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Small Dictionary of Ophthalmology

Amblyopia: consists of reduced vision in one eye due to problems that interfere with visual development during childhood; generally there are no apparent organic changes; amblyopia arises because the brain does not recognize the more blurred image provided by the eye, making the eye “preferential” to the one sending a sharper image.

 

Anisocoria: change in which there is an unequal size of the two pupils.

 

Anterior chamber: space between the cornea and iris, filled with aqueous humor.

 

Anterior segment: most anterior portion of the eyeball that includes the external ocular surface, the conjunctiva, the cornea, the anterior chamber, the iris, the visible sclera and the lens.

 

Aphakia: absence of crystalline; it can be congenital or acquired (surgical/traumatic).

 

Autoimmune: refers to the exaggerated immunological or inflammatory reaction that occurs in an individual against his own tissues.

 

BCVA: best corrected visual acuity (usually with glasses or contact lenses).

 

Biometry: diagnostic exam that uses ultrasound for various measurements such as axial length, anterior chamber depth, corneal curvature, corneal thickness, among others.

 

Blepharitis: acute or chronic inflammation of the eyelid margin.

 

Capsulotomy:an opening is made in the posterior area of the capsule with a YAG laser when the posterior lens capsule opacifies after cataract surgery.

 

Cataract: change in the transparency of the lens.

 

CF:count fingers.

 

Chalazion: inflammatory nodule that develops on the eyelid, in the upper or lower part, caused by obstruction of a Meibomius gland.

 

CNV: choroidal neovascular membrane.

 

Congenital: present from birth.

 

Conjunctivitis: inflammation of the conjunctiva (“the white” of the eye) and the inner part of the eyelids; it can be allergic or infectious (bacterial or viral).

 

Cornea: most anterior part of the eyeball, transparent, which works like a “watch glass” with high dioptric power.

 

Corneal topography: diagnostic exame which makes it possible to establish a three-dimensional map of the different radius of curvature of the anterior surface of the cornea.

 

CVO: central retinal vein occlusion.

 

Cystoid macular edema (CME): accumulation of fluid in the macula that can cause decreased visual acuity.

 

Diabetes type 1: called juvenile diabetes; insulin-dependent.

 

Diabetes type 2:most common type in adulthood; non-insulin dependent.

 

Diopter (D): unit of measurement of the power of a lens; used in optical correction.

 

Diplopia: double vision.

 

DR: Diabetic Retinopathy.

 

Epiretinal membrane: membrane that grows on the inner surface of the retina.

 

Eye floaters (myodesopsias): small spots/filaments or dark spots that float in the vision field and that move with the movement of the eyes.

 

Fibrosis:excessive proliferation of connective tissue, which may arise as an exaggerated response to injuries, infections or inflammation.

 

Fluorescein angiography:diagnostic test to evaluate the circulatory dynamics of retinal blood vessels and their integrity.

 

Fovea: central area of the macula.

 

Glaucoma: optic nerve disease in which there is a marked loss of nerve fibers, in relation to a group of people of the same age, and which is usually associated with loss of visual field; may be associated with high intraocular pressure; there are also low-tension and normotension glaucomas.

 

Glycated hemoglobin (HbA1c): blood test that assesses blood glucose levels over the last 3 months and is not influenced by fasting on the day of blood collection.

 

Hordeolum: acute infection of a gland on the edge of the eyelid, usually bacterial.

 

Hyperopia: difficulty in seeing at short distances that can be corrected by converging (positive) lenses; occurs when the axial length of the globe is shorter or the curvature of the cornea is flatter, so that the image is captured behind the retina.

 

Intraocular lens: lens that is inserted into the eye to replace the crystalline lens in cataract surgery; it can also be used to correct high myopia in young patients, maintaining the crystalline.

 

Intraocular pressure (IOP): allows the eyeball to remain spherical in shape; depends on the production of aqueous humor, its circulation and drainage.

 

Ischemia: insufficient blood supply due to constriction or obstruction of blood vessels resulting in a decrease in oxygenation and nutritional supply to tissues.

 

Keratitis: inflammatory process of the cornea.

 

LASIK (Laser Assisted In-situ Keratomileusis): aser surgery, used to correct myopia, astigmatism and hyperopia.

 

LE: left eye.

 

Lens (crystalline): transparent biconvex physiological lens, located behind the iris.

 

LP:light perception.

 

Macula: central region of the retina where the image that will be transmitted to the brain is formed.

 

Metamorphopsies:image distortion; vertical/horizontal lines appear wavy.

 

Miotic:medication used to cause pupillary contraction, reversibly.

 

Mydriatic: medication that causes pupil dilation, reversibly.

 

Myopia: difficulty with distance vision that can be corrected by divergent (negative) lenses; generally characterized by increased axial length of the globe or more accentuated corneal curvature; the image is captured in front of the retina.

 

Neovascularization: the formation of new blood vessels, often fragile, in areas of ischemia (which do not receive adequate oxygen and nutrient supply); are more at risk of causing bleeding.

 

NPDR: Non-Proliferative Diabetic Retinopathy.

 

Nyctalopia: night blindness; decreased visual adaptation to the dark.

 

Neuro-ophthalmology: subspeciality of ophthalmology dedicated to the integrated study of vision problems and diseases of the nervous system.

 

OCT: Optical Coherence Tomography; diagnostic examination; high-resolution cross-sectional images of retina, optic disc and anterior segment.

 

Optic Disc: intraocular portion of the optic nerve that is visualized when observing the ocular fundus.

 

Optic nerve: transmits nerve impulses produced in the retina to the brain, where they are then interpreted as images.

 

PDR: Proliferative Diabetic Retinopathy.

 

Perimetry: diagnostic exam to evaluate the field of vision..

 

Phakic eye: eye with crystalline lens.

 

Photophobia: is the “intolerance” or “aversion” to light or the discomfort caused by light in the eyes.

 

Presbyopia: difficulty with near vision that can be corrected with lenses; it usually occurs after the age of 40.

 

Progressive lenses: correct distance, intermediate and near vision in the same lens, without a visible separation line in the glasses.

 

PSC:posterior subcapsular (cataract); consists of the opacification of the most posterior layers of the lens.

 

Pseudophakic eye: the lens was replaced with an intraocular lens (cataract surgery).

 

Pterygium: degenerative lesion in which conjunctival tissue proliferates to the surface of the cornea, in the form of a vascularized layer near the transition between conjunctiva and cornea, and which may have inflammatory signs.

 

RE: right eye.

 

Refraction exam: assessment of visual acuity corrected with glasses or contact lenses.

 

Refractive surgery: laser surgery to correct refractive errors such as myopia, hyperopia, astigmatism, usually corrected with the use of glasses or contact lenses.

 

Retina: layer that lines the inside of the eye, made up of nerve cells; its cells are sensitive to light and convert it into electrical signals that are then sent to the brain via the optic nerve.

 

Retinal detachment: separation of the retina from the choroid and sclera (“eye wall”).

 

Retinography:photograph of the ocular fundus.

 

RLE: both eyes.

 

RPE: retinal pigment epithelium.

 

Sclera: outer layer of the eyeball, consisting of fibrous tissue that covers the eyeball.

 

Strabismus: ocular misalignment caused by imbalance of the extrinsic muscles of the ocular globe.

 

Tonometry: method of evaluating intraocular pressure (IOP); diagnostic examination.

 

Uveitis: inflammation of the uvea, the vascular layer of the ocular globe; it can involve the anterior uvea (consisting of the iris and ciliary body) and the posterior uvea (choroid).

 

Visual acuity (VA): ability of vision to perceive the shape and contour of objects; a person with VA 20/20 sees objects that are 20 feet away clearly.

 

Visual Field: area of space visible to the eye in a given position, looking fixedly; there is the central visual field and the peripheral visual field, which is lateral vision.

 

Vitrectomy: surgical procedure to remove the vitreous and replace it with another substance (saline solution, gas or silicone depending on the surgical problem).

 

Vitreous: gelatinous and transparent substance that fills the vitreous cavity, which is located in the posterior portion of the globe, behind the lens.

 



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