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The Sense of Sight / All About the Eyes
Page: 16
The optical system of the eye is such as to produce a reduced inverted image of the visual field on the retina; the system behaves as a convex lens but is, in fact, much more complex, refraction taking place not at two surfaces, as in a lens, but at four separate surfaces—at the anterior and the posterior surfaces of the cornea and of the crystalline lens. Each of these surfaces is approximately spherical, and at each optical interface—e.g., between air and the anterior surface of the cornea—the bending of a ray of light is toward the axis, so that, in effect, there are four surfaces tending to make rays of light converge on each other. If the rays of light falling on the cornea are parallel—i.e., if they come from a distant point—the net effect of this series of refractions at the four surfaces is to bring these rays to a point focus of the optical system, which in the normal, or emmetropic, eye corresponds with the retina. The greatest change of direction, or bending of the rays, occurs where the difference of refractive index is greatest, and this is when light passes from air into the cornea, the refractive index of the corneal substance being 1.3376; the refractive indices of the cornea and aqueous humour are not greatly different, that of the aqueous humour being 1.336 (as is that of the vitreous); thus, the bending, as the rays meet the concave posterior surface of the cornea and emerge into a medium of slightly less refractive index, is small. The lens has a greater refractive index than that of its surrounding aqueous humour and vitreous body, 1.386 to 1.406, so that its two surfaces contribute to convergence, the posterior surface normally more than the anterior surface because of its greater curvature (smaller radius).
In contrast to the focussing of the normal (emmetropic) eye, in which the image of the visual field is focussed on the retina, the image may be focussed in front of the retina (nearsightedness, or myopia), or behind the retina (farsightedness or hyperopia). In myopia the vision of distant objects is not distinct because the image of a distant point falls within the vitreous and the rays spread out to form a blur circle on the retina instead of a point. In this condition the eye is said to have too great dioptric (refractive) power for its length. When the focus falls behind the retina, the image of the distant point is again a circle on the retina; and the farsighted eye is said to have too little dioptric power. The important point to appreciate is that emmetropia, or normal sight, requires that the focal power of the dioptric system be matched to the axial length of the eye; it certainly is remarkable that emmetropia is indeed the most common condition when it is appreciated that just one millimetre of error in the matching of axial length with focal length would cause a person to require a spectacle correction. In general, however, the effects of variations in dimensions tend to compensate each other. Thus, for example, an unusually large eye might, at first thought, be expected to be myopic, but a large eye tends to be associated with a large radius of curvature of the cornea, and this would reduce the power—i.e., increase the focal length—and so an unusually large eye is not necessarily a myopic one. Take this preliminary to see if your condition could respond to treatment.
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Additional information regarding conditions of the eyes can be found here.
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