Journal of Korean Ophthalmic Optics Society (한국안광학회지)

The Korean Ophthalmic Optics Society (한국안광학회)
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Assessment of Accommodative Facility in General Binocular Dysfunctions

양안시이상에 따른 조절용이의 평가

  • Park, Sang-Chul (Department of Ophthalmic Optics, Busan College of Information Technology)
  • 박상철 (부산정보대학 안경광학과)
  • Received : 2009.07.23
  • Accepted : 2009.09.08
  • Published : 2009.09.30
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Abstract

Purpose: The purpose of this study was to determine if monocular and binocular accommodative facility tests would be useful in diagnosing general binocular dysfunctions. Methods: 95 symptomatic children, who were selected from comprehensive vision tests, were classified into four groups (29 subjects with accommodative dysfunctions, 28 subjects with vergence dysfunctions, 25 subjects with combined accommodative and vergence dysfunctions, 13 subjects with normal binocular functions). Monocular and binocular accommodative facility was measured with ${\pm}$2.00 D flipper lenses. Results: Statistical analysis revealed that binocular accommodative facility measurement was significantly lower than monocular accommodative measurement in the vergence dysfunction group (p<0.01). However, there were no differences between monocular and binocular accommodative facility measurements in the group of accommodative or combined accommodative and vergence dysfunction (p>0.05). In addition, subjects with general binocular dysfunctions performed significantly poorer than subjects with normal binocular function on monocular and binocular accommodative facility (p<0.000). Conclusions: As a result of this study, monocular and binocular accommodative facility test, which could differentiate dysfunction from normal as well as between dysfunctions, indicated useful means for diagnosis of general binocular dysfunctions.

목적: 이 연구에서는 단안 및 양안의 조절용이 검사가 양안시이상을 진단하는데 유용하게 사용될 수 있는지 확인해보고자 한다. 방법: 증상을 호소하는 어린이를 대상으로 포괄적인 눈검사를 통해 선별된 95명을 4개의 집단(조절이상 29명, 버전스이상 28명, 조절이상과 버전스이상 동반 25명, 양안시 기능이 정상 13명)으로 분류하였다. 단안 및 양안의 조절용이 검사는 ${\pm}$2.00 D 플리퍼 렌즈를 사용하여 측정하였다. 결과: 양안시이상에 따라 단안과 양안의 조절용이 측정값을 비교한 결과 조절이상이나 조절이상과 버전스이상이 동반된 집단은 단안과 양안의 조절용이가 차이를 보이지 않았지만(p>0.05), 버전스이상이 있는 집단에서는 양안으로 측정한 조절용이 값이 단안으로 측정한 조절용이 값보다 유의하게 낮았다(p<0.01). 그리고 양안시이상이 있는 집단의 단안 및 양안의 평균 조절용이 값이 양안시 기능이 정상인 집단과 유의한 차이를 보였다(p<0.000). 결론: 이 연구의 결과를 통해 단안 및 양안의 조절용이 검사가 양안시기능의 정상여부를 구별할 수 있을 뿐만 아니라 대부분의 양안시이상의 종류도 구별이 가능하므로 양안시이상을 진단하는데 유용한 방법임을 확인하였다.

Keywords

References

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