CHAPTER XLV.

PHYSIOLOGY OF THE ORGANS OF VISION.

917. To comprehend the theory of vision, it is not sufficient to know

the structure of the eye. We must be familiar with some of the

properties of a subtile fluid, which is constantly emanating from all

luminous bodies, called _light_.

918. It is the province of natural philosophy, rather than physiology,

to enter minutely upon the properties of light. It may be observed,

however, that, when light passes through any medium of the same

density, the rays are in straight lines; but, when it passes from one

medium into another of different density, it is refracted, or

turned from a straight course, unless it strikes the medium in a

perpendicular direction--then light passes through without a change

of direction.

919. When a ray of light meets with a body, it either passes through

it, or is reflected by it, or it may be absorbed. Again, in proportion

as the rays of light become distant from the body from which they

emanate, they diverge one from the other. In accordance with the laws

of optics, the rays of light, in passing through an optical instrument

like the eye, must cross each other, and thus produce an inverted

image of the object from which the rays proceed. With the general

view of the structure of the eye, we will now examine the use of each

part in the function of vision.

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917-933. _Give the physiology of the organs of vision._ 917. What is

necessary in order to understand the theory of vision? 918. When light

passes through a medium of the same density, in what direction will be

its rays? Of a different density? What exception? 919. When light

meets with a body, what takes place? What is said in reference to rays

of light in passing through the eye?

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920. The sclerotic coat not only gives form to the body of the eye,

but protection to the interior and more delicate parts. The choroid

coat seems to be chiefly composed of a tissue of nerves and minute

blood-vessels; the latter give nourishment to the different parts of

the eye. One of the uses of this coat is, to absorb the rays of light

immediately after they have passed through the retina. This is

effected by the black pigment that lines its inner surface. Were it

not for this provision, light would be too intense, and vision

indistinct.

_Observation._ In albinos, where there is an absence of the black

pigment, the rays of light traverse the iris, and even the choroid

coat, and so overwhelm the eye with light, that their vision is quite

imperfect, except in the dimness of evening, or at night. In the

manufacture of optical instruments, care is taken to color their

interior black, for the same object, namely, the absorption of

scattered rays.

921. The iris, by means of its powers of expansion and contraction,

regulates the quantity of light admitted through the pupil. If the

iris is thin, and the rays of light pass through its substance, they

are immediately absorbed by the uvea, and, if that layer be

insufficient, they are taken up by the black pigment of the choroid

coat.

_Observation._ When we look toward the bottom of the eye, the pupil

appears like a black spot, instead of an opening. This is caused by

seeing the black pigment through the retina and humors of the eye.

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920. What is the use of the sclerotic coat? Of what is the choroid

coat chiefly composed? What is the use of this coat? How is it

effected? What is said of albinos? What care is taken in the

manufacture of optical instruments? 921. What is the use of the iris?

When we look toward the bottom of the eye, why does the pupil look

like a black spot, instead of an opening?

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922. The cornea, and the aqueous, crystalline, and vitreous humors,

are transparent; so that rays of light traverse these parts of the

eye, and fall upon the retina. The office of these humors and the

cornea is to refract the rays of light in such proportion as to direct

the image in the most favorable manner upon the retina.

923. The office of the retina is to receive the impression of the rays

of light which leave an object at which we look, and it is upon it

that a small but very clear image of that object is formed. The

impression thus produced by the reflected light is transmitted by the

optic nerve to the brain, which receives the sensation. This

constitutes vision.

924. The optic nerve has but one function, that of sight. Sensibility

is conferred on this organ by a large branch from the fifth pair of

nerves, which ramifies upon the different parts of the eye and its

appendages. These parts, however, receive some nervous filaments from

the seventh pair.

_Observations._ 1st. The large number of sensitive nervous filaments

renders the visual organ very impressible to bodies that cause

irritation, as dust, or intense light. This compels us to use due care

to shield the eye from the influence of agents that would impair or

destroy vision.

2d. Although particles of dust, when in contact with the delicate

parts of the eye, induce severe pain, yet these parts may be cut in

surgical operations, and the patient's sufferings are not as great as

when an incision is made in the skin to remove a small tumor.

925. Different degrees of density, as already mentioned, modify the

refractory power of any transparent medium. It is found, on

examination, that the cornea, the vitreous, the crystalline, and the

aqueous humors, have each, severally, various degrees of density: and

that the crystalline lens, at its circumference, is less dense than at

its centre. These circumstances modify the direction of the refraction

of the rays of light, in their passage from the cornea to the retina.

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922. What is the use of the cornea, aqueous, crystalline, and

vitreous humors? 923. What is the office of the retina? 924. What is

the function of the optic nerve? How is sensibility conferred on

this organ? Give the 1st observation in this connection. The 2d

observation.

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926. The refracting powers of the plane, convex, concave, plano-convex,

plano-concave, and concavo-convex lenses,[22] are different. The

cornea and aqueous humors are convexo-concave, the vitreous humor is

concavo-convex, while the crystalline humor is a convexo-convex medium.

(Fig. 139.)

[22] The refracting character of differently-formed lenses is

illustrated in the works on Natural Philosophy, to which the

pupil is referred.

[Illustration: Fig. 142. The forms of the different lenses. 1, A plane

lens. 2, A globe lens. 3, A convexo-convex lens. 4, A plano-convex lens.

5, A concavo-concave lens. 6, A plano-concave lens. 7, Meniscus. 8, A

concavo-convex lens.]

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925. Have the cornea and the humors of the eye different degrees of

density? What is said of the crystalline lens? What effect has the

different density of the parts of the eye upon the light admitted to

this organ? 926. What kind of lenses do the humors exhibit? 927. What

modifies the refracting powers of transparent mediums? How does this

principle apply to the humors of the eye?

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927. The different degrees of convexity or concavity also modify the

refracting character of transparent mediums. The crystalline lens is

of different degrees of convexity on its two sides. The convex

surfaces of the aqueous and vitreous humors are segments of circles,

of different diameters from their concave surfaces. (Fig. 139.) All

these circumstances still further influence the refracting character

of the visual organ. The achromatic arrangement of the transparent

refracting mediums of the eye, remedies the aberration of refraction

in the different portions of the eye.

928. Again, the refracting power of lenses is modified by their

convexity or concavity. The more convex a lens is, the shorter the

distance from the refracting medium, where the different refracted

rays converge to a focus. To adapt the eye to view objects at

different distances, requires a change in the refracting power of some

of the transparent mediums of the eye.

929. Both surfaces of the crystalline lens are oval, not spherical,

and the refraction of the rays of light is mainly effected in this

portion of the eye. Change the inclination of this lens, so that

different portions of its anterior surface shall be directly behind

the pupil, and its refracting power is increased or diminished, as the

surface presented is more or less convex.

930. To view objects at a distance, a less convex lens is needed than

in examining articles very near the eye; and this organ, from its

structure, has the power of adaptation to different distances. It is

supposed that the muscular substance of the ciliary body and processes

changes, by its contraction, the inclination of the crystalline lens.

Without this, or some other adapting power, a picture of objects at

different distances would not be formed upon the retina, and the

vision of every person would be defective, except in reference to

objects at certain definite distances from the eye.

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928. What modifies the refracting power of lenses? What is necessary

to adapt the eye to view objects at different distances? 929. Where is

the refraction of the rays of light mainly effected? 930. When we view

objects at a distance, what kind of lens is required? Has the eye the

power of adapting itself to different distances? How is it effected?

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_Observation._ It is well known that a separate image is formed on

each eye, and, if they are not in the same direction, the objects will

appear double. This is proved by pressing one eye, so that the rays of

light cannot enter it in the same direction as they do in the other;

consequently, the vision is double.

931. By the action of the muscles of the eye, it is turned in

different directions, so that objects can be examined upon each side,

as well as in front, without turning the body. By the slight or

intense action of the straight muscles, the eye is more or less

compressed, and the form of the globe is changed, together with the

relative positions of the different humors. This modification also

adapts the eye to view objects at different distances.

[Illustration: Fig. 143. 1, A pen, an inverted image of which is painted

on the retina of the eye, at 2. The image of all objects upon the

expansion of the optic nerve, is inverted by the crossing of the rays of

light from objects as they traverse the pupil.]

_Observation._ If the eye is fixed for a time on some object which is

distinguished with difficulty, there is a painful sensation, similar

to that experienced by other muscles of the body when used too long.

This is called "straining the eye."

932. When the refraction of the rays of light is too great, as in

over-convexity of the cornea, or the crystalline lens, or the

vitreous humor, or all of them, the image is formed a little in

front of the retina. Persons thus affected cannot see distinctly,

except at a very short distance. This infirmity is called _near_, or

_short-sightedness_. This defect is in a great measure obviated by

the use of concave glasses, which scatter the luminous rays, and thus

counterbalance the too strong refracting force of the eye.

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What does fig. 143 represent? 931. Why can we see objects at the side

as well as in front of the eye, without turning the body? What is the

effect when the eye is fixed on an object that is indistinctly seen?

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933. When the different parts of the eye are not sufficiently convex,

the image is formed beyond the retina, and thus only distant objects

are distinctly seen. This defect is called _long-sightedness_. The

feebleness in the refracting power of the eye may be caused by

disease; but usually it is a consequence of old age, and is remedied

by wearing spectacles with convex glasses.

HYGIENE OF THE ORGANS OF VISION.

934. _The eye, like other organs of the body, should be used, and then

rested._ If we look intently at an object for a long time, the eye

becomes wearied, and the power of vision diminished. The observance of

this rule is particularly needful to those whose eyes are weak, and

predisposed to inflammation. On the contrary, if the eye is not called

into action, its functions are enfeebled.

935. _Sudden transitions of light should be avoided._ The iris

enlarges or contracts, as the light that falls upon the eye is faint

or strong; but the change is not instantaneous. Hence the imperfect

vision in passing from a strong to a dim light, and the overwhelming

sensation experienced on emerging from a dimly-lighted apartment to

one brilliantly illuminated. A common cause of _am-aur-o'sis_, or

paralysis of the retina, is, using the eye for a long time in a very

intense light.

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932. What is short-sightedness? How is the defect remedied? 933. What

is long-sightedness? How is the defect remedied? 934-942. _Give the

hygiene of the organs of vision._ 934. Do the same principles apply to

the use of the eye as to other organs? What is the effect if the eye

is fixed intently on an object for a long time? What results if the

eye is not called into action? 935. Why should sudden transitions of

light be avoided?

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_Note._ Let the anatomy and physiology of the eye be reviewed from

figs. 139 and 143, or from anatomical outline plate No. 10.

936. _Long-continued oblique positions of the eye should be avoided,

when viewing objects._ If the eye is turned obliquely for a long time

in viewing objects, it may produce an unnatural contraction of the

muscle called into action. This contraction of the muscle is termed

_stra-bis'mus_, or cross-eye. The practice of imitating the appearance

of a person thus affected, is injudicious, as the imitation, designed

to be temporary, may become permanent.

_Observation._ The vision of a "cross-eye" is always defective. In

general, only one eye is called into action, in viewing the object to

which the mind is directed. This defect can be remedied by a surgical

operation, which also corrects the position of the eye.

937. _Children should be trained to use the eye upon objects at

different distances._ This is necessary, in order that the vision may

be correct when objects at various distances are viewed. Any action

unnatural to the muscles, if frequently repeated, may and will modify

the character and action of the parts so operated upon. If a limb, as

the arm, be kept flexed for a long time, one set of muscles will be

relaxed and elongated, and another will be shortened, and its

contractile power will be increased. The same principle is true of the

eye.

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What causes palsy of the retina? 936. Why should we avoid oblique

positions of the eye in viewing objects? What is said of the practice

of imitating persons thus affected? What is said in reference to the

vision of a "cross-eye"? 937. Why should children be trained to use

the eye upon objects at different distances? What is the effect if an

unnatural action of the muscles is frequently repeated? Does the same

principle apply to the eye?

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938. In viewing objects very near the eye, the ciliary processes are

called into action to produce a proper inclination of the crystalline

lens, so that the rays of light may be properly refracted to form a

perfect image on the retina. In looking at objects at a great

distance, the ciliary processes are called into a different action, to

produce a different inclination of the lens. Let either of these

actions be repeated, again and again, for weeks and months, and they

will become natural, and the acquired inclination will be permanent.

939. From the preceding principle, a person becomes short or long

sighted, as the objects to which the eye is usually directed are near

or remote. This is one reason why scholars, watchmakers, and

artisans, who bring minute objects near the eye to examine them,

are short-sighted, and why hunters and sailors, who are habituated

to view objects at a distance, are long-sighted.

_Observation._ In the management of children, whether in the nursery

or school-room, it is very important that their books, or articles

upon which they may labor, should be held at an appropriate distance

from the eye. Were this attended to by the parent or instructor, we

should not see so many persons with defective vision.

940. Cleanliness, as well as the health of the eye, require that it be

bathed every morning with pure water, either cold or tepid,

accompanied with as little rubbing or friction as possible. In all

instances, the secretion from the lachrymal glands, that sometimes

collects at the angle of the eye, should be removed, as it contains

saline matter.

941. When small particles, or dust, get upon the eye, they produce

much inconvenience, which is often increased by harsh attempts to

remove them. The individual should be placed before a strong

light, the lids held open with one hand, or by another person, and

the particles removed with the corner of a fine linen or silk

handkerchief.

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938. What is the effect of repeatedly using the eye in one direction?

939. Why are artisans and scholars generally short-sighted? Why are

sailors and hunters long-sighted? How can defective vision in a great

degree be prevented? 940. What reasons are there for bathing the eye?

941. How can dust and other small particles be removed from the eye?

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942. Sometimes the substance is concealed under the upper eyelid, and

it may then be exposed by turning back the lid in the following

manner: Take a knitting-needle, or small, slender piece of stick,

which is perfectly smooth, and place it over the upper lid, in contact

with, and just under the edge of the orbit; then, holding it firmly,

seize the eyelashes with the fingers of the disengaged hand, and

gently turn the lid back over the stick or needle. The inner side of

the lid can then be examined, and any substance removed that may have

been there concealed. Too many trials ought not to be made, if

unsuccessful, as much inflammation may be induced; but a surgeon

should be consulted as soon as possible.

_Observation._ Eyestones ought never to be placed in the eye, as they

often cause more pain and irritation than the evil which they are

intended to remedy.

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942. How removed from the upper eyelid? Why should not eyestones be

used?

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A Treatise on Anatomy, Physiology, and Hygiene (Revised Edition) · 第 29 / 34 章