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components of outer ear
pinna
ear canal
tympanic membrance (eardrum)
structure & function of pinna
fleshy section of outer ear
collects and funnels sound into the ear cannal & protects inner ear from external subtances
structure & function of ear canal
tube that connects pinna to tympanic membrane (eardrum)
directs sound into tympanic membrane & secretes earwax
structure & function of tympanic membrane (eardrum)
located between outer and middle ear
eardrum vibrates, converting sound waves into mechanical energy
components of inner ear
ear ossicles (malleus, incus, stapes)
oval & round window
structure & function of ear ossicles
three small bones (malleus, incus, stapes)
amplify and transmit mechanical vibrations from eardrum into inner ear
structure & function of oval & round window
thin, flexible membranes
act as entrance and exit doors for mechanical vibrations travelling through inner ear & allow fluid movement inside the cochlea
components of the outer ear
cochlea
vestibular system
basilar membrane & organ of Corti
auditory nerve
structure & function of cochlea
fluid-filled, spiral structure lined with basilar membrane and organ of Corti
vibrations create pressure waves in cochlear fluid, causing basilar membrane to vibrate
structure & function of the vestibular system
sensory organs directly attached to organ of Corti
help maintain sense of balance
structure & function of organ of Corti
sensory structure sitting on top of basilar membrane, inside the cochlea
contains hair cell receptors that transfer mechanical energy into electrochemical signals, carried to auditory nerve
structure & function of auditory nerve
bundle of nerve fibres
transmit electrical signals from hair cells to the auditory cortex of the brain, where they are interpreted as sound
what is the eustachian tube
tube that connects the middle ear to the nose & throat
equalises pressure between middle ear and outer ear → prevents eardrum from shifting position
can result in discomfort/dizziness if damaged
what are the causes of hearing loss
conductive hearing loss
sensorineural hearing loss
mixed hearing loss
what is conductive hearing loss
when sound is not effectively conducted through the outer/middle ear
usually affects loudness of sound
caused by earwax blockage, perforated eardru,, infection, damaged ossicles.etc
what is sensorineural hearing loss
damage to the cochlea, hair cells, or auditory nerve; prevents transformation of mechanical energy into electrical impulses
usually affects loudness & clarity of sound; often permanent
caused by ageing, noise-induced damage, genetic mutations, ototoxic drugs, viral infections (e.g. meningitis)
what is mixed hearing loss
combination of conductive and sensorineural causes
less common
what are hearing aids & how does they work
external, non-surgical device that amplifies sound
microphone picks up sound
amplifier increases signal strenth
speaker delivers amplified sound into ear canal → existing (but reduced-function) structures of ear process it as normal
effectiveness of hearing aids
effective for conductive hearing loss & mild sensorineural hearing loss (where wnough functioning hair cells remain to detect amplified signal)
able to avoid surgery & recovery time
adjustible to individual’s specific hearing loss profile
relatively low cost & accessible
limitations of hearing aids
ineffective for severe sensorineural hearing loss (as hair cells may be unable to pick up amplified sound)
may amplify background noise or pick up unwanted frequencies
requires regular batter replacement/maintenance
can be lost/damaged
what are cochlear implants & how do they work
surgically implanted device (‘the bionic ear’) that bypasses the damaged outer/middle ear and non-functioning hair cells, directly stimulating auditory nerve
external microphone & speech processor → detect sound & convert into electrical signal
transmitter → sends signal across skin via radio waves
internal receiver → decodes this signal
electrodes (inserted into cochlea) → directly stimulates auditory nerve at points corresponding to different sound frequencies
effectiveness of cochlear implants
effective for severe sensorineural hearing loss (where hair cells are absent/non-functional)
beneficial for deaf children (ideally before age 2-3) → allows for near-normal speech development
limitations of cochlear implants
requires surgery; risks include infection, facial nerve damage, use of anaesthesia
sound is not ‘natural’ → perceivede as mechanical; requires auditory-verbal therapy & adjustment
high cost (device, surgery, therapy) & limited accessibility for some
risk of permanently losing remaining hearing as implanted ear damages the internal structures of the cochlea
what are bone conduction implants & how do they work
device that transmits sounds via direct bone vibration, bypassing the outer and middle ear entirely
titanium implant is surgically anchored is surgically anchored into the skull bone behind the ear
vibrations travel through bone to functioning cochlea, where sound is processed as normal
effectiveness of bone conduction implants
effective for conductive hearing loss, particularly where outer/middle ear is malformed, blocked or chronically infected
effective for single-sided deafness
once bone fuses with implant, the connection is stable and sound quality is generally consistent
limitations of bone conduction implants
requires surgery to anchor the implant; risks include implant failure, skin irritation, use of anesthesia, etc
ineffective for sensorineural hearing loss (as it relies on inner ear)
costly (however cheaper than cochlear implant), which can limit access
may not be suitable for young children (skull bone not thick enough)
components of the outer eye layer (fibrous)
sclera
cornea
what is the sclera
white, fibrous outer coat covering most of the eyeball
provides structural & protection, maintains eyes’ shape and serves as attachment point for eye muscles
what is the cornea
transparent dome-shaped outer layer at front of eye that covers the pupil and iris
acts as a protective shield against dirt/germs & serves as primary lens (light-focussing power)
components of the middle eye layer (vascular)
choroid
ciliary body
aqueous & vitreous humours
iris
lens (seperate, but associated with this layer via ciliary body)
what is the choroid
layer rich in blood vessels sitting between the sclera and retina
supplies oxygen and nutrients to the outer retina, absorbs light & prevents it from scattering (would blur vision)
what is the ciliary body
contains the ciliary muscles, which control the shape of the lens → allows for adjustment according to distance
produces aqueous & vitreous humours
moves the lend
what are the aqueous & vitreous humours
aqueous humour → watery liquid that fills front chamber; transmits light & maintains eye pressure
vitreous humour → jelly-like subtance that fills space behind the lens; allows light to pass through back of eye & supports eye shape
what is the lens
transparent, biconvex structure held in place by ligaments attached to ciliary body
ciliary muscles move the lens to focus light on the retina
what is the iris
pigmented, muscular ring surrounding the pupil
controls the amount on light entering the eye through phincter muscles which adjust pupil diameter
components of the inner eye layer
retina
fovea
optic nerve
what is the retina
light-sensitive innermost layer lining the back of the eye
contains two types of photoreceptors which convert light into electrical signals
rods → highly sensitive to light, responsible for vision in low-light conditions; don’t detect colour
cones → responsible for colour vision and fine visual detail; require brighter light to function
what is the fovea
tiny central pit in the retina that provides the sharpest, most detailed colour vision
contains highest concentration of cones and no rods
what is the optic nerve
bundle of nerve fibres that connexts the retina directly to the brain
carries electrical signals (from retinas’ photoreceptors) to the visual cortex of the brain, where they are interpreted as images
the point where the optic nerve exists creates a natural blind spot
what is accomodation
process by which the eye changes the lens shape to adjust its focusing power, allowing individuals to see objects clearly at different distances
short distance → ciliary muscles contract, releasing tension on suspensory ligaments → lens is rounder & thicker → increases refractive power
long distance → ciliary muscles relax, increasing tension on suspensory ligaments → lens is flatter & thinner → decreases refractive power
note: refractive power is how strongly a lens bends light
what are the causes of visual disorders
refractive errors (myopia, hyperopia)
cataracts
what is myopia
short-sightedness caused when the eyeball is too long, or the lens has too much refractive power → light converges to a focal point in front of the retina (rather than on it)
distant objects appear blurry (as light has already converged before reaching retina)
caused by genetics, environmental factors, reduced time outside
what is hyperopia
lons-sightedness caused when the eyeball is too short, or the lens does not have enough refractive power → light converges to a focal point behind the retina
nearby objects appear blurry, since they require more refractive power
caused by weakening of ciliary muscles or decreased lens flexibility; often develops later in life
what are cataracts
clouding of the lens, caused when proteins clump together over time
light is scattered and blocked by the cloudy lens (cannot be clearly focussed on retina), causing blurred vision, increased light sensitivity & faded colour perception
cannot be corrected by adjusting focusing power (glasses)
caused by ageing, UV exposure, smoking, etc
what are spectacles & how do they work
external lens placed in front of the eye to adjust the point of light convergence so it lands on the retina (corrects refractive error)
concave (diverging) lenses for myopia → spreads light out before it enters the eye, shifting focus onto retina
convex (converging) lenses for hyperopia → bends light more before it enters the eye, shifting focus onto retina
effectiveness of spectacles
does not require surgery → immediately effective & avoids surgical risks/recovery time
easily adjusted as prescription changes over time
relatively low cost & widely accessible
limitations of spectacles
does not address underlying cause (e.g. eyeball length) → vision reverts to uncorrected state when removed
requires consistent use & can be lost or broken
peripheral vision distortion can occur
ongoing costs
what is laser surgery (e.g. LASIK)
surgical procedure that permanently reshapes the cornea to correct its refractive power, so light converges correctly on the retina
e.g. LASIK → thin flap is cut into the cornea → laser removes tissue to correct the cornea shape → flap is repositioned to heal
effectiveness of laser surgery
addresses the structural cause of the refractive error → effective for myopia and hyperopia
results are typically permanent & surgery often has fast recover
removes ongoing costs and burden of glasses/contacts
limitations of laser eye surgery
surgical risks including infection, eye irritation, surgical implications, glare, etc
high upfront costs; not always covered by health insurance
not suitable for everyone e.g. requires thick corneal tissue, stable prescription, etc
irreversible if complications or dissatisfaction arise
what is cataract surgery
surgical removal of the cloudy natural lens, replaced with a clear artificial intraocular lens (IOL)
cloudy lens is typically broken up and removed through small incision before IOL is inserted
effectiveness of cataract surgery
addresses the underlying problem (unlike glasses which cannot correct cloudy vision)
very high success rate
often restores clear vision within days
limitations of cataract surgery
surgical risks (infection, inflammation, issues with lens)
high cost & limited access (not necessarily covered by health insurance)
requires healing & recovery time