Eye Care Providers Glossary of Terms

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Analysis: A psychology term for processes used to gain understanding of complex emotional or behavioral issues.

Blepharoplasty: Plastic surgery on the eyelids. Blepharoplasty may be done to correct ptosis (sagging eyelids), remove fatty bulges around the eyes, and eliminate hanging skin from the eyelids.

Cataract: A clouding or loss of transparency of the lens in the eye as a result of tissue breakdown and protein clumping. There are many causes of cataracts, including aging, cortisone medication, trauma, diabetes, and other diseases. Cataracts affect most people who live into an old age. Symptoms include double or blurred vision and sensitivity to light and glare. A physician can diagnose cataracts by examining the eyes with a viewing instrument. Sunglasses can help to prevent cataracts.
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COMT: Abbreviation for catechol-O-methyltransferase.

Conjunctivitis: Inflammation of the conjunctiva, the membrane on the inner part of the eyelids and the membrane covering the white of the eye. The conjunctival membranes react to a wide range of bacteria, viruses, allergy-provoking agents, irritants and toxic agents. Viral and bacterial forms of conjunctivitis are common in childhood. Conjunctivitis is also called pinkeye and red eye.
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Cornea: The clear front window of the eye that transmits and focuses light into the eye.
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Corneal: Pertaining to the cornea, the clear front window of the eye that transmits and focuses light into the eye.

Diabetic eye disease: 1. A disease of the small blood vessels of the retina of the eye in people with diabetes. The vessels swell and leak liquid into the retina, blurring the vision and sometimes leading to blindness. Also called diabetic retinopathy. 2. Any eye disease to which diabetes predisposes including not only diabetic retinopathy but also cataracts (clouding of the lens) and glaucoma (increased fluid pressure inside the eye that can lead to optic nerve damage and loss of vision).
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Family practice: The medical specialty which provides continuing and comprehensive health care for the individual and family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family practice encompasses all ages, both sexes, each organ system, and every disease entity. (From the American Academy of Family Physicians)

Glaucoma: A common eye condition in which the fluid pressure inside the eyes rises because of slowed fluid drainage from the eye. If untreated, it may damage the optic nerve and other parts of the eye, causing the loss of vision or even blindness.
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Implantation: The act of setting in firmly.
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Indicate: In medicine, to make a treatment or procedure advisable because of a particular condition or circumstance. For example, certain medications are indicated for the treatment of hypertension during pregnancy while others are contraindicated.

Inflammation: A basic way in which the body reacts to infection, irritation or other injury, the key feature being redness, warmth, swelling and pain. Inflammation is now recognized as a type of nonspecific immune response.
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Internist: A physician who specializes in the diagnosis and medical treatment of adults. This specialty, called internal medicine, is dedicated to adult medicine. A minimum of seven years of medical school and postgraduate training are focused on learning the prevention, diagnosis, and treatment of diseases of adults. Subspecialties of internal medicine include allergy and immunology, cardiology (heart), endocrinology (hormone disorders), hematology (blood disorders), infectious diseases, gastroenterology (diseases of the gut), nephrology (kidney diseases), oncology (cancer), pulmonology (lung disorders), and rheumatology (arthritis and musculoskeletal disorders).

Intraocular: In the eye. The intraocular pressure is the pressure within the eye.

Intraocular lens: An artificial lens made of plastic, silicone, acrylic or other material that is implanted inside the eye during cataract surgery. Abbreviated IOL.
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Iris: The iris is the circular, colored curtain of the eye. Its opening forms the pupil. The iris helps regulate the amount of light that enters the eye.
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Joint: A joint is the area where two bones are attached for the purpose of motion of body parts. A joint is usually formed of fibrous connective tissue and cartilage. An articulation or an arthrosis is the same as a joint.
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Laser: A powerful beam of light that can produce intense heat when focused at close range. Lasers are used in medicine in microsurgery, cauterization, for diagnostic purposes, etc. For example, lasers are employed in microsurgery to cut tissue and remove tissue.
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LASIK: Abbreviation standing for laser-assisted in situ keratomileusis, a kind of laser eye surgery designed to change the shape of the cornea to eliminate or reduce the need for glasses and contact lenses in cases of severe myopia (nearsightedness).
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Lens: The transparent structure inside the eye that focuses light rays onto the retina (the nerve layer that lines the back of the eye, senses light and creates impulses that go through the optic nerve to the brain). The lens was named after the lentil bean because it resembled it in shape and size.
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Macular: Pertaining to the macula. A macula is a small spot. A macula on the skin is a small flat spot while the macula in the eye is a small spot where vision is keenest in the retina.

Macular degeneration: A disease that progressively destroys the macula, the central portion of the retina, impairing central vision. Macular degeneration rarely causes blindness because only the center of vision is affected. However, injury to the macula in the center of the retina can impair the ability to see straight ahead clearly and sometimes make it difficult to read, drive, or perform other daily activities that require fine central vision.
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Medical school: A school with a curriculum leading to a medical degree. The mission of every medical school includes medical teaching, research, and patient care. All medical schools share the goal of preparing students in the art and science of medicine, and providing them with the background necessary to enter the period of graduate medical education. The years of medical school preceding graduate medical education are typically divided into a preclinical phase and a clinical phase.
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Molecular biology: The study of biology on a molecular level including the structure, function, and makeup of biologically important molecules such as DNA, RNA, and proteins. The field of molecular biology involves many other areas of biology such as biochemistry and genetics.

Muscle: Muscle is the tissue of the body which primarily functions as a source of power. There are three types of muscle in the body. Muscle which is responsible for moving extremities and external areas of the body is called "skeletal muscle." Heart muscle is called "cardiac muscle." Muscle that is in the walls of arteries and bowel is called "smooth muscle."

Nursing: 1) Profession concerned with the provision of services essential to the maintenance and restoration of health by attending the needs of sick persons. 2) Feeding a infant at the breast.

Ocular: Having to do with the eye.
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Ocular prosthesis: 1. An artificial replacement for an eyeball. In other words, an artificial eye, a globe of glass or plastic colored so it looks like an eyeball.
2. In the strict sense, any artificial aid to vision such as, for example, a pair of eyeglasses or a plastic lens inserted in the place of a lens densely clouded by a cataract.

Oculoplastics: Eye plastic and reconstructive surgery., a specialized area of ophthalmology that focuses on the eyelids and the structures surrounding the eye, including problems of the lacrimal (tear) system and the orbit, the region surrounding the eyeball.

Ophthalmic: Pertaining to the eye. An ophthalmic ointment is designed for the eye.

Ophthalmologist: An eye doctor. A physician practicing ophthalmology. An ophthalmologist is an M.D.

Ophthalmology: The art and science of eye medicine.

Optician: A specialist in fitting eyeglasses and making lenses to correct vision problems. An optometrist performs eye examinations and writes prescriptions for corrective lenses; an optician fills that prescription.

Optometrist: A health care professional who is licensed to provide primary eye care services:

• to examine and diagnose eye diseases such as glaucoma, cataracts, and retinal diseases and, in certain states in the U.S., to treat them;
• to diagnose related systemic (bodywide) conditions such as hypertension and diabetes that may affect the eyes;
• to examine, diagnose and treat visual conditions such as nearsightedness, farsightedness, astigmatism and presbyopia; and
• to prescribe glasses, contact lenses, low vision rehabilitation and medications as well as perform minor surgical procedures such as the removal of foreign bodies.

Osteopathy: A system of therapy founded in the 19th century based on the concept that the body can formulate its own remedies against diseases when the body is in a normal structural relationship, has a normal environment and enjoys good nutrition.
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Pathology: The study of disease. Pathology has been defined as "that branch of medicine which treats of the essential nature of disease." The word "pathology" comes from the Greek words "pathos" meaning "disease" and "logos" meaning "a treatise" = a treatise of disease. The word "pathology" is sometimes misused to mean disease as, for example, "he didn't find any pathology" (meaning he found no evidence of disease). A medical doctor that specializes in pathology is called a pathologist. Pathologists are experts at interpreting microscopic views of body tissues.

PCP: Pneumocystis carinii pneumonia. A parasitic infection of the lungs that is particularly common and life-threatening in immunosuppressed persons. Prophylaxis is available to prevent PCP.

Pediatrics: "Pediatrics is concerned with the health of infants, children and adolescents, their growth and development, and their opportunity to achieve full potential as adults." (Richard E.Behrman in Nelson's Textbook of Pediatrics)
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Pharmacy: A location where prescription drugs are sold. A pharmacy is, by law, constantly supervised by a licensed pharmacist.

Prostheses: More than one prosthesis. See: Prosthesis.

Prosthesis: An artificial substitute or replacement of a part of the body such as a tooth, eye, a facial bone, the palate, a hip, a knee or another joint, the leg, an arm, etc. A prosthesis is designed for functional or cosmetic reasons or both.
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Prosthetic: Referring to a prosthesis, an artificial substitute or replacement of a part of the body such as a tooth, eye, a facial bone, the palate, a hip, a knee or another joint, the leg, an arm, etc. A prosthesis is designed for functional or cosmetic reasons or both.
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Ptosis: Downward displacement. Ptosis of the eyelids is drooping of the eyelids.

Referral: The recommendation of a medical or paramedical professional. If you get a referral to ophthalmology, for example, you are being sent to the eye doctor. In HMOs and other managed care schemes, a referral is usually necessary to see any practitioner or specialist other than your primary care physician (PCP), if you want the service to be covered. The referral is obtained from your PCP, who may require a telephone or office consultation first.
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Retina: The retina is the nerve layer that lines the back of the eye, senses light, and creates impulses that travel through the optic nerve to the brain. There is a small area, called the macula, in the retina that contains special light-sensitive cells. The macula allows us to see fine details clearly.
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Retinal: Pertaining to the retina, the extraordinary layer of neurons (nerve cells) that line the back of the eye, which can sense light and create impulses capable of voyaging through the optic nerve to the brain where the impulses are recognized as an image.
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Retinal detachment: A separation of the retina from its connection at the back of the eye. The separation usually results from a tear (that is, a rent or rip, not a tear drop) in the retina. The tear often occurs when the vitreous gel pulls loose or separates from its attachment to the retina, usually in the outside edges of the eye. The vitreous is a clear gel that fills most of the inside of the eye between the retina and the lens. If the retina is weak when the vitreous gel pulls loose, the retina will tear. This rip is sometimes accompanied by bleeding, or hemorrhage, if a blood vessel is also torn.
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Strabismus: A condition in which the visual axes of the eyes are not parallel and the eyes appear to be looking in different directions. In divergent strabismus, or exotropia, the visual axes diverge. If the visual axes converge, it is called convergent strabismus or esotropia. The danger with strabismus is that the brain cones may come to rely more on one eye than the other and that part of the brain circuitry connected to the less-favored eye fails to develop properly, leading to amblyopia (blindness) in that eye.
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Surgery: The word "surgery" has multiple meanings. It is the branch of medicine concerned with diseases and conditions which require or are amenable to operative procedures. Surgery is the work done by a surgeon. By analogy, the work of an editor wielding his pen as a scalpel is s form of surgery. A surgery in England (and some other countries) is a physician's or dentist's office.
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Systemic: Affecting the entire body. A systemic disease such as diabetes can affect the whole body. Systemic chemotherapy employs drugs that travel through the bloodstream and reach and affect cells all over the body.

Therapy: The treatment of disease.
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Thyroid: 1. The thyroid gland. Also, pertaining to the thyroid gland. 2. A preparation of the thyroid gland used to treat hypothyroidism. 3. Shaped like a shield. (The thyroid gland was so-named by Thomas Wharton in 1656 because it was shaped like an ancient Greek shield.)
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Trauma: Any injury, whether physically or emotionally inflicted. "Trauma" has both a medical and a psychiatric definition. Medically, "trauma" refers to a serious or critical bodily injury, wound, or shock. This definition is often associated with trauma medicine practiced in emergency rooms and represents a popular view of the term. In psychiatry, "trauma" has assumed a different meaning and refers to an experience that is emotionally painful, distressful, or shocking, which often results in lasting mental and physical effects.
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Uveitis: Inflammation of the uvea, the part of the eye that collectively refers to the iris, the choroid of the eye, and the ciliary body. The uvea provides most of the blood supply to the retina. Uveitis as a rule signifies inflammation involving the iris, choroid, and ciliary body -- all three components of the uveal tract.
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Vitrectomy: Removal of the gel (called the vitreous) from within the eyeball. This may be done because it has blood and scar tissue in it that blocks sight. An eye surgeon then replaces the clouded gel with a clear fluid.

Vitreous: A clear, jelly-like substance that fills the middle of the eye. Also called the vitreous humor, "humor" in medicine referring to a fluid (or semifluid) substance.