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Negative Relative Accommodation
Negative relative accommodation (NRA) was proposed by Joseph Kearney of Oxford University in 1967 as a measure of the maximum ability to relax accommodation while maintaining clear, single binocular vision. It is an indirect measurement of fusional vergence in binocular vision. This measurement is typically obtained by an orthoptist, ophthalmologist or optometrist during an eye examination using a phoropter. After the patient's distance correction is established, the patient is instructed to view small letters on a card 40 cm from the eyes. The examiner adds convex lenses in +0.25 increments until the patient first reports that they become blurry. The total value of the lenses added to reach this point is the NRA value. High NRA values (above +2.50) might be evidence to over minus, uncorrected hyperopia or latent hyperopia. See also * Amplitude of accommodation * Convergence insufficiency Convergence insufficiency is a sensory and neuromuscular anomaly of the binocular visio ...
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Accommodation (eye)
Accommodation is the process by which the vertebrate eye changes optical power to maintain a clear image or focus (optics), focus on an object as its distance varies. In this, distances vary for individuals from the far point—the maximum distance from the eye for which a clear image of an object can be seen, to the near point—the minimum distance for a clear image. Accommodation usually acts like a reflex, including part of the accommodation-convergence reflex, but it can also be consciously controlled. The main ways animals may change focus are: * Changing the shape of the lens. * Changing the position of the lens relative to the retina. * Changing the axial length of the eyeball. * Changing the shape of the cornea. Focusing mechanisms Focusing the light scattered by objects in a three dimensional environment into a two dimensional collection of individual bright points of light requires the light to be bent. To get a good image of these points of light on a defined area re ...
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Binocular Vision
Binocular vision is seeing with two eyes. The Field_of_view, field of view that can be surveyed with two eyes is greater than with one eye. To the extent that the visual fields of the two eyes overlap, #Depth, binocular depth can be perceived. This allows objects to be recognized more quickly, camouflage to be detected, spatial relationships to be perceived more quickly and accurately (#Stereopsis, stereopsis) and perception to be less susceptible to optical illusions, optical illusions. In secion #Medical, Medical attention is paid to the occurrence, defects and sharpness of binocular vision. In section #Biological, Biological the occurrence of binocular vision in animals is described. Geometric terms When the left eye (LE) and the right eye (RE) observe two objects X and Y, the following concepts are important:Krol J.D.(1982),"Perceptual ghosts in stereopsis, a ghosly problem in binocular vision", PhD thesis ISBN 90-9000382-7.Koenderink J.J.;van Doorn A.J. (1976) "Geometry of ...
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Fusional Vergence
Fusional vergence is the movement of both eyes that enables the fusion of monocular images producing binocular vision. It is especially important when a person has heterophoria Heterophoria is an eye condition in which the directions that the eyes are pointing at rest position, when ''not'' performing binocular fusion, are not the same as each other, or, "not straight". This condition can be esophoria, where the eyes .... Premotor cells for fusional vergence are located in the mesencephalon near the oculomotor nucleus. References Eye {{eye-stub ...
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Orthoptist
Orthoptics is a profession allied to the eye care profession. Orthoptists are the experts in diagnosing and treating defects in eye movements and problems with how the eyes work together, called binocular vision. These can be caused by issues with the muscles around the eyes or defects in the nerves enabling the brain to communicate with the eyes. Orthoptists are responsible for the diagnosis and non-surgical management of strabismus (cross-eyed), amblyopia (lazy eye) and eye movement disorders.International Orthoptic Association document "professional role" The word ''orthoptics'' comes from the Greek words ὀρθός ''orthos'', "straight" and ὀπτικός ''optikοs'', "relating to sight" and much of the practice of orthoptists concerns disorders of binocular vision and defects of eye movement. Orthoptists are trained professionals who specialize in orthoptic treatment, such as eye patches, eye exercises, prisms or glasses. They commonly work with paediatric patients and al ...
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Ophthalmologist
Ophthalmology (, ) is the branch of medicine that deals with the diagnosis, treatment, and surgery of eye diseases and disorders. An ophthalmologist is a physician who undergoes subspecialty training in medical and surgical eye care. Following a medical degree, a doctor specialising in ophthalmology must pursue additional postgraduate residency training specific to that field. In the United States, following graduation from medical school, one must complete a four-year residency in ophthalmology to become an ophthalmologist. Following residency, additional specialty training (or fellowship) may be sought in a particular aspect of eye pathology. Ophthalmologists prescribe medications to treat ailments, such as eye diseases, implement laser therapy, and perform surgery when needed. Ophthalmologists provide both primary and specialty eye care—medical and surgical. Most ophthalmologists participate in academic research on eye diseases at some point in their training and many incl ...
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Optometrist
Optometry is the healthcare practice concerned with examining the eyes for visual defects, prescribing corrective lenses, and detecting eye abnormalities. In the United States and Canada, optometrists are those that hold a post-baccalaureate four-year Doctor of Optometry degree. They are trained and licensed to practice medicine for eye related conditions, in addition to providing refractive (optical) eye care. Within their scope of practice, optometrists are considered physicians and bill medical insurance(s) (example: Medicare) accordingly. In the United Kingdom, optometrists may also provide medical care (e.g. prescribe medications and perform various surgeries) for eye-related conditions in addition to providing refractive care. The Doctor of Optometry degree is rarer in the UK. Many optometrists participate in academic research for eye-related conditions and diseases. In addition to prescribing glasses and contact lenses for vision related deficiencies, optometrists are ...
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Eye Examination
An eye examination, commonly known as an eye test, is a series of tests performed to assess Visual acuity, vision and ability to Focus (optics), focus on and discern objects. It also includes other tests and examinations of the human eye, eyes. Eye examinations are primarily performed by an optometrist, ophthalmologist, or an orthoptist. Health care professionals often recommend that all people should have periodic and thorough eye examinations as part of routine primary care, especially since many eye diseases are asymptomatic. Typically, a healthy individual who otherwise has no concerns with their eyes receives an eye exam once in their 20s and twice in their 30s. Eye examinations may detect potentially treatable blindness, blinding eye diseases, ocular manifestation of systemic disease, ocular manifestations of systemic disease, or signs of tumour, tumors or other anomalies of the Human brain, brain. A full eye examination consists of a comprehensive evaluation of medical h ...
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Phoropter
A phoropter or refractor is an ophthalmic testing device. It is commonly used by eye care professionals during an eye examination, and contains different lenses used for refraction of the eye during sight testing, to measure an individual's refractive error and determine their eyeglass prescription. Dictionary.comDefinition of "phoropter" American Heritage Stedman's Medical Dictionary. Retrieved 10-10-10. It also is used to measure the patients' Heterophoria, phorias and ductions, which are characteristics of binocularity. Typically, the patient sits behind the phoropter, and looks through it at an eye chart placed at optical infinity (20 feet or 6 metres), then at near (16 inches or 40 centimetres) for individuals needing reading glasses. The eye care professional then changes lens (optics), lenses and other settings, while asking the patient for subjective feedback on which settings gave the best visual perception, vision. The patient's habitual prescription or an automat ...
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Human Eye
The human eye is a sensory organ in the visual system that reacts to light, visible light allowing eyesight. Other functions include maintaining the circadian rhythm, and Balance (ability), keeping balance. The eye can be considered as a living optics, optical device. It is approximately spherical in shape, with its outer layers, such as the outermost, white part of the eye (the sclera) and one of its inner layers (the pigmented choroid) keeping the eye essentially stray light, light tight except on the eye's optic axis. In order, along the optic axis, the optical components consist of a first lens (the cornea, cornea—the clear part of the eye) that accounts for most of the optical power of the eye and accomplishes most of the Focus (optics), focusing of light from the outside world; then an aperture (the pupil) in a Diaphragm (optics), diaphragm (the Iris (anatomy), iris—the coloured part of the eye) that controls the amount of light entering the interior of the eye; then an ...
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Convex Lenses
A lens is a transmissive optical device that focuses or disperses a light beam by means of refraction. A simple lens consists of a single piece of transparent material, while a compound lens consists of several simple lenses (''elements''), usually arranged along a common axis. Lenses are made from materials such as glass or plastic and are ground, polished, or molded to the required shape. A lens can focus light to form an image, unlike a prism, which refracts light without focusing. Devices that similarly focus or disperse waves and radiation other than visible light are also called "lenses", such as microwave lenses, electron lenses, acoustic lenses, or explosive lenses. Lenses are used in various imaging devices such as telescopes, binoculars, and cameras. They are also used as visual aids in glasses to correct defects of vision such as myopia and hypermetropia. History The word '' lens'' comes from , the Latin name of the lentil (a seed of a lentil ...
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Hyperopia
Far-sightedness, also known as long-sightedness, hypermetropia, and hyperopia, is a condition of the eye where distant objects are seen clearly but near objects appear blurred. This blur is due to incoming light being focused behind, instead of on, the retina due to insufficient accommodation by the lens. Minor hypermetropia in young patients is usually corrected by their accommodation, without any defects in vision. But, due to this accommodative effort for distant vision, people may complain of eye strain during prolonged reading. If the hypermetropia is high, there will be defective vision for both distance and near. People may also experience accommodative dysfunction, binocular dysfunction, amblyopia, and strabismus. Newborns are almost invariably hypermetropic, but it gradually decreases as the newborn gets older. There are many causes for this condition. It may occur when the axial length of eyeball is too short or if the lens or cornea is flatter than normal. Cha ...
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Amplitude Of Accommodation
Accommodation is the process by which the vertebrate eye changes optical power to maintain a clear image or focus on an object as its distance varies. In this, distances vary for individuals from the far point—the maximum distance from the eye for which a clear image of an object can be seen, to the near point—the minimum distance for a clear image. Accommodation usually acts like a reflex, including part of the accommodation-convergence reflex, but it can also be consciously controlled. The main ways animals may change focus are: * Changing the shape of the lens. * Changing the position of the lens relative to the retina. * Changing the axial length of the eyeball. * Changing the shape of the cornea. Focusing mechanisms Focusing the light scattered by objects in a three dimensional environment into a two dimensional collection of individual bright points of light requires the light to be bent. To get a good image of these points of light on a defined area requires a preci ...
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