Audio/Visual 09

Courtesy: Audio/Visual

Other functions

Balance

Along with proprioception and vestibular function, the visual system plays an important role in the ability of an individual to control balance and maintain an upright posture. When these three conditions are isolated and balance is tested, it has been found that vision is the most significant contributor to balance, playing a bigger role than either of the two other intrinsic mechanisms. The clarity with which an individual can see his environment, as well as the size of the visual field, the susceptibility of the individual to light and glare, and poor depth perception play important roles in providing a feedback loop to the brain on the body’s movement through the environment. Anything that affects any of these variables can have a negative effect on balance and maintaining posture. This effect has been seen in research involving elderly subjects when compared to young controls, in glaucoma patients compared to age matched controls, cataract patients pre and post surgery,and even something as simple as wearing safety goggles. Monocular vision (one eyed vision) has also been shown to negatively impact balance, which was seen in the previously referenced cataract and glaucoma studies, as well as in healthy children and adults. # ISO certification in India

According to Pollock et al. (2010) stroke is the main cause of specific visual impairment, most frequently visual field loss (homonymous hemianopia, a visual field defect). Nevertheless, evidence for the efficacy of cost-effective interventions aimed at these visual field defects is still inconsistent. # ISO certification in India

Clinical significance

Visual pathway lesions
From top to bottom:
1. Complete loss of vision, right eye
2. Bitemporal hemianopia
3. Homonymous hemianopsia
4. Quadrantanopia
5&6. Quadrantanopia with macular sparing

Proper function of the visual system is required for sensing, processing, and understanding the surrounding environment. Difficulty in sensing, processing and understanding light input has the potential to adversely impact an individual’s ability to communicate, learn and effectively complete routine tasks on a daily basis.

In children, early diagnosis and treatment of impaired visual system function is an important factor in ensuring that key social, academic and speech/language developmental milestones are met.

Cataract is clouding of the lens, which in turn affects vision. Although it may be accompanied by yellowing, clouding and yellowing can occur separately. This is typically a result of ageing, disease, or drug use.

Presbyopia is a visual condition that causes farsightedness. The eye’s lens becomes too inflexible to accommodate to normal reading distance, focus tending to remain fixed at long distance.

Glaucoma is a type of blindness that begins at the edge of the visual field and progresses inward. It may result in tunnel vision. This typically involves the outer layers of the optic nerve, sometimes as a result of buildup of fluid and excessive pressure in the eye.

Scotoma is a type of blindness that produces a small blind spot in the visual field typically caused by injury in the primary visual cortex.

Homonymous hemianopia is a type of blindness that destroys one entire side of the visual field typically caused by injury in the primary visual cortex.

Quadrantanopia is a type of blindness that destroys only a part of the visual field typically caused by partial injury in the primary visual cortex. This is very similar to homonymous hemianopia, but to a lesser degree.

Prosopagnosia, or face blindness, is a brain disorder that produces an inability to recognize faces. This disorder often arises after damage to the fusiform face area.

Visual agnosia, or visual-form agnosia, is a brain disorder that produces an inability to recognize objects. This disorder often arises after damage to the ventral stream.

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