Video for VI Learners
Glossary of terms associated with Visual Impairment
- A B
- The adjustment of the eye for seeing at different distances by changing
the shape of the lens through the action of the ciliary muscle. Adjustment
of the dioptric power of the eye. The process is involuntary.
- The difference in power between the distance and near corrections.
Often abbreviated to "Add". The power of the add is related to the working
distance from the eye that the print is held and the amplitude of accommodation.
In the case of low vision patients, the power of the add is usually
greater than +4.00 dioptres, and hence the working distance is less
than 25 centimetres.
- Congenital anomaly characterised by an absence of pigment in the skin,
hair, in some cases iris, retina and choroid. The iris is usually a
pale blue-grey in colour and the visual acuity is poor. There may be
nystagmus present (dependent on the type of albinism) and there is usually
- Loss of visual acuity without any apparent disease of the eye.
- Amsler charts
- A series of charts used to detect abnormalities in the central visual
field. It consists of a regular grid of 5 mm squares with a central
black spot. The patient fixates the central spot and any abnormality
of the visual field is demonstrated by the distorted or irregular grid
- Congenital absence of the iris.
- anterior chamber
- Absence of the lens of the eye.
- anti-reflection coating
- A thin film of transparent material, usually a metallic fluoride,
deposited on the front and back surfaces of lenses which increases the
transmission of the lens as well as reducing surface reflection.
- Space in the front of the eye, bounded in front by the cornea, and
behind by the iris; filled with aqueous. An ocular condition where the
crystalline lens is absent. It may be congenital, but is usually due
to surgical removal of a cataract. As a result the eye is left very
hypermetropic and has no accommodating power.
- A person who has aphakia.
- Clear, watery fluid which fills the anterior and posterior chambers
within the front part of the eye.
- Refractive error due mainly to curvature of the cornea which prevents
light rays from coming to a single focus on the same object.
- bifocal lens
- A lens having two portions of differing power. Normally the upper
portion of the lens is reserved for distance vision the lower portion
for near vision, although in certain cases this can be reversed. They
are custom made to a specific prescription normally and require a prescription
from a registered optometrist.
- binocular vision
- The ability to use the two eyes simultaneously to focus on the same
- In the United States, the legal definition of blindness is: central
visual acuity of 20/200 or less in the better eye after correction;
or visual acuity of more than 20/200 if there is a field defect in which
the widest diameter of the visual field subtends an angle distance no
greater than 20 degrees. Some states include up to 30 degrees. This
precise measurement of acuity, however, is not a regulation in the English
definition of blindness which is referred to in terms of a subject's
inability to learn or to work by the use of sighted methods.
- Infantile glaucoma characterised by a large eyeball.
- C.cc. (Cum Correction)
- With correction wearing prescribed lenses (found on medical records).
- canal of Schlemm
- A circular canal situated at the point where the sclera and cornea
meet and through which the aqueous is excreted.
- The enclosing membrane of the eye.
- Partial, or complete loss of transparency of the crystalline lens
of the eye. Cataract can occur as a result of age, trauma, systemic
disease (e.g. diabetes), ocular disease (e.g. anterior uveitis high
myopia), long term steroid therapy, exposure to high levels of ultra-violet
light and heredity.
- Inflammation of the choroid and retina.
- ciliary body
- Portion of the vascular coat between the iris and the choroid consisting
of the ciliary processes and the ciliary muscle.
- colour deficiency
- Diminished ability to perceive differences in colour, usually red
or green but occasionally blue or yellow.
- concave lens
- Lens having the power to diverge rays of light; also known as diverging,
myopic or minus lens. Denoted by a negative sign
- A photoreceptor of the retina involved in the perception of colour
and high visual acuity. There are around 6 million cones in the retina
with the greatest concentration in the macular area.
- cone dysfunction
- A very rare disorder in which the cones at the macular area have impaired
function. Because the cones are predominantly concerned with daytime
and vision in lit situations, patients who have cone dystrophy often
see better in dim illumination. (Remember cones function in higher light
levels and rods in lower light levels.)
- Cells of the retina concerned with visual acuity and colour discrimination.
- Present at birth.
- Mucous membrane lines the eyelids and covers the front part of the
eyeball. Inflammation of the conjunctiva is called conjunctivitis or
- contact lens
- Lenses that fit directly onto the eyeball.
- convergent squint
- The eye turn in towards the nasal side.
- convex lens
- Lens having the power to converge rays of light; also known as converging,
hypermetropic or plus lens. Denoted by a positive sign +.
- The clear, transparent part of the outer coat of the eyeball.
- cortical visual impairment -
- a temporary or permanent visual loss caused by a disturbance of the
posterior visual pathways and/or occipital lobes of the brain.
- crystalline lens
- A transparent, colourless body suspended in front of the eyeball,
between the aqueous and the vitreous. Its function is to bring the rays
of light to a focus on the retina.
- degenerative or pathological myopia
- Myopia attributed to any degenerative changes in the choroid or retina.
The level of myopia is usually greater than -6.00 Dioptres and continues
to worsen during adolescence and increases further during adult life.
The acuity is usually subnormal, even after correction.
- depth perception
- The ability to perceive the solidity of objects and their relative
position in space.
- diabetic retinopathy
- Retinal changes occurring in long standing cases of diabetes mellitus.
In general the amount of the retinopathy is related to the duration
of the disease rather than the severity of the disease. Both eyes are
involved but usually to differing degrees. Visual acuity is unaffected
unless the central macular area is involved.
- Unit of measurement of strength or refractive power of a lens. It
is equal to the product of the refractive index of the image space and
the reciprocal of the focal length of a lens in meters. E.g. A 1 dioptre
lens in air has a focal length of 1 metre and a 2 dioptre lens a focal
length of 50 centimetres (0.5m).
- divergent squint
- The eye turns outward to the temporal side.
- eccentric fixation
- Fixation, where the object of regard is not imaged on the fovea. In
this condition the patient feels he is looking straight ahead at the
object, but in fact the image is stimulating an area just outside the
- Complete surgical removal of the eyeball.
- Mongolian fold at the inner comer of the eye.
- field of vision
- The entire area that can be seen without shifting the gaze.
- The act of directing the eye to a given object so that its image is
formed on the fovea.
- The point to which the rays of light are converged after passing through
- A small depression in the retina at the back of the eye; the part
of the macula adapted for the most acute vision.
- The back of the eye which can be seen with an ophthalmoscope.
- Galilean telescope
- A simple optical system which allows the magnification of distance
objects with low magnification and without image inversion. It consists
of a convex lens acting as the objective and a concave lens as the eyepiece.
Magnification levels rarely exceed 5X. The optical system exists in
simple opera glasses.
- Increased pressure within the eye. An eye disease characterised by
an elevated or unstable intraocular pressure, which cannot be sustained
without damage to the the eyes internal structure or impairment to its
visual function. The increased pressure causes damage to the optic nerve,
causing characteristic field losses. It is usually divided into open
angle and closed angle types. If the cause of the glaucoma is is a recognised
ocular disease or injury, then it is called secondary, whereas if the
cause is hereditary or unknown it is called primary.
- A refractive error in which the rays of light come to a focus behind
- A refractive condition of the eye in which distance objects are focused
behind the retina when the accommodation is fully relaxed.
- The coloured circular part of the eye which regulates the amount of
light entering the eye by changing the size of the pupil.
- Kay pictures
- A method of measuring vision and visual acuity in Snellen form using
the aid of pictures of various sizes at 3 metres. This technique is
particularly useful with children where they are unable to read letters
or cope with Sheridan Gardiner.
- Keplerian or astronomical telescope
- An instrument allowing for magnification of distance objects by means
of 2 convex lenses as the eyepiece and objective.
- light perception
- The ability to distinguish light from dark. (LP or PL or LPO)
- A magnifing aid, monocular or binocular held in the hand or mounted
in front of the eye, for viewing objects at close range. The image produced
is real and upright.
- Low vision aid, for example a magnifier.
- Strictly speaking called the macula lutea, this is the area of the
retina concerned with our most sensitive detailed vision. The most central
area of the macula is called the fovea and it is this area which contains
the majority of cones. The foveal area contains no rods.
- macula degeneration
- Affection of the most sensitive part of the retina, the macula. A
central degenerative condition of the retina in which the photoreceptors
(the rods and cones) in the macular area lose their function, due to
the disruption of the underlying pigment epithelium. The disease is
usually age related but may occur in younger age groups (e.g. Best's
- Increase in the image size produced by an optical system, relative
to the object. By convention in the U.K. the magnification of a device
is taken to be the power of of the lens in dioptres divided by 4. Thus
an 8 dioptre lens has a magnification factor of 25.
- monocular vision
- Vision in one eye only.
- A refractive condition of the eye in which distance objects are focused
in front of the retina, making them blurred. The amount of blur depends
on the degree of myopia. When the myope removes their spectacles, near
objects remain in focus at a distance related to the amount of myopia.
If the reciprocal of the degree of myopia in dioptres is taken, then
this will give the distance at which close print will be clear. This
point is called the "far point".
- 'N' Print scale
- A test for near visual acuity.
- night blindness
- A condition in which the vision is good by day but extremely poor
at night and in faint light.
- An involuntary, rapid movement of the eyeball. A regular, repetitive,
involuntary movement of the eyes whose direction, frequency and amplitude
is variable. The movements may be horizontal or vertical although vertical
nystagmus is rare. The condition may be congenital or of unknown aetiology.
- An optical system or lens used to produce a real image of an object.
The image is then viewed through an eyepiece.
- Pertaining to the eye.
- An instrument for examining the interior of the eye.
- optic atrophy
- Degeneration of the optic nerve fibres characterised by the pallor
of the optic disc, which appears a yellowish grey colour or white. The
condition leads to a progressive loss of visual acuity and changes to
the visual field. There are two types, primary and secondary. In secondary
disease there is usually some evidence of previous optic nerve inflammation.
- optic disc
- Head of the optic nerve as it leaves the retina.
- A person registered in the U.K.with the British College of Optometrists
and the General Optical Council who is qualified to practise Optometry.
- The profession which includes the services and care involved in the:-
- determination and evaluation of the reactive status of the eye
and other physiological functions.
- recognition of ocular abnormalities.
- determination of optically related corrective measures.
- selection, design, provision and adaptation of optical aids.
- preservation, maintenance, protection, improvement and enhancement
of visual performance.
- peripheral vision
- Ability to perceive the presence, motion, or colour of objects outside
the direct line of vision.
- Abnormal sensitivity to, and discomfort from light.
- Plano lens
- An optical quality lens which has no dioptric power.
- pupillary distance
- The distance between the centre of the pupils when the eyes are looking
into the distance.
- The process of measuring and correcting the refractive state of the
eyes and correction by glasses.
- refractive error
- A defect in the eye that prevents light rays from being brought to
a single focus exactly on the retina.
- Innermost coat of the eye.
- retinal detachment
- A separation of the retina from the choroid.
- retinitis pigmentosa
- Hereditary affection of the retina characterised by pigment changes.
A primary pigmentary dystrophy of the retina followed by migration of
pigment. It is an inherited disease characterised by night blindness
and restricted visual fields. The condition is bilaterally symmetrical.
It is the rod system which is predominantly damaged but the cones are
affected later in the disease to a certain extent. The disease begins
in adolescence with night blindness followed by a ring type visual field
defect that extends peripherally and then centrally, until only a small
contracted central field remains.
- A cancerous tumour of the retina in infants.
- An instrument for determining the refractive state of the eye objectively.
It consists of a light source, a condensing lens and a mirror. The mirror
has a small hole in it, through which the optometrist can view the patient's
eye along the retinoscope`s beam of light. The beam is reflected off
the retina and produces a red reflex, which moves in conjunction with
the movement of the retinoscope. The neutralisation of this movement
using lenses gives the optometrist an accurate assessment of the refraction,
without requiring the patients cooperation.
- The determination of the refractive state of the eye using a retinoscope.
- A photoreceptor of the retina involved in vision in lower light levels.
There are approximately 130 million rod cells throughout the retina,
but there are no rod cells in the macular area. Retinal cells which
are concerned with motion and vision in low levels of illumination.
- S. sc (sine correction)
- Without correction, that is, not wearing glasses.
- The white part of the eye.
- A blind spot in the field of vision.
- Sheridan Gardiner
- A method of measuring vision and visual acuity in Snellen form using
a comparison of shapes or letters.
- Snellen chart
- A chart used to measure visual acuity.
- Snellen fraction
- A form of representing acuity in fraction form, where the numerator
is the testing distance in metres and the denominator the distance at
which the smallest Snellen letter read by the eye has an angular subtense
of 5 minutes.
- strabismus (squint)
- Failure of the two eyes to direct their gaze simultaneously at the
- tunnel vision
- Contraction of the visual field to such and extent that only a small
area of central visual acuity remains.
- The entire vascular coat of the eyeball consisting of the iris, ciliary
body and choroid.
- Visual acuity without any spectacle or contact lens correction.
- visual acuity
- Capacity for seeing objects distinctly and in detail. In the U.K.
it is represented by the Snellen fraction.
- visual purple
- The pigment in the outer layers of the retina.
- The transparent jelly which occupies the interior of the globe behind