The process of “vision” starts when light rays enter the eye and ends with visually-guided behavior. This process goes through three main stages:
- The optical stage focuses an image on the retina.
- In the receptor stage , photoreceptor cells convert the light energy striking your retina into nerve impulses which are then be processed by your nervous system.
- Neural processing, the final stage, processes the nerve impulses, leading to our consciously perceiving,to recognizing object and to guiding in real time the actions that we direct at objects in the visual world.
Each of these stages presents unique problems for vision.
Because the different stages of visual processing have very different properties and can present with very different kinds of problems, it is important to keep this in mind when testing and analyzing visual performance. Understanding where in the visual process problems are arising allows you to identify appropriate solutions.
NOTE: The stages of visual processing are explained in detail the MeyeSight module Our visual system
This module focuses on the problems associated with the three stages of visual processing, as well as pointing you to potential solutions
The optical stage of vision is associated with the optical apparatus of the eye–the front of the eye. This first part of the visual pathway should result in a clear image of the environment on the retina.
As one gets older, the lens loses its elasticity and remains too flat even when the ciliary muscles are completely contracted. When this happens, images of near objects, such as a book you are reading, are blurred.
Potential problems in the optical stage and their solutions: refraction and opacities
When light rays do not converge on the retina precisely, several types of vision defects may occur. The ability of the eye to focus properly depends on a few aspects of the eye:
- The cornea’s curvature If the front surface of the eye, the cornea, is not adequately spherical, if its the curve is irregular, light rays entering the eye will not focus correctly on the retina, resulting in a blurred image. This is referred to as astigmatism.
- The length of the eye If the eye’s shape or length prevents the focused light from landing on the retina, vision will be distorted.If the eye is too long front to back, light that is focused in front of the retina. This is myopia or nearsightedness –you can see better up close than far away.
Solution Myopia can be corrected with concave lense
- If the eyeball is too short, the light that is focused in the eye lands behind of the retina and one is farsighted. This is called hyperopia (farsightedness).
Solution Hyperopia can be corrected with concave lenses, which increase the light rays’ convergence, pulling the focus back onto the retina.
- Nearsightedness and farsightedness can also result from distortion of the curvature of the lens inside the eye. A too-flat lens will result in farsightedness, a too-curved lens in nearsightedness.
- As well, the lens loses its natural elasticity with age losing its ability to change shape, making it more difficult to focus on close objects, as we do when reading or sewing or typing on a keyboard. In fact, by the age of 30 you have lost around half of your accomodative power. This hardening of the lens is called presbyopia.
Solution Presbyopia can be compensated for with reading glasses.
Vision can be diminished by corneal opacities that can lead to scarring or clouding of the cornea. Corneal opacities can cause minor irritation to severe vision problems. Corneal opacities can also result from bactrial infections from severe Conjunctivitis and contact lens-related infection.
A cataract is a clouding of the eye’s lens that occurs when some of the protein that keeps the lens clear and lets light pass through it clumps together and starts to cloud a small area of the lens. Although cataracts are related to aging – more than half of all Americans 80 and over either have or have had a cataract – they can also result from smoking and diabetes.
|Solution||In the developed world cataracts are routinely replaced surgically with a clear artificial lens, but in the less developed parts of the world cataracts remain the number one cause of blindness|
Potential problems in the optical stage and their solutions: drainage
The aqueous fluid inside the eye plays another important role, one critical to glaucoma: the fluid provides the necessary pressure inside the eye, known as intraocular pressure (IOP), to maintain the shape of the eye. If too much fluid is produced or the drainage system does not adequately remove the used fluid, pressure builds up in the eye and the eye expands, much like a balloon. When the eye expands with the increasing pressure, it gives way at its most vulnerable point, which is where the optic nerve exits the eye. The optic nerve is thin and vulnerable where it leaves the retina, and so the result of the increased intraocular pressure can be damage and then death to the axons of the nerve cells.
|Solution||The primary treatments for glaucoma aim at lowering the intraocular pressure to a level that will decrease the likelihood of further optic nerve damage. Medications (as eye drops) aim to lower the intraocular pressure by reducing aqueous fluid production and/or increasing aqueous fluid outflow. Laser therapy (trabeculoplasty )is another approach to lowering intraocular pressure. If neither of these approaches is successful, surgical intervention may be required.|