Ophthalmology · MU Sofia

17. Physical and clinical refraction. Static (Emmetropia and Ametropia) and dynamic

Covers the nature of light and which wavelengths reach the retina, then reflection and refraction laws, including total internal reflection and how optical density steers rays through the cornea and lens. It goes on to lens terminology such as optical centre, focal length and dioptric power, the types of spherical and cylindrical lenses with their uses, and optical aberrations. It closes with eye refraction values, emmetropia and ametropia, and a short section on laser refractive surgery for myopia and hypermetropia.

Inside: 2 sections · 2 labelled pictures · 15 flashcards · 7 min

Topic 17 of 91 in the MU Sofia syllabus for Ophthalmology (Medicine, Year 4). The free AceMed note covers it in 2 sections, about 1,084 words (7 min of reading), with 15 flashcards.

In this note

  1. Physical and clinical refraction . Ametropia Topic 13
  2. Refractive surgery

Physical and clinical refraction . Ametropia Topic 13

Optics of the eye

Light is the visible portion of electromagnetic radiation spectrum and from 400nm to 700nm with seven colours VIBGYOR (violet, indigo,blue,green,and yellow, orange,red)

The media of the eye is permeable to 600nm to 390nm

The cornea absorbs light rays shorter than 295 nm so rays between 600-295 only reach the lens

The lens absorbs rays shorter than 350 nm thus rays between 600-350 n reach retina, in people with lens phakic eye) in aphakic no lens absorption thus 600-295 reach the retina

This is just referring to absorption of the light rays

But for proper vision , we need to adjust the rays properly in order to view normally which is known as optics.

Reflection = change of path of light rays without change in medium

Have different laws to refraction,

Incident ray (incoming ) and reflected ray (outgoing) and the normal (which is a line drawn at right angle to the surface) all lie on the same plane and

An angle of incidence =angle of reflection

Refraction of light

Change of path of light when going from one medium to another

= change of the velocity of light in going from one medium to another

Laws= incident ray and refracted rayà on opposite side

Ratio of sine of angle of incidence and cosine of angle of refraction is constant for the part of the media in contact aka refractive index

Total internal reflection = when a ray of light travels from an optically dense medium to an optically rare

!!in optic when light ray hits A-B interface , the direction of refraction is determined by difference in density

If medium A is less dense than B then refracted ray will be close to the medium thus angle of refraction is less than angle of incidence but as it leaves medium B to A (e.g.

from light to glass) it travels from more dense to less dense thus gets refracted more thus angle of refraction is greater than angle of incidence . optical density is mentioned So at eye you got light to cornea, cornea is more dense than light thus angle of refraction is greater so light rays converge and at cornea lens interval further convergence occurs as lens is more optically dense than cornea thus angle of refraction is greater than angle of incidence

Lenses

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