Vision 

Keisha Heeringa

How it Works

Light enters the eye through the cornea which focuses the light through the pupil, a hole in the iris, to the lens. The pupil can expand and contract to control the amount of light that enters the lens. Ciliary muscles on either side of the lens control its shape so it can detect images farther away and closer up.  After passing through the lens the light goes through the vitreous humor, a substance in the large cavity behind the lens, and is received by photoreceptors in the retina which convert the light image to chemical signals. The chemical signals are passed to the optic nerve which sends it to the occipital lobe, the vision centre  in the brain.

The eye

Sclera

The sclera is the white part of the eye. The cornea is a clear layer over the iris, and as it continues over the surface of the eye it becomes the white sclera. The sclera is covered by a transparent mucus layer called the conjunctiva which keeps the eye moist.

Cornea

The cornea is a clear layer on the front of the eye, in front of the iris, made of cells and protein fibres. It refracts light as it enters the eye so the light is directed through the pupil to the lens. The light is refracted in such a way that it appears upside down in the eye. There are no blood vessels in the cornea so nutrients are absorbed from the vitreous humor and from tears which contain dissolved oxygen from the air. The cornea is made up of five layers, the outermost layer (the epithelium) absorbs nutrients from tears and protects the surface of the eye from foreign substances. The second layer is the bowman's membrane, then the stroma which gives the eye it's strength and shape, then the descemet's membrane which is responsible for protection from infection and injury. The innermost layer is the endothelium which pumps excess fluid out of the stroma which has leaked into if from inside the eye. This prevents the eye from clouding up and becoming opaque, meaning the cornea would no longer be clear and light could not pass through the cornea to the rest of the eye. If either of the two outermost layers of the cornea were scratched they could repair themselves, but a large scratch may leave a scar which would cause vision loss because it would interfere with the light passing through.

Choroid

The choroid is a layer behind the retina containing blood vessels. The choroid provides some parts of the eye with blood which provides most of the nutrients for functions in the eye.

Iris

The iris is the coloured part of the eye located behind the cornea. It is made up of smooth muscle fibres and connective tissue. The iris encircles the pupil and controls the size of the pupil and the amount of light that enters it. It dilates when there is less light to allow more light in, and constricts when there is a lot of bright light so the pupil is smaller. Sphincter muscles in the iris control the dilation and constriction of the pupil by relaxing in order to dilate and tightening to constrict. 

Pupil

The light refracted by the cornea passes through the pupil, an opening in the centre of the iris. The pupil can dilate or contract; it's size is controlled by the iris. 

Aqueous Humor

The aqueous humor is a fluid located in two chambers called the posterior chamber and anterior chamber. The anterior chamber is the space between the cornea and the iris, while the posterior chamber is located between the iris and the lens. The aqueous humor is mostly water and supplies nutrients to the parts of the eye which don't have blood vessels to do it, including the cornea. The fluid also supports the eye and helps it keep it's shape.

Lens

Once the light has passed through the pupil it passes through the lens. The lens is able to change its shape so it becomes thicker or thinner depending on how far away the object it's seeing is, in order to focus the light onto the retina. The lens is an ellipsoid shape, meaning it's like a three-dimensional oval. The lens has three layers; the outside layer is the lens capsule which is smooth and goes around the whole lens causing it to naturally be an almost spherical shape when not being stretched by the ciliary muscles. The second layer is the epithelium which keeps the volume and state of the lens constant by pumping out materials which have entered the lens from the aqueous humor. Lens fibres are the innermost layer and are long, thin, transparent cells that make up most of the lens.

Ciliary muscles

Ciliary muscles are located in a ring around the edge of the lens and are attached to the choroid. They're responsible for changing the shape of the lens to refract light and focus it on the retina. These muscles are connected to the lens by fibres called zonules. In order to see images farther away the ciliary muscles relax so the zonules stretch out and pull on the lens so it becomes flatter and thinner. When the image is closer the ciliary muscles contract towards the lens so the zonules can relax and the lens can settle into a shorter, thicker shape.

Vitreous Humor

After passing through the lens light travels through the vitreous humor, a transparent fluid located in a large cavity called the vitreous which is located behind the lens and surrounded by the retina. The fluid is comprised mostly of water and some salt, collagen, and sugar.

Blood Vessels

Blood vessels are located in the choroid and provide nutrients to several parts of the eye.

Optic Disc

Also called the blind spot, the optic disc is a raised spot on the retina where the optic nerve connects to the retina. This is a small spot you can't see because there are no photoreceptors there so the eye adjusts by making the spot appear a similar colour to the rest of the image it sees, so you don't notice.

Retina

The retina is a layer at the back of your eye which uses photoreceptors to detect the light and transfer it to neural signals to be sent to the brain. The photoreceptors consist of two types of cells: rods and cones.There are a lot more rods than cones and the rods are much more sensitive than cones so they are more effective at night than cones. Rods detect motion and very dim or low light but do not detect colour. The cones detect different wavelengths of colour and higher-resolution images. The concentration of rods is much higher than cones in the region of the retina that sees peripherally, while there are a lot more cones in your central line of vision. This is why at night you see more clearly through your peripheral vision where rods are more effective, and during the day you see more clearly through the cones  in your central line of vision. 

Optic Nerve

The optic nerve is made of ganglionic cells and nerve fibres. It uses electrical impulses to carry the information about the image detected by the photoreceptors to a part of the brain called the occipital lobe.

Vision in the Brain

As seen in the diagram to the right, the left side of each eye detects light in the right field of vision and the right side of each eye detects light from the left field of vision. Light detected by the left side of each eye travels through the optic nerve to the left side of the brain while light detected by the right side of each eye travels to the right side of the brain. This means the left side of the brain processes what you see to the right and the right side of the brain processes what you see to the left. The place where the light going from the right eye to the left brain and light from the left eye to the right brain intersect is called the optic chiasm. Once the photoreceptors have detected the image from light, it is sent through the optic nerve to the lateral geniculate nucleus, and then to the occipital lobe at the back of the brain. The primary visual cortex is the part of the occipital lobe responsible for most of the processing of the image, and making it so the image appears right-side-up since when the light traveled through the eye it was detected upside-down by the retina. 

eye defects and diseases

Nearsightedness

Also called myopia, nearsightedness can be caused by three things. Either your eye is too long, your lens is too thick and nearly spherical, or your cornea is too curved so the front of it is farther away from the back of the eye. These conditions cause light, when it is refracted, to focus in front of the retina rather than on it so you can see things close up easily, but things farther away appear blurry. This can be corrected several ways. Concave contact lenses or eye glasses with concave lenses can assist the eye by refracting the image in the opposite direction the cornea and lens do, so the light makes it to the retina instead of forming a focal point in front of it.  In some cases, surgery such as laser eye surgery can be done to remove a small piece from the cornea so there is less distance from the front of the eye to the retina and the light can refract all the way to the retina without assistance from corrective lenses.

Farsightedness

Also called hyperopia, farsightedness is caused when your eye is too short, or the lens is too thin and not curved enough, or the cornea does not protrude from the eye enough so it doesn't have enough curve. These conditions cause light to focus behind the retina so you can see things far away, but things close up appear blurry. This can be corrected with convex contacts or convex glasses, or with laser eye surgery which removes a piece from the sides of the dome of the cornea so the cornea becomes more curved/ rounded, which causes light to be refracted onto the retina instead of behind it. 

Astigmatism

Astigmatism is caused when your eye is irregularly shaped. Normally the eye is almost perfectly round; it is symmetrical left and right, and up and down. With astigmatism the eye is not symmetrical, the curve is not perfect so light focuses in more than one place inside the eye; this may be in front of, on, or behind the retina. Having more than one focal point causes blurry vision both far away and close up. This can be corrected with glasses, contact lenses, or laser eye surgery which adjusts the shape of the cornea so it becomes perfectly round. 

Presbyopia

Presbyopia often occurs as a person ages. The proteins in the lens change so the lens become harder and stiffer, sometimes thicker, and less flexible so it is more difficult to focus on things very close-up. This is why some people need reading glasses. The glasses magnify the image at close range which the person is looking at by refracting the light since the lens is too stiff to adjust itself to the correct shape to be able to refract the light onto the retina. Bifocals can also be worn to accommodate the lens; on the top half of the lens in the glasses is a person's prescription so they can see further away, and on the bottom half is a prescription to help them see very close. Bifocal and multifocal contact lenses can also be worn to aid the lens. 

Glaucoma

Glaucoma is caused by pressure build-up inside the eye against the optic nerve which can affect it's ability to send clear images to the brain. If the pressure is hard and lasts long enough it can damage the optic nerve which can result in permanent vision loss. The pressure is caused when fluid from the aqueous humor builds up against the nerve. The aqueous humor normally flows out of the cavity it's in through a canal; if the canal becomes blocked by something the aqueous humor has nowhere to go and builds up putting pressure on the optic nerve. There are some other but much less common causes than aqueous humor build-up such as a blocked blood vessel in the eye, infection, or physical injuries to the eye. If the optic nerve has not been damaged beyond repair yet, glaucoma can be prevented with surgery or eye drops. The eye drops can decrease the amount of fluid being produced, or help the fluid to flow away from the optic nerve, releasing the pressure.

Amblyopia

Also known as a lazy eye, amblyopia is when one eye has not developed properly so the brain ignores the image detected by that eye since the image is poor or blurry. Amblyopia can be caused when one eye is much weaker than the other because of something like severe farsightedness or astigmatism. This causes the brain to just ignore the blurry image from the weak eye altogether and process the clearer image from the better eye. Amblyopia can also occur when both eyes can't focus together on one object, and one eye rolls away and looks at something else resulting in the person seeing double. The weak eye will get worse and worse so the brain will just ignore it rather than try to process the image it generates. Amblyopia can be treated with glasses or contacts with a strong prescription for the weak eye, and often also with an eye patch. The patch would cover the good eye so your brain is forced to rely on the weak eye, and the weak eye is forced to work harder than usual to generate a clear image, so the eye becomes stronger.

Cataracts

Cataracts is when the lens in your eye is blurred, blocking light from reaching the retina so you have vision loss. A cataract is formed when the proteins making up a large part of the lens grow so they are clumped together. This would mean there is a high density of proteins in a small area, creating an opaque spot which blocks light from passing through and reaching the retina. Overtime the cataract can grow, preventing more and more light from passing through the lens, and causing vision loss. Glasses or contact lenses can be worn to improve vision, although it will not get rid of the cataract or prevent it from getting worse. If the cataract has progressed a surgery may be necessary, where the opaque lens in your eye is removed and replaced by a transparent, plastic, man-made lens called an interocular lens. 

Digital Artifact: Bailey Vanderee & Esther Langendoen

1515014092.mp4

References

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