Structure and Functions of the Body: A Hand-Book of Anatomy and Physiology for Nurses and Others Desiring a Practical Knowledge of the SubjectFiske, Annette
Science
Structure and Functions of the Body: A Hand-Book of Anatomy and Physiology for Nurses and Others Desiring a Practical Knowledge of the Subject
Fiske, Annette
Human anatomy; Physiology
[Illustration: FIG. 26.--Diagram showing the difference between (_A_)
emmetropic, (_B_) myopic and (_C_) hypermetropic eyes. (American
Text-book of Physiology.)]
When the eye is at rest the pupil and lens are in their normal
condition and at such times the eye sees only distant objects. The
ability of the eye to focus upon objects at different distances is
called _accommodation_ and to accomplish it three things are necessary:
1. change in the shape of the lens; 2. convergence of the axes of the
eyes, and 3. narrowing of the pupils.
When the eye is directed toward distant objects, the muscle fibers
in the ciliary processes relax, causing tightening of the suspensory
ligaments and consequent flattening of the surface of the lens.
Otherwise an image would be formed in front of the retina; for the
greater the convexity of the lens, the greater the angle of refraction.
Such accommodation is passive and so not fatiguing. To look at nearby
objects, on the contrary, the ciliary muscles contract, drawing the
choroid forward and allowing the suspensory ligaments to relax, so that
the lens bulges in front. This is an exertion.
In order to accommodate properly, moreover, both eyes must work
together and the axes of both eyes must be directed toward the object.
Therefore, in looking at nearby objects the axes of the eyes converge,
drawn by the internal recti muscles. In _strabismus_ or _cross eye_,
where the axes of both eyes cannot be directed toward the object at the
same time, the rays fall upon one part of one eye and upon a different
part of the other eye and two separate images are seen.
Finally there is concentric narrowing of the pupil by contraction of
the circular fibers of the iris, by which means various side rays that
would come to a focus outside the retina are excluded.
All the muscles of accommodation, the ciliary muscles, the internal
recti, and the sphincter pupillæ, are under the control of the third
nerve.
Connected with this power of accommodation and dependent on it are the
two conditions of _near-sightedness_ or _myopia_ and _far-sightedness_
or _hypermetropia_.
The normal eye is emmetropic and is almost perfectly spherical, but
in the near-sighted or myopic eye the ball, instead of being round,
is flattened from above down and so bulges in front. Consequently,
owing to the greater distance from the lens to the retina, images are
formed in front of the retina. Only nearby objects can be seen clearly,
because the farther the object from the eye the farther in front of
the retina the image is formed. Concave glasses are worn to enable
near-sighted people to see at a distance. Hypermetropic or far-sighted
eyes are flattened from before backward and can see only objects at a
distance clearly, as those nearby form images behind the retina. For
such eyes convex glasses are worn.
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