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Medical Terminology - Ch. 11
Special Senses: The Eyes and Ears
256
Medical
Undergraduate 2
04/04/2012

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Term

adnexa of the eyes

(adnexa oculi)

Definition
the structures outside the eyeball: orbit, eye muscles, eyelids, eyelashes, conjunctiva, and lacrimal apparatus
Term
adnexa
Definition
appendages or accessory structures of an organ
Term
orbit
(eye socket)
Definition
the bony cavity of the skull that contains and protects the eyeball and its associated muscles, blood vessels, and nerves
Term
eye muscles
Definition
6 majors, arranged in 3 pairs:
superior and inferior oblique
superior and inferior rectus
lateral and medial rectus
Term
binocular vision
Definition
the use of both eyes working together
Term
bin-
Definition
two
Term
ocul/o
Definition
eye
Term
canthus
(pl. canthi)
Definition
the angle where the upper and lower eyelids meet
Term
canth/o
Definition
corner of the eye
Term
inner canthus
Definition
where the eyelids meet nearest the nose
Term
epicanthus
Definition
a vertical fold of skin on either side of the nose
Term
outer canthus
Definition
where the eyelids meet farthest from the nose
Term
tarsus
(tarsal plate,
pl. tarsi)
Definition
the framework within the upper and lower eyelids that provides the necessary stiffness and shape
Term
tars/o
Definition
edge of the eyelid
Term
eyebrows and eyelashes
Definition
prevent foreign matter from reaching the eyes
Term
conjunctiva
(pl. conjunctivae)
Definition
the transparent mucous membrane that lines the underside of each eyelid; continues to form a protective covering over the exposed surface of the eyeball
Term
lacrimal apparatus
(tear apparatus)
Definition
consists of the structures that produce, store, and remove tears
Term
lacrimal glands
Definition
secrete lacrimal fluid; located on the underside of the upper eyelid just above the outer corner of each eye
Term
lacrimation
Definition
the secretion of tears
Term
lacrimal fluid
(tears)
Definition
function is to maintain moisture on the anterior surface of the eyeball
Term
lacrimal canal
Definition
consists of a duct at the inner corner of each eye; these ducts collect tears and empty them into the lacrimal sacs
Term
lacrimal sac
(tear sac)
Definition
an enlargement of the upper portion of the lacrimal duct
Term
lacrimal duct
(nasolacrimal duct)
Definition
the passageway that drains excess tears into the nose
Term
optic
Definition
pertaining to the eye or sight
Term
opt/o, opt/i
Definition
sight
Term
ocular
Definition
pertaining to the eye
Term
extraocular
Definition
outside the eyeball
Term
intraocular
Definition
within the eyeball
Term
sclera
(white of the eye)
Definition
maintains the shape of the eye and protects the inner layers; forms the outer layer of the eye except for the part covered by the cornea
Term
scler/o
Definition
white of eye (also means hard)
Term
choroid
(choroid coat)
Definition
the opaque middle layer of the eyeball that provides the blood supply for the entire eye
Term
retina
Definition
the innermost layer, lines the posterior segment of the eye; receives nerve impulses and transmits them to the brain via the optic nerve (aka the second cranial nerve)
Term
anterior segment (eyeball)
Definition
makes up the front 1/3 of the eyeball; divided into anterior and posterior chambers
Term
anterior chamber (of anterior segment of eyeball)
Definition
located behind the cornea and in front of the iris
Term
posterior chamber (of anterior segment of eyeball)
Definition
located behind the iris and in front of the ligaments holding the lens in place
Term
aqueous fluid
(aqueous humor)
Definition
helps eye maintain its shape and nourishes the intraocular structures
Term
trabecular meshwork and the canal of Schlemm
Definition
constantly filter and drain the aqueous fluid
Term
intraocular pressure (IOP)
Definition
the measurement of the fluid pressure inside the eye, regulated by the rate at which aqueous fluid enters and leaves the eye
Term
posterior segment (eyeball)
Definition
makes up the remaining 2/3 of the eyeball; lined with the retina and filled with vitreous gel
Term
vitreous gel
(vitreous humor)
Definition
soft, clear, jelly-like mass that contains millions of fibers that help the eye maintain its shape
Term
rods
Definition
black and white receptors of retina
Term
cones
Definition
color receptors of retina
Term
macula
(macula lutea)
Definition
clearly defined yellow area in the center of the retina; area of sharpest vision
Term
fovea centralis
Definition
pit in the middle of the macula; contains a high concentration of cones and no rods
Term
optic disk
(blind spot)
Definition
small region of eye where nerve endings of the retina enter the optic nerve; does not contain any rods or cones to convert images into impulses
Term
optic nerve
Definition
transmits impulses from retina to brain
Term
uveal tract
Definition
the pigmented layer of the eye; consists of the choroid, ciliary body, and iris
Term
ciliary body
Definition
located within the choroid; set of muscles and suspensory ligaments that adjust the thickness of the lens to refine focus of light rays on the retina. Also produces the aqueous fluid
Term
iris
Definition
the colored muscular layer of the eye that surrounds the pupil; controls the amount of light allowed to enter through the pupil
Term
cornea
Definition
the transparent outer surface of the eye covering the iris and pupil; primary structure focusing light rays entering the eye
Term
pupil
Definition
the black circular opening in the center of the iris; allows light to enter the eye
Term
lens
(crystalline lens)
Definition
the clear, flexible, curved structure that focuses images on the retina; located behind the iris and pupil
Term
accommodation
Definition
the process of the eyes adjusting for seeing objects at various distances
Term
convergence
Definition
the simultaneous inward movement of the eyes towards each other
Term
emmetropia
Definition
the normal relationship between the refractive power of the eye and the shape of the eye that enables light rays to focus correctly on the retina
Term
emmetr/o
Definition
in proper measure
Term
-opia
Definition
vision condition
Term
refraction
(refractive power)
Definition
the ability of the lens to bend light rays so they focus on the retina
Term
visual acuity
Definition
the ability to distinguish object details and shape at a distance
Term
acuity
Definition
sharpness
Term
ophthalmologist
Definition
specializes in diagnosing and treating diseases and disorders of the eyes and vision
Term
ophthalm/o
Definition
eye
Term
optometrist
Definition
specializes in measuring the accuracy of vision to determine whether corrective lenses are needed
Term
blepharoptosis
(ptosis)
Definition
drooping of the upper eyelid usually due to paralysis
Term
blephar/o
Definition
eyelid
Term
-ptosis
Definition
drooping or sagging
Term
chalazion
(internal stye)
Definition
localized swelling inside the eyelid due to an obstructed sebaceous gland
Term
ectropion
Definition
the eversion of the edge of an eyelid, usually the lower
Term
entropion
Definition
the inversion of the edge of an eyelid, usually the lower
Term
hordeolum
(stye)
Definition
a pus-filled lesion on the eyelid resulting from an infection in a sebaceous gland
Term
periorbital edema
Definition
swelling around the eye or eyes
Term
conjunctivitis
(pinkeye)
Definition
inflammation of the conjunctiva that is usually caused by an infection or allergy
Term
conjunctiv/o
Definition
conjunctiva
Term
dacryoadenitis
Definition
inflammation of the lacrimal gland that can be caused by a bacterial, viral, or fungal infection
Term
dacry/o
Definition
tear
Term
aden/o
Definition
gland
Term
subconjunctival hemorrhage
Definition
bleeding between the conjunctiva and sclera
Term
xerophthalmia
(dry eye)
Definition
drying of the eye surfaces including the conjunctiva
Term
xer/o
Definition
dry
Term
iritis
(anterior uveitis)
Definition
inflammation of the uveal tract affecting primarily structures in the front of the eye
Term
corneal abrasion
Definition
an injury, such as a scratch or irritation, to the outer layers of the cornea
Term
corneal ulcer
Definition
a pitting of the cornea caused by an infection or injury
Term
keratitis
Definition
inflammation of the cornea
Term
kerat/o
Definition
cornea
Term
pterygium
Definition
a benign growth on the cornea that can become large enough to distort vision
Term
scleritis
Definition
inflammation of the sclera; usually associated with infections, chemical injuries, or autoimmune diseases
Term
synechia
(pl. synechiae)
Definition
an adhesion that binds the iris to an adjacent structure such as the lens or cornea
Term
anisocoria
Definition
a condition in which the pupils are unequal in size
Term
anis/o
Definition
unequal
Term
cataract
Definition
the loss of transparency of the lens that causes a progressive loss of visual clarity
Term
PERRLA
Definition
Pupils are
Equal,
Round,
Responsive to
Light and
Accommodation
Term
retinal detachment
(detached retina)
Definition
retina is pulled away from its attachment to the choroid in the back of the eye
Term
floaters
(vitreous floaters)
Definition
particles of cellular debris that float in the vitreous fluid and cast shadows on the retina
Term
nystagmus
Definition
an involuntary, constant, rhythmic movement of the eyeball
Term
papilledema
(choked disk)
Definition
swelling and inflammation of the optic nerve at the point entrance into the eye through the optic disk; caused by increased intracranial pressure
Term
papill/o, papill/i
Definition
nipple-like
Term
retinal tear
Definition
occurs when a hole develops in the retina as it is pulled away from its normal position
Term
retinitis pigmentosa
Definition
a progressive degeneration of the retina that affects night and peripheral vision
Term
vitreous detachment
Definition
occurs as aging causes the vitreous gel to slowly shrink. with this shrinkage the fibers within the gel pull on the retinal surface
Term
glaucoma
Definition
a group of diseases characterized by increased intraocular pressure that cause damage to the retinal nerve fibers and the optic nerve; caused by a blockage in the flow of fluid out of the eye
Term
open-angle glaucoma
(chronic glaucoma)
Definition
most common form; the trabecular meshwork gradually becomes blocked
Term
closed-angle glaucoma
(acute glaucoma)
Definition
the opening between the cornea and iris narrows so that fluid cannot reach the trabecular meshwork; sudden increase in pressure produces severe pain, nausea, red eye and blurred vision. blindness can occur in as little as 2 days
Term
macular degeneration
Definition
a gradually progressive condition in which the macula is damaged, causing the loss of central vision but not total blindness
Term
macul/o
Definition
spot
Term
age-related macular degeneration
Definition
occurs most frequently in older people; leading cause of legal blindness in those over age 60
Term
dry type macular degeneration
Definition
accounts for 90% of cases; caused by the deterioration of the cells of the macula
Term
wet type macular degeneration
Definition
caused by the formation of new blood vessels that produce small hemorrhages, damaging the macula
Term
diplopia
(double vision)
Definition
the perception of two images of a single object; sometimes a symptom of a serious underlying disorder such as multiple sclerosis or a brain tumor
Term
dipl/o
Definition
double
Term
-opia
Definition
vision condition
Term
hemianopia
Definition
a blindness in one half of the visual field
Term
hemi-
Definition
half
Term
monochromatism
(color blindness)
Definition
the inability to distinguish colors
Term
nyctalopia
(night blindness)
Definition
condition in which an individual with normal daytime vision has difficulty seeing at night
Term
nyctal/o
Definition
night
Term
presbyopia
Definition
the condition of common changes in the eyes that occur with aging
Term
presby/o
Definition
old age
Term
strabismus
Definition
a disorder in which the eyes point in different directions or are not aligned correctly b/c the eye muscles are unable to focus together
Term
esotropia
(crosseyes)
Definition
strabismus characterized by an inward deviation of one or both eyes
Term
eso-
Definition
inward
Term
trop/o
Definition
turn
Term
exotropia
(walleye)
Definition
strabismus characterized by the outward deviation of one eye relative to the other
Term
refractive disorder
Definition
a focusing problem that occurs when the lens and cornea do not bend light so that it focuses properly on the retina
Term
ametropia
Definition
any error of refraction in which images do not focus properly on the retina
Term
ametr/o
Definition
out of proportion
Term
astigmatism
Definition
condition in which the eye does not focus properly due to uneven curvatures of the cornea
Term
hyperopia
(farsightedness)
Definition
defect in which light rays focus beyond the retina
Term
myopia
(nearsightedness)
Definition
defect in which light rays focus in front of the retina
Term
blindness
Definition
the inability to see
Term
legal blindness
Definition
the point at which, under law, a person is considered blind
Term
amblyopia
Definition
a dimness of vision or the partial loss of sight, especially in one eye
Term
ambly/o
Definition
dim or dull
Term
scotoma
(blind spot)
Definition
an abnormal area of absent or depressed vision surrounded by an area of normal vision
Term
snellen chart
Definition
used to measure visual acuity
Term
refraction
Definition
an examination procedure to determine an eye's refractive error
Term
diopter
Definition
the unit of measurement of a lens' refractive power
Term
ophthalmoscopy
(funduscopy)
Definition
the visual examination of the fundus (back part) of the eye with an ophthalmoscope
Term
dilation
Definition
the artificial enlargement of the pupil through the use of mydriatic drops
Term
mydriatic drops
Definition
medicated drops placed into the eyes that produce temporary paralysis, which forces the pupils to remain dilated
Term
slit-lamp ophthalmoscopy
Definition
diagnostic procedure in which a narrow beam of light is focused onto parts of the eye to examine the structures at the front of the eye
Term
tonometry
Definition
the measurement of intraocular pressure
Term
ton/o
Definition
tension
Term
-metry
Definition
to measure
Term
fluorescein staining
Definition
the application of fluorescent dye to the surface of the eye; causes corneal abrasions to appear bright green
Term
fluorescein angiography
Definition
a radiographic study of the blood vessels in the retina of the eye following the intravenous injection of the contrast medium
Term
angiogram
Definition
used to determine whether there is proper circulation in the retinal vessels
Term
visual field testing
(perimetry)
Definition
performed to determine losses in peripheral vision
Term
peripheral
Definition
occurring away from the center
Term
orbitotomy
Definition
a surgical incision into the orbit
Term
orbit
Definition
bony structure
Term
tarsorrhaphy
Definition
the partial or complete suturing together of the upper and lower eyelids; performed to protect the eye when the lids are paralyzed and unable to close normally
Term
tars/o
Definition
eyelid
Term
conjunctivoplasty
Definition
the surgical repair the conjunctiva
Term
corneal transplant
(keratoplasty)
Definition
the surgical replacement of a scarred or diseased cornea with clear corneal tissue from a donor
Term
iridectomy
Definition
the surgical removal of a portion of the tissue of the iris; performed to treat closed-angle glaucoma
Term
irid/o
Definition
iris
Term
ocular prosthesis
(artificial eye)
Definition
may be fitted to wear over a malformed eye or to replace an eyeball
Term
radial keratotomy
Definition
a surgical procedure to treat myopia; improves distance vision
Term
vitrectomy
Definition
the removal of the vitreous fluid and its replacement with a clear solution
Term
lensectomy
Definition
general term used to describe the surgical removal of a cataract-clouded lens
Term
phacoemulsification
Definition
the use of ultrasonic vibration to shatter and remove the lens clouded by a cataract
Term
intraocular lens
Definition
a surgically implanted replacement for a natural lens that has been removed
Term
pseudophakia
Definition
an eye in which the natural lens has been replaced with an intraocular lens
Term
pseudo/o
Definition
false
Term
phak/o
Definition
lens
Term
concave lenses
Definition
used for myopia (nearsightedness)
Term
convex lenses
Definition
used for hyperopia (farsightedness)
Term
laser iridotomy
Definition
uses a focused beam of light to create a hole in the iris; performed to treat closed-angle glaucoma
Term
laser trabeculoplasty
Definition
used to treat open-angle glaucoma
Term
LASIK
(Laser-Assisted in SItu Keratomileusis)
Definition
used to treat vision conditions that are caused by the shape of the cornea by changing the shape of a deep corneal layer
Term
photocoagulation
Definition
the use of lasers to treat some forms of wet macular degeneration
Term
retinopexy
Definition
used to reattach the detached area in a retinal detachment
Term
-pexy
Definition
surgical fixation
Term
auditory
Definition
pertaining to the sense of hearing
Term
audit/o
Definition
hearing, sense of hearing
Term
-ory
Definition
pertaining to
Term
acoustic
Definition
relating to sound or hearing
Term
acous/o
Definition
hearing, sound
Term
-tic
Definition
pertaining to
Term
auris dexter
(AD)
Definition
right ear
Term
auris sinister
(AS)
Definition
left ear
Term
auris uterque
(AU)
Definition
both ears
Term
pinna
(auricle)
Definition
external portion of the ear; catches sound waves and transmits them into the external auditory canal
Term
external auditory canal
Definition
transmits sound waves from the pinna to the tympanic membrane (eardrum) of the middle ear
Term
cerumen
(earwax)
Definition
secreted by cecruminous glands that line the auditory canal; prevents small insects, bacteria, dust and debris from entering the middle ear
Term
middle ear
Definition
located between the outer ear and inner ear; transmits sounds across this space
Term
tympanic membrane
(ear drum)
Definition
located between the outer and middle ear; transmits the sound by vibrating
Term
myring/o
Definition
tympanic membrane
Term
tympan/o
Definition
tympanic membrane
Term
mastoid bone cells
Definition
surround the middle ear; are hollow air spaces located in the mastoid process
Term
auditory ossicles
Definition
three small bones found in middle ear; transmit the sound waves from the eardrum to the inner ear by vibration. Bones named for their shape:
malleus (hammer)
incus (anvil)
stapes (stirrup)
Term
eustachian tubes
(auditory tubes)
Definition
narrow tubes that lead from the middle ear to the nasal cavity and throat; equalize the air pressure in the middle ear with that of the outside atmosphere
Term
inner ear
(labyrinth)
Definition
contains the sensory receptors for hearing and balance
Term
oval window
Definition
located under the base of the stapes; membrane that separates the middle ear from the inner ear. vibrations enter through this structure
Term
cochlea
Definition
the snail-shaped fluid-filled structure that forms the inner ear
Term
cochlear duct
Definition
fluid filled cavity within the cochlea that vibrates when sound waves strike it
Term
organ of Corti
Definition
receives vibrations from the cochlear duct and relays them to the auditory nerve fibers
Term
semicircular canals (3)
Definition
contain the liquid endolymph and sensitive hair-like cells. the bending of these cells sets up impulses in nerve fibers to help maintain equilibrium
Term
acoustic nerves
(cranial nerve VIII)
Definition
transmits information from the semicircular canals to the brain, which sends messages to muscles in all parts of the body to ensure equilibrium is maintained
Term
air conduction
Definition
the process by which sound waves enter the ear through the pinna, then travel down the external auditory canal and strike the tympanic membrane between the outer and middle ear
Term
bone conduction
Definition
occurs as the eardrum vibrates and moves the auditory ossicles; these bones conduct the sound waves through the middle ear to the oval window
Term
sensorineural conduction
Definition
occurs when sound vibrations reach the inner ear
Term
audiologist
Definition
specializes in the measurement of hearing function and in the rehabilitation of persons with hearing impairments
Term
impacted cerumen
Definition
an accumulation of earwax that forms a solid mass by adhering to the walls of the external auditory canal
Term
otalgia
(earache)
Definition
pain in the ear
Term
otitis
Definition
any inflammation of the ear
Term
otitis externa
Definition
inflammation of the external auditory canal
Term
otitis media
Definition
inflammation of the middle ear
Term
otitis interna
Definition
inflammation of the inner ear
Term
otomycosis
(swimmer's ear)
Definition
fungal infection of the external auditory canal
Term
otopyorrhea
Definition
flow of pus from the ear
Term
otorrhagia
Definition
bleeding from the ear
Term
barotrauma
Definition
pressure-related discomfort; can be caused by flying, driving in the mountains, scuba diving, or when the eustachian tube is blocked
Term
eustachitis
(salpingitis)
Definition
inflammation of the eustachian tube
Term
eustach/o
Definition
eustachian tube
Term
mastoiditis
Definition
inflammation of any part of the mastoid bone cells
Term
infectious myringitis
Definition
contagious inflammation that causes painful blisters on the eardrum; associated with a middle ear infection
Term
otosclerosis
Definition
the ankylosis of the bones of the middle ear, resulting in a conductive hearing loss; treated with a stapedectomy
Term
ankylosis
Definition
fused together
Term
patulous eustachian tube
Definition
distention of the eustachian tube
Term
acute otitis media
Definition
usually associated with an upper respiratory infection, most commonly seen in young children; can lead to a ruptured eardrum due to buildup of pus or fluid in the middle ear
Term
serous otitis media
Definition
a fluid buildup in the middle ear that can follow acute otitis media or be caused by an obstruction of the eustachian tube
Term
acute purulent otitis media
Definition
a buildup of pus with in the middle ear due to infection
Term
purulent
Definition
producing or containing pus
Term
labyrinthitis
Definition
inflammation of the labyrinth that can result in vertigo and deafness
Term
vertigo
Definition
a sense of whirling, dizziness, and loss of balance, that is often combined with nausea and vomiting; recurrent vertigo is sometimes associated with inner ear problems such as Meniere's syndrome
Term
Meniere's syndrome
Definition
a rare chronic disease in which the amount of fluid in the inner ear increases intermittently, producing attacks of vertigo, fluctuating hearing loss and tinnitus
Term
tinnitus
Definition
a ringing, buzzing, or roaring sound in one or both ears
Term
deafness
Definition
complete or partial loss of the ability of hear
Term
presbycusis
Definition
the gradual loss of sensorineural hearing that occurs as the body ages
Term
presby/o
Definition
old age
Term
-cusis
Definition
hearing
Term
conductive hearing loss
Definition
occurs when sound waves are prevented from passing from the air to the fluid filled inner ear
Term
sensorineural hearing loss
(nerve deafness)
Definition
develops when the auditory nerve or hair cells in the inner ear are damaged; source of this loss can be in the inner ear, the nerve from inner ear to brain, or in the brain
Term
noise-induced hearing loss
(NIHL)
Definition
type of nerve deafness caused by repeated exposure to extremely loud noises
Term
audiological evaluation
(speech audiometry)
Definition
the measurement of the ability to hear and understand speech sounds based on their pitch and loudness; resulting graph is an audiogram
Term
audiometry
Definition
the use of an audiometer to measure hearing activity
Term
audiometer
Definition
electronic device that produces acoustic stimuli of a set frequency and intensity
Term
hertz
Definition
a measure of sound frequency that determines how high or low a pitch is
Term
decibel
Definition
measurement of the loudness of sound
Term
otoscope
Definition
used to examine the external ear canal
Term
monaural testing
Definition
involves one ear
Term
binaural testing
Definition
involves both ears
Term
tympanometry
Definition
the use of air pressure in the ear canal to test for disorders of the middle ear; resulting record is a tympanogram
Term
otoplasty
Definition
the surgical repair of the pinna of the ear
Term
mastoidectomy
Definition
the surgical removal of mastoid cells; used to treat mastoiditis that cannot be controlled with antibiotics or in preparation of a cochlear implant
Term
myringotomy
Definition
surgical incision in the eardrum to create an opening for the placement of tympanostomy tubes
Term
tympanostomy tubes
(pediatric ear tubes)
Definition
tiny ventilating tubes placed through the eardrum to provide ongoing drainage for fluids and relieve pressure that can build up after ear infections
Term
tympanoplasty
Definition
surgical correction of a damaged middle ear
Term
stapedectomy
Definition
surgical removal of the top portion of the stapes bone and the insertion of a small prosthetic device known as a piston that conducts sound vibrations to the inner ear
Term
fenestration
Definition
surgical procedure in which a new opening is created in the labyrinth to restore hearing
Term
fenestra, fenestr/o
Definition
window
Term
hearing aid
Definition
an external electronic device that uses a microphone to detect sounds
Term
labyrinthectomy
Definition
the surgical removal of all or a portion of the labyrinth; performed to relieve uncontrolled vertigo, however causes complete hearing loss in affected ear
Term
labyrinthotomy
Definition
surgical incision between two of the fluid chambers of the labyrinth to allow the pressure to equalize; performed to relieve severe vertigo
Term
cochlear implant
Definition
an implanted electronic device that can give a deaf person a useful auditory understanding of the environment and/or hearing and help them to understand speech
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