eye

the organ of vision" >vision; see also Plates. In the embryo the eye develops as a direct extension of the brain, and thus is a very delicate organ. To protect the eye the bones of the skull are shaped so that an orbital cavity protects the dorsal aspect of each eyeball. In addition, the conjunctival sac covers the front of the eyeball and lines the upper and lower eyelids. Tears from the lacrimal duct constantly wash the eye to remove foreign objects, and the lids and eyelashes help protect the front of the eye.Structure. The eyeball has three coats. The cornea is the clear transparent layer on the front of the eyeball; it is a continuation of the sclera (the white of the eye), the tough outer coat that helps protect the delicate mechanism of the eye. The choroid" >choroid is the middle layer and contains blood vessels. The third layer, the retina" >retina, contains rods and cones, which are specialized cells that are sensitive to light. Behind the cornea and in front of the lens is the iris, the circular pigmented band around the pupil. The iris works much like the diaphragm in a camera, widening or narrowing the pupil to adjust to different light conditions.Function. (See also vision" >vision.) The refraction or bending of light rays so that they focus on the retina and can thus be transmitted to the optic nerve is accomplished by three structures: the aqueous humor, a watery substance between the cornea and lens; the lens, a crystalline structure just behind the iris; and the vitreous humor, a jelly-like substance filling the space between the lens and the retina. Unlike the lens of a camera, the lens of the eye focuses by a process called accommodation. This means that when the eye sees something in the distance, muscles pull the lens, stretching it until it is thin and almost flat, so that the light rays are only slightly bent as they pass through it. When the object is close, the muscles relax and the elastic lens becomes thicker, bending the light rays and focusing them on the retina.ƒ
Because the eye must function under many different circumstances, there are two types of nerve cells in the retina, with different shapes: the cones" >cones and the rods" >rods. They cover the full range of adaptation to light, the cones being sensitive in bright light, and the rods in dim light. The cones are responsible for color vision. There are three types of cones, each containing a substance that reacts to light of a different color, one set for red, one for green, and one for violet. These are the primary colors in light, which, when mixed together, give white. White light stimulates all three sets of color cells; any other color stimulates one or two.
The optic nerve, which transmits the nerve impulses from the retina to the visual center of the brain, contains nerve fibers from the many nerve cells in the retina. The small spot where it leaves the retina does not have any light-sensitive cells, and is called the blind spot.
The eyes are situated in the front of the head in such a way that human beings have stereoscopic vision, the ability to judge distances. Because the eyes are set apart, each eye sees farther around an object on its own side than does the other. The brain superimposes the two slightly different images and judges distances from the composite image.Disorders of the Eye. If the eyeball is too short or too long, the lens focuses the image not on the retina but behind or in front of it. The former condition is called hyperopia" >hyperopia (or farsightedness) and the latter myopia" >myopia (or nearsightedness). An irregularity in the curvature of the cornea or lens can cause the impaired vision of astigmatism. strabismus (or squint or crossed eyes) is usually caused by weakness in muscles that control movement of the eyeball. conjunctivitis is an inflammation of the membrane that covers the front of the eyeball and lines the eyelids. When small pieces of the retina become detached from the underlying layers, the result is a detachment" >retinal detachment; surgery may be necessary to prevent blindness. presbyopia (usually taking the form of hyperopia) occurs in older persons and develops as the lens loses its elasticity with the passing years. Correction is easily made with properly prescribed eyeglasses.ƒ
Foreign bodies in the eyes are common occurrences. Protective eyewear should be worn by individuals at risk. Cinders, grit, or other foreign bodies are best removed by lifting the eyelid by the lashes. The foreign body will usually remain on the surface of the lid, and can easily be removed. Particles embedded in the eyeball must be removed by a qualified health care professional.
Eyestrain is fatigue of the eyes caused by improper use, uncorrected defects in the vision, or an eye disorder. Symptoms may include aching or pains in the eyes, or a hot, scratchy feeling in the eyelids. Headache, blurring or dimness of vision, and sometimes dizziness or nausea may also occur.Anatomic features of the eye. From Ignatavicius and Workman, 2002.

dry eye

dry eye

Patient discussion about dry eye

Q. What Causes Dry Eyes? I have been suffering from eye dryness lately, what causes this situation?A. Dry eyes are often caused when the lacrimal gland does not produce sufficient tears to keep the entire conjunctiva and cornea, that are normally covered by a complete layer of tear film. This usually occurs in people who are otherwise healthy. Increased age is associated with decreased tearing. if it causes you real discomfort talk to a doctor.

Q. what can i do about dry eyes? A. i suggest treating it symptomatically with visine in the meantime