13. visual function and effect of ageing

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bipolar cells

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1

bipolar cells

cells in the retina which transmit impulses from photoreceptor cells to ganglion cells

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blind spot

point at the back of the eye where optic nerve exits

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3

cone cell

photoreceptor cell in retina that is responsible for colour vision

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4

fovea

centre area of the macula that contains only cone cells

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5

ganglion cells

cells in retina that transmit impulses from bipolar cells to brain

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6

generator potential

depolarisation of receptor plasma membrane which reaches threshold and initiates action potential

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7

infraction

tissue death caused by lack of blood supply

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8

iodopsins

Photoreceptor proteins in cone cells

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9

Macula

area of retina with most cone cells

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10

rhodopsin

Photoreceptor protein in rod cells

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11

rod cells

light sensitive photoreceptor cell in retina that functions in low light

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12

transducers

sensory receptors that convert light to electrical energy

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13

sclera

tough white outer layer containing collagen that protects the eye

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14

choroid layer

layer behind retina which absorbs light, rich blood supply

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15

retina

innermost layer containing photoreceptor cells

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16

fovea centralis

area of retina with high concentration of cone cells for best visual acuity

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17

optic nerve

bundle of neurones carrying impulses from eye to brain

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18

blind spot

point where optic nerve exits and there is no photoreceptor cells

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19

conjunctiva

protective layer at at front of eye kept moist by film of fluid

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20

iris

coloured tissue at front of eye which controls light entering pupil by smooth muscle

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21

pupil

black hole in centre which lets light in

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22

cornea

clear part of sclera at front that covers iris and pupil which helps focus light

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23

lens

stacks of long, narrow, transparent cells which focus light

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24

ciliary body

muscle which holds lens and alters its shape

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25

suspensory ligament

inelastic ligaments that attach ciliary muscle to lens

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26

vitreous humour

gelatinous fluid within eye which exerts pressure outwards to maintain eye shape

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27

aqueous humour

watery fluid in front of lens which helps maintain shape

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28

conjunctivitis

inflammation or infection of a part of the eye where the blood vessels become dilated or haemorrhage appearing pink or red

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29

dim light

more light let in, radial muscles contract, circular muscles relax, sympathetic nervous system

<p>more light let in, radial muscles contract, circular muscles relax, sympathetic nervous system</p>
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30

bright light

reduces light entering, radial muscle relax, circular muscle contract, parasympathetic nervous system

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31

refracting surfaces of eye

cornea, front and back of lens

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32

distant object

circular ciliary muscles relax, suspensory ligaments taut, lens pulled thin, less refraction of light

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33

near object

circular ciliary muscles contact, suspensory ligaments slackened, lens bulge, more refraction of light m

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34

myopia

elongated eyeball, light from distance focus in front of retina, treated with concave lens, laser eye surgery, or lens implant

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35

types of cone cells

cells sensitive to red, blue or green

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36

rod cell

longer photoreceptor cell

<p>longer photoreceptor cell</p>
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37

order of retina cells

optic nerve axons, ganglion cells, bipolar cells, photoreceptor cells, pigment epithelium

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38

retinal

absorbs a photon of light and is converted to trans-isomer from cis-isomer. activates opsin

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39

opsin

protein in rhodopsin with retinal

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40

bleaching

when rhodopsin spits due to retinal changing isomers, reversed by re synthesis with ATP

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41

ATP produced for re synthesis of rhodopsin

many mitochondria in inner segment of rod cells

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42

vitamin A

vitamin needed to to re synthesise retinal into rhodopsin

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43

iodopsin

photosynthesis pigment in cone cells which eolith absorbs red, green, or blue light

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44

s cone

short wave light blue light - 420nm

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45

m cone

medium wavelength green light - 543nm

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46

l cone

long wavelength red light - 564nm

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47

bipolar cells

synapse with many rod cells or single cone cell, and ganglion cell on other

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48

summate

when many rod cells combine to depolarise bipolar neurone

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49

glutamate

inhibitory neurotransmitter which causes the adjacent bipolar neurone to become hyper polarised

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50

glutamate

causes ganglion neurone to become depolarised creating generator potential

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51

visual acuity, colour vision, pupil response

3 aspects of eye tests

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52

every 2 years

routine eye test carried out

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53

snellen chart

letters chart, big to small, viewed at 6m, one eye covered

<p>letters chart, big to small, viewed at 6m, one eye covered</p>
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54

20/20 visual acuity

ability to ready letters 1cm high at 6m

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55

near vision test

reading card with different size blocks of text at 30cm

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56

presbyopia

near vision loss. lens is less flexible as older (40+) so less able to focus near objects

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57

colour blindness

absence of one or more types of cone, recessive sex linked condition affecting makes more

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58

protanopia

absence of red cone cells

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59

deuteranopia

absence of defect in green cone cells

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60

Ishihara colour vision test

individuals with colour blindness don’t see numbers, different colour combinations

<p>individuals with colour blindness don’t see numbers, different colour combinations</p>
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61

Farnsworth-munsell 100 hue test

caps sorted into hue order, red, green, blue and yellow

<p>caps sorted into hue order, red, green, blue and yellow</p>
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62

optical coherence tomography

OCT, non invasive, beam of near infra red light, detects reflected light, scattered removed with interferometry, 3d image of retina, map and measure thickness

<p>OCT, non invasive, beam of near infra red light, detects reflected light, scattered removed with interferometry, 3d image of retina, map and measure thickness</p>
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63

neurones die

loss of synaptic connections at about age 20

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64

brain volume and mass

brain decrease by 10% at 90, frontal lobe and hippocampus effected most

<p>brain decrease by 10% at 90, frontal lobe and hippocampus effected most</p>
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65

thinner cortex

thins from age 20, due to loss of synaptic connections

<p>thins from age 20, due to loss of synaptic connections</p>
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66

white matter

decreases with age, leading to reduced speed of cognitive processing like memory, attention, action, problem solving, and decision making

<p>decreases with age, leading to reduced speed of cognitive processing like memory, attention, action, problem solving, and decision making</p>
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67

ventricles

enlargement with age, more significant with dementia

<p>enlargement with age, more significant with dementia</p>
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68

neurotransmitters

effects memory due to less synthesis of receptor proteins and…

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69

onset of dementia

age related memory loss is temper lapses of memory however severe disruptive loss indicates…

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70

slow age related memory loss

regular exercise, manage stress, crosswords

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71

worsen age related memory loss

smoking and alcohol

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72

effect of ageing on reaction times

simple involuntary reflex, different ages, unpaired t test

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73

presbycusis

age related hearing los, gradual from 18 years, loss of sensitive share cells in cochlea and neurone in auditory nerve

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74

high frequencies

frequencies most effected by age related hearing loss

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75

range of normal speech

autograph carried out between 250 and 8000Hz

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76

normal hearing level

up to 25dB

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77

glaucoma

tunnel vision, optic nerve damage, increased eye pressure as aqueous humour doesn’t drain, eye drops, laser, medication, or surgery

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78

chronic open angle

drainage channels slowly come blocked, reduced visual field

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79

acute closed angle

less common, rapid onset, pressure in eye pushes edge of iris against cornea blocking drainage channels

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80

age related macular degeneration

ARMD, loss of central vision due to degeneration of macula, dry- debris from pigments not broken down, retina detaches, wet- blood vessels grow, laser treatment, strong glasses

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81

cateracts

clouding of lens and loss of elasticity, blurred vision, worse in low light, denaturation and aggregation of lens proteins, age related, stronger glasses and brighter lights, replacement lens

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82

alzheimers

degenerative disease of nerve system effecting frontal and temporal lobes

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83

early Alzheimers

  • minor memory loss eg names and location of objects

  • suffers aware of memory loss

  • long term memory intact

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84

mid-stage Alzheimers

  • personality changes, physical problems

  • dependant on others for care

  • no longer aware of memory loss

  • impaired long term memory

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85

late stage Alzheimers

  • deterioration of personality

  • loss of control over body functions

  • total dependency on others

  • speech severely effected

  • inability to swallow and lead to death

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86

multifactorial

disease with many factors contributing to it eg Alzheimers, effected by age and family history

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87

abnormal break down of protein

B amyloid proteins are produced from myelin sheath which accumulate and form plaques around neurones causing them to degenerate and less neurotransmitter produced.

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88

tau proteins

proteins which normally stabilise microtubules in cytoskeleton, defective ones aggregates forming neurofibrillary tangles in neurones. microtubules disintegrates and transport system collapse, less neurotransmitter, nerve dies

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89

cholinergic

reduction in acetylcholine levels, most treatments based on this

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90

amyloid

location of even for protein precursor on chromosome 21, links it to down syndrome. maybe derrivative called ADDLs that cause damage

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91

tau

abnormalities in proteins cause neurofibrillary tangles interfering with microtubules and intracellular transport in neurones

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92

acetylcholine inhibitors

use to prevent breakdown of acetylcholine to treat Alzheimers

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93

carers activities

help with eating, washing, dressing, going to toilet

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94

carers difficulties

financial cost, ability to work, distress, patients legal maters

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