Typically, something moves at the periphery of our field of vision. The eyes shift to bring whatever it is into detailed vision by projecting its image on to the centres of the retinae. The retinae then provide the data that the brain uses to decide whether the moving object is threatening, edible, sexy, inconsequential, or, if you are playing cricket, catchable.
By contracting the pupil the iris assists vision in three ways. First, it stops light from the sides of the cornea forming blurred images on the retina. Secondly, it prevents too much light from entering the eye. Thirdly, it enables depth of focus. Read the rest of this entry »
Of all our faculties, sight has consistently been considered the most miraculous, the most beneficial. In a moving passage from his correspondence, Charles Darwin refers to a time when ‘the thought of the eye made me cold all over’. And with good reason: for when, in 1859, he first published Origin of Species, by far the commonest objection to his revolutionary theory of evolution by natural selection was that a process so dependent upon chance and accident could not possibly account for such an intricate Read the rest of this entry »
When light rays from a distant object pass through the cornea only the central rays are likely to form an image on the central and most sensitive part of the retina. Only the central part of the cornea (an inner diameter of between 3 and 5 mm) is sufficiently curved to bend the light-rays regularly. The light entering the more peripheral parts of the cornea only stimulate the more peripheral parts of the retina. These are bent irregularly and do not form a clear central retinal image. This ‘peripheral vision‘ is most useful for locating objects in space, and, by a reflex nerve stimulation, regulating the size of the pupil. Read the rest of this entry »
Secondly, such rays (peripheral vision) may be scattered by such scarring and cause unusual sensitivity to bright light. The cuts may also damage the very sensitive deeper layers of the cornea creating problems in later life, although the operation is too new to know whether and to what extent this is the case. The effects of cuts cannot easily be measured, while the ability of the tissue to heal totally may prejudice even the short-term benefits. The presence of a small degree of short sight may seem a great inconvenience to a young person, and he or she is often willing to take a long-term risk for the sake of an immediate improvement. Read the rest of this entry »
Symptoms
All the symptoms of cataract are visual, the usual complaint being of a general mistiness of sight, more particularly for distance vision, as reading is often unaffected in the earlier stages. One eye is frequently worse than its fellow, but sooner or later both eyes alter. At this stage dazzle may be a cause of great distress. In normal lighting conditions vision may not be seriously disturbed, but in bright sunlight it becomes obscured by dazzle in the same way that a dirty windscreen becomes almost opaque in the headlights of oncoming cars. In this situation patients may be greatly helped by wearing a brimmed hat or tennis shade. Tinted glasses are of limited assistance because it is the direction of the light as much as its brilliance that causes the trouble. Read the rest of this entry »
Since the retinal nerves radiate from the cup of the optic nerve (the seat of the blind spot) the loss of retinal function tends to occur in a way that is diagnostic. For example: the group of nerve fibres that tend to be affected first are those that function in arches around the centre of vision. The next group to go are those providing vision in the nasal field (the lateral part of the retina). But it is all too possible for a patient to be unaware of these losses of vision, and because the condition is symptom-free in its early stages and only gradually progressive, diagnosis is often difficult. Read the rest of this entry »
Until the advent of contact lenses or intraocular lens implants spectacles were the only means of achieving a finely focused image on the retina after a cataract operation. Although in many cases this is most satisfactory, there are limitations to such correction. At first some patients find that wearing thick cataract glasses causes a number of problems which arise from magnification of the image, distortion in the peripheral part of vision, and some limitation of the field of clear vision.
These all result from the spectacle lens itself rather than from the operation. Read the rest of this entry »
These then are the common errors of vision which may cause eye-strain. They are short- and long-sightedness, near-vision deficiency and astigmatism. Most commonly astigmatism is present with one of the other three conditions. They may all be measured by both objective and subjective methods. Objective measurement means the use of instruments, while subjective measurement requires you to state an opinion. In ordinary practice the practitioner will use both methods, and thereby establish a pattern which enables him to prescribe the right optical correction. If you repeatedly give a wrong answer to a subjective inquiry the experienced occulist will proceed to further objective (optometrical) tests. Read the rest of this entry »
The symptoms of eye-strain are diverse and confusing. Inability to use the eyes for a specific task leads to frustration in most intelligent people, regardless of whether such inability is temporary or permanent. There are states where the individual finds that, by squeezing the eyes, or by holding objects at abnormal distances, better vision is possible, but this only leads to fatigue and congestion of the delicate musculature. Read the rest of this entry »
Squint, or strabismus, is a general term used to describe any one of several conditions in which the two eyes are not properly co-ordinated. One eye focuses on an object, but the other eye fails to align itself to the same fixation. Most commonly the errant eye is aligned inwards (cross-eye or esotropia) or outwards (wall-eye or exotropia); less commonly it looks upwards (hypertropia) or downwards (hypotropia). Other words to describe these conditions are ‘cast’ and ‘turn’. The phrase ‘evil eye‘ has also doubtless been used in association with squint. Where a squint remains uncorrected the person who has it is often forced to adopt an unusual, even grotesque, head- posture, adding to a general impression of unsightliness. But because the squint sufferer has the potential for normal stereoscopic vision the treatment of squint is an important ophthalmic activity. Read the rest of this entry »
