When corrected with eyeglasses, a difference in image
size (aniseikonia) is produced; it can lead to difficulties with fusion of the 2
differently sized images and even to suppression of one of the images.
Question 2: Images of each of the above mention defect/error and their correction
Correction: Spherical lens

Correction: Convex lens

Question 3: Briefly state the procedure of determining accommodation and near point
visual acuity?
Near point of accommodation “Push Up Test”: For this test, use relatively small letters (0.4M
or 0.5M) to help better control accommodation. Slowly move these letters closer to the eye
until they become blurry. Measure the distance the letters became blurry. This is the near
point of accommodation.

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