Ophthalmology Vocabulary

conjunctivitis

"pink eye." Inflammation of the conjunctiva. Characterized by discharge, grittiness, redness and swelling. Usually viral in origin, but may be bacterial or allergic; may be contagious.

excimer laser

(EKS-ih-mur). Class of ultraviolet lasers that removes tissue accurately without heating it. In refractive corneal surgery, controlled by computer to make precise pre-programmed shavings of eye tissue to produce a given optical correction. Used for photorefractive keratectomy (PRK); combined with automated lamellar keratoplasty (ALK) to produce LASIK (laser in situ keratomileusis).

fluorescein angiography

(FLOR-uh-seen an-jee-AH-gruh-fee). Technique used for visualizing and recording location and size of blood vessels and any eye problems affecting them; fluorescein dye is injected into an arm vein, then rapid, sequential photographs are taken of the eye as the dye circulates.

fovea

(FOH-vee-uh). Central pit in the macula that produces sharpest vision. Contains a high concentration of cones and no retinal blood vessels.

choroid

(KOR-oyd). Vascular (major blood vessel) layer of the eye lying between the retina and the sclera. Provides nourishment to outer layers of the retina.

LASIK

(LAY-sik). Acronym: LAser in SItu Keratomileusis. Type of refractive surgery in which the cornea is reshaped to change its optical power. A disc of cornea is raised as a flap, then an excimer laser is used to reshape the intrastromal bed, producing surgical flattening of the cornea. Used for correcting myopia, hyperopia, and astigmatism.

progressive addition lens

(PAL), progressive-power lens.. Eyeglass lens that incorporates corrections for distance vision through mid-range, to near vision (usually in lower part of lens), with smooth transitions and no bifocal demarcation line.

radial keratotomy

(RK) (keh-ruh-TAH-tuh-mee). Series of spoke-like (radial) cuts made in the corneal periphery to allow the central cornea to flatten, reducing its optical power and thereby correcting nearsightedness.

ptosis

(TOH-sis). Drooping of upper eyelid. May be congenital or caused by paralysis or weakness of the 3rd cranial nerve or sympathetic nerves, or by excessive weight of the upper lids.

zonules

(ZAHN-yoolz). Anatomy. Radially arranged fibers that suspend the lens from the ciliary body and hold it in position.

asthenopia

(as-then-OH-pee-uh). Vague eye discomfort arising from use of the eyes; may consist of eyestrain, headache, and/or brow ache. May be related to uncorrected refractive error or poor fusional amplitudes.

aphakia

(ay-FAY-kee-uh). Absence of the eye's crystalline lens, such as after cataract extraction.

esotropia

(ee-soh-TROH-pee-uh), cross-eyes. Eye misalignment in which one eye deviates inward (toward nose) while the other fixates normally.

ectropion

(ek-TROH-pee-un). Outward turning of the upper or lower eyelid so that the lid margin does not rest against the eyeball, but falls or is pulled away. Can create corneal exposure with excessive drying, tearing, and irritation. Usually from aging.

emmetropia

(em-uh-TROH-pee-uh). Refractive state of having no refractive error when accommodation is at rest. Images of distant objects are focused sharply on the retina without the need for either accommodation or corrective lenses.

entropion

(en-TROH-pee-un). Inward turning of upper or lower eyelid so that the lid margin rests against and rubs the eyeball.

phacoemulsification

(fay-koh-ee-mul-sih-fih-KAY-shun). Use of ultrasonic vibration to shatter and break up a cataract, making it easier to remove.

glaucoma

(glaw-KOH-muh). Group of diseases characterized by increased intraocular pressure resulting in damage to the optic nerve and retinal nerve fibers. A common cause of preventable vision loss. May be treated by prescription drugs or surgery.

gonioscopy

(goh-nee-AHS-koh-pee). Examination of the anterior chamber angle through a goniolens (special type of contact lens).

hyphema

(hi-FEE-muh). Blood in the anterior chamber, such as following blunt trauma to the eyeball.

keratometry

(kehr-uh-TAH-mih-tree). Obtaining corneal curvature measurements with a keratometer.

chalazion

(kuh-LAY-zee-un). Inflamed lump in a meibomian gland (in the eyelid). Inflammation usually subsides, but may need surgical removal. Sometimes called an internal hordeolum.

neovascularization

(nee-oh-VAS-kyu-lur-ih-ZAY-shun). Abnormal formation of new blood vessels, usually in or under the retina or on the iris surface. May develop in diabetic retinopathy, blockage of the central retinal vein, or macular degeneration.

nystagmus

(ni-STAG-mus). Involuntary, rhythmic side-to-side or up and down (oscillating) eye movements that are faster in one direction than the other.

PRK

(photorefractive keratectomy). Use of high intensity laser light (e.g., an excimer laser) to reshape the corneal curvature; for correcting refractive errors. Includes laser sculpting, LASIK.

pinguecula

(pin-GWEK-yu-luh). Yellowish-brown subconjunctival elevation composed of degenerated elastic tissue; may occur on either side of the cornea. Benign.

Schlemm's canal

(shlemz). Circular channel deep in corneoscleral junction (limbus) that carries aqueous fluid from the anterior chamber of the eye to the bloodstream.

strabismus

(struh-BIZ-mus). Eye misalignment caused by extraocular muscle imbalance: one fovea is not directed at the same object as the other

trabecular meshwork

(truh-BEK-yu-lur). Mesh-like structure inside the eye at the iris-scleral junction of the anterior chamber angle. Filters aqueous fluid and controls its flow into the canal of Schlemm, prior to its leaving the anterior chamber.

tonometry

(tuh-NAH-mih-tree). Measurement of intraocular pressure.

pterygium

(tur-IH-jee-um). Abnormal wedge-shaped growth on the bulbar conjunctiva. May gradually advance onto the cornea and require surgical removal. Probably related to sun irritation.

astigmatism

(uh-STIG-muh-tiz-um). Optical defect in which refractive power is not uniform in all directions (meridians). Light rays entering the eye are bent unequally by different meridians, which prevents formation of a sharp image focus on the retina. Slight uncorrected astigmatism may not cause symptoms, but a large amount may result in significant blurring and headache.

intraocular pressure

1. Fluid pressure inside the eye. 2. The assessment of pressure inside the eye with a tonometer. Also called tension.

photophobia

Abnormal sensitivity to, and discomfort from, light. May be associated with excessive tearing. Often due to inflammation of the iris or cornea.

laser

Acronym: Light Amplification by Stimulated Emission of Radiation. High energy light source that uses light emitted by the natural vibrations of atoms (of a gas or solid material) to cut, burn or dissolve tissues for various clinical purposes: in the retina, to treat diabetic retinopathy and macular degeneration, to destroy leaking and new blood vessels (neovascularization); on the iris or trabecular meshwork, to decrease pressure in glaucoma; after extracapsular cataract extraction, to open the posterior lens capsule.

sty, stye

Acute pustular infection of the oil glands of Zeis, located in an eyelash follicle at the eyelid margin.

lacrimal gland

Almond-shaped structure that produces tears. Located at the upper outer region of the orbit, above the eyeball.

central vision

An eye's best vision; used for reading and discriminating fine detail and color.. Results from stimulation of the fovea and the macular area.

cycloplegic refraction

Assessment of an eye's refractive error after lens accommodation has been paralyzed with cycloplegic eyedrops (to eliminate variability in optical power caused by a contracting lens).

visual acuity

Assessment of the eye's ability to distinguish object details and shape, using the smallest identifiable object that can be seen at a specified distance (usually 20 ft. or 16 in.).

legal blindness

Best-corrected visual acuity of 20/200 or less, or reduction in visual field to 20¡ or less, in the better seeing eye.

binocular vision

Blending of the separate images seen by each eye into one composite image.

central retinal vein

Blood vessel that collects retinal venous blood drainage; exits the eye through the optic nerve.

aqueous, aqueous humor

Clear, watery fluid that fills the space between the back surface of the cornea and the front surface of the vitreous, bathing the lens. Produced by the ciliary processes. Nourishes the cornea, iris, and lens and maintains intraocular pressure.

dry eye syndrome

Corneal and conjunctival dryness due to deficient tear production, predominantly in menopausal and post-menopausal women. Can cause foreign body sensation, burning eyes, filamentary keratitis, and erosion of conjunctival and corneal epithelium.

patching

Covering an amblyopic patient's preferred eye, to improve vision in the other eye.

amblyopia

Decreased vision in one or both eyes without detectable anatomic damage in the eye or visual pathways. Usually uncorrectable by eyeglasses or contact lenses. "lazy eye."

retinoscope

Device for measuring an eye's refractive error with no response required from the patient. Light is projected into the eye, and the movements of the light reflection from the eye are neutralized (eliminated) with lenses.

orthoptics

Discipline dealing with the diagnosis and treatment of defective eye coordination, binocular vision, and functional amblyopia by non-medical and non-surgical methods, e.g., glasses, prisms, exercises.

optometrist

Doctor of optometry (OD) specializing in vision problems, treating vision conditions with spectacles, contact lenses, low vision aids and vision therapy, and prescribing medications for certain eye diseases.

dilated pupil

Enlarged pupil, resulting from contraction of the dilator muscle or relaxation of the iris sphincter. Occurs normally in dim illumination, or may be produced by certain drugs (mydriatics, cycloplegics) or result from blunt trauma.

automated lamellar keratoplasty (ALK)

Excision of the outer corneal layers (lamellae) with a computer controlled keratome (knife), usually as a part of a refractive keratoplasty procedure.

trifocal

Eyeglass lens that incorporates three lenses of different powers. The main portion is usually focused for distance (20 ft.), the center segment for about 2 ft., and the lower segment for near (14 in.).

bifocals

Eyeglasses that incorporate two different powers in each lens, usually for near and distance corrections

central retinal artery

First branch of the ophthalmic artery; supplies nutrition to the inner two-thirds of the retina.

anterior chamber

Fluid-filled space inside the eye between the iris and the innermost corneal surface (endothelium).

visual field

Full extent of the area visible to an eye that is fixating straight ahead

age-related macular degeneration (AMD, ARMD)

Group of conditions that include deterioration of the macula, resulting in loss of sharp central vision. Two general types: "dry," which is more common, and "wet," in which abnormal new blood vessels grow under the retina and leak fluid and blood (neovascularization), further disturbing macular function. Most common cause of decreased vision after age 60.

IOL

IOL (intraocular lens). Plastic lens that may be surgically implanted to replace the eye's natural lens.

ophthalmoscope

Illuminated instrument for visualizing the interior of the eye (especially the fundus).

accommodation

Increase in optical power by the eye in order to maintain a clear image (focus) as objects are moved closer. Occurs through a process of ciliary muscle contraction and zonular relaxation that causes the elastic-like lens to "round up" and increase its optical power. Natural loss of accommodation with increasing age is called presbyopia.

fundus

Interior posterior surface of the eyeball; includes retina, optic disc, macula, posterior pole. Can be seen with an ophthalmoscope

convergence

Inward movement of both eyes toward each other, usually in an effort to maintain single binocular vision as an object approaches.

angle, anterior chamber angle

Junction of the front surface of the iris and back surface of the cornea, where aqueous fluid filters out of the eye.

optic nerve

Largest sensory nerve of the eye; carries impulses for sight from the retina to the brain.

YAG laser

Laser that produces short pulsed, high energy light beam to cut perforate, or fragment tissue.

retina

Light sensitive nerve tissue in the eye that converts images from the eye's optical system into electrical impulses that are sent along the optic nerve to the brain. Forms a thin membranous lining of the rear two-thirds of the globe.

cone

Light-sensitive retinal receptor cell that provides sharp visual acuity and color discrimination.

rod

Light-sensitive, specialized retinal receptor cell that works at low light levels (night vision). A normal retina contains 150 million rods.

slit lamp

Microscope used for examining the eye; allows cornea, lens and otherwise clear fluids and membranes to be seen in layer-by-layer detail.

optic disc, optic nerve head

Ocular end of the optic nerve. Denotes the exit of retinal nerve fibers from the eye and entrance of blood vessels to the eye.

cataract

Opacity or cloudiness of the crystalline lens, which may prevent a clear image from forming on the retina. Surgical removal of the lens may be necessary if visual loss becomes significant, with lost optical power replaced with an intraocular lens, contact lens, or aphakic spectacles. May be congenital or caused by trauma, disease, or age.

sclera

Opaque, fibrous, protective outer layer of the eye ("white of the eye") that is directly continuous with the cornea in front and with the sheath covering optic nerve behind.

refractive error

Optical defect in an unaccommodating eye; parallel light rays are not brought to a sharp focus precisely on the retina, producing a blurred retinal image. Can be corrected by eyeglasses, contact lenses, or refractive surgery.

floaters

Particles that float in the vitreous and cast shadows on the retina; seen as spots, cobwebs, spiders, etc. Occurs normally with aging or with vitreous detachment, retinal tears, or inflammation.

diplopia, double vision

Perception of two images from one object; images may be horizontal, vertical or diagonal.

optician

Professional who makes and adjusts optical aids, e.g., eyeglass lenses, from refraction prescriptions supplied by an ophthalmologist or optometrist.

color blindness

Reduced ability to discriminate between colors, especially shades of red and green. Usually hereditary.

presbyopia

Refractive condition in which there is a diminished power of accommodation arising from loss of elasticity of the crystalline lens, as occurs with aging. Usually becomes significant after age 45.

after-cataract, secondary cataract

Remnants of an opaque lens remaining in the eye, or opacities forming, after extracapsular cataract removal.

cataract extraction

Removal of a cloudy lens from the eye. An extracapsular cataract extraction leaves the rear lens capsule intact; with an intracapsular extraction there is complete removal of lens with its capsule, usually by cryoextraction.

retinal detachment

Separation of the retina from the underlying pigment epithelium. Disrupts visual cell structure and thus markedly disturbs vision. Almost always caused by a retinal tear; often requires immediate surgical repair.

vitreous detachment

Separation of vitreous gel from retinal surface. Usually innocuous, but can cause retinal tears, which may lead to retinal detachment. Frequently occurs with aging as the vitreous liquefies, or in some disease states, e.g. diabetes and high myopia.

peripheral vision

Side vision; vision elicited by stimuli falling on retinal areas distant from the macula.

blind spot

Sightless area within the visual field of a normal eye. Caused by absence of light sensitive photoreceptors where the optic nerve enters the eye.

extraocular muscles

Six muscles that move the eyeball (lateral rectus, medial rectus, superior oblique, inferior oblique, superior rectus, inferior rectus).

macula

Small central area of the retina surrounding the fovea; area of acute central vision.

diabetic retinopathy

Spectrum of retinal changes accompanying long-standing diabetes mellitus. Early stage is background retinopathy. May advance to proliferative retinopathy, which includes the growth of abnormal new blood vessels (neovascularization) and fibrous tissue. Also proliterative retinopathy

eyelids

Structures covering the front of the eye, which protect it, limit the amount of light entering the pupil, and distribute tear film over the exposed corneal surface.

low vision

Term usually used to indicate vision of less than 20/200.

Amsler grid

Test card; grid (black lines on white background or white lines on black background) used for detecting central visual field distortions or defects, such as in macular degeneration.

Snellen chart

Test chart used for assessing visual acuity. Contains rows of letters, numbers, or symbols in standardized graded sizes, with a designated distance at which each row should be legible to a normal eye. Usually tested at 20 ft.

refraction.

Test to determine an eye's refractive error and the best corrective lenses to be prescribed. Series of lenses in graded powers are presented to determine which provide sharpest, clearest vision.

crystalline lens

The eye's natural lens. Transparent, biconvex intraocular tissue that helps bring rays of light to a focus on the retina.

lens, crystalline lens

The eye's natural lens. Transparent, biconvex intraocular tissue that helps bring rays of light to a focus on the retina.

drusen

Tiny, white hyaline deposits on Bruch's membrane (of the retinal pigment epithelium). Common after age 60; sometimes an early sign of macular degeneration.

cornea

Transparent front part of the eye that covers the iris, pupil, and anterior chamber and provides most of an eye's optical power.

conjunctiva

Transparent mucous membrane covering the outer surface of the eyeball except the cornea, and lining the inner surfaces of the eyelids.

A-scan

Type of ultrasound, radar-like device that emits very high frequency waves that are reflected by the ocular structures and converted into electrical impulses. Used for differentiating normal and abnormal eye tissue or for measuring length of eyeball.

B-scan

Type of ultrasound; provides a cross-section view of tissues that cannot be seen directly. High frequency waves are reflected by eye tissues and orbital structures and converted into electrical pulses, which are displayed on a printout.

diopter (D)

Unit to designate the refractive power of a lens.

20/20. Normal visual acuity

Upper number is the standard distance (20 feet) between an eye being tested and the eye chart; lower number indicates that a tested eye can see the same small standard-sized letters or symbols as a normal eye at 20 feet

pupi

Variable-sized black circular opening in the center of the iris that regulates the amount of light that enters the eye.

uvea, uveal tract

YU-vee-uh). Pigmented layers of the eye (iris, ciliary body, choroid) that contain most of the intraocular blood vessels.

ophthalmologist

ahf-thal-MAH-loh-jist). Physician (MD) specializing in diagnosis and treatment of refractive, medical and surgical problems related to eye diseases and disorders.

hyperopia

farsightedness. Focusing defect in which an eye is underpowered. Thus light rays coming from a distant object strike the retina before coming to sharp focus, blurring vision. Corrected with additional optical power, which may be supplied by a plus lens (spectacle or contact) or by excessive use of the eye's own focusing ability (accommodation).

keratoconus

kehr-uh-toh-KOH-nus). Degenerative corneal disease affecting vision. Characterized by generalized thinning and cone-shaped protrusion of the central cornea, usually in both eyes. Hereditary.

myopia

nearsightedness. Focusing defect in which the eye is overpowered. Light rays coming from a distant object are brought to focus in front of the retina. Requires a minus lens correction to "weaken" the eye optically and permit clear distance vision.

perimetry

puh-RIM-ih-tree). Method of charting extent of a stationary eye's field of vision with test objects of various sizes and light intensities. Aids in detection of damage to sensory visual pathways.

iris

tissue lying behind the cornea that gives color to the eye (e.g., blue eyes) and controls amount of light entering the eye by varying the size of the pupillary opening.

vitreous

vitreous humor. Transparent, colorless gelatinous mass that fills the rear two-thirds of the eyeball, between the lens and the retina.

exotropia

wall-eyes. Eye misalignment in which one eye deviates outward (away from nose) while the other fixates normally.