20/20
Vision
the first 20 refers to the testing distance of 20 ft The second 20 refers
to the size of the letters on the chart. Most normal eyes see this line
and thus have 20/20. The large top letter (the “E”) on the
chart is called the 200 line and if that is all a patient can see the
vision is recorded as 20/200. The person with 20/20 vision could identify
this large “E” at 200 feet whereas the person with 20/200
can only see it at 20 feet.*
Aberrometry
the measurement of the imperfections in the optical system of the eye,
measured in microns as root mean square (RMS). The use of aberrometry
in developing better lens systems for telescopes is called adaptive
optics and has been used by astronomers for years. It has only recently
been applied to the eye.*
Ablate
in surgery, is to remove.
Ablation
Zone the area of tissue that is removed during laser surgery.
Accommodation
the ability of the eye to change its focus from distant objects to near
objects.
Acuity
clearness, or sharpness of vision.
Anesthesia
is medication that attempts to eliminate pain impulses from reaching
the brain. In general anesthesia this is accomplished by putting the
patient asleep. Most eye surgery is accomplished by local anesthesia
with drops or injections of anesthetic medications either directly applied
to the eye or injected around the eye.*
Aqueous
Humor the clear fluid between the anterior chamber of the eye (which
is the space between the cornea and the lens). It is continually produced
by the ciliary body, the part of the eye that lies just behind the iris.
Astigmatism
a distortion of the image on the retina caused by irregularities in
the cornea or lens. Regular astigmatism causes light rays to come to
a focus at two separate points, 90 degrees apart, rather than at one
point as occurs in eyes that focus without astigmatism.
Bifocals
eyeglasses with two lenses for each frame. With bifocals, the most convex
lenses (for close viewing) are in the lower half of the frame and the
least convex lenses on the upper for distance vision.*
Blended
Vision the medical term for Monovision, which is the purposeful
adjustment of one eye for near vision and the other eye for distance
vision.
Cataracts
An opacity (clouding) in the internal natural lens of the eye. Most
patients will eventually develop cataracts as they age but not all cataracts
interfere with vision and so they do not all have to be removed.*
Choroid
a layer of blood vessels and connective tissue between the sclera (white
of the eye) and retina that nourishes the inner part of the eye.*
Ciliary
Body is composed of ciliary muscles and processes. The ciliary processes
produces nutrients for the eye such as the Aqueous Humor. The ciliary
muscles assist in accommodation or focusing of the eye for vision. When
the ciliary muscle relaxes, it flattens the lens, generally improving
the focus for farther objects. When it contracts, the lens becomes more
convex (curved), generally improving the focus for closer objects.*
Clear
Lensectomy (CLE) also referred to as Refractive Lensectomy (RLE).
The removal of the natural lens of the eye even though it does not have
a cataract to replace it with an artificial lens implant of the proper
power to correct nearsightedness or farsightedness in patients not suitable
for LASIK or PRK. *
Conductive
Keratoplasty (CK) Focal application of radio frequency energy, usually
in 8 or 16 spots to shrink the corneal collagen so as to increase the
central curvature of the eye so provide better reading vision in normal
sighted or post LASIK patients who have good distance vision but have
become presbyopic as they aged.*
Conjunctiva
a thin membrane that covers the sclera (the white part of the eye) and
lines the inside of the eyelids.
Contact
Lenses (or "Contacts") a corrective or therapeutic lens
usually placed on surface of the eye. Contact lenses usually serve the
same corrective purpose as conventional glasses.*
Cornea
the clear, front part of the eye. The cornea is the first part of the
eye that bends (or refracts) the light and provides most of the focusing
power.
Diopter
the measurement of refractive error. A negative diopter value signifies
an eye with myopia and positive diopter value signifies an eye with
hyperopia. (The term Diopter is commonly referred to with a “d”,
so as an example, a prescription would read “+2.25D” or
“+2.25 d”).*
Dry
Eye Syndrome a common condition that occurs when the eyes do not
produce enough tears to keep the eye moist and comfortable. Common symptoms
of dry eye include pain, stinging, burning, scratchiness, and intermittent
blurring of vision.
Emmetropia
perfect vision, which is occurs when a normal eye focuses rays of light
exactly on the retina. An eye in a state of emmetropia requires no correction.*
Endothelium
the inner layer of cells on the inside surface of the cornea.
EpiLasik
a form of PRK where the epithelim is removed with a mechanical microkeratome
and the underlying surface is then treated with an excimer laser.*
Epithelium
the outermost layer of cells of the cornea and the eye's first defense
against infection.
Excimer
Laser an ultraviolet laser used in refractive surgery to remove
corneal tissue.
Farsightedness
the common term for hyperopia, which is the ability to see distance
objects more clearly than near objects. Mild farsightedness in young
patients is compatible with good vision through accommodation.*
FDA
the abbreviation for the Food and Drug Administration. It is the United
States governmental agency responsible for the evaluation and approval
of medical devices.
Flap
& Zap a slang term for LASIK.
Ghost
Image a fainter second image of the object you are viewing.
Glare
scatter from bright light that decreases vision.
Glaucoma
an increase in the normal pressure of the eye which will eventually
damage the optic nerve of the eye resulting in loss of vision.*
Halos
rings around lights due to optical imperfections in or in front of the
eye.
Haze
corneal clouding that causes the sensation of looking through smoke
or fog.
Higher
order aberrations refractive errors, other than nearsightedness,
farsightedness, and astigmatism, that cannot be corrected with glasses
or contacts. Higher order aberrations are present to varying degrees
in all eyes and are often increased by laser refractive surgery. The
two most common HOA’s are coma, which causes a comet or tail like
flare off of lights at night and spherical aberration which can cause
a glow or halo around lights.*
Hyperopia
the medical term for farsightedness, which is the ability to see distance
objects more clearly than near objects. Mild farsightedness in young
patients is compatible with good vision through accommodation.*
Inflammation
the body's reaction to trauma, infection, or a foreign substance, often
associated with pain, heat, redness, swelling, and/or loss of function.
Informed
Consent Form a document disclosing the risks, benefits, and alternatives
to a procedure.
In
Situ a Latin term meaning "in place" or not removed.
Iris
the colored ring of tissue suspended behind the cornea and immediately
in front of the lens.
IntraLase
(femtosecond laser) a laser which fires at an exceptionally fast
rate (e.g. 60,000 pulses per second) at a wavelength which does not
heat or damage tissue. The IntraLase laser is currently the most commonly
used procedure because it more safely and precisely assists in the creation
create of LASIK flaps without the use of a blade.*
Intraocular
inside the eye. For example, Toric Implants are intraocular lens
implants (which are inserted inside the eye). *
Intraocular
Lens (IOL) a lens that is inserted inside the eye. For example,
Phakic Implants are intraocular lens implants which are inserted inside
the eye (between the cornea and the lens).*
Keratectomy
the surgical removal of corneal tissue.
Keratotomy
a surgical incision (cut) of the cornea.
Keratitis
inflammation of the cornea.
Kerato
prefix indicating relationship to the cornea.
Keratoconus
a disorder characterized by an irregular corneal surface (cone-shaped)
resulting in blurred and distorted images.
Keratomileusis
carving of the cornea to reshape it.
Laser
the acronym for light amplification by stimulated emission of radiation.
A laser is an instrument that produces a powerful beam of light that
can vaporize tissue.
LASIK
the acronym for laser assisted in situ keratomileusis which refers to
creating a flap in the cornea with a microkeratome and using a laser
to reshape the underlying cornea.
LASEK
(Laser-Assisted Sub-Epithelial Keratectomy) a form of PRK where the
epithelium is loosened, usually with alcohol, and either reflected like
a LASIK flap and replaced after the excimer laser is applied to reshape
the cornea. At times the epithelium is simple discarded and allowed
to regenerate as it does in standard PRK surgery.*
Lens
a part of the eye that provides some focusing power. The lens is able
to change shape allowing the eye to focus at different distances.
Lower
Order Aberrations refractive errors, such as nearsightedness, farsightedness,
and astigmatism, that typically can be corrected with LASIK, PRK, other
laser vision correction procedures, as well as glasses or contact lenses.
Mechanical
Microkeratome a surgical instrument like a miniature carpenter’s
plane with a vibrating metal blade and depth plate used to create the
flap in LASIK surgery. *
Microkeratome
a surgical device that is affixed to the eye by use of a vacuum ring.
When secured, a very sharp blade cuts a layer of the cornea at a predetermined
depth.
Monovision
the purposeful adjustment of one eye for near vision and the other eye
fordistance vision.
Myopia
the inability to see distant objects as clearly as near objects. Myopia
is the medical term for nearsightedness. *
Nearsightedness
the common term for myopia, which is the inability to see distant objects
as clearly as near objects. *
NearVision
CK (Conductive Keratoplasy) “Nearvision” refers to the
specific patented and FDA-approved procedure. CK (Conductive Keratoplasy)
is the focal application of radio frequency energy, usually in 8 or
16 spots to shrink the corneal collagen so as to increase the central
curvature of the eye so provide better reading vision in normal sighted
or post LASIK patients who have good distance vision but have become
presbyopic as they aged.*
Ophthalmologist
a medical doctor specializing in the diagnosis and medical or surgical
treatment of visual disorders and eye disease.
Optician
an expert in the art and science of making and fitting glasses and may
also dispense contact lenses.
Optometrist
a primary eye care provider who diagnoses, manages, and treats disorders
of the visual system and eye diseases.
Overcorrection
a complication of refractive surgery where the achieved amount of correction
is more than desired.
Phakic
Implants a type of IOL (Inter Ocular Lends) that is inserted between
the cornea and the lens inside the eye for the purpose of correcting
near or farsightedness where LASIK is contraindicated.*
PRK
the acronym for photorefractive keratectomy which is a procedure involving
the removal of the surface layer of the cornea (epithelium) by gentle
scraping and use of a computer-controlled excimer laser to reshape the
stroma.
Presbyopia
the inability to maintain a clear image (focus) as objects are moved
closer. Presbyopia is due to reduced elasticity of the lens with increasing
age.
Pupil
a hole in the center of the iris that changes size in response to
changes in lighting. It gets larger in dim lighting conditions and gets
smaller in brighter lighting conditions.
Radial
Keratotomy commonly referred to as RK; a surgical procedure designed
to correct myopia (nearsightedness) by flattening the cornea using radial
cuts.
Refraction
a test to determine the refractive power of the eye; also, the bending
of light as it passes from one medium into another.
Refractive
Lensectomy (RLE) also referred to as Clear Lensectomy (CLE). The
removal of the natural lens of the eye even though it does not have
a cataract to replace it with an artificial lens implant of the proper
power to correct nearsightedness or farsightedness in patients not suitable
for LASIK or PRK. *
Refractive
Errors imperfections in the focusing power of the eye, for example,
hyperopia, myopia, and astigmatism.
Refractive
Power the ability of an object, such as the eye, to bend light as
light passes through it.
Retina
a layer of fine sensory tissue that lines the inside wall of the eye.
The retina acts like the film in a camera to capture images, transforms
the images into electrical signals, and sends the signals to the brain.
Sclera
the tough, white, outer layer (coat) of the eyeball that, along with
the cornea, protects the eyeball.
Snellen
Visual Acuity Chart one of many charts used to measure vision.
STAAR
Visian ICL a type of Phakic Lens manufactured by STAAR Surgical.
The STAAR Visian ICL (Implantable Collamer Lens) may be used for correction
of Nearsightedness (Myopia). It is placed behind the pupil just in front
of the eyes natural crystalline lens.*
Stigmata
a physical mark or peculiarity which may aid in the identification or
diagnosis of a condition*
Stroma
the middle, thickest layer of tissue in the cornea.
Toric
Implants a type of Intraocular Lens (IOL) used to correct astigmatism.*
Undercorrection
a complication of refractive surgery where the achieved amount of correction
is less than desired.
Verisyse(tm)
Implant Advanced Medical Optics (AMO) makes the VerisisyseTM Phakic
Implant for correction of high myopia (nearsightedness). This lens clips
to the iris like a “lobster claw".
Visual
Acuity the clearness of vision; the ability to distinguish details
and shapes.
Vitreous
Humor
the transparent, colorless mass of gel that lies behind the lens and
in front of the retina and fills the center of the eyeball.
Wavefront
a measure of the total refractive errors of the eye, including nearsightedness,
farsightedness, astigmatism, and other refractive errors that cannot
be corrected with glasses or contacts.
Wavefront
Guided LASIK or PRK is LASIK or PRK refractive surgeries based on
aberrometry measurements and is designed to treat the refractive error
of the eye while minimizing the induction of higher order aberrations.
All eyes have aberrations. Lower order aberrations represent the prescription
for glasses to correct vision. If a patient has natural 20/20 vision
or better the eye will have essentially no lower order aberrations but
will still have higher order aberrations.*
The
definitions provided in the glossary are provided courtesy of the Federal
Drug Administration (“FDA”), except for those marked with
an asterisk (*), which have been modified or added to the Glossary by
Trusted LASIK Surgeons.
To
visit the FDA website, please go to www.fda.com.