textbook of visual science and clinical optometry pdf

Textbook Of Visual Science And Clinical Optometry Pdf

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This book has been published in good faith that the material provided by author is original. Every effort is made to ensure accuracy of material, but the publisher, printer and author will not be held responsible for any inadvertent error s. In case of any dispute, all legal matters are to be settled under Delhi jurisdiction only.

This book explains the anatomy and physiology of the eye in a very well-formatted concise manner. It enlightens the optical defects and its correction in a most lucid and methodical way.

In the glamour of ophthalmic innovations, the fundamental optics and refraction of the eye have become a forgotten territory. Bikas, 2 years junior to me in Medical Education in the same University, is always remembered for his unusual inclination to minute details and documentation. This book is reflection of his qualities. I am sure we will learn a lot of skills from this book and use it for more efficient eye care.

This will be the most fitting tribute to the hard work that he has put into writing this book. The book includes 18 chapters which are divided into 6 sections and each chapter is supplemented by numerous illustrations. Every attempt is made to make this book as clinically relevant as possible.

Section 1 to 3 deal with the normal human eye and its optical principle. Section 4 deals with the different types of refractive errors and its correction. Section 5 stresses on the various optical lenses, frames, measurements and contact lenses. Knowledge on these topics Section 5 is usually not covered in books on ophthalmology. The last section is unique in a way as it covers three special chapters on ophthalmic instrumentation techniques, low visual aids and paediatric eye examination, which is invaluable to all those involved in eye care.

I hope that my humble efforts would prove successful in helping the beginners in ophthalmology. I have tried to make the topics as comprehensive and simplified as possible. However, certain inaccuracies may arise for which I apologise sincerely. Any suggestions and comments on the book would be greatly appreciated. I would also like to express my gratitude to Mr Sirajul Mullick, Department of Optometry Science DOS for the invaluable assistance he has extended to me during preparation of the chapters related to clinical optometry.

I would also like to thank all my colleagues in different institutions for their continued encouragement. Finally, I would like to thank my wife and children for their continued support and their patience for tolerating my preoccupation with the book. Aqueous Humour Vitreous Humour Photochemical Changes Electrical Changes Visual Perceptions or Sensations Colour Sense Visual Pathway Light and Electromagnetic Spectrum Ophthalmic Lens Materials Spectacle Frame Materials Spherical Lenses Antireflection Coating AR Coating Spectacle Frame Dimensions Optical Centre of Lens Pupillary or Interpupillary Distance Vertex Distance Slit-lamp Biomicroscope Clinical Assessment of a Patient with Low Vision History Taking Image of external world is reflected here and is transferred into visual impulses.

It consists of segments of two spheres, where the smaller transparent one called cornea is placed in front of the other. Due to this anatomical shape anteroposterior diameter is more than vertical and horizontal diameter. Eyeball consists of three coats or tunics Fig. External fibrous—It is formed by transparent cornea in front, opaque sclera behind and their junction called limbus. Intermediate vascular—It is formed by uveal tract consisting of iris, ciliary body and choroid.

Internal neural—It is formed by retina, which along with optic nerve is considered as the anterior prolongation of the brain. Aqueous humour b. Crystalline lens held by zonule of Zinn c. Vitreous humour. Anterior chamber b. Posterior chamber c. Vitreous chamber.

Movements of the eyeball are governed by six extrinsic muscles. Stratified Squamous Epithelium It is composed of 5—6 layers of nonkeratinised cells Fig. Life span of epithelial cells is roughly a week. Superficial cells or Squamous cells : It is 2—3 cell layered and the cells are polyhedral. Outer surfaces of these cells have projections called microvilli and microplicae. These projections extend into the mucin layer of precorneal tearfilm and help in retaining the tearfilm.

Wing cells or Umbrella cells : It consists of also 2—3 layered polyhedral cells with their concave base fitting over the apex of the basal cells. These cells send wings or process between the basal cells. Basal cells: It is a single layer of columnar cells with flat bases and rounded apices or head.

These are germinal cells and show mitosis. New cells are gradually pushed superficially. Basement membrane: It is formed by secretions from the basal cells. Despite lack of vascularity corneal epithelium is capable of active regeneration after injury or abrasion.

It is acellular and composed of randomly oriented fine collagen Anatomy of the Eyeball 7 fibrils. However, it exhibits strong resistance against infection and injury. It is well-demarcated from the corneal epithelium. Stroma Substantia propria It is the forward continuation of sclera. It consists of approximately layers of parallel collagen fibrils, parallel to the surface of the cornea, surrounded by a ground substance of mucopolysaccharide.

Two types of cells are found in the stroma. Keratocytes or Corneal Corpuscles : They secrete collagen and the ground substance and lie within the collagen lamellae. Wandering leucocytes: They are derived from the limbal vessels.

Cornea is the most sensitive structure in the body due to presence of plenty nonmedullated nerve fibres in the stroma. Hence, it is a modified basement membrane of the endothelium. It is well-defined from the corneal stroma. It has wart-like elevations at the periphery termed as Hassall-Henle bodies.

It is strong and capable of regeneration after injury. Endothelium It is the deepest layer of cornea consisting of a mosaic of single layer of hexagonal cells, bound together and continuous with the endothelium of the anterior surface of the iris. Endothelial cells are responsible for maintaining relative dehydration deturgence of corneal stroma and transparency.

Endothelial cells of the cornea can be seen by specular reflection with the slit-lamp biomicroscope. Once damaged, the endothelial cells do not regenerate. Thereafter, a progressive reduction in endothelial cell count occurs with increasing age. Great variation 8 Textbook of Visual Science and Clinical Optometry in size of the endothelial cells is termed polymegathism. It is often observed after ocular disease, trauma and prolonged contact lens wear.

However, small plexuses from the anterior ciliary vessels penetrate the periphery of the cornea for roughly 1 mm and are actually within the subconjunctival tissue which overlaps the corneal periphery. They form a pericorneal plexus and enter the cornea via the limbus, as 60 — 80 myelinated trunks. They shed their myelin sheaths after reaching few mm inside the cornea and divide into two groups. The deeper group forms plexuses within the peripheral area of the stroma.

The thickness around the limbus is 0. Posteriorly around the optic nerve through which pass the long and short posterior ciliary vessels and nerves.

Optometry: Science, Techniques and Clinical Management

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Textbook of Visual Science and Clinical Optometry: Medicine & Health Science Books @ northcornwallnt.org


Dictionary of Optometry and Vision Science

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Completely revised, updated, and redesigned, this classic dictionary by Dr. Michel Millodot continues to be an essential resource for all optometrists in training and in practice, as well as residents in ophthalmology. It is also a crucial source of information for anyone involved in vision science and in the optical industry.

Textbook of Visual Science and Clinical Optometry

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No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the author and the publisher. This book has been published in good faith that the material provided by author is original. Every effort is made to ensure accuracy of material, but the publisher, printer and author will not be held responsible for any inadvertent error s. In case of any dispute, all legal matters are to be settled under Delhi jurisdiction only. This book explains the anatomy and physiology of the eye in a very well-formatted concise manner. It enlightens the optical defects and its correction in a most lucid and methodical way. In the glamour of ophthalmic innovations, the fundamental optics and refraction of the eye have become a forgotten territory.


Get this from a library! Textbook of visual science and clinical optometry. [Bikas Bhattacharyya; Debashish Bhattacharya].


Clinical Refraction And Visual Science

Subject-specific searches:. Anatomy and Physiology. Examination and Testing. Optic s and Imaging Tools. Differential Diagnosis and Systemic Disease.

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This content was uploaded by our users and we assume good faith they have the permission to share this book. If you own the copyright to this book and it is wrongfully on our website, we offer a simple DMCA procedure to remove your content from our site. Start by pressing the button below! No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the author and the publisher. This book has been published in good faith that the material provided by author is original.

2 comments

Manuela A.

Refraction remains a core service—an art—provided by optometrists.

REPLY

Blogibivsy1970

3 Textbook of Visual Science and Clinical Optometry Bikas Bhattacharyya MBBS (Honours), MS, DO Consultant Eye and Laser Surgeon Apollo Gleneagles.

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