视光学基础-推荐下载
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R e g n a O P T I C A LBASIC OPTICS MODULE 1 – VISION AND THE EYEVISIONACCOMMODATIONCORNEAIRISAQUEOUS HUMOUR LENSVITREOUS HUMOUR RETINAFOVEAOPTIC NERVE EMMTROPIA AMETROPIA MYOPIA HYPROPIA ASTIGAMATISM PRESBYOPIAVISIONVision is the ability of the human visual system to respond to light. Light is reflected from objects in the environment. The light is projected onto the retina in such a way that the brain is able to translate these nerve impulses into a visual image. Most people have normal vision and are able to see objects clearly with or without the aid of spectacles, however people with low vision or those who are blind are unable to see objects clearly, even with the aid of spectacles.When looking at an object in the distance (more than 6 metres away), the eye is relaxed and the light from the object is brought to a focal point on the retina. When looking at objects closer than 6 metres, the lens in the eye must change shape to enable the light to continue to focus on the retina. This change of shape of the lens is called accommodation. The ability to accommodate for near vision decreases throughout life, and at the age of 40 to 45, it has reduced to the level where most people cannot read without reading glasses.No accommodation is required to focusnear objects onto the Fovealight from distant objects onto the Fovea.The workings of the human eye are amazing and provide a range of functions, from being able to see very small objects, follow movement and accurately judge distances. The human eye can differentiate between shapes and colours, see varying amounts of light and operate under extreme temperatures.The visual system is a mass of extremely complex yet well organised parts, consisting of two eyes, nerve cells, nerve pathways, and a proportion of the brain.The eye works similarly to a camera in a number of aspects. The cornea and lens, together, form the main part of the optical system which focuses light onto the retina. The retina acts like a film of a camera, but unlike a film it processes the image and relays it to the brain through the optic nerve. In a real sense we see with out brain not our eyesThe eye is made up of the following major parts, each of which is explained briefly below.CorneaIrisAqueous Humour PupilCORNEALight rays that enter the eye are refracted (bent) by the cornea. The cornea provides some eighty percent of the eyes' refracting power. Rays then proceed to the lens to be further refracted. The lens has the ability to accommodate, changing the refraction to suit objects in the distance of at nearIRISThe IRIS is a coloured tissue which includes muscles. It is located behind the cornea and in front of the lens. It opens and closes to regulate the amount of light that enters the eye. The circular opening that it forms is called the PUPIL .AQUEOUS HUMOURThis is the clear liquid substance that fills the space between the cornea and lens.LENSThe lens is the only variable optical element in the eye. The lens can be made more bulbous, which needs to happen when a person looks at something close to them. This change enables light rays to focus onto the retina, when viewing a close object. The lens can change its’ focal power in a young person so that objects far away and as close as 10 cm can be seen clearly. As we get older, this ability is reduced until at about 40-45 years we need help in the form of reading glasses, to focus on objects that are near.VITREOUS HUMOURThis is a jelly-like substance which fills the centre of the eye.RETINAThe retina covers almost the entire inner surface of the eye. It is made up of three layers of nerve cells, including light receptors. The light receptors are know as rods and cones, which receive light and send information to the brain via the optic nerve fibres, which are long extensions of other retinal nerve cells.FOVEAThis is the area of greatest visual acuity (or clearest vision) which is located directly behind the pupil. When looking at an object, the reflected light from this object is focused onto the Fovea, and reflected light from everything else in the room falls onto other parts of the retina; the images from the other parts of the retina make up your peripheral vision.OPTIC NERVEThe optic nerve relays all messages from the retina to the brain. Where the opticnerve joins the retina an ‘optic disc’ is situated. This are has no rods or coneswhich makes it a blind spot. The persons particular blind spot is not noticed inday to day life as we learn to adapt with it, however every person has one in eacheye.EMMETROPIAThis is a word used to describe a normal visual condition. A person is called an Emmetrope when no form of visual correction is needed for distance viewing. The action of the eyes in this situation is shown in the diagrams above. For viewing objects at a distance of less than six metres, accommodation allows the person to view the object clearly.This is the “normal” situation for people who do not have to wear glasses. Just as in other parts of the body, there is variability in the size of the eye and its components. This variation makes for a range of optical defects.AMETROPIAThis word describes the collective group of visual defects (abnormal vision) resulting in a person needing some form of vision correction.The following sections briefly discusses the most common types of Ametropia and the lens types needed to correct these.MYOPIA (Short-sightedness)This describes the condition that occurs when the eye is looking at a distant object (more than 6 metres) in a relaxed state, and the light from the object is brought to a focal point in front of the retina (as 1. below). When this happens, the image on the retina will be blurred. Myopes are unable to improve their distance vision through changing their accommodation, but their near vision is usually good without the aid of spectacles.Vision without any correction.onto the Fovea.HYPEROPIA (Long-sightedness)This describes the visual defect that occurs when the eye is looking at a distant object in a relaxed state, and the light from the object is brought to a focal point behind the retina (as diagram 3. Below). This also causes blurred vision. Hyperopes are usually able to improve their distance vision through accommodation, however this often causes eye strain and/or headaches.Vision without any correction.light onto the Fovea.ASTIGMATISMAsigmatism is the visual defect that results in a blur in one direction or orientation. Astigmatism is often superimposed on short or longsightedness and is caused by the cornea of the eye having a shape which is not spherical but with variations in curvature in different directions. The problem can be corrected with a lens which has a corresponding but opposite variation in curvature to the cornea of the eye.Normal eye: Spherical corneaAstigmatic eye: Elliptical corneaPRESBYOPIAThis word is used to describe the visual defect which causes blurred vision in the near only, and is as a result of degenerating muscles and lens in the eye. This defect generally becomes noticeable at the age of 40 to 45 and becomes more evident as one ages. Presbyopes require near vision correction amd may also require correction for myopia, hyperopia and/or astigmatism, with all human beings becoming presbyopic at some stage.Presbyopia Corrected Presbyopia。
眼视光学基础知识一.定义1.正视眼:当眼调节静止时,外界的平行光线(一般认为来自5m以外)经眼的屈光系统后恰好在视网膜黄斑中心凹聚焦,这种屈光状态称为正视。
2.非正视眼:当眼调节静止时,外界的平行光线经眼的屈光系统后,若不能在视网膜黄斑中心凹聚焦,将不能产生清晰像,称为非正视或屈光不正。
A.近视:当眼调节静止时,外界的平行光线经眼的屈光系统后成像在视网膜前面,典型的近视表现为视远模糊视近清晰。
近视一般分为两类,即生理性近视和病理性近视。
近视眼矫治应用合适的凹透镜或类同凹透镜的原理和方法,使平行光线发散,进入眼屈光系统后聚焦在视网膜。
矫治的原则是最好矫正视力,最低矫正度数。
(一)按近视的程度分类:1. ≤-3.00 D,为低度近视;2. -3.25 D至~6.00 D为中度近视;3. - 6.25 D至~10.00 D为高度近视;4. -10.00 D以上为重度近视(二)按屈光成分分类1.屈光性近视。
2.轴性近视。
B. 远视:当眼调节静止时,外界的平行光线经眼的屈光系统后成像在视网膜后面。
□远视的原因是眼轴相对较短或者眼球屈光成分的屈光力下降。
可能是生理性的原因,如婴幼儿的远视;也可能是一些疾病通过影响以下两个因素而导致远视:①影响眼轴长度:眼内肿瘤,眼眶肿块,球后新生物,球壁水肿,视网膜脱离等等;②影响眼球屈光力:扁平角膜,糖尿病,无晶状体眼等等。
□远视者能清晰聚焦远处物体的远视眼,不同于近视,一些远视患者能看清楚远处物体,即能使远处物体清晰聚焦在其视网膜上。
这是因为,远视者可以通过自己的调节使外界平行光焦点前移至视网膜上,从而获得较清晰的远距离视力。
□.远视者的视觉疲劳远视者为了清晰聚焦,在看远时就动用了调节;看近时,则需付出更大的调节量。
因此,远视者调节从未放松过,而且在看近时使出比其他正视或近视者更多的调节,即很多时候他们都处于过度调节状态,容易产生视物疲劳□远视者远视度数随年龄变化。
某些远视者年轻的时候视力很好,在年纪稍大的时候“变”成了远视。
第三章 视光学知识
第一节 眼及眼的结构
人们认知世界,75%是通过视觉感知的。
眼睛观察物体时,由于环境、生理、心理等因素,人们用眼睛的瞳孔缩小或扩张来调
节光线的强弱,睫状肌牵动其相连的悬韧带调节人眼晶状体屈光度,使光线正好聚焦在视
网膜上,产生清晰的图象,由于人眼所观察的物体是三维的,双眼的瞳孔距离不断的调节
即眼集合又称辐辏,从而产生双眼单视现象。
眼球结构图
眼球成像结构图
角膜:眼球前端表面的透明圆形表层结构, 直径为11.5~12mm ,厚度约0.6mm 。
瞳孔:角膜后虹膜中间形成的圆形空隙,光路就是通过该小孔,它会根据光线的强弱
或视近视远来改变大小。
晶状体:是人眼内的一个可以不断改变焦距的凸透镜,人自所以既可以看近又可以看远就是因为它的这种改变。
又称调节。
据研究,一般情况下,初生婴儿的眼轴长度为17.6mm;0-3周岁小孩子眼轴增长约
5mm;3-7周岁儿童眼轴再增长约1mm;7周岁以后眼轴增长趋向于成人,成人的眼轴为
24mm。
如眼轴每增长1mm,就会有300度左右近视。
缩短1mm就有300度左右远视。
眼轴的长短是屈光不正的重要因素。
视力:眼科临床所谓视力系指视网膜中心凹处型觉的视锐度,也就是人眼对客观物体的形态的辨析能力。
习惯上称视力均为远视力或视力表视力。
(视力分为:远视力、近视力、视力表视力及裸眼视力和矫正视力)。
第二节屈光不正
屈光不正可分为:近视、远视和散光。
弱视、老花、青光眼和白内障等不属于屈光不正。
一、近视
近视:当调节作用静止时,平行光线投射入眼内,在视网膜之前结成焦点,即视网膜的位置在眼睛的主焦点之后,平行光线在眼内先形成焦点而后再行分散,当其到达视网膜时就不再是一个焦点象,而是一个弥散的环状区域,从而影响视力的清晰度,。
近视眼成像图远视眼成像图
近视眼的形成原因
科学研究进一步表明:近视是不可逆的。
而且近视的产生和增加的原因很复杂,至今我们还不能全部清楚近视产生和发展的机理。
基本上可归纳为遗传和环境两大因素,环境因素大体上有以下一些因素。
1、视近负荷因素
2、长时间用眼
3、缺乏体育锻炼
4、睡眠时间不足
5、视觉环境中的光污染
6、配镜情况
近视的分类
按近视的病因分类按近视的程度分类
假性近视
有些青少年学生的远视力减退,表面上看属近视,但用睫状肌麻痹剂后
可出现不同情况:
1、滴药后近视屈光度不减小,这种近视称真性近视。
2、滴药后变为远视或正视,这种近视称“假性近视”。
3、滴药后近视度数较滴药前有所减低,但仍属于近视屈光状态,是介于
真性近视与假性近视之间的“混合性近视”。
对于上述假性近视(包括混合性近视)发展规律的认识,意见尚未一致。
有人
认为是由于较久的近距离工作,使睫状肌疲劳,灵活性减退,视远时睫状肌
不能充分松弛,因为远视力减退,出现假性近视,视近时又不能充分发挥睫
状肌收缩力,因此调节力也较低下。
这种调节疲劳机制是假性近视的发病因
索之一。
近视眼的矫治
原则:最高视力的最低度数
近视眼矫治原理图
二、远视
远视是屈光不正的一种,即当调节作用静止时,平行光线投射入眼内在视网膜后聚焦,也就是说,平行光线在未形成焦点之前就与视网膜相交,因此外界物体不能在视网膜上形成清晰的影象,而是形成一个弥散的环状区域,影响了视力的清晰。
假设有一远视眼,裸眼视力为0.5,从以下分析中可以看出各种远视
的相互关系:
不散瞳,而于眼前逐渐递加凸透镜,当加至十1.50D镜片时,视力刚好能矫正为1.0,十
1.50D即为其最低度的矫正凸镜片,是眼睛本身通过调节不能矫正的屈光度,称为固定性
远视
将镜片增至十3.50D,其矫正视力仍可保持在1.0,但若再增加镜片的度数时视力就开始下
降,这时该眼的调节作用已被镜片所代替,这一屈光度(十3.50D)即代表明显性远视
明显性远视屈光度减去固定性远视屈光度,十3.50D—(十1.50D球)=2.00D为能动性远视
屈光度
滴阿托品眼药水麻痹睫状肌后行扩瞳验光,其结果为十4.50D球,矫正视力为1.0,此为总
合性远视
综合性远视屈光度减明显性远视屈光度,十4.50D—(十3.50D)=十1.00D,
为潜伏性远视屈光度
远视眼的矫治
原则:最高视力的最高度数
远视眼矫治原理图
3、散光
散光:眼各径向屈光度不等所形成的屈光不正称散光眼。
即屈光间质各折射面的各子午线
上的曲率各不相同,则经过各子午线的光线不能聚焦一点。
散光可分为规则散光和不规则散
内
散光的分类
单纯性近视散光
单纯性远视散光
复合性近视散光
复合性视远散光
混合性散光
第三节视光学概念
•近视:近的看得见,远的看不见,即在静眼状态下光线成像焦点落在视网膜之前,即眼轴伸长。
•远视:远的看得见 ,近的看不见。
即在静眼状态下光线成像焦点落在视网膜之后,即眼轴短低于正常眼轴的24mm。
•瞳距:两眼瞳孔中心的距离。
•弱视:世界各国没有统一的定义,其诊断标准也不一。
我国斜视弱视防治学组关于弱视的定义是:凡眼部无明显器质性病变,以功能性因素为主的远视为≤0.8且不能矫正者,称为弱视。
•远点:在无调节状态时,人眼能看清的最远之点,称为远点。
正常的人眼远点在眼前无限远。
•老花:人到40岁以后出现的生理老化现象。
即调节力不足,调节机能下降。
表现为远点距离大于30cm
•近点:当人眼能看清的最近一点称为近点。
近点是通过使用最大调节力才能体现出来,因此调节力越强者,近点距眼越近。