A Glossary of Eye Terms

    20/20 Vision
    This fraction is customarily used to indicate normal vision. When the bottom number is larger than 20, it indicates impaired vision. For example, when Molly has 20/400 vision. She sees an object at 20 feet that another person with "normal vision" (20/20) can see at 400 feet.

    Astigmatism

    When a cornea is perfectly spherical, no astigmatism exists. Yet, often the cornea is not quite spherical, but shaped more like a football rather than a basketball. Due to this shape, light that passes through the cornea focuses in more than one point, causing images to distort.

    Confrontation Visual Fields

    A test of peripheral vision performed to identify defects in the visual system that may indicate disease.

    Cornea

    This is the clear tissue that covers the iris. The cornea is made up of five layers, and aids in focusing. Refractive procedures involve changing the shape of the cornea.

    Corneal Topography

    Computerized map of the corneal surface identifying surface irregularities such as astigmatism. It also provides a quantitative measure on corneal curvature.

    Cover Test for Latent Strabismus

    This measures how well the eyes work together.

    Cycloplegic Refraction

    The true eyeglass prescription when focusing ability has been inactivated through the use of eye drops.

    Dilated Fundus Examination

    An examination of retinal tissue health in the back of the eyes.

    Dilation

    Dilating the eyes enables the doctor to do a dilated fundus examination to determine the health of the retinal tissue at the back of the eyes.

    Excimer Laser

    This "cool" laser utilizes ultraviolet light to modify the front area of the eye by breaking intra-molecular bonds in collagen molecules. The excimer laser is so precise that it can etch a person's name into a single strand of human hair.

    Hyperopia

    When the cornea is too flat, rays of light tend to focus behind the retina. This causes a blurred view of nearby objects, while distant objects can still be seen clearly. Hyperopia is commonly known as farsightedness.

    Iris and Pupil

    The iris is the part of the eye that has the color—usually brown, blue, or green. It works similarly to the iris of a camera by adjusting the size of the opening or aperture (the pupil). This regulates the amount of light admitted into the eye.

    Lens

    This transparent composition focuses light rays which pass through it. The lens sits behind the iris and provides approximately 35% of the focusing capacity. (The rest of the focusing ability is provided by the cornea.)

    Manifest Refraction

    The eyeglass prescription that best corrects the vision.

    Monovision

    With monovision, the laser will undercorrect one eye for near vision and fully correct the other eye for distance vision. You will not have to close one eye to read or close one eye to see in the distance. Both eyes remain open and the brain chooses which eye to look through depending on whether the object of your attention is near or far.

    Myopia

    When the cornea is too steep or too long, rays of light tend to focus in front of the retina. This causes a blurred view of distant objects, while nearby objects can still be seen clearly. Myopia is more commonly known as nearsightedness.

    Pachymetry

    Measures corneal thickness. Since Lasik corrects vision by removing a thin layer of corneal tissue, this measurement verifies the safety of the procedure for each patient.

    Presbyopia

    During the natural aging process, you may begin to experience a change in your reading vision. This change, which usually occurs around age 40, is due to a loss of elasticity in the part of the eye known as the lens and its related muscle system. With this loss of elasticity, "you lose the ability to focus up close. And you find yourself needing some type of assistance for reading. This condition is known as presbyopia.

    Pupil Size in Dim Illumination

    One of the determinants for the level of glare symptoms after Lasik. If the pupil dilates in the dark to a size that is larger than the treatment zone of the laser, there is a risk of glare in the dark.

    Pupil Testing for Size

    Determines the risk level for glare after LASIK. If the pupil dilates in the dark to a size that is larger than the treatment zone of the laser, there is a risk of glare in the dark.

    Refractive Error

    This is what happens when there is a problem with the shape of the cornea or the lens. The abnormal refraction or bending of the light beams as they pass through these two transparent parts of the eye, results in an inability to focus the image precisely onto the retina. LASIK is designed to correct specific refractive errors.

    Retina

    This layer of light-sensitive tissue lines the back of the eye. It enables the brain to receive visual messages via the optic nerve.

    Slit Lamp Examination

    A microscopic evaluation of the front and back health of the eyes.

    Strabismus

    This condition often called "lazy eye" occurs mainly in early childhood and results from poor muscle coordination between the eyes. It also occurs in adults. When looking at the lazy eye, it appears as though the lazy eye is not looking directly at you when, in fact, it is. This may or may not mean a patient is not a candidate for LASIK. Less than 5% of the population have strabismus.

    Tonometry

    This test measures the pressure within the eyes, and is used as a glaucoma screening test.

    Visual Acuity

    This is a measurement of the eye’s ability to detect and resolve an object at a given distance.

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