unit 11 special senses: eyes and ears pathological conditions...special senses: eyes and ears...
TRANSCRIPT
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UNIT 11
Special Senses:
Eyes and Ears
Pathological Conditions
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Eye
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ACHROMATOPSIA
Congenital deficiency in
color perception; also
called color blindness.
Achromatopsia is more
common in men.
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ASTIGMATISM
Defective curvature of
the cornea and lens,
which causes light rays
to focus unevenly over
the retina rather than
being focused on a
single point, resulting in
a distorted image.
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CATARACT
Degenerative disease in which the lens of the eye becomes progressively cloudy, causing decreased vision.
Cataracts are usually a result of the aging process, caused by protein deposits on the surface of the lens that slowly build up until vision is lost. Treatment includes surgical intervention to remove the cataract.
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CONJUNCTIVITIS
Inflammation of the
conjuctiva that can be
caused by bacteria,
allergy, irritation, or a
foreign body; also
called pinkeye.
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DIABETIC RETINOPATHY
Retinal damage marked by aneurysmal dilation and bleeding of blood vessels or the formation of new blood vessels, causing visual changes.
Diabetic retinopathy occurs in people with diabetes, manifested by small hemorrhages, edema, and formation of new vessels leading to scarring and eventual loss of vision.
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GLAUCOMA
Condition in which aqueous humor fails to drain properly and accumulates in the anterior chamber of the eye, causing elevated intraocular pressure (IOP).
Glaucoma eventually leads to the loss of vision and, commonly, blindness. Treatment for glaucoma includes miotics (eyedrops) that cause the pupils to constrict, permitting aqueous humor to escape from the eye, thereby relieving pressure. If miotics are ineffective, surgery may be necessary.
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OPEN-ANGLE GLAUCOMA
Most common form of glaucoma that results from
degenerative changes that cause congestion and
reduce flow of aqueous humor through the canal of
Schlemm.
Open-angle glaucoma is painless but destroys peripheral
vision, causing tunnel vision.
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CLOSED-ANGLE GLAUCOMA
Type of glaucoma caused by an anatomically
narrow angle between the iris and the cornea,
which prevents outflow of aqueous humor from the
eye into the lymphatic system, causing a sudden
increase in IOP.
Closed-angle glaucoma constitutes an emergency
situation. Symptoms include severe pain, blurred vision,
and photophobia.
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HORDEOLUM
Small, purulent
inflammatory infection of
a sebaceous gland of the
eyelid; also called sty.
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MACULAR DEGENERATION
Breakdown of the
tissues in the macula,
resulting in loss of
central vision.
Macular degeneration is
the most common cause
of visual impairment in
person over age 50.
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PHOTOPHOBIA
Unusual intolerance and
sensitivity to light.
Photophobia occurs in such
disorders as meningitis, eye
inflammation, measles, and rubella.
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RETINAL DETACHMENT
Separation of the
retina from the choroid,
which disrupts vision
and results in blindness
if not repaired.
Retinal detachment may
follow trauma, choroidal
hemorrhages, or tumors
and may be associated
with diabetes mellitus.
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STRABISMUS
Muscular eye disorder in which the eyes turn from the normal position so that they deviate in different directions.
Various forms of strabismus are referred to as tropias, their direction being indicated by the appropriate prefix, such as esotropia and exotropia.
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ESOTROPIA
Strabismus in which there
is deviation of the visual
axis of one eye toward
that of the other eye,
resulting in diplopia; also
called cross-eye and
convergent strabismus.
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EXOTROPIA
Strabismus in which there
is deviation of the visual
axis of one eye away
from that of the other
eye, resulting in diplopia;
also called wall-eye and
divergent strabismus.
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TONOMETRY
Procedure used to detect glaucoma that measures
intraocular pressure by determining the resistance
of the eyeball to indentation by an applied force.
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VISUAL ACUITY TEST
Standard eye examination to determine the smallest
letters a person can read on a Snellan chart, or E
chart, at a distance of 20 feet.
Visual acuity is expressed as a ratio. The first number is
the distance at which a person reads the chart, the second
is the distance at which a person with normal vision can
read the same chart. For example 20/20 indicates that
the person correctly reads letters at 20 feet that could be
read by a person with normal vision at 20 feet. Normal
vision is 20/20.
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CATARACT SURGERY
Excision of a lens affected by a cataract.
Extracapsular cataract extraction (ECCE) and
phacoemulsification are the two primary ways to remove
a cataract. In both surgeries, the central part of the lens
is removed and replaced with an artificial intraocular lens
(IOL) implant.
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EXTRACAPSULAR CATARACT EXTRACTION (ECCE)
Excision of the anterior segment of the lens capsule
along with the lens, allowing for the insertion of an
intraocular lens implant.
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PHACOEMULSIFICATION
Excision of the lens by ultrasonic vibrations that
break the lens into tiny particles, which are
suctioned out of the eye; also called small incision
cataract surgery (SICS).
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CORNEAL TRANSPLANT
Surgical transplantation of a donor cornea (from a
cadaver) into the eye of a recipient; also called
keratoplasty.
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IRIDECTOMY
Excision of a portion of the iris used to relieve
intraocular pressure in patients with glaucoma.
Iridectomy is usually performed to create an opening
through which aqueous humor can drain.
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Ear
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ACOUSTIC NEUROMA
Benign tumor that develops from the eighth cranial (vestibulocochlear) nerve and grows within the auditory canal.
Depending on the location and size of the tumor, progressive hearing loss, headache, facial numbness, dizziness, and an unsteady gait may result.
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HEARING LOSS
Decreased ability to perceive sounds compared to
what the individual or examiner would regard as
normal.
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ANACUSIS
Total deafness (complete hearing loss).
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CONDUCTIVE
Hearing loss due to an impairment in the
transmission of sound because of an obstruction of
the ear canal or damage to the eardrum or ossicles.
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MENIERE DISEASE
Rare disorder of unknown etiology within the labyrinth of the inner ear that can lead to a progressive loss of hearing.
Symptoms of Meniere disease include vertigo, hearing loss, tinnitus, and a sensation of pressure in the ear.
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OTITIS MEDIA
Inflammation of the
middle ear, which is
commonly the result of
an upper respiratory
infection (URI).
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SEROUS OTITIS MEDIA
Noninfectious inflammation of the middle ear with
accumulation of serum (clear fluid).
Treatment for serous OM may include myringotomy to
aspirate fluid and the surgical insertion of pressure
equalizing (PE) tubes.
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SUPPURATIVE OTITIS MEDIA
Inflammation of the middle ear with pus formation.
Suppurative OM is a common affliction in infants and
young children, due to the horizontal orientation and
small diameter of the eustachian tube in such patients,
which predisposes them to infection. If left untreated,
complications include ruptured tympanic membrane,
mastoiditis, labyrinthitis, hearing loss, and meningitis.
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OTOSCLEROSIS
Progressive deafness
due to ossification in
the bony labyrinth of
the inner ear.
Treatment for
otosclerosis includes
stapedectomy or
stapedotomy, which is
usually successful in
restoring hearing.
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PRESBYCUSIS
Impairment of hearing that results from the aging
process.
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TINNITUS
Ringing or tinkling noise heard constantly or intermittently in one or both ears, even in a quiet environment.
Tinnitus may be a sign of injury to the ear, some disease process, or toxic levels of some medications (such as aspirin).
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VERTIGO
Sensation of moving around in space or a feeling of
spinning or dizziness.
Vertigo usually results from inner ear structure damage
associated with balance and equilibrium.
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AUDIOMETRY
Test that measures hearing acuity at various sound
frequencies.
In audiometry, an instrument called an audiometer
delivers acoustic stimuli at different frequencies, and
results are plotted on a graph called an audiogram.
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OTOSCOPY
Visual examination of the external auditory canal
and the tympanic membrane using an otoscope.
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PNEUMATIC
Otoscopic procedure that assesses the ability of the
tympanic membrane to move in response to a
change in air pressure.
In pneumatic otoscopy, the increase and decrease in
pressure causes the health tympanic membrane to move in
and out. Lack of movement indicates increased
impedance or eardrum perforation.
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RINNE TEST
Hearing acuity test performed with a vibrating
tuning fork that is first placed on the mastoid
process and then in front of the external auditory
canal to test bone and air conduction.
The Rinne test is useful for differentiating between
conducting and sensorineural hearing loss.
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COCHLEAR IMPLANT
Electronic transmitter surgically implanted into the
cochlea of a deaf person to restore hearing.
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MYRINGOPLASTY
Surgical repair of a
perforated eardrum
with a tissue graft; also
called tympanoplasty.
Myringoplasty is
performed to correct
hearing loss.
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MYRINGOTOMY
Incision of the eardrum to relieve pressure and
release pus or serous fluid from the middle ear or to
insert PE tubes (tympanostomy tubes) in the eardrum
via surgery.
Tympanostomy tubes provide ventilation and drainage of
the middle ear when repeated ear infections do not
respond to antibiotic treatment. They are used when
persistent, severely negative middle ear pressure is
present.