20/whatever:
Visual acuity is notated in several different
manners, the most common and well known of which is 20/something, referred
to as the Snellen method or Snellen fraction. An easy way to interpret
this notation is that the individual can see at 20 feet what an individual
with "normal" acuity could see at whatever distance the denominator represents.
20/60 vision would translate into having to be at 20 feet to see a letter
or object that someone with "normal" vision would see at a distance
of 60 feet.
Note: 20/20 is the accepted standard, but
is not the limit of human vision. Many people can see 20/15, i.e.,
they can see from 20 feet what the standard person must go in to 15 feet
to decipher.
accommodation:
The ability of the human eye to change the
point in space that is in clear focus by adjusting the shape of the eye's
crystalline lens via muscle action.
acuity:
The indication of the clarity of someone's
vision.
alignment:
An indication of whether or not the two eyes
are both pointed at the object of regard. If properly aligned, the
possibility of binocular (two-eyed) vision exists.
amblyopia:
The presence of reduced acuity in one (or
occasionally both) otherwise healthy eye(s) that is not immediately correctable
with lenses. This is commonly referred to as "lazy eye" because it
is sometimes the result of disuse.
anisometropia:
A difference between the two eyes in the amount
or type of refractive error.
astigmatism:
Blurred vision resulting from distortion of
the eye's image, usually a result of a nonspherical cornea.
binocular vision:
The brain's combining of the images from the
two eyes into a single impression.
color vision deficiency:
Difficulty with distinguishing one or more
colors, typically an inherited deficiency of varying severity that is more
common in males (8% prevalence) compared to females (1%).
convergence:
The turning in of both eyes, like might occur
when viewing an approaching or near object.
crystalline lens:
A clear and flexible body lying directly behind
the iris in the eye that can change shape in response to muscle action so
as to alter the optics of the eye and allow the eye to be focused clearly
at differing distances.
depth perception:
The ability to perceive relative distance in
space. This skill comes from learning to interpret size, shape, shadows
and overlap, as well as the small discrepancy difference in the images received
by each eye.
diplopia:
Double vision.
discrimination:
The ability to distinguish similarities and differences in stimuli.
divergence:
The turning outward of both eyes, like might
occur when a viewed object moves further away.
emmetropia:
The condition of having no refractive error.
eso:
A prefix used to describe the eyes being more
inward turned than appropriate.
examination:
A comprehensive evaluation used to make a
diagnosis and recommendations for management and treatment.
exo:
A prefix used to describe the eyes being more
outward turned than appropriate.
external examination:
Describes that portion of the health evaluation
devoted to viewing the external portion of the eye, i.e., lids, lashes, conjunctiva,
cornea, pupils, etc.
eye movements:
Coordinated efforts of the six extraocular
muscles attached to each eye usually resulting in aiming the eye in a new
direction or at a new object.
fixation maintenance:
The ability to sustain the eyes in one place
for viewing an object.
fovea:
A small depression in the center of the macular
region of the retina containing only tightly packed cones where vision is
the sharpest.
fusion:
The precise alignment of the two eyes so that
the images fall on corresponding places on each retina and the brain has
the possibility of binocular or two-eyed vision.
history (case history):
Gathering information regarding past or present
ocular and visual signs and symptoms, as well as additional relevant facts
concerning health status and other life events.
hyper:
A prefix used to describe the situation where
one eye is pointed upward in relation to the other.
hyperopia (farsightedness):
A refractive error of the eye where the image
formed by the optics of the eye falls behind the plane of the retina, resulting
in a blurred image. This image, to be clear, needs to be moved forward
to the retinal plane by either action of the crystalline lens or placement
of a convex lens in front of the eye.
malingerer:
A person who intentionally reports erroneous
symptoms or subjective test responses.
myopia (nearsightedness):
A refractive error of the eye where the image
formed by the optics of the eye falls in front of the plane of the retina,
resulting in a blurred image. This image, to be clear, needs to be
moved backward to the retinal plane by placement of a concave lens in front
of the eye.
nystagmus:
Known also as "jerky eyes," a condition where
they eyes make involuntary movements, usually quite rapid and rhythmic.
pass:
In screening terms, the designation given
when an individual meets the minimum criteria established for the screening.
phoria:
A tendency for the eyes to want to turn from
the object being viewed which can be either inward or outward and which must
be overcome to maintain fusion.
pupils:
The round opening in the center of the iris
through which light passes on its way through the crystalline lens to the
retina.
pupillary reflexes:
A reflexive reaction of the pupil to viewing
distance, emotional state, or change in available light level such that the
size of the pupillary opening increases or decreases.
pursuits:
Eye movements used to follow moving objects.
refer:
Sending an individual to another person who
can provide needed services when a condition is suspected that requires different
experience or training.
reflexive movement:
Involuntary response to a stimulus.
refractive error:
Lack of focus, by the optics of the eye, of
an image on the retina. Typically classified as hyperopia, myopia and
astigmatism.
saccades:
Eye movements used to quickly relocate the
eyes from one position of gaze to another.
screening:
The use of tests to determine whether or not
an individual meets established criteria, the results of which are not diagnostic
but rather are the basis for referral or non-referral for further testing.
stereopsis:
The pinnacle of depth perception; subtle discrimination
of depth based on the slightly different view each eye obtains.
A high level of stereopsis cannot be achieved without accurate binocular alignment
and fusion.
strabismus:
Lack of alignment of the two eyes such that
both eyes do not point at the object being viewed. Commonly termed
"cross-eyed" or "wall-eyed," one eye could either be turned inward or outward
in relation to the other.
suppression:
The subconscious blockage by the brain of
the information coming from one eye when its presence causes confusion for
visual processing.
tracking:
Can be confusing because it has two different
but frequently used meanings:
- following a moving object with
the eyes, i.e., pursuits
- moving the eyes along the lines
of print in reading, which is actually a series of saccades
tropia:
Strabismus.
vergences:
Eye movements where the two eyes are moving
toward or away from each other, i.e., convergence or divergence.
visual-motor integration:
The ability to integrate together visual guidance and motor movements to
accomplish tasks, such as reproducing forms.