융합대비에 따른 주시시차와 조절의 변화

Change of Fixation Disparity and Accommodation when the Fusion Contrast Varied

  • 서재명 (광주보건대학 안경광학과)
  • 투고 : 2009.10.31
  • 심사 : 2009.12.08
  • 발행 : 2009.12.31

초록

목적: 융합대비의 변화에 따른 주시시차를 추적하며 동시에 버전스 체계와 밀접한 조절의 관계를 확인해 보고자 한다. 방법: 양안 교정시력이 1.0이상이며 입체시 지각이 확인된 16명을 대상으로 하였다. 굴절 및 양안시 검사는 Zeiss Polatest Classic을 사용하였으며 입체시차는 TNO를 사용하여 측정하였다. 난점 입체시표와 배열시표는 프로 그램화 된 컴퓨터를 사용하여 대비의 변화와 시간을 정확히 제어하였다. 결과: 주시시차는 융합대비의 감소에 따라 안구는 외전성 경향을 보였다(p=0.0004). 외사위안에서 비교차성 비대응 결상시 융합대비가 감소할수록 외전현상이 더욱 두드러졌다. 융합대비의 변화는 조절에 영향을 주지 않았지만(p=0.803) 배열시표에는 영향을 주는 것으로 밝혀졌다(p=0.0000). 결론: 융합대비가 저하될수록 안구는 외전성 경향을 보이나 조절의 변화는 없다.

Purpose: To study the change of fixation disparity and accommodation as fusion contrast is deteriorated. Methods: 16 subjects who had above 20/20 and stereopsis took part. Monocular and binocular refraction were done with Zeiss Polatest Classic whereas the critical angle for stereopsis was done with TNO. A computer programmed with Random-Dot stereogram and vernier test managed a precise change of the fusion contrast and exposure time. Results: The fixation disparity was influenced by reduction of fusion contrast and had tendancy to exophoria (p=0.0004), especially it is considerably higher when uncrossed disparity was shown to exophoric subjects. Although accommodation was not influenced by a change of fusion contrast (p=0.803), vernier acuity was influenced (p=0.0000). Conclusions: Exophoric trend arose as the fusion contrast was reduced, nevertheless there was no accommadative change.

키워드

참고문헌

  1. Halveston E. M. et al., "Visual Function and Academic Performance", Am. J. Ophthalmol. 99(3):346-355(1985). https://doi.org/10.1016/0002-9394(85)90368-X
  2. Hoffman L. G., "Incidence of Vision Difficulties in Children with Learning Disabilities", J. Am. Optom. Assoc., 51(5):447-451(1980).
  3. Stollzberg M. E., et al., "Effects of Ocular Functioning and Time Upon Reading Proficiency", J. Am. Optom. Assoc., 60(2):122-126(1989).
  4. Sloan H. A., "Visual Predictors of Reading Performance in Kindergarten and First Grade Children", Optom. Vis. Sci. 73(4):255-262(1996). https://doi.org/10.1097/00006324-199604000-00007
  5. Schmied U., et al., "Ist FD ein Risikofaktor, eine reduzierte Stereopsis zu haben?", NOJ, 12:8-11(1992).
  6. Jimenez J. R., et al., "Associated Phoria in Relation to Stereopsis with Random-dot Stereograms", Optom. Vis. Sic., 77(1):46-50(2000).
  7. Saladin J. J., "Effects of Heterophoria on Stereopsis", Optom. Vis. Sci., 72(7):487-492(1995). https://doi.org/10.1097/00006324-199507000-00008
  8. Hoffman D. M., et al., "Vergence-accommodation Conflicts Hinder Visual Performance and Cause Visual Fatigue", J. Vision, 8(3):1-30(2008). https://doi.org/10.1167/8.3.1
  9. 신효순 등, "외사위의 정도와 입체시의 관계", 대한안광학회, 14(2):41-46(2009).
  10. Haase H. J., "Zur Fixationsdisparation", Verlag der Deutscben Optikerzeitung, 2. Auflage, pp. 215-223(2000).
  11. Schumer R. A. and Julesz B., "Binocular Disparity Modulation Sensitivity to Disparities Offset from the Plane of Fixation", Vis. Res., 24(6):533-542(1984). https://doi.org/10.1016/0042-6989(84)90107-X
  12. Howard I. P. and Rogers B. J., "Seeing in Depth", Volume 2, University of Toronto Press, pp. 158-159(2002).
  13. Lovasik J. V. and Szymkiw M., "Effects of Aniseikonia Anisometropia Accommodation Retinal Illuminance and Pupil Size on Stereopsis", Invest. Ophthalmol. Vis. Sci., 26(5):741-750(1985).
  14. Jaschinski W., "Fixation Disparity and Accommodation for Stimuli Closer and More Distant than Oculomotor Tonic Positions", Vis. Res. 41(7):923-933(2001). https://doi.org/10.1016/S0042-6989(00)00322-9
  15. Lit A., et al., "Effect of Targetbackground Luminance Contrast on Binocular Depth Discrimination at Photopic Levels of Illumination", Vis. Res., 12(7):1242-1251(1972).
  16. Schor C. M., "Analysis of Tonic and Accommodative Vergence Disorders of Binocular Vision", Am. J. Optom. Physiol. Opt., 60(1):1-14(1983). https://doi.org/10.1097/00006324-198301000-00001
  17. Hilz R., "Der Hell-Dunkel-Effekt bei der Heterophoriepruefung", NOJ, 10:31-35(1989).