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OPTO 241 Ocular Anatomy and Physiology (2+1) A detailed study of the human visual apparatus and related structures is presented. This course presents a systematic study of the physiology of the eye. Lecture topics include function, physiology and biochemistry of the lids, lacrimal apparatus, cornea, uveal tract, intraocular fluids, lens, retina and optic nerve. Topics are approached from gross anatomical, histological and embryological perspectives. The laboratory is devoted to the demonstration of basic ocular anatomy concepts. Laboratories include dissection of the mammalian eye and examination of the human eye. Objective To enable students to examine and determine the similarities and differences between the mammalian and human eye. To enable students to recognize orbital contents as well as the globe structure. Course Contents 1- Ocular anatomy The orbit and paranasal sinuses The lacrimal system The eyelids The conjunctiva The cornea The ciliary body The iris The lens The choroid and sclera The retina The visual pathways The extraocular muscles 2- Orbital vasculature and the cavernous sinus 3- Skull osteology 4- Visual acuity and adaptation 5- Colour vision 6- Binocular vision and stereopsis 7- General physiology of eye structure 8- The Orbital Blood Vessels 9- The Nerve Supply of the Orbit 10- Embryology References General Ophthalmology by Daniel G. Vaughan The Ophthalmic assistant by Stein. Slatt. Stein Ocular Anatomy and Physiology by Saude Ocular Anatomy and Physiology Shea and Al Lens (Editor) by Tammy Langley, Shiela Coyne Nemeth, Carolyn Clinical Anatomy of the Eye by Richard S. Snell and Michael A. Lemp www.pubmed.com www.emedicine.com www.ophthal.org OPTO 242 Ocular Neuroanatomy and Physiology (3+0) This course presents the study of the central nervous system, including cellular neurophysiology, organization of sensory pathways, voluntary control of movement, and the physiology of central visual pathways. Neuroanatomy and neurophysiology of the eye and visual system will be studies. Gross anatomy, histology and functional significance of the optic nerve, optic chiasma, optic radiation, lateral geniculate body and the visual cortex will be studies. The cranial nerves, their nuclear organization and innervation of ocular and extraocular tissues will also be studied. Visual information processing and introduction to visual field defects will be covered. Objective The student will gain a basic understanding of the central nervous system. In addition to the study of the major sensory and motor pathways of the brain, and discussion of the clinical correlations of neuroanatomical structure. students will learn the anatomy and physiology of the visual pathways, along with the psychophysics and physiology of binocular vision. The neuroanatomy and physiology of the ocular motor system is introduced in order to understand eye movements and ocular motor system. Topics Part A 1- Gross anatomy of the cerebrum and brain stem. 2- Anatomy of the Visual Pathway: i) Anatomy of the optic nerve. ii) Anatomy of the optic chiasm. iii Anatomy of the optic radiations. iv) Anatomy of the Visual Cortex 3- Visual information processing (physiology of vision), 4- The ocular sensory and motor system 5- The ocular sensory and motor pathways Part B 1- The cranial nerves 2- Nuclear organization and innervational control of the cranial Nerves which sub serve the oculovisual system. References Basic Science Ophthalmology By: John Ferris and D L Easty Functional Neuroanatomy by Wendell J. S. Krieg. Ocular Anatomy and Physiology by Saude www.pubmed.com www.emedicine.com www.ophthal.org Optic Nerve Image OPTO 271 Visual Science I (1+1) This course is concerned with the study of visual stimuli and the response they evoke in the human organism. Included are the principles of photometry and radiometry as well as topics related to the visual response to light stimuli such as intensity discrimination, light and dark adaptation visual acuity, and quantum effects of light perception. Objectives The student will gain a basic understanding of light and its role in vision. Topics 1) Overview of Light as an electromagnetic radiation 2) Photometry 3) Some fundamental laws guiding the behavior of light 4) Reflectance, Absorption and Optical density 5) Visible spectrum - As dictated by optical media absorption characteristics 6) Functional differences between rods and cones, their retinal distribution, and how light interacts with each 7) The basis of scotopic and photopic vision References 1) Visual Perception 2) Physiology of the Eye 3) Optics www.clinicalevidence.com www.nice.ork.uk by Cornsweet. by Hugh Davson by Tunnacliffe A. H. and Hirst J. G. OPTO 272 Visual Science II (1+1) The eye is studied as the physiological optical element of the visual system. The optical components of the eye are discussed in terms of their geometrical, physical, physiological, psychophysical, and optical properties. The eye is then considered as an image-forming mechanism, where each component contributes to the nature and quality of the retinal image. The relationship between optics and visual performance is discussed, including the effects of ametropias and oculomotor systems on vision. Photochemical processes, transduction, absolute and increment thresholds, light and dark adaptation, spatial interactions, spatial resolution and visual acuity, temporal interactions, and temporal resolution. Objectives The student will gain a basic understanding of light and its role in vision. The photochemistry and electrophysiology of vision. Sensory aspects of vision: thresholds and adaptation. Topics 1) Glossary of terms 2) Retinal Structure and Organization 3) Photochemical and electrophysiological aspects of Vision 4) Sensory aspects of Vision 5) Concept of Threshold: Frequency of seeing curve 6) Temporal phenomena I. Flicker II. Talbot-Plateau law III. Granit-Harper law IV. Ferry-Porter law 7) Spatial phenomenon Recommended texts 1) VisualPerception by Cornsweet. 2) Physiology of the eye by hugh Davson. www.clinicalevidence.com www.nice.ork.uk OPTO 377 Visual Science III (2+0) This course is concerned with the study of the perception of depth, direction, size, shape, distance, motion and time, through the visual medium. Optical illusions and entopic phenomena; their causes and significance to the visual system. The mechanisms of color vision, color vision defects and their significance. Perception of wavelength as color; colorimetry, color vision theories, Trichromatic-opponent colors theory, neurophysiology of color vision. Objectives The aim of the course is to teach students how the perception process of the visual system is and the mechanism color vision and its defects. Topics 1) Visual Perception • Understanding Visual Perception • Perception of Depth • Perception of Motion o Directional Sensitivity • Perception of Shape • Perception of Size • Perception of Distance • Perception of Time 2) Optical Illusions and Entopic Phenomena • Description of Optical Illusions • Causes • Significance to the Visual System 3) Color Vision • Mechanisms of Color Vision • Color Vision Defects and their Significance Recommended Texts 1) Visual Perception by Cornsweet 2) Optometry by Keith Edwards and Richard Llewellyn 3) The physiology of the eye (Fourth Ed.) www.clinicalevidence.com www.nice.ork.uk by Hugh Davson OPTO 371 Optometric Statistics (2+1) The fundamental concepts in research design are presented. Included is a special emphasis on skills used in lifelong learning and independent study necessary in optometric practice. Discussions include how to design clinical research studies, an overview of statistical methods including sample size determination, how to apply research results to optometric practice and how to access and evaluate research literature. The course introduces guidelines for the student research projects conducted during the eighth and ninth professional years. Topics taught in the course will include: Descriptive statistics: Data presentation, measures of central tendency (mean, median, mode), measures of dispersion (range, variance, standard deviation).Data plots: 2- and 3- dimensional plots, bar charts, pie charts. Linear regression and correlation.Inferential statistics: Normal distribution, probability, sampling distributions (z-test, t-test), ANOVA: One-way and multifactor. The course will also cover general research design principles and applicable statistical analysis of research data. Objectives The aim of the course is to teach students how to analyze experimental data. The students shall learn to use a computer software statistical package in the analysis of vision research data. A completed research proposal is to be submitted before the end of the semester. Research projects may be in any of the basic or clinical sciences related to the practice of optometry. Course Contents Descriptive Statistics 1- Data Presentation 2- Measures of central tendency (mean, mode, median) 3- Measures of dispersion (range, variance, standard deviation) 4- Data Plots - 2- and 3- dimensional plots, bar charts, pie charts 5- Linear regression and correlation 6- Inferential Statistics 7- Normal distribution 8- Probability 9- Sampling distributions (one sample- and two sample- t-tests 10- ANOVA: One way and multifactor 11- Non-parametric tests (Chi-square test, Wilcoxon sign test, Wilcoxon ranks test etc.) 12- Finally, students will be taught to carry out these tests on at least 2 computer statistical packages. Assignments Statistical problems and Microsoft excel exercises Recommended Texts Elementary Biostatistics With Applications from Saudi Arabia, byNancy A. Hasabelnaby Essential of Writing Biomedical Research Papers by Mimi Zeiger www.dh.gov.uk/PublicationsAnd Statistics/fs/en www.statistics.gov.uk OPTO 394 Geriatric Optometry (2+0) This course introduces the principles of vision rehabilitation with respect to the geriatric and visually impaired populations. The topics presented include the clinical characteristics of aging, etiology and visual impairment, demographics and psychosocial factors of geriatric and visually impaired patients, the case history and clinical examination of these patients, and optics of treatment options for the visually impaired. The laboratory presents examination procedures and techniques utilized for geriatric and visually impaired patients in traditional and non-traditional settings; motility procedures; geriatric case management; and an introduction to rehabilitation optics and optical systems for visual impairment. Objectives The students will be introduced to problems unique to the geriatric population and the characteristics of visual problems as well as social, environmental and other factors affecting them and possible solutions. Topics 1- Overview 2- Vision screenings a. Communication b. Patient Information c. Pre and Post- examination Procedures d. pharmacokinetics. 3- Assessing and Managing the older Patient a. Non-visual Assessment b. ocular health assessment 4- Normal Vision Problems In The Elderly 5- Geriatric Ocular Diseases 6- Continue Geriatric Ocular Diseases References General Ophthalmology by Daniel G. Vaughan The Ophthalmic assistant by Stein. Slatt. Stein www.cdc.gov www.eyeconditions.org.uk www.cochraneeyes.org OPTO 491 Optometric Practice (2+0) This course is designed to provide educational information and exercises that facilitate the acquisition of knowledge and skills necessary for entering independent practice. Students will be taught modern business principles and be able to select their preferred mode of practice. This course coincides with the introduction of students to patient care in a clinical setting. Emphasis is placed on enhancing a student’s interpersonal skills and professionalism as part of patient care. Using a seminar/workshop format, emphasis is placed on the ethical implications of professional practice. Doctor/patient communication methods are practiced and clinicians are taught how to enable patients to fully evaluate the consequences of various treatment and management options. The business concepts of public relations and practice marketing, patient retention, recall and office production monitoring are presented. Clinical-legal aspects from record keeping, patient confidentiality, documentation, coding and billing, record release, and PDA (Patients with Disabilities Act) issues are also covered. This course provides learning experiences for students in planning personal and professional goals, and in the financial arrangements necessary to reach these goals. Personal finance strategies are introduced to manage debt and prepare for future business goals. Career choices using the Doctor of Optometry degree, modes and scope of optometric practice, as well as the advantages and disadvantages of the various paths are discussed. The historical events affecting the profession of optometry, the state of optometry today, and optometric organizations supporting the profession are also presented. Ethical implications of career choices are discussed throughout the curriculum. Objectives The desired outcome of the course is that the student will be able to select and enter the best practice situation to meet his/her personal goals upon graduation. Each student will prepare a loan proposal to secure funding for the practice opportunity chosen. Course Contents 1- Demographics 2- Employment Options 3- Starting A private Practice 4- practice financing 5- organizing an office 6- managing office staff 7- Recall System References Business aspects of Optometry By John G Glasse OPTO 495 Low Vision (2+1) The topics presented include the performance characteristics of optical and non-optical treatment options for the visually impaired; assessment, treatment, and management of geriatric and visually impaired patients; development of a vision rehabilitation plan; the multi-disciplinary team approach to rehabilitation; patient communication and education; management of special populations; and practice management considerations. During this unit of study, the nature of the rehabilitation process will be explored in relation to individuals who are visually impaired and those with associated conditions such as motor impairment from stroke. The orthoptist's role beyond the clinical environment will be addressed. By the end of the unit, the student will be able to demonstrate an understanding of the implication of vision impairment on all aspects of an individual's life and show an awareness of appropriate low vision services available in Saudi Arabia The laboratory presents the performance characteristics and clinical application of optical and non-optical treatment options for visual impairment. Objectives The desired outcome of the course is that the student will be able to select and enter the best rehabilitation plane for the visually impaired and blind people. Course Contents 1-Introduction and Definitions 2- Magnification 3-Low Vision Aids 4-The Low Vision Examination • • • • • • What is low vision. Why all individuals with visual impairments should be referred for a low vision rehabilitation examination. Structured examination procedure components. Core principles of low vision rehabilitation. The goal of low vision rehabilitation Who needs low vision rehabilitation services? 5-Low Vision Devices . Optical . Non- Optical 6- Prescribing Magnification 7- Telescopes 8- Low Vision Non-Optical Aids References Understanding Low Vision by Randall T. Jose Low Vision care by Mehr & Freid www.vision 2020uk.org.uk www.sightsavers.org www.Disabilityworld.com www.eyeconditions.org.uk OPTO 496 Occupational Vision (2+0) This course will place special emphasis on the visual, illumination and safety needs of both the industrial and office work environment. The prescribing the fitting of safety eyewear, the physical and physiological principles of illumination and occupational vision needs brought about by the widespread use of computer terminals will be discussed. Objectives The desired outcome of the course is that the student will be able to be concerned with the field of occupational optometry. Eye protection against the sports- related eye injuries and modifications or revisions to some of the vision standards advised for various occupations has been demonstrated. Topics 1- Construction of Eye- protectors 2- Vision Screening 3- Visual Performance 4- Mechanical Ocular Injuries 5- Driving and Vision 6- Visual Display Units References Work and the Eye Second edition www.nelh-ec.warwick.ac.uk www.cochraneeyes.org OPTO 475 Senior Research The research project proposed in Research Proposal (OPTO 371) is completed and a formal research report is written and submitted by the end of the semester of level nine. Selected projects are presented at the Student Research Symposium, held during Commencement Week. References www.site4sight.org.uk www.mrc.ac.uk