Journal of Korean Ophthalmic Optics Society (한국안광학회지)

The Korean Ophthalmic Optics Society (한국안광학회)
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Relationship Between Subjective Symptoms with Near Work and Binocular Function

근업시 자각 증상과 양안시 기능의 관계

  • Shin, Jin-Ah (Department of Ophthalmic Optics, Yeojoo Institute of Technology) ;
  • Lee, Ok-Jin (Department of Optometry and Vision Science, Dongnam Health College)
  • Received : 2007.06.05
  • Published : 2007.07.31
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Abstract

The aim of this work was to study the relationship between subjective symptoms and binocular function during near work in forty one(12-17yr) schoolchildren. CISS symptom survey, amplitude of accommodation, accommodative facility, neagative relative accommodation(NRA)/positive relative accommodation(PRA) near point of convergence(NPC), heterophoria, AC/A ratios were measured. The results of measurement were compared with normal expected value of each test and classified into normal and abnormal group. Accommodative insufficiency was more general than convergence insufficiency and esophoria was greater than exophoria. NRA/PRA showed very high and AC/A ratios were very low compare with normal expected value. The results of CISS was as follows; most frequent symptom was tired, mean score was $16.63{\pm}7.49$, mean number of symptoms were $10.07{\pm}3.04$, and mean number of serious symptoms were $1.98{\pm}2.13$. After classified into 4 groups according to score of symptoms, number of symptoms, and degree of symptoms and then analyze the correlation compare with binocular vision test results. NRA was most correlated with group comparison, accommodative facility was most correlated with score of symptoms, NRA was most correlated with number of symptoms, and near horizontal phorias were most correlated with serious symptoms. NRA showed most correlative relation with near symptoms.

이 논문은 중고등학생 41명(12-17세)의 근업시 자각 증상과 양안시 기능의 관계를 알아보고자 한 연구이다. CISS 설문 평가, 조절력검사, 조절 용이성검사, Negative relative accommodation(NRA)/Positive relative accommodation (PRA), 폭주 근점(NPC)검사, 사위검사, 그리고 AC/A(A, accommodation; C, convergence) 비를 측정하였다. 이들 검사의 결과는 정상 기댓값과 비교하여 정상 군과 이상 군으로 분류하였다. 폭주 부족보다는 조절 부족이 더 많았고 외사위보다는 내사위가 많았다. NRA/PRA는 높게 나타났고 AC/A 비는 낮게 나타났다. CISS 검사 결과는 다음과 같다; 근업시 가장 흔한 증상은 피로감이었고, 전체 증상의 점수에 대한 평균은 $16.63{\pm}7.49$이었고, 평균적인 증상의 수는 $10.07{\pm}3.04$이었고 중증 증상 수의 평균은 $1.98{\pm}2.13$이었다. 증상의 점수, 증상의 수, 증상의 심한 정도에 따라 4개의 그룹으로 분류한 후 양안시 검사의 결과와 비교하여 상관성을 분석하였다. 그룹과의 상관성은 NRA가 가장 높게 나타났고 증상의 점수는 조절 용이성, 증상의 수는 NRA, 그리고 중증 증상의 수는 근거리 사위 량이 가장 높게 나타났다. NRA는 근업 증상과 관련하여 모든 부분에서 가장 상관성이 높은 것을 보여주었다.

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