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Special Senses In this exercise you will conduct a brief review of eye and ear anatomy. You will also work with a partner to perform multiple special senses tests. The lab consists of three special senses; 1) Vision 2) Hearing 3) Equilibrium Vision • The axons of the ganglion cells of the retina converge as the optic nerve. • There are no photoreceptors at the optic disc which is an area called the blind spot. • At the optic chiasm, some of the axons of the optic nerves cross over to the opposite side and extend as optic tracts. • The optic tract synapse with neurons in the thalamus and end in the visual cortex in the occipital lobe. Vision • Each eye receives light from both left and right hemifields. • The yellow represents the left hemifield and the blue represents the right hemifield. Experimental Procedures for Vision Blind Spot Test • This is a test for the presence of the blind spot or optic disc. • To test the right eye, close the left eye and stare at the plus sign with the right eye. You should be aware of the dot in the periphery of your vision. Vision • When light rays pass from one medium to another, their speed of transmission changes and the rays are bent, or refracted. • Therefore, the light rays are refracted when they encounter the cornea, lens, and vitreous humor of the eye. • The lens refractive index, or bending power, can be varied based on the lens shape. The greater the lens convexity, or bulge, the greater the light will refract. Vision Ciliary muscles Suspensory ligaments Vision • The lens becomes more convex when focusing light from a near object onto the retina. • This occurs when the ciliary muscle contract, decreasing the tension on the suspensory ligament attached to the lens and allowing the lens to “plump up”. Making these adjustments is referred to as, accommodation. Accommodation Eye Movement • The intrinsic muscles of the eyes include the ciliary muscles, and muscles of the iris. • The extrinsic muscles control eye movement and make it possible to keep moving objects focused on the fovea centralis. They are also responsible for convergence, or medial eye movement which is essential for near vision. Experimental Procedures for Vision Test For Near Point Accommodations • The closest distance at which one can see an object in sharp focus is called the near point. Move the page up to your eye until the first letter “T” becomes blurred; measure the distance from your eye to the page. Eye Reflexes Test • Focusing for close vision requires that the eye make three adjustments. Look at a distant object, such as a wall across the room. Have your partner note the size of your pupils and the position of your eyeballs. Do the same with an object up close. Vision • Visual acuity is the sharpness of vision. • Astigmatism is a condition resulting is unequal curvature of either the cornea or lens. This condition prevents light rays from being focused with equal sharpness on the retina. Experimental Procedures for Vision Visual Acuity Test • Stand 20 feet away from the Snellen eye chart, cover one eye and attempt to read the line with the smallest letters that you can see. Test for Astigmatism • Using the Astigmatism chart, cover one eye and focus on the circle in the center. If all the radiating lines appear equally dark and distinct, there’s no astigmatism. Color Vision • Color vision depends on impulses formed by three types of cones (receptors for red, green, and blue) in the retina. • Color blindness is more common in men than in women because the genes for the red and green color receptors are located on the X chromosome, of which males have only one and females have two. • The most common type of color blindness is redgreen color blindness. A complete color blind person would see everything as shades of gray. Experimental Procedures for Vision Color Blindness Test • Have your lab partner hold up the color blindness test plates about 30 inches from your eyes. • Look at the color blindness test plate (Ishihara plates) for 3 seconds and state which number you see on the plate. Hearing • Hearing begins as sound waves pass through the external auditory canal to the tympanic membrane through the middle ear into the inner ear, where the vibrations reach the spiral organ of Corti. Hearing • Once the mechanoreceptors are stimulated they depolarize and begin the chain of neural impulses by way of the cochlear nerve to the auditory centers of the temporal lobe cortex. Hearing • Tone or pitch is determined by the frequency of the waves. Different frequencies stimulate receptors in different areas of the cochlea and brain. • Loudness is determined by the frequency of the nerve impulses that reach the brain which depends on the amplitude of the vibrations that produce these impulses. Hearing • Conduction deafness is a result from blockage of sound waves from reaching the inner ear. This can be corrected by surgery or hearing aids and is detected with a Rinne test. • Nerve deafness is caused by damage to the sounds receptors or neurons that send the impulses to the brain. This usually is a result of loud noise and is not correctable. • A Weber test detects if there is a difference between the left and right ear simultaneously. Experimental Procedures for Hearing Rinne Test • Produce vibrations in a tuning fork by holding it by the handle and striking it against the palm of your hand. Do not strike it against a hard object! • Place the handle of the tuning fork against the mastoid process of the temporal bone. When the sound is no longer audible, position the tines just outside of the external auditory meatus. • Compare air conduction (AC) to bone conduction (BC). Rinne Test • If AC > BC then hearing is normal • If BC > AC then conduction deafness • If AC > BC but both are reduced then nerve deafness Experimental Procedures for Hearing Weber Test • Produce vibrations in the tuning fork and place the handle of the tuning fork against the top of the subject’s head. • If conduction deafness is present in one ear, the sound will be heard more strongly in the ear with hearing loss due to bone conduction of the skull. Interpreting Results Equilibrium • The equilibrium apparatus of the inner ear is in the vestibule and semicircular canals. The three semicircular ducts are involved in the mechanism of dynamic equilibrium. • When your head position changes in an angular direction, the endolymph in the canal lags behind, pushing the cupula in the opposite direction of the movement, bends the hair cells and creates an action potential. Experimental Procedure for Equilibrium Barany Test • Evaluates the semicircular canals and detects nystagmus, which is the trailing of the eyes slowly in one direction, followed by their rapid movement in the opposite direction. • If the semicircular canals are operating normally one will demonstrate nystagmus after rotation; abnormal otherwise. Experimental Procedures for Equilibrium Romberg Test • Used for the clinical assessment of disequilibrium or ataxia from sensory and motor disorders • Equilibrium is maintained through proprioception, vestibular, and visual sensory input. • Should maintain position for 20 seconds with minimal swaying