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Chapter 18: The Senses

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Chapter 18: The Senses. Chapter Objectives. Role of the sensory system. Ear and the eye; the function of each part. The pathway of nerve impulses from the ear to the brain. Roles of the retina and the optic nerve in vision. Word parts pertaining to the senses. - PowerPoint PPT Presentation
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Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins Chapter 18: The Senses
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Page 1: Chapter 18: The Senses

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

Chapter 18: The Senses

Page 2: Chapter 18: The Senses

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

Chapter ObjectivesChapter Objectives

• Role of the sensory system.

• Ear and the eye; the function of each part.

• The pathway of nerve impulses from the ear to the brain.

• Roles of the retina and the optic nerve in vision.

• Word parts pertaining to the senses.

• Main disorders pertaining to the ear and the eye.

• Abbreviations used in the study of the ear and the eye.

Page 3: Chapter 18: The Senses

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

Key TermsThe Senses

Normal Structure and Function

Key TermsThe Senses

Normal Structure and Function

Equilibrium The sense of balance

Gestation The sense of taste; Latin geusis means “taste”

Hearing The sense or perception of sound

Olfaction The sense of smell; root osm/o means “smell”

Proprioception The awareness of posture, movement, and changes in equilibrium; receptors are located in muscles, tendons, and joints

Receptor A sensory nerve ending or a specialized structure associated with a sensory nerve that responds to a stimulus

Tactile Pertaining to the sense of touch

Vision The sense by which the shape, size, and color of objects are perceived by means of the light they give off

Page 4: Chapter 18: The Senses

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

General SensesGeneral Senses

• Distributed throughout body

– Pain

– Touch

– Pressure

– Temperature

– Proprioception

Page 5: Chapter 18: The Senses

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

Special SensesSpecial Senses

• Located within complex sense organs

• Gustation = sense of taste

• Olfaction = sense of smell

• Hearing

• Equilibrium

• Vision

Page 6: Chapter 18: The Senses

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

Suffixes Pertaining to the SensesSuffixes Pertaining to the Senses

Suffix Meaning Example Definition of Example

-esthesia sensation cryesthesia sensitivity to cold

-algesia pain hypalgesia* decreased sensitivity to pain

-osmia sense of smell pseudosmia false sense of smell

-geusia sense of taste parageusia abnormal (para-) sense of taste

*Prefix hyp/o.

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Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

Key TermsThe Ear

Normal Structure and Function

Key TermsThe Ear

Normal Structure and Function

cerumen The brownish, waxlike secretion formed in the external ear canal to protect the ear and prevent infection; adjective: ceruminous (se-RŪ-mi-nus)

cochlea The coiled portion of the inner ear that contains the receptors for hearing (root: cochle/o)

eustachian tube The tube that connects the middle ear with the nasopharynx and serves to equalize pressure between the outer and middle ear (root: salping/o); auditory tube

external auditory canal Tube that extends from the pinna of the ear to the tympanic membrane; external auditory meatus

incus The middle ossicle of the ear

labyrinth The inner ear, named for its complex structure, which resembles a maze

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Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

Key TermsThe Ear

Normal Structure and Function (cont’d)

Key TermsThe Ear

Normal Structure and Function (cont’d)

malleus The ossicle of the middle ear that is in contact with the tympanic membrane and the incus

ossicles The small bones of the middle ear, the malleus, incus, and stapes

organ of Corti The hearing receptor, which is located in the cochlea

pinna The projecting part of the outer ear; auricle (AW-ri-kl)

semicircular canals The three curved channels of the inner ear that hold receptors for equilibrium

stapes The ossicle that is in contact with the inner ear (root: staped, stapedi/o)

tympanic membrane The membrane between the external auditory canal and the middle ear (tympanic cavity); the eardrum. It serves to transmit sound waves to the ossicles of the middle ear (root: myring/o, tympan/o)

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Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

Key TermsThe Ear

Normal Structure and Function (cont’d)

Key TermsThe Ear

Normal Structure and Function (cont’d)

vestibular apparatus The portion of the inner ear that is concerned with the sense of equilibrium; consists of the vestibule and the semicircular canals (root: vestibul/o)

vestibule The chamber in the inner ear that holds some of the receptors for equilibrium

vestibulocochlear nerve

The nerve that transmits impulses for hearing and equilibrium from the ear to the brain; eighth cranial nerve; auditory or acoustic nerve

Page 10: Chapter 18: The Senses

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

Key TermsThe Ear - Disorders

Key TermsThe Ear - Disorders

acoustic neuroma A tumor of the eighth cranial nerve sheath; although benign, it can press on surrounding tissue and produce symptoms; also called a schwannoma or neurilemoma

conductive hearing loss

Hearing impairment that results from blockage of sound transmission to the inner ear

Ménière disease A disease associated with increased fluid pressure in the inner ear and characterized by hearing loss, vertigo, and tinnitus

otitis externa Inflammation of the external auditory canal; swimmer's ear

otitis media Inflammation of the middle ear with accumulation of serous (watery) or mucoid fluid

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Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

Key TermsThe Ear – Disorders (cont’d)

Key TermsThe Ear – Disorders (cont’d)

otosclerosis Formation of abnormal and sometimes hardened bony tissue in the ear. It usually occurs around the oval window and the footplate (base) of the stapes, causing immobilization of the stapes and progressive loss of hearing.

sensorineural hearing loss

Hearing impairment that results from damage to the inner ear, eighth cranial nerve, or auditory pathways in the brain

tinnitus A sensation of noises, such as ringing or tinkling, in the ear

vertigo An illusion of movement, as of the body moving in space or the environment moving about the body; usually caused by disturbances in the vestibular apparatus. Used loosely to mean dizziness or lightheadedness.

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Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

Key TermsThe Ear - Treatment

Key TermsThe Ear - Treatment

myringotomy Surgical incision of the tympanic membrane; performed to drain the middle ear cavity or to insert a tube into the tympanic membrane for drainage

stapedectomy Surgical removal of the stapes; it may be combined with insertion of a prosthesis to correct otosclerosis

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Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

Supplementary TermsThe Ear

Normal Structure and Function

Supplementary TermsThe Ear

Normal Structure and Function

aural Pertaining to or perceived by the ear

decibel (dB) A unit for measuring the relative intensity of sound

hertz (Hz) A unit for measuring the frequency (pitch) of sound

mastoid process A small projection of the temporal bone behind the external auditory canal; it consists of loosely arranged bony material and small, air-filled cavities

stapedius A small muscle attached to the stapes. It contracts in the presence of a loud sound, producing the acoustic reflex.

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Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

Supplementary TermsThe Ear

Symptoms and Conditions

Supplementary TermsThe Ear

Symptoms and Conditions

cholesteatoma A cystlike mass containing cholesterol that is most common in the middle ear and mastoid region; a possible complication of chronic middle ear infection

labyrinthitis Inflammation of the labyrinth of the ear (inner ear); otitis interna

mastoiditis Inflammation of the air cells of the mastoid process

presbycusis Loss of hearing caused by aging; also presbyacusis

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Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

Supplementary TermsThe Ear

Diagnosis and Treatment

Supplementary TermsThe Ear

Diagnosis and Treatment

audiometry Measurement of hearing

electronystagmography (ENG)

A method for recording eye movements by means of electrical responses; such movements may reflect vestibular dysfunction

otorhinolaryngology (ORL)

The branch of medicine that deals with diseases of the ear(s), nose, and throat (ENT); also called otolaryngology (OL)

otoscope Instrument for examining the ear

Rinne test Test that measures hearing by comparing results of bone conduction and air conduction

spondee A two-syllable word with equal stress on each syllable; used in hearing tests; examples are toothbrush, baseball, cowboy, pancake

Weber test Test for hearing loss that uses a vibrating tuning fork placed at the center of the head

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AbbreviationsThe Ear

AbbreviationsThe Ear

ABR Auditory brainstem response

AC Air conduction

AD Right ear (Latin, auris dexter)

AS Left ear (Latin, auris sinistra)

BAEP Brainstem auditory evoked potentials

BC Bone conduction

dB Decibel

ENG Electronystagmography

ENT Ear(s), nose, and throat

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Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

AbbreviationsThe Ear (cont’d)Abbreviations

The Ear (cont’d)

HL Hearing level

Hz Hertz

OL Otolaryngology

OM Otitis media

ORL Otorhinolaryngology

ST Speech threshold

TM Tympanic membrane

TTS Temporary threshold shift

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The EarThe Ear

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Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

The EarThe Ear

• Used for both hearing and equilibrium

• Divided into three parts

– Outer ear

– Middle ear

– Inner ear

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Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

The Ear (cont’d)The Ear (cont’d)

– Outer ear

• Pinna (auricle)

• External auditory canal (meatus)

• Contains cerumen (earwax)

• Tympanic membrane (eardrum)

• Transmits sound waves to middle ear

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The Ear (cont’d)The Ear (cont’d)• Middle ear

– Houses three ossicles

• Malleus (hammer)

• Incus (anvil)

• Stapes (stirrup)

• Sound waves are transmitted from footplate of stapes

– Eustachian tube

• Connects middle ear to nasopharynx

• Equalizes pressure between outer and middle ear

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The Ear (cont’d)The Ear (cont’d)

• Inner ear

– Complex labyrinth shape

– Filled with fluid

– Contains cochlea

• Organ of Corti

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The Ear (cont’d)The Ear (cont’d)

Inner ear (cont’d)

– Vestibular apparatus

• Sense of equilibrium

• Semicircular canals

– Vestibulocochlear nerve

• Cochlear branch transmits hearing impulses

• Vestibular branch transmits equilibrium impulses

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Roots Pertaining to the Ear and HearingRoots Pertaining to the Ear and Hearing

Root Meaning Example Definition of Example

audi/o hearing audiology the study of hearing

acous, acus, cus

sound, hearing acoustic pertaining to sound or hearing

ot/o ear ototoxic poisonous or harmful to the ear

myring/o tympanic membrane

myringotome knife used for surgery on the eardrum

tympan/o tympanic cavity (middle ear), tympanic membrane

tympanometry measurement of transmission through the tympanic membrane and middle ear

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Roots Pertaining to the Ear and Hearing (cont’d)

Roots Pertaining to the Ear and Hearing (cont’d)

Root Meaning Example Definition of Example

salping/o tube, eustachian tube

salpingoscopy endoscopic examination of the eustachian tube

staped/o, stapedi/o

stapes stapedoplasty plastic repair of the stapes

labyrinth/o labyrinth (inner ear)

labyrinthitis inflammation of the inner ear (labyrinth)

vestibul/o vestibule, vestibular apparatus

vestibulotomy incision of the vestibule of the inner ear

cochle/o cochlea of inner ear

retrocochlear behind the cochlea

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Hearing LossHearing Loss

• Sensorineural hearing loss

– Damage to eighth cranial nerve or central auditory pathway

– Caused by: heredity, toxins, exposure to loud noises, aging process

– Treatment: cochlear implant

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Hearing Loss (cont’d)Hearing Loss (cont’d)

• Conductive hearing loss

– Results from blockage in sound transmission to inner ear

– Causes: obstruction, severe infection, fixation of middle ear ossicles

– Usually treated successfully

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OtitisOtitis

• Inflammation of the ear

– Otitis media = infection leading to accumulation of fluid in middle ear

• Causes

• Obstruction of eustachian tube

• Spreading infection

• Treatment

• Antibiotics

• Myringotomy

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Otitis (cont’d)Otitis (cont’d)

– Otitis externa = Inflammation of external auditory canal

• Also known as “swimmer’s ear”

• Caused by:

• Fungus

• Bacterium

• Common among:

• People living in hot climates

• Swimmers

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OtosclerosisOtosclerosis

• Deterioration of bony structure of inner ear

• Stapes unable to vibrate

– Causes conductive hearing loss

• Underlying cause unknown

• Treatment

– Stapedectomy

• Stapes removed

• Prosthetic bone inserted

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Ménière DiseaseMénière Disease

• Involves production and circulation of inner ear fluid

• Symptoms

– Vertigo (dizziness)

– Hearing loss

– Tinnitus (ringing in ears)

– Pressure

• Treatment

– Drugs (to treat nausea and dizziness)

– Severe cases

• Inner ear or eighth cranial nerve destroyed surgically

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Acoustic NeuromaAcoustic Neuroma

• Tumor arising from neurilemma of eighth cranial nerve

• Presses on surrounding nerve

• Interferes with blood supply

• Symptoms

– Tinnitus

– Dizziness

– Progressive hearing loss

– Other symptoms as brainstem and other cranial nerves become affected

• Treatment

– Surgical removal

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Key TermsThe Eye

Normal Structure and Function

Key TermsThe Eye

Normal Structure and Functionaccommodation Adjustment of the lens’ curvature to allow for vision at various

distances

aqueous humor Fluid that fills the eye anterior to the lens

choroids The dark, vascular, middle layer of the eye (roots: chori/o, choroid/o); part of the uvea (see below)

ciliary body The muscular portion of the uvea that surrounds the lens and adjusts its shape for near and far vision (root: cycl/o)

cone A specialized cell in the retina that responds to light; cones have high visual acuity, function in bright light, and respond to colors

conjunctiva The mucous membrane that lines the eyelids and covers the eyeball’s anterior surface

convergence Coordinated movement of the eyes toward fixation on the same point

cornea The clear, anterior portion of the sclera (root: corne/o, kerat/o)

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Key TermsThe Eye

Normal Structure and Function (cont’d)

Key TermsThe Eye

Normal Structure and Function (cont’d)

eye The organ of vision (root: opt/o, ocul/o, ophthalm/o)

fovea The tiny depression in the retina that is the point of sharpest vision; fovea centralis, central fovea

iris The muscular colored ring between the lens and the cornea; regulates the amount of light that enters the eye by altering the size of the pupil at its center (roots: ir, irid/o, irit/o) plural: irides (IR-i-de-z)

lacrimal glands Pertaining to tears (roots: lacrim/o, dacry/o)

lens The transparent, biconvex structure in the anterior portion of the eye that refracts light and functions in accommodation (roots: lent/i, phak/o)

macula A small spot or colored area; used alone to mean the yellowish spot in the retina that contains the fovea

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Key TermsThe Eye

Normal Structure and Function (cont’d)

Key TermsThe Eye

Normal Structure and Function (cont’d)

optic disk The point where the optic nerve joins the retina; at this point there are no rods or cones; also called the blind spot or optic papilla

orbit The bony cavity that contains the eyeball

palpebra An eyelid; a protective fold (upper or lower) that closes over the anterior surface of the eye (root: palpebr/o, blephar/o; adjective” palpebral; plural: palpebrae [pal-PĒ-bre-])

pupil The opening at the center of the iris (root: pupill/o)

refraction The bending of light rays as they pass through the eye to focus on a specific point on the retina; also the determination and correction of ocular refractive errors

retina The innermost, light-sensitive layer of the eye; contains the rods and cones, the specialized receptor cells for vision (root: retin/o)

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Key TermsThe Eye

Normal Structure and Function (cont’d)

Key TermsThe Eye

Normal Structure and Function (cont’d)

rod A specialized cell in the retina of the eye that responds to light; rods have low visual acuity, function in dim light, and do not discriminate color

sclera The tough, white, fibrous outermost layer of the eye; the white of the eye (root: scler/o)

uvea The middle, vascular layer of the eye (root: uve/o); consists of the choroid, ciliary body, and iris

visual acuity Sharpness of vision

vitreous body The transparent jellylike mass that fills the main cavity of the eyeball; also called vitreous humor

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Key TermsThe Eye

Disorders

Key TermsThe Eye

Disorders

age-related macular degeneration (AMD)

Deterioration of the macula associated with aging; macular degeneration impairs central vision

astigmatism An error of refraction caused by irregularity in the curvature of the cornea or lens

cataract Opacity of the lens of the eye

conjunctivitis Inflammation of the conjunctiva; pinkeye

diabetic retinopathy Degenerative changes in the retina associated with diabetes mellitus

glaucoma A disease of the eye caused by increased intraocular pressure that damages the optic disk and causes loss of vision. Usually results from faulty fluid drainage from the anterior portion of the eye

hyperopia An error of refraction in which light rays focus behind the retina and objects can be seen clearly only when far from the eye; farsightedness; also called hypermetropia

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Key TermsThe Eye

Disorders (cont’d)

Key TermsThe Eye

Disorders (cont’d)

myopia An error of refraction in which light rays focus in front of the retina and objects can be seen clearly only when very close to the eye; nearsightedness

ophthalmia neonatorum

Severe conjunctivitis usually caused by infection with gonococcus during birth

phacoemulsification Removal of a cataract by ultrasonic destruction and extraction of the lens

presbyopia Changes in the eye that occur with age; the lens loses elasticity and the ability to accommodate for near vision

retinal detachment Separation of the retina from the underlying layer of the eye

trachoma An infection caused by Chlamydia trachomatis leading to inflammation and scarring of the cornea and conjunctiva; a common cause of blindness in underdeveloped countries

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Supplementary TermsThe Eye

Normal Structure and Function

Supplementary TermsThe Eye

Normal Structure and Function

canthus The angle at either end of the slit between the eyelids

diopter A measurement unit for the refractive power of a lens

emmetropia The normal condition of the eye in refraction, in which parallel light rays focus exactly on the retina

fundus A bottom or base; the region farthest from the opening of a structure. The fundus of the eye is the back portion of the inside of the eyeball as seen with an ophthalmoscope

meibomian gland A sebaceous gland in the eyelid

tarsus The framework of dense connective tissue that gives shape to the eyelid; tarsal plate

zonule A system of fibers that holds the lens in place; also called suspensory ligaments

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Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

Supplementary TermsThe Eye

Symptoms and Conditions

Supplementary TermsThe Eye

Symptoms and Conditions

amblyopia A condition that occurs when visual acuity is not the same in the two eyes in children (prefix ambly means “dim”). Disuse of the poorer eye will result in blindness if not corrected. Also called “lazy eye.”

anisocoria Condition in which the two pupils (root: cor/o) are not of equal size

blepharoptosis Drooping of the eyelid

chalazion A small mass on the eyelid resulting from inflammation and blockage of a meibomian gland

drusen Small growths that appear as tiny yellowish spots beneath the retina of the eye; typically occur with age but also occur in certain abnormal conditions

floater A small moving object in the field of vision that originates in the vitreous body. Floaters appear as spots or threads and are caused by benign degenerative or embryonic deposits in the vitreous body that cast a shadow on the retina

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Supplementary TermsThe Eye

Symptoms and Conditions (cont’d)

Supplementary TermsThe Eye

Symptoms and Conditions (cont’d)

hordeolum Inflammation of a sebaceous gland of the eyelid; a sty

keratoconus Conical protrusion of the corneal center

miosis Abnormal contraction of the pupils (from Greek, meaning “diminution”)

mydriasis Pronounced or abnormal dilation of the pupil

nyctalopia Night blindness. Inability to see well in dim light or at night (root: nyct/o); often due to lack of vitamin A, which is used to make the pigment needed for vision in dim light

nystagmus Rapid, involuntary, rhythmic movements of the eyeball; may occur in neurologic diseases or disorders of the inner ear's vestibular apparatus

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Supplementary TermsThe Eye

Symptoms and Conditions (cont’d)

Supplementary TermsThe Eye

Symptoms and Conditions (cont’d)

papilledema Swelling of the optic disk (papilla); choked disk

phlyctenule A small blister or nodule on the cornea or conjunctiva

pseudophakia A condition in which a cataractous lens has been removed and replaced with a plastic lens implant

retinitis Inflammation of the retina; causes include systemic disease, infection, hemorrhage, exposure to light

retinitis pigmentosa A hereditary chronic degenerative disease of the retina that begins in early childhood. There is atrophy of the optic nerve and clumping of pigment in the retina.

retinoblastoma A malignant glioma of the retina; usually appears in early childhood and is sometimes hereditary; fatal if untreated, but current cure rates are high

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Supplementary TermsThe Eye

Symptoms and Conditions (cont’d)

Supplementary TermsThe Eye

Symptoms and Conditions (cont’d)

scotoma An area of diminished vision within the visual field

strabismus A deviation of the eye in which the visual lines of each eye are not directed to the same object at the same time. Also called heterotropia or squint. The various forms are referred to as -tropias, with the direction of turning indicated by a prefix, such as esotropia (inward), exotropia (outward), hypertropia (upward), and hypotropia (downward). The suffix -phoria is also used, as in esophoria.

synechia Adhesion of parts, especially adhesion of the iris to the lens and cornea (plural: synechiae)

xanthoma A soft, slightly raised, yellowish patch or nodule usually on the eyelids; occurs in the elderly; also called xanthelasma

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Supplementary TermsThe Eye

Diagnosis and Treatment

Supplementary TermsThe Eye

Diagnosis and Treatment

canthotomy Surgical division of a canthus

cystitome Instrument for incising the lens capsule

electroretinography (ERG)

Study of the electrical response of the retina to light stimulation

enucleation Surgical removal of the eyeball

gonioscopy Examination of the angle between the cornea and the iris (anterior chamber angle) in which fluids drain out of the eye (root goni/o means “angle”)

keratometer An instrument for measuring the curvature of the cornea

mydriatic A drug that causes dilation of the pupil

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Supplementary TermsThe Eye

Diagnosis and Treatment (cont’d)

Supplementary TermsThe Eye

Diagnosis and Treatment (cont’d)

phorometer An instrument for determining the degree and kind of strabismus

retinoscope An instrument used to determine refractive errors of the eye; also called a skiascope (SKĪ-a-sko-p)

retinoscope An instrument used to determine refractive errors of the eye; also called a skiascope (SKĪ-a-sko-p)

slit-lamp biomicroscope

An instrument for examining the eye under magnification

Snellen chart A chart printed with letters of decreasing size used to test visual acuity when viewed from a set distance; results reported as a fraction giving a subject's vision compared with normal vision at a distance of 20 feet

tarsorrhaphy Suturing together of all or part of the upper and lower eyelids

tonometer An instrument used to measure fluid pressure in the eye

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AbbreviationsThe Eye

AbbreviationsThe Eye

A, Acc Accommodation

AMD Age-related macular degeneration

ARC Abnormal retinal correspondence

As, AST Astigmatism

cc With correction

Em Emmetropia

EOM Extraocular movement, muscles

ERG Electroretinography

ET Esotropia

FC Finger counting

HM Hand movements

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AbbreviationsThe Eye (cont’d)Abbreviations

The Eye (cont’d)

IOL Intraocular lens

IOP Intraocular pressure

NRC Normal retinal correspondence

NV Near vision

OD Right eye (Latin, oculus dexter)

OS Left eye (Latin, oculus sinister)

OU Both eyes (Latin, oculi unitas); also each eye (Latin, oculus uterque)

sc Without correction

VA Visual acuity

VF Visual field

XT Exotropia

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The Eye and VisionThe Eye and Vision

• The eye has three layers

– Sclera

– Uvea

– Retina

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The Eye and Vision (cont’d)The Eye and Vision (cont’d)

– Sclera

Outermost layer

Known as “White of the eye”

Extends over front of eye as transparent cornea

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The Eye and Vision (cont’d)The Eye and Vision (cont’d)– Uvea

Middle, vascular layer

Consists of:

• Choroid

• Ciliary body

Muscle controls shape of lens

Allows for accommodation

• Iris

Muscular ring

Controls size of pupil

Determines eye color

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The Eye and Vision (cont’d)The Eye and Vision (cont’d)

• Retina

– Innermost layer

– Actual visual receptor

– Consists of specialized cells:

• Rods

• Function in dim light

• Low visual acuity

• Do not respond to color

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The Eye and Vision (cont’d)The Eye and Vision (cont’d)

• Cones

• Active in bright light

• High visual acuity

• Respond to color

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The EyeThe Eye

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Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

Roots for External Eye StructuresRoots for External Eye Structures

Root Meaning Example Definition of Example

blephar/o eyelid symblepharon adhesion of the eyelid to the eyeball (sym- = together)

palpebr/o eyelid palpebral pertaining to an eyelid

dacry/o tear, lacrimal apparatus

dacryorrhea discharge from the lacrimal apparatus

dacryocyst/o lacrimal sac dacryocystocele hernia of the lacrimal sac

lacrim/o tear, lacrimal apparatus

lacrimation secretion of tears

Page 55: Chapter 18: The Senses

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

Roots for Eye and VisionRoots for Eye and Vision

Root Meaning Example Definition of Example

opt/o eye, vision optometer instrument for measuring the refractive power of the eye

ocul/o eye sinistrocular pertaining to the left eye

ophthalm/o eye exophthalmos protrusion of the eyeball

scler/o sclera episcleritis inflammation of the tissue on the surface of the sclera

corne/o cornea circumcorneal around the cornea

Page 56: Chapter 18: The Senses

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

Suffixes for the Eye and Vision*Suffixes for the Eye and Vision*

Suffix Meaning ExampleDefinition of

Example

-opsia vision heteropsia unequal vision in the two eyes

-opia eye, vision hemianopia blindness in half the visual field

*Compounds of -ops (eye) + -ia.

Page 57: Chapter 18: The Senses

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

VisionVision• Requires refraction

– Focuses on specific point on retina

– Energy transmitted to brain via optic nerve

• Optic disk

– Connection point for optic nerve to retina

• Fovea

– Point of greatest visual acuity

– Surrounded by macula

Page 58: Chapter 18: The Senses

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

Vision (cont’d)Vision (cont’d)

• Vitreous body helps maintain shape of eye and refracts light

• Aqueous humor maintains shape of cornea

• Six muscles on outside of eye coordinate eye movements

Page 59: Chapter 18: The Senses

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

Errors of RefractionErrors of Refraction

• Myopia = nearsightedness

– Eyeball too long

– Images form in front of retina

• Hyperopia = farsightedness

– Eyeball too short

– Images form behind retina

• Astigmatism = irregularity in curve of cornea or lens

• Glasses can correct most of these impairments

Page 60: Chapter 18: The Senses

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

Errors of Refraction IllustratedErrors of Refraction Illustrated

Page 61: Chapter 18: The Senses

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

InfectionInfection

• Conjunctivitis = inflammation of conjunctiva

– Commonly known as “pinkeye”

– Highly infectious

• Trachoma = inflammation of cornea and conjunctiva

– Results in scarring

– Common cause of blindness in 3rd world countries

• Ophthalmia neonatorum = acute conjunctivitis in newborns

– Caused by gonorrhea

Page 62: Chapter 18: The Senses

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

Disorders of RetinaDisorders of Retina

• Retinal detachment

– Separation of retina from choroid

– Caused by:

• Tumor

• Hemorrhage

• Injury to eye

– Repaired with laser surgery

Page 63: Chapter 18: The Senses

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

Disorders of Retina (cont’d)Disorders of Retina (cont’d)

• Age-related macular degeneration

– Macula degenerates

– Caused by:

• Aging (called age-related macular degeneration)

• Drug toxicity

• Hereditary diseases

– Central vision affected

– Peripheral vision not affected

Page 64: Chapter 18: The Senses

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

Diabetic RetinopathyDiabetic Retinopathy

• Cause

– Circulatory problems associated with diabetes mellitus

• Leaves yellowish, waxy exudate

– High in lipoproteins

• As time passes:

– New blood vessels form

– Vitreous humor penetrated

– Hemorrhage

– Detachment of retina

– Blindness

Page 65: Chapter 18: The Senses

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

CataractCataract

• Opacity of lens caused by:

– Disease

– Injury

– Chemicals

– Exposure to UV rays

• Must be removed to prevent blindness

– Anterior capsule removed

– Phacoemulsification

Page 66: Chapter 18: The Senses

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

GlaucomaGlaucoma

• Increased pressure within eyeball

• More aqueous humor produced than can be drained away

• Leads to blindness

• Many causes

• Screening at routine eye exams

• Treatment

– Medication

– Surgery

Page 67: Chapter 18: The Senses

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

PretestPretest

1. The scientific name for the sense of smell is:

(a) osmosis

(b) dialysis

(c) olfaction

(d) gustation

Page 68: Chapter 18: The Senses

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

PretestPretest

1. The scientific name for the sense of smell is:

(a) osmosis

(b) dialysis

(c) olfaction

(d) gustation

Page 69: Chapter 18: The Senses

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

PretestPretest

2. The term tactile refers to the sense of:

(a) pain

(b) touch

(c) taste

(d) temperature

Page 70: Chapter 18: The Senses

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

PretestPretest

2. The term tactile refers to the sense of:

(a) pain

(b) touch

(c) taste

(d) temperature

Page 71: Chapter 18: The Senses

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

PretestPretest

3. The two senses located in the ear are:

(a) hearing and equilibrium

(b) hearing and vision

(c) balance and taste

(d) equilibrium and pressure

Page 72: Chapter 18: The Senses

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

PretestPretest

3. The two senses located in the ear are:

(a) hearing and equilibrium

(b) hearing and vision

(c) balance and taste

(d) equilibrium and pressure

Page 73: Chapter 18: The Senses

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

PretestPretest

4. Inflammation of the ear is called:

(a) parotitis

(b) mastitis

(c) otitis

(d) orchitis

Page 74: Chapter 18: The Senses

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

PretestPretest

4. Inflammation of the ear is called:

(a) parotitis

(b) mastitis

(c) otitis

(d) orchitis

Page 75: Chapter 18: The Senses

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

PretestPretest

5. The receptor layer of the eye is the:

(a) lens

(b) cornea

(c) retina

(d) pinna

Page 76: Chapter 18: The Senses

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

PretestPretest

5. The receptor layer of the eye is the:

(a) lens

(b) cornea

(c) retina

(d) pinna

Page 77: Chapter 18: The Senses

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

PretestPretest

6. The scientific name for the white of the eye is:

(a) sclera

(b) vitreous body

(c) pupil

(d) conjunctiva

Page 78: Chapter 18: The Senses

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

PretestPretest

6. The scientific name for the white of the eye is:

(a) sclera

(b) vitreous body

(c) pupil

(d) conjunctiva

Page 79: Chapter 18: The Senses

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

PretestPretest

7. Clouding of the lens is termed:

(a) vertigo

(b) tinnitus

(c) cataract

(d) glaucoma

Page 80: Chapter 18: The Senses

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

PretestPretest

7. Clouding of the lens is termed:

(a) vertigo

(b) tinnitus

(c) cataract

(d) glaucoma


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