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      "author": "rojia3254",
      "body": "![New Doc 2017-11-05_1.jpg](https://steemitimages.com/DQmNVfmYRuTSnp9Sn2C525qSNYYVAM2iY2ZdpCBWKcx2Vsp/New%20Doc%202017-11-05_1.jpg)\n   THEfunctional examination of the eye consists of testing the acuity of the forms of visual perception which have already been mentioned- the light sense, the colour sense, and the form sense. They are usually tested in the reverse order. Each eye must be tested separly throughout.\n     The Acuity of vision . The acuity of distant central vision is now almost invariably tested by means of senllen's Test Types . These are constructed upon the standard that the average minimum visual angle is 1 minute.\n       The types consist of a series of letters arranged in line each diminishing in size. The breadth of the line of which the letters are composed is such that the edges will subtend an angle of 1 minute at the nodal point of the eye at a particular distance. Each letter is of such a shape that it can be placed in a square the sides of which are five times the breadth of the constituent line. Hence the whole letter will subtend an angle of 5 minutes at the nodal point of the eye at the given distance. \n    To fulfil these conditions a letter used as a test a long distance from the eye must be larger and the constituent lines must be broader than in the case of a letter to be used nearer the eye. In snellen's types the largest letter will subtend 5 minutes at the nodal point if it is 60 metres from the eye. Those in the subsequent lies will subtend 5 minutes if they are 36,24,18,12,9 and 6 metres from the eye. Sometimes smaller letters corresponding to 5 and 4 metres are used. A person with average acuity of vision ought therefore to be able to read the top letter at 60 metres, the second line at 36, the third at 24, and so on.\n    For convenience the patient is kept at a fixed distance from the types. This distance should never be less than 5 and preferably 6 metres. At such a distance the divergence of the rays in the small bundle which enters the pupil is so slight that the rays can be considered parallel and accommodation is thus eliminated.\n  A normal patient 6 metres from the types ought to be able to read every letter from the top to the end of the 6 metre line; many people can read more in a good light . If the patient can only read the 18 metre line , his distant vision is obviously defective. The numerical convention which is used to record this is a fraction in which the numerator is the distance at which he is from the types,and the denominator is the distance at which a person with normal vision ought to be able to read the last line which he succeeds in reading .The patient under consideration will therefore have his distant vision recorded thus: V=6/18. The normal patient's vision will be V=6/6.\n![New Doc 2017-11-05_2.jpg](https://steemitimages.com/DQmdw6RPUEe5bJvCVzumThzBf2k9M9zYLexTiQWWDiMVL2S/New%20Doc%202017-11-05_2.jpg)\n                             The amount of illumination on the test card has a considerable influence on normal visual acuity. It has been found that the acuity rises rapidly as the illumination is increased from zero up to 5-10 foot candles; and more slowly up to 1,000 or more ft. cs. The illumination of the test card should never be allowed to fall below 20 ft. cs. , and to allow for the deterioration of lamps with use it would be advantageous if a standard of 100 ft. cs. were used.\n         It the patient cannot read the largest letter he is told to walk slowly towards the types. at a certain ddistance he may be able to see the top letter. He should then be moved back a little, since he may not have understood exactly where to look. In this manner the farthest point at which he can distinguish the top letter is the farthest point at which he can distinguish the top letter is determined. If this is 3 metres, the vision is recorded thus V=3/60. If he is unable to see the top letter when close to it, he is asked to count the extended fingers of the surgeon's hand , held up at about 1 metre against a dark background; this is recorded thus-V=fingers at 1 metre. If he cannot count fingers the surgeon's hand is moved in front of the eye ; if he can distinguish the movements the vision is recorded as V=hand movements. If he is unable to see these he is taken into the dark room and a light is concentrated on his cye and he is asked to say when the light is on the eye and when it is off. If he succeeds in doing this , V=p.l (perception of light) and he may be able to give some indication of the direction from which the light is coming (projection of light, good or bad). If he fails to see the light the vision is recorded as V= no p.l.\n           The measurement gives the visual acuity of the eye unaided by lenses. It is necessary in all cases, however , to determine the function of the macula in the best optical conditions , and for this purpose the refraction of the eye, including the manifest hypermetropia must be determined , and the visual acuity taken again in the same way with the correcting glasses in place . If, for example, there are are two dioptres of hypermetropia, corrected visual acuity is then written : V=6/12+2D=6/6",
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      "body": "Source:  https://archive.org/stream/in.ernet.dli.2015.145273/2015.145273.Diseasrs-Of-The-Eye-Edition-Fifteenth_djvu.txt\n\nNot indicating that the content you copy/paste is not your original work could be seen as [plagiarism. ](http://www.plagiarism.org/plagiarism-101/what-is-plagiarism/)\n\nSome tips to share content and add value:\n- Use a few sentences from your source in “quotes.” Use HTML tags or Markdown. \n- Linking to your source\n- Include your own original thoughts and ideas on what you have shared.\n\nRepeated plagiarized posts are considered spam. Spam is discouraged by the community, and may result in action from the [cheetah bot](https://steemit.com/steemitabuse/@cheetah/cheetah-bot-explained).\n\nCreative Commons: If you are posting content under a Creative Commons license, please attribute and link according to the specific license. If you are posting content under CC0 or Public Domain please consider noting that at the end of your post. \n\nIf you are actually the original author, please do reply to let us know!\n\nThank You!\n\nMore Info: <a href=\"https://steemit.com/steemcleaners/@steemcleaners/abuse-guide-2017-update\">Abuse Guide - 2017</a>.",
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      "body": "Retinoblastoms   used to be commonly known as \"glioma\" retinae; malignant prolferations of neuroglia such as occur in the brain and optic nerve, are very rare in the eetina. The usual malignant growth of the retina is due to proliferation of neural cells which have failed to evolve normally, and is better termed retinoblastoma.\n    The tumour isconfiued to infants and is probably always congenital, although it may remain quiescent or pass unnoticed until the fifty or sixth year or even later. The disease is rare; the second via the chiasma, in about one fourth of the cases, but frequently the growth cannot be recognized even on careful  examination until after months or even years. Several children of the same family are sometimes affected.\n       The child is brought to the surgeon on account of a peculiar yellow reflex from the pupil, sometimes called \"amaurotic cat's eye\". If left untreated retinoblastoma runs through the same stages as sarcoma of the choroid--(1) the quiescent stage, lasting from six months to a year ; (2)the glaucomatous stage; (3)the stage of extra-ocular extension ; (4)the stage of metastasis. The second stage results in enlargement of the globe, with apparent or real proptosis. Pain is severe during this stage, but is relived when the tumour bursts through the selera, an event which usually occurs at the limbus and is followed by rapid fungation. Metastasis first occurs in the pre-auricular and neighbouring lymph nodes,later in the cranial and other bones. Direct extension by continuity to the optic nerve (which is early affected) and brain is more common , and metastases in other organs, usually the liver, are relatively rare.\n       The growth consists chiefly of small round cells with large nuclei resembling the cells of the nuclear layers of the retina; many of these stain badly , showing that they are undergoing necrosis . Among them may be found rosette-like formation of cells resembling the rods and cones. \n![New Doc 2017-10-31 (1)_3.jpg](https://steemitimages.com/DQmWG8tVLWC8c542EqykRiVpDnCRaTDcfQmwPQPu6UxkK6w/New%20Doc%202017-10-31%20(1)_3.jpg)\n        Retinoblastoma is invariably multiple. When noticed very early, as may occur in the second eye , a larger mass is seen surrounded by numerous punctate satellites. Microscopically, minute deposits are seen scattered in various situations throughout the globe. It may grow principally outwards, separating the retina from the choroid or inwards the vitreous between the two ther is no fundamental distinction, but the ophthalmoscopic appearances differ. In the former the condition resembles a mere detachment of retina; in the latter polypoid masses, sometimes with haemorrhages on the surface, may be seen spreading into the vitreous. \n   Several conditions  occurring in children may give rise to similar similar gigns conditions occurring in children may give rise to similar signs, and cause great difficults in children may give rise to similar andcause great difficulty in diagnoais.These have been grouped together under the The chief are (1) infiammatory deposits in the vitreous , with or without detachment of the retina following a plastic cyclitis or choroiditis ;(2) tuberculosis of the choroid, especially the confiuent type ; (3) toxocara infestation ; (4)congenital defects, due to persistence  (5) retrolental fibroplasia. in all cases atropin should be instilled and both eyes should be thoroughly examined ophthalmoscopically, under general anaesthesia if necessary. The tension may then be satisfactorily tested and may afford useful information which cannot be obtained without an anaesthetic. Raised tension is in favour of retinoblastoma, lowered, of pseudo-glioma. Even when every precaution is taken in some cases it is impossible to be certain of the diagnosis ; considering that the life of the patient is at stake and that the eye is in any case useless as an organ of sight, these should be treated as malignant. \n\n![9016400668_8fa1a5087b_n.jpg](https://steemitimages.com/DQmXLZVttE1z9mHQYo7RtMvs33UCrkDsg5jhMTMQBXXSrqT/9016400668_8fa1a5087b_n.jpg)",
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      "body": "![New Doc 2017-10-31 (1)_1.jpg](https://steemitimages.com/DQmQGyVSUf4NMXMLnUfigF5EeChGfDJCsMii4Q22kySrUzd/New%20Doc%202017-10-31%20(1)_1.jpg)\nRetinoblastoms   used to be commonly known as \"glioma\" retinae; malignant prolferations of neuroglia such as occur in the brain and optic nerve, are very rare in the eetina. The usual malignant growth of the retina is due to proliferation of neural cells which have failed to evolve normally, and is better termed retinoblastoma.\n    The tumour isconfiued to infants and is probably always congenital, although it may remain quiescent or pass unnoticed until the fifty or sixth year or even later. The disease is rare; the second via the chiasma, in about one fourth of the cases, but frequently the growth cannot be recognized even on careful  examination until after months or even years. Several children of the same family are sometimes affected.\n       The child is brought to the surgeon on account of a peculiar yellow reflex from the pupil, sometimes called \"amaurotic cat's eye\". If left untreated retinoblastoma runs through the same stages as sarcoma of the choroid--(1) the quiescent stage, lasting from six months to a year ; (2)the glaucomatous stage; (3)the stage of extra-ocular extension ; (4)the stage of metastasis. The second stage results in enlargement of the globe, with apparent or real proptosis. Pain is severe during this stage, but is relived when the tumour bursts through the selera, an event which usually occurs at the limbus and is followed by rapid fungation. Metastasis first occurs in the pre-auricular and neighbouring lymph nodes,later in the cranial and other bones. Direct extension by continuity to the optic nerve (which is early affected) and brain is more common , and metastases in other organs, usually the liver, are relatively rare.\n       The growth consists chiefly of small round cells with large nuclei resembling the cells of the nuclear layers of the retina; many of these stain badly , showing that they are undergoing necrosis . Among them may be found rosette-like formation of cells resembling the rods and cones. \n![New Doc 2017-10-31 (1)_3.jpg](https://steemitimages.com/DQmWG8tVLWC8c542EqykRiVpDnCRaTDcfQmwPQPu6UxkK6w/New%20Doc%202017-10-31%20(1)_3.jpg)\n        Retinoblastoma is invariably multiple. When noticed very early, as may occur in the second eye , a larger mass is seen surrounded by numerous punctate satellites. Microscopically, minute deposits are seen scattered in various situations throughout the globe. It may grow principally outwards, separating the retina from the choroid or inwards the vitreous between the two ther is no fundamental distinction, but the ophthalmoscopic appearances differ. In the former the condition resembles a mere detachment of retina; in the latter polypoid masses, sometimes with haemorrhages on the surface, may be seen spreading into the vitreous. \n   Several conditions  occurring in children may give rise to similar similar gigns conditions occurring in children may give rise to similar signs, and cause great difficults in children may give rise to similar andcause great difficulty in diagnoais.These have been grouped together under the The chief are (1) infiammatory deposits in the vitreous , with or without detachment of the retina following a plastic cyclitis or choroiditis ;(2) tuberculosis of the choroid, especially the confiuent type ; (3) toxocara infestation ; (4)congenital defects, due to persistence  (5) retrolental fibroplasia. in all cases atropin should be instilled and both eyes should be thoroughly examined ophthalmoscopically, under general anaesthesia if necessary. The tension may then be satisfactorily tested and may afford useful information which cannot be obtained without an anaesthetic. Raised tension is in favour of retinoblastoma, lowered, of pseudo-glioma. Even when every precaution is taken in some cases it is impossible to be certain of the diagnosis ; considering that the life of the patient is at stake and that the eye is in any case useless as an organ of sight, these should be treated as malignant. \n\n![9016400668_8fa1a5087b_n.jpg](https://steemitimages.com/DQmXLZVttE1z9mHQYo7RtMvs33UCrkDsg5jhMTMQBXXSrqT/9016400668_8fa1a5087b_n.jpg)",
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      "body": "![New Doc 2017-10-31 (1)_1.jpg](https://steemitimages.com/DQmQGyVSUf4NMXMLnUfigF5EeChGfDJCsMii4Q22kySrUzd/New%20Doc%202017-10-31%20(1)_1.jpg)\nRetinoblastoms   used to be commonly known as \"glioma\" retinae; malignant prolferations of neuroglia such as occur in the brain and optic nerve, are very rare in the eetina. The usual malignant growth of the retina is due to proliferation of neural cells which have failed to evolve normally, and is better termed retinoblastoma.\n    The tumour isconfiued to infants and is probably always congenital, although it may remain quiescent or pass unnoticed until the fifty or sixth year or even later. The disease is rare; the second via the chiasma, in about one fourth of the cases, but frequently the growth cannot be recognized even on careful  examination until after months or even years. Several children of the same family are sometimes affected.\n       The child is brought to the surgeon on account of a peculiar yellow reflex from the pupil, sometimes called \"amaurotic cat's eye\". If left untreated retinoblastoma runs through the same stages as sarcoma of the choroid--(1) the quiescent stage, lasting from six months to a year ; (2)the glaucomatous stage; (3)the stage of extra-ocular extension ; (4)the stage of metastasis. The second stage results in enlargement of the globe, with apparent or real proptosis. Pain is severe during this stage, but is relived when the tumour bursts through the selera, an event which usually occurs at the limbus and is followed by rapid fungation. Metastasis first occurs in the pre-auricular and neighbouring lymph nodes,later in the cranial and other bones. Direct extension by continuity to the optic nerve (which is early affected) and brain is more common , and metastases in other organs, usually the liver, are relatively rare.\n       The growth consists chiefly of small round cells with large nuclei resembling the cells of the nuclear layers of the retina; many of these stain badly , showing that they are undergoing necrosis . Among them may be found rosette-like formation of cells resembling the rods and cones. \n![New Doc 2017-10-31 (1)_3.jpg](https://steemitimages.com/DQmWG8tVLWC8c542EqykRiVpDnCRaTDcfQmwPQPu6UxkK6w/New%20Doc%202017-10-31%20(1)_3.jpg)\n        Retinoblastoma is invariably multiple. When noticed very early, as may occur in the second eye , a larger mass is seen surrounded by numerous punctate satellites. Microscopically, minute deposits are seen scattered in various situations throughout the globe. It may grow principally outwards, separating the retina from the choroid or inwards the vitreous between the two ther is no fundamental distinction, but the ophthalmoscopic appearances differ. In the former the condition resembles a mere detachment of retina; in the latter polypoid masses, sometimes with haemorrhages on the surface, may be seen spreading into the vitreous. \n   Several conditions  occurring in children may give rise to similar similar gigns conditions occurring in children may give rise to similar signs, and cause great difficults in children may give rise to similar andcause great difficulty in diagnoais.These have been grouped together under the The chief are (1) infiammatory deposits in the vitreous , with or without detachment of the retina following a plastic cyclitis or choroiditis ;(2) tuberculosis of the choroid, especially the confiuent type ; (3) toxocara infestation ; (4)congenital defects, due to persistence  (5) retrolental fibroplasia. in all cases atropin should be instilled and both eyes should be thoroughly examined ophthalmoscopically, under general anaesthesia if necessary. The tension may then be satisfactorily tested and may afford useful information which cannot be obtained without an anaesthetic. Raised tension is in favour of retinoblastoma, lowered, of pseudo-glioma. Even when every precaution is taken in some cases it is impossible to be certain of the diagnosis ; considering that the life of the patient is at stake and that the eye is in any case useless as an organ of sight, these should be treated as malignant.",
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      "body": "Punctuality means to be in time. Time is precious. Once it is lost, it is lost ever. So we must do all our works in time. We should be neither behind time nor ahead of time. A man who has devotion to work can never be unpunctual .He knows the value of time and always keeps time. He never puts off any work for tomorrow. Troubles may crop up tomorrow and the work may not be done at all. If we are not punctual we shall be in haste.Our works will not be done well. Punctuality is a key to success.To be punctual is to avoid troubles. A student who doesn't prepare his lessons in time, feels uneasy before the examination. If the driver of a train is late, thousands of people will suffer. A particular person's delay causes trouble to many. A man loses respect if he doesn't respect time .So one must practise punctuality from the early childhood. Clay, when soft, can be shaped into any form.                                                                                                                                          ![14593748048_72246dd1a4_n.jpg]\n  \n  \n  \n  \n  \n  \n  \n  \n  \n (https://steemitimages.com/DQmTf9Pmu6PoDMMXdvJ1EMMW7g6S7xyL5sKWiWtvcTjYvFq/14593748048_72246dd1a4_n.jpg)\n                                                \n                ![thumb-126860_vehicles_motorcycle.jpg]\n                                          \n                                          \n                               (https://steemitimages.com/DQmbHSKHYtH2d81rpwSGMy16dHyaPynEi3kQbRREWadNsw8/thumb-126860_vehicles_motorcycle.jpg)",
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