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It is our hope that the following pages will offer answers to many questions you may have regarding ocular health. We have included a multitude of information from simple medical terms and diagnoses to complex surgical procedures. Simply click on any underlined word to obtain additional information on that subject.

Amblyopia is poor vision in an eye that did not develop normal sight during early childhood.

Amsler Grid The Amsler Grid is a chart that can reveal signs of wet macular degeneration. You can get one from your eye care professional and test your vision at home.

Anesthesia for Cataract Surgery
The standard cataract surgery anesthetic is a local anesthetic that blocks the optic nerve. The anesthesia is administered by injection and is painless. The patient is awake during surgery but may be sedated. The eye is immobilized. A new topical anesthetic is now being used by a small number of ophthalmologists

Ablate
Ablate in surgery, is to remove.

Ablation zone is
The area of tissue that is removed during laser surgery.
Accommodation
The ability of the eye to change its focus from distant objects to near objects.
Acuity is clearness, or sharpness of vision.
Allergies and Allergic Conjunctivitis Common symptoms and treatment of allergic conjunctivitis.
Aphakia
The absence of the eye's natural crystalline lens, usually after cataract removal.
Aphakic Spectacles
Thick, plus-powered eyeglasses that were once the standard correction for optical power following extraction of cataract. The glasses were cumbersome and greatly distorted peripheral vision. Today, an intraocular lens (IOL) is implanted in the eye after the cataract is removed.
Astigmatic Keratotomy (AK)
Astigmatic Keratotomy (AK) is similar to Radial Keratotomy (RK) in that it is incisional surgery, but the calculated surgical incisions are made traverse to the cornea. AK may be performed in conjunction to RK.
Astigmatism
A distortion of the image on the retina usually caused by irregularities in the cornea. Astigmatism is blurry vision produced by football-shaped corneas which are too steep in one place and too flat in another. Astigmatic corneas focus light in two different places in the eye, making both near and distance vision a problem.
Automated Lamillar Keratoplasty (ALK)
ALK is a refractive surgery technique for low to moderate myopia. In the procedure, the ophthalmologist places an instrument called an automated microkeratome on the eye which removes, in a shaving motion, a thin layer of cornea only microns thick. An even thinner layer of cornea underneath this top cap is removed, and the top cap is replaced. The procedure does not require sutures.
Axial Map Your eyecare professional will conduct a thorough examination to determine whether your eyes are healthy and suitable for the procedure. Then your eyes will be photographed and a computerized map (corneal topography) will be created. This "map" will assess the shape of your cornea and is one of the many diagnostic tests the doctor uses to help plan your procedure.
Cataracts
An opacity or clouding of the crystalline lens that may prevent a clear image from forming on the retina. The cataractous lens may require surgical removal if visual loss becomes significant, with lost optical power replaced with an intraocular lens.
Children and Eye glasses Selecting the right glass for your child if they need them.
Children's Eye Infections Diagnosis and treatment.

Cerebral Palsy in Children
Children with cerebral palsy have problems with intellectual functioning (thinking, problem solving).

Children's Vision ages 4 to 7 Months Specific information for children ages 4-7 months.
Common Vision and Eye Problems General information regarding your children's vision.
Conjunctivitis (Pinkeye) caused by bacterial or viral infections, or by allergic reactions to dust, pollen and other materials. Bacterial and viral infections usually produce a white or yellowish pus that may cause the eyelids to stick shut in the morning.
Consent Form for Refractive Surgery Refractive surgery is an elective procedure performed on a healthy cornea.You will be required to sign a consent form stating that you understand all of the risks, complications and side effects involved.
Cornea
The clear front part of your eye. The cornea is the first part of the eye that bends (or focuses) the light and provides most of the focusing power.
Crystalline Lens
The natural lens of the eye, located behind the pupil, which helps bring rays of light to focus on the retina. The original state of the lens is transparent, but the lens becomes cloudy with age.
Detached Retina: Floaters & Flashes You may sometimes see small specks or clouds moving in your field of vision. They are called floaters.
Diabetic mellitus is a chronic, systemic, life-threatening disease that can affect the eye and nervous system, as well as the heart, kidneys, and other organs. People with diabetes are 25 times more likely to develop blindness than are individuals without diabetes.
Diabetic Retinopathy The longer a person has diabetes, the higher the likelihood they will develop diabetic retinopathy.
Diopter (dy-ahp-tur)
A measurement of the degree to which light converges or diverges; also of lens refractive power. Equal to the reciprocal of the focal length of a lens (in meters), e.g., a 2-diopter lens brings parallel rays of light to a focus at half a meter.
Dry Eye
A common condition that occurs when the eyes do not produce enough tears to keep the eye wet and comfortable. Common symptoms of dry eye include feelings of stinging, burning, or scratchiness of the eyes.
Emmetropia (em-uh-TROP-pee-uh)
Refractive condition in which no refractive error is present and distant images are focused sharply on the retina with no need for corrective lenses.
Endothelium is the inner layer of cells on the inside surface of the cornea.
Epithelium
The outermost layer of cells of the cornea and is the eye's first defense against infection.
Excimer Laser
An ultraviolet laser used in refractive surgery to remove corneal tissue. The excimer laser produces an ultraviolet beam of light which is emitted in pulses. Each pulse removes 1/4000 millimeter of tissue from the surface of the cornea. It would take about 200 pulses from an excimer laser just to cut a human hair in half. The excimer laser has been used in industry since 1971 and has been used in ophthalmic surgery since 1983.
Extended Wear of Contact Lenses
Newer contact lens materials, both rigid and soft, allow the passage of oxygen through lens to the cornea and enable extended wear of the lenses. Extended wear (EW) lenses have proven popular because of their convenience. However, concerns regarding the relative safety of these lenses prompted several studies to examine the rate of adverse reactions among contact lens users. 
Extracapsular Cataract Extraction
A cataract surgical procedure which removes the cataractous lens but leaves the rear lens capsule intact.
Eye Donation You could help give someone else the gift of sight through the generous gift of eye donation.
Eye Exam - What to expect.
Farsightedness is the common term for hyperopia.
FDA
FDA is the abbreviation for the Food and Drug Administration. The FDA is the United States government agency responsible for the evaluation and approval of medical devices.
Flap & Zap is a slang term for LASIK.
Functional Visual Disability
The degree to which a visual error interferes with a person's ability to perform normal daily activities, such as reading, driving at night, or performing hobbies.
Ghost Image
A fainter second image of the object you are viewing.
Glaucoma because vision loss from glaucoma can be prevented if it is caught and treated in time. Many others are not so lucky. Almost 80,000 Americans are blind from glaucoma, and another million are at risk for vision loss because they don't know they have it.
Glaucoma Types include open-angle glaucoma
Angle-Closure Glaucoma,Acute Angle-Closure Glaucoma,
Chronic angle-closure glaucoma, "Normal (or low) tension" glaucoma, Congenital glaucoma.
Glare is scatter from bright light that decreases vision.
Halos are rings around lights.
Hyperopia
Also known as farsightedness, hyperopia is a refractive error caused by an eyeball that is too short to focus light on the retina. Light strikes the retina before it can come to a sharp focus.
In Situ means "in place" or not removed.
Inflammation
Inflammation is a tissue's reaction to trauma often associated with pain, heat, redness, swelling, and/or loss of function. Inflammation may be caused by mechanical trauma, infections, bacteria, viruses, immune reactions or other causes.
Intraocular Lens (IOL)
A plastic lens that may be surgically implanted to replace the natural lens of the eye. There are numerous styles of IOLs, including foldable IOLs and multifocal IOLs.
Iris
The colored ring of tissue suspended behind the cornea and immediately in front of the lens.
Keratectomy is the surgical removal of corneal tissue.
Keratitis is the inflammation of the cornea.
Keratomileusis
The carving of the cornea formerly done with a lathe and blade and now done with an excimer laser.
Keratotomy is a surgical incision (cut) of the cornea.
Knights Templar Eye Foundation, Inc - A financial help organization for seniors.
Laser Assisted In-Situ Keratomileusis (LASIK)
The acronym for laser assisted in situ keratomileusis which refers to creating a flap in the cornea with a microkeratome and using a laser to reshape the underlying cornea. Laser Assisted In Situ Keratomileusis, or LASIK, combines PRK with elements of ALK. LASIK is considered effective for all levels of myopia, including high myopia up to -20 diopters. The ophthalmologist uses the automated microkeratome to shave off a thin, hinged layer of the cornea. The surgeon then uses the excimer laser to vaporize a thin layer of the underlying cornea, and the top flap is restored to its place. LASIK is the newest refractive procedure and therefore there is little hard data on its outcomes. However, many refractive surgeons believe LASIK holds the most promise for patients with moderate to high myopia.
Laser
An acronym for light amplification by stimulated emission of radiation. A laser is an instrument that produces a powerful beam of light and can vaporize tissue.
Laser photocoagulation Laser photocoagulation is one of the most common treatments for diabetic retinopathy.
Lazy Eye also know as amblyopia is poor vision in an eye that does not receive adequate use during early childhood.
Lens
A part of the eye that provides some focusing power. The lens is able to change shape allowing the eye to focus at different distances.
Lens Implants
Lens implants are necessary to replace the refracting ability of the natural human lense.
Macular Degeneration An eye condition in which the macula is damaged, often causing loss of central vision.
Macular Edema When fluid collects in the macula (the part of the retina that allows us to see fine details), reading and other close work may become difficult. Also see Diabetic Retinopathy.
Microkeratome
A surgical device that is affixed to the eye by use of a vacuum ring. When secured, a very sharp blade shaves a small amount of the cornea at a predetermined depth.
Micron (MY-kron)
A unit of length equal to one-millionth of a meter.
Monovision
The purposeful adjustment of one eye for near vision and the other eye for distance vision.
Myopia
Also known as nearsightedness, myopia is a refractive error caused by an eyeball that is too long to focus light on the retina or a cornea which is too steeply curved. In these cases light focuses instead in front of the retina.
Nearsightedness is the common term for myopia.
Ophthalmologist
A medical doctor specializing in the diagnosis and medical or surgical treatment of visual disorders and eye disease.
Optical Coherence Tomography (OCT) - This is a new diagnostic imaging technology, which can perform resolution of Ocular tissues in microns.
Optician
An expert in the art and science of making and fitting glasses and may also dispense contact lenses.
Optometrist
A primary Health care provider who diagnoses and manages disorders of the visual system and eye disease and is trained to prescribe eyeglasses or contact lenses and examine eyes.
Overcorrection
A complication of refractive surgery where the expected amount of correction is more than desired and often occurs where healing regresses less vigorously than predicted.
Pinkeye (Conjunctivitis) caused by bacterial or viral infections, or by allergic reactions to dust, pollen and other materials. Bacterial and viral infections usually produce a white or yellowish pus that may cause the eyelids to stick shut in the morning.
Phacoemulsification is a modification of the extracapsular cataract extraction.
Peripheral iridotomy
A small opening made in the iris (colored part of the eye). Generally, this is performed with a laser. It can also be performed surgically at which time it is called a peripheral iridectomy.
Perk Study
The Prospective Evaluation of Refractive Keratotomy Study, a multicenter study of radial keratotomy outcomes funded by the National Eye Institute. Ten-year results of radial keratotomy patients who had the surgery in 1983 were published in Archives of Ophthalmology in October 1994.
The study found that seven out of ten patients who had the operation on both eyes no longer wore or required corrective lenses ten years after surgery, and 85% of patients saw 20/40 or better without glasses. It concluded that RK is a "reasonably safe operation" that can "effectively reduce but not eliminate myopia."
The study also found that 43% of patients experienced a hyperopic shift following surgery over the ten-year period. These patients typically experienced an improvement in their vision as their refractive error moved closer to 20/20. It is for this reason that ophthalmic surgeons will often intentionally undercorrect their patients, then monitor the rate of healing before performing a follow-up enhancement procedure if necessary. However, patients whose vision had achieved full correction or near full correction through surgery and who experience a hyperopic shift could become farsighted and need to wear glasses.
Phacoemulsification (fay-koh-ee-mul-sih-fih-KAY-shun)
A cataract surgical procedure which uses an ultrasonic vibration to shatter and break up a cataract, making it easier to remove. The vibration is delivered by an irrigation-aspiration instrument. In a survey of ASCRS members in 1994, 86% preferred the phacoemulsification cataract removal technique over the extracapsular cataract extraction technique. The technique was invented by Charles D. Kelman, M.D., and was first published in 1967.
Photorefractive Keratectomy (PRK)
A surgical technique employing an excimer laser to reshape the surface of the cornea and thereby reducing nearsightedness. The laser is controlled by a computer which determines for each patient treated the location, number of pulses, and surface area to be impacted by the laser light beam, based on that individual patient's vision and correction needs.
Posterior Capsular Opacification (PCO)
Opacification of the posterior lens capsule, sometimes called "secondary cataract," is often a consequence of modern cataract surgery. It occurs when a thin membrane of tissue grows over the remaining capsule following cataract surgery, and can develop in as many as half of all cases between several months and several years after surgery. PCO is treated using the YAG laser on an outpatient basis.
Presbyopia
Part of the normal process of aging. As a person becomes older, one begins to lose the flexibility of the lens of the eye which limits the ability of the eye to change its point of focus from distance to near.
Pupil
The small variable-sized, black circular black dot in the center of the iris that controls the amount of light that enters the eye in response to ambient lighting.
Pterygium – An abnormal, but usually noncancerous, growth on the corner of the eye near the nose. A pterygium can grow over the cornea, partially blocking vision, and sometimes requires surgery to be removed.
Radial Keratotomy (RK)
A surgical technique designed to correct myopia (nearsightedness) that employs a radial incisions made in the periphery of the cornea to allow the central cornea to flatten, reducing its optical power and thereby nearsightedness.
Refraction is a test to determine the best eye glasses or contact lenses to correct a refractive error (myopia, hyperopia, astigmatism) OR the bending of light by the use of a lens or other material.
Refractive Errors are hyperopia, myopia, astigmatism and presbyopia.
Refractive eye surgery is a general term for surgical procedures that can improve or correct the eye's focus by permanently changing the shape of the cornea.
Retina
The thin lining at the back of the eye consisting of fine sensory tissue that converts images from the eye's optical system into electronical impulses sent along the optic nerve for transmission to the brain.
Retinal Detachment In proliferative retinopathy, the new blood vessels can also cause scar tissue to develop, which can pull the retina away from the back of the eye. Also see Diabetic Retinopathy.
Sclera is the tough, white, outer layer (coat) of the eyeball and, with the cornea, protects the entire eyeball.
Scleral Incision
The external white of the eye through which an incision is made during a cataract operation that uses a scleral incision.
Secondary Implants
If for some reason and implant was not used in the original surgery, one can be placed years later.
Snellen Visual Acuity refers to one of many charts used to measure vision (black and white with an "E" at the top).
Strabismus
A misalignment of the eye muscles causing a loss of coordination between the eyes. The eye could turn in, out, up or down.
Sunglasses Selecting the right sunglasses.
Undercorrection is a complication of refractive surgery where the expected amount of correction is less than desired and often occurs where healing regresses more vigorously than predicted.
UV Protection What you may not know is those same UV rays.
UV Radiation Most people are aware of the danger of sun exposure to the skin, but many don't realize that exposure to the sun is also dangerous to our eyes.
Uveitis
Swelling or inflammation of the inside layers of the eye. The swelling could be located virtually anywhere in the eye. Severity of symptoms depends on what location is affected.

Vision Correction with Glasses and contacts lenses correct refractive errors by adding or subtracting focusing power to your cornea and lens. The power needed to focus images directly on your retina is measured in diopters. This measurement is also known as your eyeglass prescription.

Visual Acuity is simply the clearness of vision or the ability to distinguish details and shapes or objects.
Vitrectomy If you have very advanced proliferative diabetic retinopathy or retinal detachment, your eye care professional may recommend vitrectomy
Vitreous Humor is the transparent, colorless mass of gel that lies behind the lens and in front of the retina and fills the center of the eyeball.
Watery Eyes is when your eyes tear constantly, yet you have no known allergies, no cold, and no overwhelming concerns.
Yag Laser
The YAG laser is a surgical instrument that emits a short pulsed, high energy light beam that can be precisely focused by computer to cut, vaporize, or fragment tissue.

 

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