Glossary Medical Terms
- Ophthalmology At East Valley Ophthalmology, we want to be sure you understand all aspects of your procedure. Here is a list of common medical terminology and definitions.
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Aberrations:
Distortions, related to astigmatism , that cause the inability of light rays entering the eye to converge (come together) to a single focus point on the retina . Aberrations are divided into two main categories: higher-order
and lower-order.
Ablation: Surgical removal of tissue,
typically using a cool beam laser .
Ablation zone: The area of tissue that
is removed during laser surgery.
Accommodation: Ability of the eye
to change its focus between distant objects and near objects.
Acuity: Sharpness, acuteness, or keenness
of vision. Acute: Occurring suddenly.
Adnexa: Accessory structures of the
eye, including the eyelids, lacrimal apparatus, etc.
AK: Astigmatic Keratotomy , modified
form of Radial Keratotomy (RK).
Amblyopia: Dullness or obscurity of
sight for no apparent organic reason, therefore not correctable with
glasses or surgery. Sometimes called
a lazy eye, wherein one eye becomes dependent on the other eye to
focus, usually developed in early childhood. Often associated with
strabismus .
Amsler grid: Hand held chart featuring
horizontal and vertical lines, usually white on black background,
used to test for central visual
field defects.
Angle: Drainage area of the eye formed
between the cornea and the iris , named for its angular shape, which
is why you see the word "angle" in
the different glaucoma names.
Anisometropia: Condition of the eyes
in which they have unequal refractive power .
Anterior chamber: Space between the
cornea and the crystalline lens , which contains aqueous humor .
Anterior ocular segment: Part of the
eye anterior to the crystalline lens , including the cornea , anterior chamber , iris and ciliary body .
Antioxidants: Micronutrients that destroy
or neutralize free radicals, molecules that have been implicated as one causative factor in the stimulation of abnormal cellular reproduction (cancer) and cellular
destruction (aging).
Antireflective coating: Coating on the
front or back of glasses lenses, which minimizes the glare for patients
who are extremely bothered by glare.
Aphakia: Absence of the lens of the
eye.
Aqueous humor: Transparent fluid occupying
the anterior chamber and maintains eye pressure.
Argon laser: device used to treat glaucoma
(usually open angle) and diabetic retinopathy using a thermal beam.
ARMD: age related macular degeneration:
Destruction and loss of the photoreceptors in the macula region of
the retina resulting in decreased
central vision and, in advanced cases, blindness.
Asthenopia: Eyestrain.
Astigmatic Keratotomy (AK): Treats astigmatism
by flattening the cornea with arc-shaped incisions in its periphery,
similar to RK.
Astigmatism: Structural defects of the eye in which the light rays from a viewed object do not meet in a single focal point, resulting in blurred images being sent to the brain. An astigmatic cornea is not perfectly rounded like a basketball but has an irregular shape more like the side of a football. Astigmatism is most often combined with myopia or hyperopia .
Automated Lamellar Keratoplasy (ALK): Procedure
that predates LASIK eye surgery and is not generally used any more.
Automated perimeter: Computer-driven
device used to plot defects in the visual field (peripheral vision
or side vision). Usually, this is
a large hemisphere shell into which the patient's head is placed.
Various points of lights, sometimes of different sizes, intensities
and colors
are projected onto the screen. The patient then indicates whether
the light is seen and the response is recorded. The computer then
plots
the effective visual thresholds within the targeted visual field.
Axis: Optical - a straight line through
the centers of both surfaces of a lens. Visual - a straight line
from the object of vision to the
fovea of the eye.
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BCVA: Best corrected visual acuity.
Best corrected visual acuity (BCVA): Best
possible vision a person can achieve with corrective lenses, measured
in terms of Snellen lines on an eye chart .
Beta-carotene: Member of the carotinoid
family of vitamins, a precursor to vitamin A, thought to be beneficial
to the eyes, helpful in treating
diseases such as glaucoma.
Bifocals: Lenses containing two focal
lengths, usually arranged with the focus for distance above and near
focus below.
Binocular vision: Simultaneous use of
the two eyes. Normal binocular vision yields a stereoscopic image
and parallax-induced depth perception.
Blepharitis: Inflamation of the eyelids, a common problem which tends to be reoccuring in nature.
Blind spot: The area of the optic disk
where the optic nerve fibers exit the eye and where there are no
light-sensitive cells. This small
area can be measured and in glaucoma, as the nerve fibers die, the
blind spot tends to enlarge and elongate. This is one of the diagnostic
hallmarks of glaucoma.
Bowman's membrane: Extremely thin second
layer of the cornea , situated between the epithelium and stroma ,
thought to be responsible for epithelium
adhesion.
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Capsular haze: A thin film of scar tissue that occasionally forms on the posterior capsule behind the intraocular lens implant following cataract surgery and removed with a Nd:Yag laser.
Caruncle: Small, red portion of the
corner of the eye that contains modified sebaceous and sweat glands.
Cataract: Gradual clouding of the crystalline lens resulting in reduced vision or eventual blindness, correctable
by cataract surgery .
Cataract surgery: Removal of a cataract ,
replacing it with an intraocular lens implant .
Central islands: Central islands are a small mound of central
tissue, which can interfere with vision and occur when the laser beam does not uniformly remove
tissue in the center of the treatment.
Choroid membrane: Dark, vascular , thin
skin-like tissue, situated between the sclera and the retina , forming
the middle coat of the eye. The choroid membrane nourishes the outer portions of the
retina and absorbs excess light.
Chronic: Of long duration, going on
for some time.
Closed angle glaucoma: Glaucoma conditions
occurring suddenly (acute).
Ciliary body: Part of the eye
that connects the choroid membrane to the iris . Produces aqueous humor that fills the front part
of the eye and maintains eye pressure.
Ciliary muscle: Muscle attached to the
crystalline lens responsible for focus (the same as ciliary body ,
but used in a different context).
Clear Lens Extraction (CLE): Procedure
in which the eye's natural
clear crystalline lens is removed and replaced with an intraocular lens implant , using the same technique as cataract surgery.
Colorblindness: Inaccurate term for
a lack of perceptual sensitivity to certain colors. Absolute color
blindness is almost unknown.
Color vision: Ability to perceive differences
in color, including hue, saturation and brightness.
Comprehensive eye exam: Evaluation
of the complete visual system.
Conductive Keratoplasty (CK): Procedure
in which a radio frequency probe, rather than a laser , is used to
reshape the cornea . It is approved
for low to moderate hyperopia in patients over age 40, however it
does not appear to have the precision of LASIK .
Cones: One of the two types of light-sensitive
cells, concentrated in the center of the retina (also
see rods ). There are
about 6.5 million cones in each eye - 150,000 cones in every square
millimeter - responsible for detailed visual acuity and the ability
to see in color.
Conjunctiva: Mucous membrane lining
the inner surface of the eyelids and covering the front part of the sclera
(white part of eye), responsible
for keeping the eye moist.
Conjunctivitis: Inflammation or irritation
of the conjunctiva . Symptoms can be present in just one eye, or it
can affect both eyes and include
redness of the eyes or the edges of the eyelids, swelling of the
eyelids or itching.
Contact lens: Small, thin removable
plastic lens worn directly on the front of the eyeballs, usually
used instead of ordinary eyeglasses
for correction or protection of vision.
Convergence: Turning of the eyes inwards
so that they are both "aimed" towards
a nearobject being viewed. Normally works in harmony with divergence
which is used for more distant objects.
Cornea: Transparent tissue that forms
the front part of the eyeball, covering the iris and pupil.
The cornea is the first
part of the eye that bends (or refract s) the light and provides most
of the focusing power.
Corneal curvature: Shape of the front
of the eye.
Corneal mapping, topography: A tool used to see the refractive problems that might be present
in the cornea. Corneal topography is used not only for screening
all patients before refractive surgery like LASIK but also for fitting
contacts.
Corneal relaxing incisions (CRIs): True
corneal incisions, such as RK and AK .
Corneal transplant (penetrating keratoplasty): Surgical
operation of grafting a replacement cornea onto an eye.
Crystalline lens: Double convex, transparent
part of the eye, located behind the iris and in front
of the vitreous body. Serves in
conjunction with the cornea to refract incoming rays of light onto
the retina .
Cylinder: Refers to the degree of astigmatism (uneven roundness) present in the cornea.
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Depth perception: Ability of the vision
system to perceive the relative positions of objects in the visual
field.
Detached retina: A retinal detachment occurs when the retina is pulled away from its normal position in the back of the eye.
Diabetes mellitus: Chronic metabolic
disorder characterized by a lack of insulin secretion and/or increased
cellular resistance to insulin,
resulting in elevated blood levels of simple sugars (glucose) and
including complications involving damage to the eyes, kidneys, nervous
system
and vascular system
Diabetes type I (IDDM): Insulin dependent,
resulting from destruction of the insulin producing pancreatic islet
cells
Diabetes type II (NIDDM): Non-insulin
dependent, resulting from tissue resistance to insulin
Diabetic retinopathy: Deterioration
of retina l blood vessels in diabetic patients, possibly leading to
vision loss.
Dilated, dilation: Enlargment of the pupil (space in the middle of the iris).
Diopter: Unit of measure of the refractive
power of an optical lens (equal to the power of a lens
with a focal distance of one meter).
A negative diopter value (such as -3D) signifies an eye with
myopia and
positive diopter value (such as +3D) signifies an eye with
hyperopia .
Diplopia: Condition in which a single
object is perceived as two; also called double vision.
Divergence: Turning of the eyes outwards
so that they are both "aimed" towards
the object being viewed. Normally works in harmony with convergence.
Double vision: Same as diplopia.
Dry eye: A common condition that occurs
when the eyes do not produce enough tears to keep the eye moist and
comfortable.
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Emmetropia: Twenty-twenty vision.
Endothelium: Cellular tissue that covers
the inner surface of the eye within the closed cavity, typically
referring to the cornea .
Enhancement: An additional LASIK procedure,
used in the refinement of Personal Best Vision.
Epithelium: Cellular tissue that covers
the outer surface of the eye. Consists of one or several
layers of cells with only
little intercellular material.
Esophoria: Position of the eyes in
an over-converged position compensated by the external eye muscles
so that the eyes do not appear turned inward.
Esotropia: Position of the eyes in
an over-converged position so that non-fixating eye is turned inward.
One eye looks straight; one looks
inward.
Excimer laser: Laser used in LASIK
surgery that operates in the ultraviolet wavelength, producing a
cool beam.
Exophoria: Position of the eyes in
an over-diverged position compensated by the external eye muscles
so that the eyes do not appear turned outward.
Exotropia: Position of the eyes in an
over-diverged position so that non-fixating eye is turned outward.
One eye looks straight ahead and
one turns outward.
Extracapsular cataract surgery: Surgery in which the cataract
is removed in one piece through a larger incision, which usually requires
several stitches.
Extraocular muscles: Six muscles that
control eye movement. Five originate from the back
of the orbit; the other one originates
from the lower rim of the orbit. Four move the eye up, down, left
and right, the other two control the twisting motion of the eye when
the
head tilts. All six muscles work in unison; when they do not function
properly, the condition is called strabismus .
Eye chart: Technically called a Snellen
chart, a printed visual acuity chart consisting of
Snellen optotypes, which are specifically
formed letters of the alphabet arranged in rows of decreasing letter
size.
Eyelid: Either of two movable, protective,
folds of flesh that cover and uncover the front of the eyeball.
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Farsighted: Common term for hyperopia .
FDA: Abbreviation for the Food and
Drug Administration. It is the United States governmental agency
responsible for the evaluation and approval
of medical devices.
Femtosecond laser:
Used in the IntraLASIK
procedure to make a safer and more precise flap than the older mechanical
microkeratome technology,
it uses a longer wavelength, smaller spot, and shorter duration per
pulse than the excimer laser used
to reshape the cornea .
Field of vision: Entire area which
can be seen without shifting the gaze.
Flap: Part of the cornea consisting
of epithelium , Bowman's membrane and some stroma , cut with a remaining
hinge and lifted up as part of
the LASIK procedure.
Flashes & floaters:
Light spots or streaks and dark moving specks due to the vitreous traction on the retinal (light flashes) and solid vitreous material or blood (floaters).
Fluorescein angiography: Diagnostic
test by which the veins deep inside the eye are examined. Dye is
injected into a vein in the arm and circulated
by the blood to the back of the eye, allowing for visual examination.
Fovea: Small depression in the retina ,
the point where vision is most acute.
Fundus: Furthest point at the back of
the eye, consisting of the retina , choroid membrane ,
sclera , optic disc and blood vessels,
seen by means of the ophthalmoscope.
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Ghost image: Faint second image of the
object you are viewing.
Giant papillary conjunctivitis: Type
of conjunctivitis wherein bumps or ridges form on the inside of eyelids,
which make wearing contact
lenses uncomfortable; in fact, this condition is often caused by
overwearing of certain contact lenses
Glare: Scatter from bright light that
decreases vision.
Glaucoma: Painless disease of the eye
characterized by increased pressure within; left untreated it leads
to a gradual impairment of sight often
resulting in blindness.
Gonioscopy: Viewing procedure utilizing
a mirror/lens device placed directly upon the cornea that is used
to view the drainage area called "the
angle" through which aqueous fluid exits the eyeball.
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Halos: Rings around lights due to optical
imperfections in, or in front of, the eye.
Haptics: The arms of an intraocular
lens , which holds it in place once inserted inside the eye.
Haze: Corneal clouding that causes
the sensation of looking through smoke or fog.
Heterophoria: Constant tendency of one
eye to deviate in one or another direction due to imperfect balance
of ocular muscles.
Holmium laser: A laser which operates in the infrared wavelength, producing a hot
beam. It is used in Laser Thermokeratoplasty
surgery and more commonly
in surgical procedures involving the disintegration of stones
and fibrous tissue ablation .
Hyperopia:
Also called farsightednesss, hyperopia is the inability to see near
objects as clearly as distant objects, and the need for accommodation
to
see distant objects clearly.
Hypoxia: Deficiency of oxygen supply
to a tissue.
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Image: Light reflected into the eye,
off objects in front of the eye. This light contains all the information
about the objects (such as
color, shadow. motion and detail) that are translated to the brain
and allow you to "see" (know about the objects).
Inflammation: Body's reaction to trauma,
infection, or a foreign substance, often associated with pain, heat,
redness, swelling, and/or loss of
function.
Informed Consent Form: Document disclosing
the risks, benefits, and alternatives to a procedure.
In Situ: Term meaning "in place".
Intracapsular cataract surgery: Cataract
surgery in which both the lens and capsule are completely removed, a rarely
used procedure.
Intraocular lens implant (IOL): Permanent,
artificial lens surgically inserted inside the eye to replace the
crystalline lens following cataract
surgery or clear lens extraction . Intraocular pressure (IOP): Fluid pressure
within the eye created by the continual production and drainage of
aqueous fluid in the anterior chamber .
Iridotomy: Treatment for closed-angle
glaucoma, one of the many types of glaucoma, usually done with a
laser .
Iris: Colored part of the eye. Elastic, pigmented, muscular tissue in front of the crystalline lens that regulates the amount of
light that enters the eye by adjusting the size of the pupil in the
center.
Ischemia: Restriction or blockage of
blood flow through a blood vessel. Ischemia is a causative agent
of certain heart attacks and strokes
and is involved in various types of visual field losses.
Intacs: Surgically implanted
plastic half rings that change the shape of the cornea .
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Keratectomy: Surgical removal of cornea l
tissue.
Keratitis: Inflammation of the cornea
Keratotomy: Surgical incision (cut)
of the cornea .
.
Keratoconous: Rare, serious, degenerative
cornea l disease, in which the cornea thins and assumes the shape
of a cone.
Keratomileusis: Carving of the cornea
to reshape it. Keratoplasty: Surgical reshaping of
the cornea .
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Lacrimal apparatus: Part of the eye
that produces tears.
LASEK: Laser Epithelial Keratomileusis,
a refractive surgery in which the epithelium is cut with a fine blade,
called a trephine, and involves
displacing the cornea l epithelium as a sheet and then replacing it
to (theoretically) act as a natural bandage.
Laser:
Device that generates an intense
and highly concentrated beam of light. Acronym for: Light Amplification
by Simulated Emission of
Radiation. (Also see: holmium
laser , argon
laser , Nd:YAG
laser , femtosecond
laser , and excimer
laser )
Laser Thermokeratoplasty (LTK): Holmium
'hot' beam laser, instead of the 'cool' beam excimer laser, is used
to treat farsighted patients
and is very limited in its application; the effects are not long
lasting.
LASIK: Laser Assisted In-Situ Keratomilieusis,
a refractive surgery in which Excimer laser ablation is performed
under a flap on the cornea
to correct refractive errors .
Lazy eye: Amblyopia, an eye condition noted by reduced vision not correctable by glasses or contact lenses and is not due to any eye disease.
Legally blind: 20/200 vision and over
is the qualification of legal blindness in the United States.
Lens: Same as the crystalline lens . Double convex, clear part of the eye, behind the iris
and in front of the vitreous humor.
Serves to refract the various rays of light so as to form an image
on the retina .
Lenticular: Special non- cataract lenses
for patients who have cataracts.
Lid speculum: A surgical tool that holds the eyelids open and which allows the surgeon to gain access to
the eye with minimal pressure on the globe.
Limbal relaxing incisions (LRI): Small
incisions placed on the far peripheral aspect of the cornea resulting
in a cornea that is more
round, for correcting astigmatism .
Limbus: Thin area that connects the
cornea and the sclera . Low vision:
Condition occurring when
ordinary eyeglasses or contact lenses are unable to bring a patient's
sight up to normal sharpness.
LTK (Laser Thermal Keratoplasty): Holmium
'hot' beam laser, instead of the 'cool' beam excimer laser, is used
to treat farsighted patients
and is very limited in its application; the effects are not long
lasting.
Lutein: Member of the carotinoid family
of vitamins, similar to beta-carotene, thought to be beneficial to
the eyes, helpful in treating diseases
such as glaucoma.
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Macula: Yellow spot on the retina , where the photoreceptors are most
dense and responsible for the central vision. Has the
greatest concentration of cones, responsible for visual acuity and
the ability to see in color.
Macular edema: Collection of fluid
in and under the macular portion of the retina .
Macular
degeneration: Disease of the
macula, which results in the loss of central vision.
Meridian: Orientation of a particular
curve, often used in relation to the cornea .
Microkeratome: Mechanical surgical device
that is affixed to the eye by use of a vacuum ring. When secured,
a very sharp blade cuts a layer
of the cornea at a predetermined depth.
Miosis: Pupillary constriction.
Monovision:
Purposeful adjustment of
one eye for near vision and the other eye for distance vision.
Mydriasis: Pupillary dilation.
Myopia: Also called nearsightedness
or shortsightedness, the inability to see distant objects as clearly
as near objects.
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Near point of accommodation: Closest
point in front of the eyes that an object may be clearly focused.
Near point of convergence: Maximum extent
the two eyes can be turned inwards.
Nearsighted: Common term for myopia .
Neodymium YAG Laser: Laser used to treat
Posterior Capsular Opacification (PCO) as well as open angle glaucoma Selective Laser Trabeculoplasty
Neovascularization: Often associated with diabetes, involves the formation of new
blood vessels, often fragile and inappropriate for the location.
Nerve fibers/axons: Extensions
of photoreceptors that form the nerve bundle that is called the optic
nerve.
Neuro-ophthalmology: Subspecialty that
treats the nervous and vascular systems that involve the eye.
Normal vision: Occurs when light is
focused directly on the retina rather than in front or behind it.
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Ocular herpes: A recurrent viral infection caused by the herpes simplex virus. Ocular herpes represents the most common infectious cause of corneal blindness in the United States.
Ocular hypertension: Elevated fluid
pressure. The normal pressure is about 10 to 21mmHg, with the majority
of people falling between 13
and 19. Over 21 is considered suspicious. Over 24 cautiously
concerned - warranting immediate investigation. Over 30 is considered urgent and
a potential emergency situation.
OD: Abbreviation standing for "oculus dextrum" meaning:
right eye.
ONH: Optic nerve, optic nerve head.
A bundle of nerve fibers about the diameter of pencil that passes
through the back of the eyeball,
and connects to the nerve fiber layer of the retina . It can be observed
directly with an instrument called an ophthalmoscope.
Open angle glaucoma: Glaucoma conditions
of long duration (chronic).
Ophthalmologist: An ophthalmologist
is either a medical doctor (M.D.) or an osteopathic physician (D.O.)
who is qualified and especially
trained to diagnose and treat all eye and visual system problems,
both medically and surgically, as well as diagnose general diseases
of the
body.
Ophthalmoscope: Instrument used to examine
the interior of the eye: it consists of a perforated mirror arranged
to reflect light from a
small bulb into the eye.
Ophthalmoscopy: Examination of the internal
structures of the eye using an illumination and magnification system.
Optic disc: The head of the optic nerve
that is formed by the meeting of all retina l nerve fibers.
Optic nerve: Bundle of nerve fibers
that connect the retina with the brain. The optic nerve carries signals
of light to the area of the
brain called the visual cortex, which assembles the signals into
images called vision.
Optician: Expert who designs, verifies
and dispenses lenses, frames and other fabricated optical devices
upon the prescription of an ophthalmologist
or an optometrist.
Optometrist: Eye care professional,
graduate of optometry school, provides non-surgical visual care.
Specifically educated and trained to examine
the eyes, and determine visual acuity as well as other vision problems
and ocular abnormalities. An optometrist prescribes glasses and contact
lenses to improve visual acuity.
Orbit: Boney socket containing the
eyeball, fat, extraocular muscles, nerves and blood vessels.
Orthokeratology (OK): Non-surgical procedure
using contact lenses to alter the shape of the cornea to effect a
change in the refractive
error .
Orthoptics: Exercises designed to help
the eye muscles work together to improve visual perception.
OS: Abbreviation standing for "oculus sinistrum" meaning:
left eye
Overcorrection: Occurence in refract ive
surgery where the achieved amount of correction is more than desired;
in LASIK , typically due
to a patent's over-response to the laser ablation.
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Pachymeter: Instrument that measures
the distance between the top of the cornea l epithelium and the bottom
of the cornea l endothelium used
as diagnostic testing device measuring for cornea l thickness.
Pachymetry: Exam for measuring cornea l
thickness.
Papilledema: Non-inflammatory swelling/elevation
of the optic nerve often due to increased intracranial pressure or
space-occupying tumor.
PD: Used on prescriptions to indicate
the distance between the pupils of both eyes.
Pellucid marginal degeneration: A bilateral, noninflammatory, peripheral corneal thinning disorder, which is characterized by a peripheral band of thinning of the inferior cornea. Peripheral vision: Ability to perceive
the presence, motion, or color of objects outside the direct line
of vision.
Personal Best Vision: Best possible
vision for each individual as corrected.
Phacoemulsification cataract surgery: Cataract
removal procedure which involves making a tiny incision, about 1/8" long. A pen-like instrument,
inserted through the opening, is used to emulsify and aspirate the
clouded lens material, using gentle sound waves. Then an intraocular
lens is inserted into place. Phacofracture cataract surgery: Cataract
surgery in which the lens is removed through a small incision by "fracturing" it into
several small segments, rarely used today.
Phakic Intraocular Lenses (IOLs): Placed
inside the eye without removing the natural lens, and performs much
like an internal contact lens.
Phoropter: A common device found in most eye doctor's offices, with mulitple lenses, used to measure refractive errors.
A phoropter calculates the prescription required for corrective lenses.
Photocoagulation: Focusing of powerful
light rays onto tiny spots on the back of the eye, producing heat,
which seals retina l tears and
cauterizes small blood vessels.
Photophobia: Sensitivity to light.
Photoreceptors: Microscopic light-sensitive
cells that are located in the retina called rods and cones . There
are approximately 7 million
cones and 125 million rods
Photo Refractive Keratectomy (PRK):
Surgery
in which a small area on the cornea l epithelium (surface cells) is
gently polished away. The
laser then reshapes the cornea l surface in exactly the same way as
for LASIK surgery. Pingecula: Irritation caused degeneration
of the conjunctiva resulting in a thickening and yellowing of the
normally thin transparent tissue.
Pink eye: Type of conjunctivitis, commonly
seen in children.
Posterior capsule: The thin membrane in the eye that holds the crystalline lens in place.
Posterior chamber: The back section of the eye's interior.
Posterior optical segment: Part of
the eye posterior (behind) to the crystalline lens , including the
vitreous, choroid retina and optic
nerve.
Posterior Vitreous Detachment (PVD): Separation
of the vitreous body from its attachment from the retina l surface
due to shrinkage from
degenerative or inflammatory conditions or trauma. An age-related
condition.
Prelex: Surgical procedure that
attempts to correct presbyopia.
Presbyopia: Inability to maintain a
clear image (focus) as objects are moved closer. Presbyopia is due
to reduced elasticity of the lens
with increasing age.
Prescription: Amount of vision correction
necessary, written in a form that can be utilized during the manufacture
of corrective lenses or
to configure a laser machine.
PRK: Acronym for Photo-Refractive Keratectomy,
which is a procedure involving the removal of the surface layer of
the cornea ( epithelium )
by gentle scraping and use of a computer-controlled excimer laser
to reshape the stroma .
Progressive lenses: Bifocal or trifocal
lenses which appear to be single vision with no distinct lines between
the various focal lengths.
Punctal occlusion: Treatment for dry
eye in which plugs are inserted into the punctum in order to retain
lubricating tears naturally produced
by the eye.
Punctum: The hole in the upper and lower
eyelids through which tears exit the eye. In patients with dry eyes,
temporary or permanent plugs
may be inserted to help keep tears in the eye. Tears flow through
the punctum to the nose, which is why people often experience a runny
nose
when crying.
Pupil: Black circular opening in the
center of iris through which light passes into the crystalline lens . It changes size in
response to how much light is being received by the eye, larger in
dim lighting conditions and smaller in brighter lighting conditions.
Pupillary response: Constriction and
dilation of the pupil due to stimulation by light or accommodation.
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Radial Keratotomy (RK): Outdated procedure
once used to correct mild to moderate myopia , whereby making a series
of spoke-like incisions
around its periphery flattens the cornea .
Refract: To bend aside, as in "the crystalline lens refract s the
light as it passes through", or to measure the degree
the eyes or lenses bend light, as in "the doctor refract s a patient's
eyes".
Refraction: Test to determine the refractive
power of the eye; also, the bending of light as it passes from one
medium into another.
Refractive errors: The degree of visual
distortion or limitation caused by inadequate bending of light rays,
includes hyperopia , myopia , and
astigmatism .
Refractive power: Ability of an object,
such as the eye, to bend light as light passes through it.
Refractive surgery: Type of surgery
(such as LASIK ) that affects the refract ion of vision.
Retina: Layer of fine sensory tissue
that lines the inside wall of the eye, composed of light sensitive
cells known as rods and cones .
Acts like the film in a camera to capture images, transforms the
images into electrical signals, and sends the signals to the brain
by way
of the optic nerve.
Retinal Detachment: Condition wherein
retina breaks away from the choroid membrane , causing it to lose
nourishment and resulting in loss of vision
unless successfully surgically repaired.
RK: Abbreviation for " radial keratotomy ", an outdated procedure
once used to correct mild to moderate myopia , whereby making a series
of spoke-like incisions around its periphery flattens the cornea .
Rods: One of the two types of light-sensitive
cells, located primarily in the side areas of the retina
(also see cones). There
are about 125 million rods , which are responsible for visual sensitivity
to movement, shapes, light and dark (black and white) and the ability
to see in dim light. Routine eye exam: To test the overall
condition of the eye and prescribe corrective measures such as glasses,
contact lenses or LASIK .
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Schirmer test: Test for dry eyes, which
uses a thin strip of filter paper placed at the edge of the eye.
Sclera: White part of the eye.
Tough covering that (with the cornea ) forms the external, protective
coat of the eye.
Scotoma: Area of partial or complete
loss of vision surrounded by an area of normal vision, as what can
occur in advanced ARMD or glaucoma.
Single vision: Lenses with only one
focal length.
Slit-Lamp: Ophthalmic instrument producing
a slender beam of light used to illuminate and examine the external
and internal parts of the
eye.
Sloan eye chart: A common chart used
to test visual acuity with black letters of various sizes against
a white background.
Snellen eye chart: Most common chart
used to test visual acuity with black letters of various sizes against
a white background.
Snellen lines: Snellen optotypes arranged
in horizontal rows called "lines".
Snellen optotypes: Specifically formed
letters of the alphabet arranged in rows of decreasing letter size
on the Snellen chart.
Sphere: Focusing power of the corrective lens.
Stereoscopic vision: Ability to see
in three-dimension.
Stereopsis: Ability to perceive three-dimensional
depth.
Strabismus: Condition occurs when the
muscles of the eye do not aligned properly and binocular vision is
not present. Patients
with a history of strabismus may develop double vision after refractive
eye surgery.
Stroma: Middle, thickest layer of tissue
in the cornea .
Suppression: Inability to perceive all of part of objects in the
field of vision of one eye.
Suspensory ligament of lens: Series
of fibers that connect the ciliary body of the eye with the lens,
holding it in place; ; also known as zonules.
Sympathetic ophthalmia:
Inflammation of one eye following inflammation
in the other eye.
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Tonometry: Procedure for the measurement
of intraocular pressure. A test for glaucoma.
Topography: A tool used to see the refractive problems that might be present in the cornea. Corneal topography is used not only for screening all patients before refractive surgery like LASIK but also for fitting contacts.
Toric: Lens (eyeglasses, intraocular
lens , or contact lens) that is the warped (astigmatic) opposite to
that of the eye, thereby canceling
out the error.
Trabecular meshwork: Drainage channels
located inside the eye.
Trabeculoplasty: A procedure for the treatment of glaucoma, using a
laser ( Argon or Nd:YAG ). Trabeculoplasty remodels the trabecular meshwork in order
to increase drainage of aqueous and
lower the intraocular pressure .
Trifocals: Lenses containing three
focal lengths, usually arranged with the focus for distance above,
intermediate distance in the middle,
and near vision below.
Twenty-twenty, 20/20 vision: To have 20/20
vision means that when you stand 20 feet away from the Snellen eye chart you can see what the majority
of people can see at that same distance.
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UCVA: Uncorrected visual acuity.
Uveal tract: Pigmented, middle layers
of the eye, which include the choroid , ciliary body and
iris .
Uveitis: Inflammation of any portion of the uveal tract.
Ultrasound waves: Sound waves above 20,000 vibrations
per second, above the range audible to the human ear, used in medical
diagnosis and surgery.
Ultrasonography: Recordings of the echoes
of ultrasound waves sent into the eye and reflected from the structures
inside the eye or orbit. Ultrasonography is
used to make measurements and to detect and localize tumors and retina l detachments.
Ultraviolet radiation: Radiant energy
with a wavelength just below that of the visible light. UV-c is the
shortest wavelength at 200-280 nm
and is absorbed by the atmosphere before reaching the surface. UV-b,
at 280-315 nm is the burning rays of the sun and damages most
living tissue. UV-a, at 315-400 nm is the tanning rays of the
sun and is somewhat damaging to certain tissues. UV radiation has been
described as a contributing factor to some eye disease processes, which
result in ARMD and cataract s and causes exposure keratitis.
Uncorrected visual acuity (UCVA): Best
possible vision a person can achieve without corrective lenses measured
in terms of Snellen lines
on an eye chart .
Undercorrection: Occurence in refract ive
surgery where the achieved amount of correction is less than desired;
in LASIK , typically due
to a patient under-responding to the laser treatment.
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Vascular: Having to do with transporting
blood.
Vision: The ability of the brain to
see and interpret what is in front of the eyes.
Vision therapy: Orthoptics, vision
training, eye exercises. Treatment process for the improvement of
visual perception and/or coordination
of the two eyes, for more efficient and comfortable binocular vision.
Visual acuity: Clearness of vision;
the ability to distinguish details and shapes, which depends upon
the sharpness of the retina l image.
Visual cortex: That part of the brain
responsible for vision.
Visual field: Area or extent of space
visible to an eye in a given position of gaze. There is a central
visual field - the area
directly in front of us, and a peripheral visual field - our "side
vision". The fields of each eye partly overlap. We do not perceive
the blind spots from each eye because the area that is missing in one
eye is present in the other.
VISX CustomVue Procedure: WaveScan-driven
laser vision correction with the potential to produce
better vision than is possible
with glasses or contact lenses, and enable surgeons to measure and
correct unique imperfections in each individual's vision.
VISX STAR S4 Excimer laser System:
Highly
advanced laser technology
platform, the VISX STAR S4
combines Variable Spot Scanning
(VSS) and ActiveTrak 3-D Active Eye Tracking along with
the WavePrint.
Vitreous humor, fluid, or body:
Jelly-like,
colorless, transparent substance occupying the greater part of the
cavity of the eye, and
all the space between the crystalline lens and the retina .
Vitrectomy:
Surgical removal of vitreous
humor that is diseased or has lost its transparency.
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Wavefront:
Wavefront technology produces
a detailed map of the eye. The information is transferred to the
laser via computer software.
YAG laser surgery:
Properly called Nd:Yag laser capsulotomy, a procedure using a
Nd:YAG (neodymium-yttrium-aluminum-garnet) laser,
used primarily to treat secondary cataract s
(capsular haze) that occur subsequent to the primary cataract procedure,
or to relieve increased pressure within the eye from acute angle-closure
glaucoma via a peripheral
iridotomy. It can also be used to treat open angle glaucoma in a
procedure called
selective laser trabeculoplasty.
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