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Term Definition
Accommodation

The change in focusing of the eye as an object is moved closer. Accomodation is required to see objects clearly up close and is slowly lost beginning at the age of 40. This is why reading glasses are required as a person ages.

After Cataract

Once a cataract is removed and an IOL implant is in place, your body can sometimes recognize that implant as being foreign. It treats it as a wound and starts to produce scar tissue over top of the implant impairing vision. This is referred to as an after cataract and is treated with a YAG laser. Once the tissue is lasered, it never returns and the vision is once again as good as it was right after the cataract surgery was done.

Amblyopia

Commonly known as a "lazy eye," it results from one eye having much better vision than the other. The eye that sees well does all of the focusing while the eye that does not see well does very little. This results in one eye having good vision and the other having bad vision. Patching therapy is commonly used in an effort to strenghthen the weaker eye.

Amsler Grid

A grid chart which allows an individual to self monitor any further damage to the macula. It is generally used for those patients with macular degeneration. If any changes are noted, an optometrist should be seen immediately since this indicates progression of the disease.

Anterior Chamber

A chamber filled with aqueous fluid that lies between the cornea and the iris.

Aphakia

The absence of a lens in the eye. This is either traumatic, congenital, or surgical.

Aqueous Humor

The fluid that fills the anterior chamber of the eye. The balance of production and drainage of this fluid is responsible for maintaining the intraocular pressure of the eye. An imbalance is seen in several eye diseases, but can contribute commonly to glaucoma.

Astigmatism

This is a type of refractive error which requires two prescriptions in the same eye. It is sometimes referred to as a "football shaped" eye and can be corrected with glasses and/or contact lenses. Astigmatism affects a person's vision at any distance and is often a major contributor to eyestrain and headaches.

Aura

The perception of flashing lights which are usually arc shaped secondary to migraine headaches or ocular migraines. In a classic migraine headache, this generally precedes the headache and is often seen in one eye. In an ocular migraine, the aura occurs but no headache is experienced. It typically lasts for about 30 to 45 minutes.

Bell's Palsy

Paralysis of the facial nerve which affects the ability to close the eyelids. Facial nerve paralysis has several causes but is referred to as bell's palsy only when there is no known cause. It is usually self limiting and tends to self resolve without treatment. It can lead to severe dry eye syndrome which is managed by the use of artifical tear drops and by taping the eyelids shut at night in order to protect the cornea.

Bifocal Lens

A type of spectacle lens that allows for both distance and near prescriptions to be in a single pair of glasses. The two are separated by a line with distance being on the top and reading being on the lower part of the lens. There is no intermediate/computer distance correction in this type of lens.

Binocular Vision

Vision in which both eyes are used together allowing for depth perception.

Blepharitis

Dandruff-like flaking of the eyelids which causes itching, redness, and inflammation of the eyelids. Treated with lid scrubs, warm compresses, and steroid ointments if severe.

Blepharochalasis

Loose eyelid skin caused by repetitive bouts of inflammation and edema which can occur at any age.

Cataract

A clouding of the lens of the eye which blocks light from focusing on the retina. It typically occurs in the elderly, but can also be seen in younger individuals. Blurred vision, halos and glare from lights at night, and difficulty reading in dim lighting are common symptoms experienced. They can range from being asymptomatic to completely blocking vision which then need to be surgically treated.

Central Vision

Vision which allows the detection of fine detail and color. This is the function of the fovea.

Chalazion

Beginning as a sty which is not successfully treated, an infected meibomian gland of the eyelid becomes clogged with material and forms a hard lump. Surgical excision is required by an ophthalmologist.

Chloroquine Retinopathy

Also known as hydroxychloroquine or plaquinil, this treatment for lupus and other inflammatory systemic conditions can deteriorate central vision. Due to proper dosing of the drug, this is a rare finding but should be carefully monitored with visual field testing on a regular basis by an optometrist.

Colour Blindness

Hereditary and congenital, individuals have problems seeing either red/green or blue/yellow with both eyes. It can also be acquired by trauma or eye diseases in which case only one eye is affected.

Cones

Types of photoreceptors which are concentrated in the macula. They function best in bright light and allow for colour perception and detection of fine detail.

Conjunctiva

A transparent mucous membrane which overlies the sclera and lines the inside of the eyelids. It helps to lubricate the eye and protect from infection.

Conjunctivitis

Commonly referred to as pink eye, this contagious condition is generally viral in nature but can also be bacterial. Symptoms include redness, discharge, and itching. This should be seen immediately by an optometrist as medical treatment can be required in the form of steroids or antibiotics. Cool compresses and artificial tears provide comfort while frequent hand washing reduces transmission.

Contact Lens

A corrective lens which, when inserted onto the cornea, can serve the same purpose as glasses and allow for the improvement of vision. Commonly, soft contact lenses are fit which come in daily, biweekly, or monthly disposables. As well, spherical, toric (for astigmatism), and multifocal (correct distance, intermediate, and near) are available.

Contact Lens Overwear

Contact lens abuse causing redness, pain, light sensitivity, and blurred vision. Strong antibiotic treatment is required and an optometrist should be seen immediately as permanent vision loss can result.

Cornea

The transparent surface of the eye which has power to refract light and allow it to focus on the retina. It accounts for approximately 40 diopters (two-thirds) of the eye's total optical power. It is five tissue layers thick and is the focus of refractive procedures such as LASIK or PRK.

Corneal Abrasion

Some form of trauma occurring to the cornea which causes loss of epithelial tissue. Redness, pain, light sensitivity and blurred vision are the most common symptoms experienced. Depending on the size, antibiotic treatment may be necessary and an optometrist should be seen.

Corneal Ulcer

Inflammatory and infectious in nature, an ulcer disrupts the cornea and can proliferate into the entire eye. An optometrist should examine the eye since strong antibiotic treatment is required immediately in order to prevent permanent vision loss.

Dermatochalasis

Loose eyelid skin caused by the loss of elasticity due to aging.

Diabetic Retinopathy

Bleeding in the back of the eye from uncontrolled diabetes which can cause severe vision loss. Laser treatment as well as diabetic control and blood sugar lowering are treatments. An optometrist or an ophthalmologist should be seen in intervals varying from every three months to yearly, depending on severity.

Diopter

The unit of measurement used to measure the refractive error of the eye.

Dry Eye Syndrome

A condition which causes burning, tearing, redness, grittiness, and even blurry vision. Treatment is with artificial tear drops to remoisturize the cornea. In addition, flax oil, fish oil and omega 3 supplements can aid in tear production and help remoisturize the eye.

Ectropion

An outward turning of the lower eyelid causing dryness and other complications. Surgical correction by an ophthalmologist is required if severe.

Emmetropia

An eye that is able to focus an image directly on the retina without the aid of glasses or contact lenses.

Entropion

An inward turning of the eyelids causing the eyelashes to scratch the cornea. It is surgically correctable by an ophthalmologist if severe.

Epiretinal Membrane

A wrinkling of the top layer of the retina which distorts vision. It is typically caused by changes in the vitreous and surgically treated by an ophthalmologist if severe by removal of the membrane.

Episcleritis

An inflammation of the episclera, a layer overlying the sclera which is commonly referred to as the white of the eye. Episcleritis can have a systemic inflammatory origin or can be completely spontaneous. If the condition is recurrent, further evaluation is needed to test for the underlying cause. Patients will experience localized redness and mild to moderate discomfort. The condition may self resolve but steroid therapy may be required.

Eyelid

A fold of skin which functions in protecting and lubricating the eye.

Flashes

The primary symptom of an impending retinal detachment. They appear as lightening bolt-like flashes which are generally seen to the side of one's vision. They should be immediately evaluated by an optometrist.

Floaters

Spots seen of various shapes and sizes due to degeneration of the vitreous which are visible more on a bright background. They need to be examined by an optometrist if there is a sudden increase noted since they may be an indication of something more severe going on. Floaters are not currently treated since the brain adapts to seeing them and will eventually not notice them as much. Also, there are many more risks to the surgical treatment than benefits.

Fluorescein Angiography

A procedure whereby fluorescein dye is injected into a vein in the arm and then followed into the retina to observe blood flow in the eye. It is often used to detect diabetic retinopathy as well as several other eye diseases. The area that is leaking fluid is highlighted which allows an ophthalmologist to treat the location.

Fovea

Located in the center of the macula, it is responsible for sharp central vision.

Fuch's Endothelial Dystrophy

A condition in which the cells of the last layer of the cornea begin to die off causing swelling of the cornea. Patients will note blurry vision which is worse upon awakening. Treatment which reduces swelling of the cornea is available and an optometrist should be consulted.

Glasses

Glasses are composed of a frame and lenses which correct the refractive error of the eye allowing light to properly focus on the retina in order to improve vision.

Glaucoma

A genetic eye disease where the optic nerve is damaged which subsequently causes loss of peripheral vision. It can lead to blindness if it is not controlled with medication. This is a completely asymptomatic disease in its early stages which is why routine eye exams by an optometrist are extremely important. All family members of a person with glaucoma should be screened for the disease due to its hereditary nature. Other risk factors include high intraocular pressure, changes in the optic nerve, decreased corneal thickness, diabetes, and high blood pressure.

Hyperopia

Also known as farsightedness, hyperopia causes decreased vision at near. If severe, it can also affect distance vision.

Hypertensive Retinopathy

Changes in arterioles and bleeding in the retina caused by uncontrolled hypertension. Treatment is with blood pressure lowering.

Intraocular Pressure

A pressure inside the eye caused by the balance of aqueous production and drainage. If increased, it can damage the optic nerve causing glaucoma. Intraocular pressure should be monitored during a routine exam by an optometrist.

IOL

An intraocular lens implant which is used after cataract surgery to replace the natural lens of the eye.

Iris

The coloured part of the eye which controls the size of the pupil and thereby controls how much light reaches the retina.

Iritis

An inflammation in the eye which can occur spontaneously or can be caused by an underlying inflammatory systemic condition such as rheumatoid arthritis. Patients experience redness, pain, light sensitivity, and blurry vision. Steroid treatment is the primary medication required. An optometrist should be consulted immediately.

Keratoconus

A progressive thinning of the cornea causing a change in shape which results in visual distortion, usually beginning in the teenage years. Surgical treatment as well as contact lens therapy is available. A recently new treatment has also emerged whereby collagen cross-linking is used in order to strenghthen the cornea. Keratoconus is a genetic disease so all family members of someone with the diagnosis should be screened and monitored routinely.

Keratoplasty

Also known as a corneal transplant, this is a surgical procedure in which a patient's diseased cornea is replaced with a healthy donor by an ophthalmologist.

Lacrimal Gland

A gland that sits on the outer portion of the upper lid which is responsible for tear production. Tear production decreases with age therefore causing dry eye symptoms to become more problematic.

LASIK

Laser-assisted in situ keratomileusis is a refractive procedure whereby the shape of the cornea is altered in order to correct a patient's prescription. A microtome blade is used to make a flap on the cornea. The flap is peeled back and a laser is used to reshape the cornea. The flap is then put back on and the wound self heals. The procedure is performed by an ophthalmologist while the preoperative and postoperative care is done by an optometrist.

Latent Hyperopia

Farsightedness in which the patient usually has good vision even though they require glasses. This is due to the ability to accommodate and compensate for the prescription through eyestrain. However, when there are high amounts of prescription, patients will notice mild blur and will experience frontal headaches. Eyeglasses are extremely important in this situation to relieve the eyestrain and aid in focusing. If left untreated, the condition worsens causing severe headaches and trouble focusing for extended periods of time.

Lattice Degeneration

Thinning of peripheral retina which can lead to retinal holes, tears, or detachments especially in highly nearsighted individuals. Symptoms to watch for are flashes, floaters, or a sudden loss of vision. Yearly monitoring by an optometrist or laser treatment by an ophthalmologist may be required.

Lens

Located between the iris and the vitreous, the lens allows light to focus on the retina and also aids in accommodation. It is this loss of accommodation that causes the need for reading glasses after the age of 40. This is also the same lens that eventually develops into a cataract as the eye ages. It accounts for approximately 20 diopters (one-third) of the eye's total optical power.

A lens can also refer to an eyeglass lens or a contact lens.

Macula

An avascular area near the center of the retina which contains the fovea. The most common pathology of the macula is macular degeneration which can cause devastating vision loss if not treated and closely monitored by an optometrist or ophthalmologist.

Macular Degeneration

A disease of the macula which causes loss of central vision in the elderly. It is hereditary and treatment, as well as preventative treatment, includes vitamins and injection therapy. An optometrist should monitor the condition yearly and a referral to an ophthalmologist should be made if injections are required. All family members of an individual with macular degeneration should be screened for the disease and routinely monitored due to its genetic nature.

Macular Hole

A condition which causes loss of central vision secondary to changes in the vitreous. The other eye may also develop a hole as well. Surgical treatment is required by an ophthalmologist.

Meibomian Glands

Glands which line the upper and lower eyelids. They provide an oily secretion onto the eye which prevents tears from evaporating. Meibomian glands can sometimes get clogged and cause an infection commonly known as a sty. Treatment for this condition is available from an optometrist.

Myopia

Also known as nearsightedness, myopia causes decreased vision at distance.

Nevus

A freckle which can occur in all levels of the eye. It should be monitored yearly by an optometrist for changes in shape, size, color and elevation. If these changes are noted, further testing is required.

Nystagmus

An involuntary, rhythmic movement of the eyes which can be either physiological or pathological. A new onset nystagmus should be immediately evaluated by an optometrist.

Office Lens

A type of spectacle lens which puts an intermediate computer prescription on the top and a reading prescription on the bottom without any dividing lines.

Ophthalmologist

A specialist who deals with eye disease and also performs surgeries on the eyes.

Optic Nerve

Cranial nerve II which transmits visual images from the retina to the brain.

Opticians

An optician is a professional at fitting eyeglasses and frames. They also are experts at selecting and edging lenses to correct vision problems.

Optometrist

A person who manages and treats ocular related problems, as well as provides prescriptions for glasses or contact lenses.

Papillitis

An inflammation of the optic nerve which can have several causes including multiple sclerosis, diabetes, and an increase in intracranial pressure. Symptoms which occur are loss of vision, loss of color perception, and possibly headaches. Treatment varies depending on the cause but may be as involved as IV steroids. This condition needs to be closely monitored by an ophthalmologist.

Pathologic Myopia

High nearsighted prescriptions can become a disease in which the retina gets extremely stretched and thin. Careful monitoring and routine annual exams by an optometrist are necessary as there is a higher risk of retinal detachment. Patients should be aware of an increase in floaters, flashes of light, or a sudden loss of vision.

Peripheral Vision

Side vision which allows for the detection of motion but not fine detail. It can be reduced by several diseases including glaucoma. A visual field analysis may be necessary to monitor loss of peripheral vision.

Pinguecula

Yellow-white deposits on the conjunctiva which develop secondary to UV exposure. It is stabilized by the use of sunglasses. A pinguecula can become a pterygium and so should be monitored by an optometrist.

Presbyopia

A decreased ability to see at near, usually beginning at the age of 40, due to the loss of accommodation of the lens. It is corrected with reading glasses.

Prism

A type of eyeglass lens which redirects light in order to correct double vision.

PRK

Photorefractive keratectomy is a refractive procedure which reshapes the cornea in order to correct a patients prescription. Chemicals are used to remove the epithelium layer of the cornea, and then a laser is used to reshape it. The epithelium regenerates on its own. The procedure is performed by an ophthalmologist while the preoperative and postoperative care is done by an optometrist.

Progressive Lens

A type of spectacle lens which corrects distance, intermediate, and near vision with a single pair of glasses without having any dividing lines.

Pterygium

A wedge-shaped tissue which originates on the conjunctiva as a pinguecula and then grows over the cornea to become a pterygium secondary to UV exposure. It can obstruct vision and then requires surgery. The surgery has a 50% reoccurence rate therefore precautionary measures are stressed to patients. These include stabilization with the use of sunglasses and careful monitoring on an annual basis by an optometrist.

Ptosis

This refers to a droopy eyelid which is either congenital or acquired by trauma or disease. New onset requires careful evaluation by an optometrist. Surgical treatment by an ophthalmologist to lift the eyelid can be necessary.

Pupil

An opening located at the center of the iris which allows light to reach the retina.

Refractive Error

An error where too much or too little optical power is present in the eye. This prevents light from focusing on the retina but can be corrected with glasses, contact lenses, or surgery.

Retina

Often compared to the film of a camera, the retina captures light and allows visualization of the world by initiating a series of events that eventually turns rays of light into an image in the brain.

Retinal Detachment

Separation of the retina from other layers of the eye which causes severe vision loss and sometimes blindness. Often symptoms of flashing lights and floating spots are experienced before and during a detachment. Emergency surgery is required. An optometrist or ophthalmologist should be consulted immedately.

Retinal Hole/Tear

A break which can develop in the retina and allow fluid to fill the eye. It can lead to a retinal detachment and is therefore treated by laser therapy. Patients can be completely asymptomatic or may experience flashing lights, floating spots, or a sudden loss of vision.

Retinitis Pigmentosa

An eye disease which leads to night blindness and also causes loss of peripheral vision. It is genetically inherited and tends to manifest in the second decade of life. No treatment is currently available.

Retinopathy of Prematurity

An eye disease where underdeveloped blood vessels can cause retinal problems with premature babies. Decreased birth weight is a significant risk factor and all premature babies should be screened by an optometrist.

Rods

Types of photoreceptors which are concentrated in the periphery of the retina. They function best in dim illumination and allow for night vision.

Sclera

A protective layer which is commonly referred to as the white of the eye. It is composed of collagen and elastin.

Strabismus

A misalignment of the eyes causing loss of binocular vision. Vision therapy can sometimes correct the problem. However, surgical intervention by an ophthalmologist is required in the majority of cases.

Sty

A clogging of a gland of the eyelid which is infectious in nature. It is often a red bump on the eyelid and is tender to the touch. Treatment is with warm compresses, steroid ointments, or surgery. An optometrist should be consulted as soon as possible since treatment is more successful during the early stages and surgery can then usually be avoided.

Subconjunctival Hemorrhage

Bleeding between the conjunctiva and sclera caused by heavy lifting, vomiting, or other activities which change the blood perfusion to the eye. No treatment is required unless the condition is recurrent.

Tear Film

A film of tears that overlies the cornea and aids in focusing light, protecting the cornea, and preventing infection. The lack of tears results in dry eye syndrome and can cause significant discomfort and blurry vision.

Transition Lens

Spectacle lenses which automatically darken when exposed to UV light and then clear when inside.

Trichiasis

An inward turning of eyelashes which scratches the cornea. Epilation or laser treatment is required.

Trifocal Lens

A type of spectacle lens which corrects distance, intermediate, and near vision in a single pair of glasses but has dividing lines between each zone.

Vitreous

A gel-like substance that lies between the lens and the retina of the eye. It degenerates over time and is the cause of floaters.

Vitreous Detachment

A normal part of the aging process causing a large floater to be seen in the shape of a "C". Other complications can result such as a bleed or tear in the retina and therefore should be evaluated by an optometrist immediately. No treatment is necessary unless other complications occur.

YAG Laser

A laser used to clear an after cataract by targeting proliferating tissue which overlies the implant.

Zonules

Fibrous strands which allow the lens of the eye to be flexible and accommodate.

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Optometrist & Optical

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