A Clinical Study on Relation among Accommodative Amplitude, Response, and Facility in young adults

근시성 굴절부등에 대한 임상적 고찰

  • Joo, Seok-Hee (Department of Optometry and Vision Science, Deabul University) ;
  • Shim, Moon-Sik (Department of Ophthalmic Optics, Gwangju Health College) ;
  • Shim, Hyun-Seog (Department of Ophthalmic Optics, Gwangyang Health College)
  • 주석희 (대불대학교 안경광학과) ;
  • 심문식 (광주보건대학 안경광학과) ;
  • 심현석 (광양보건대학 안경광학과)
  • Received : 2009.01.29
  • Accepted : 2009.03.06
  • Published : 2009.03.31

Abstract

Purpose: This study has been conducted to know the prevalence of anisometropia and corneal refraction, accommodative response of myopic anisometropia. Methods: The study subject were 67 persons who myopic anisometropia of at least 1.00D, from among 808 total subject without ophthalmic diseases history from age 5 to 89 and the test were used to examine with both eyes open-view autorefractometer (NvisionK-5001). Results: The case which anisometropia were 85(10.5%) persons and myopic anisometropia were 67(78.8%) persons among the anisometropia. Difference between higher myopic eye and lower myopic eye were -1.22D${\pm}$0.94 in spherical equivalent, -0.25D${\pm}$0.72 in accommodative response, 0.04D${\pm}$0.68 in corneal refraction. In addition, the same case of both eyes accommodative response were 33(49.3%) persons, the great case of lower myopic eye accommodative response were 25(37.3%) persons and the great case of higher myopic eye accommodative response were 9(13.4%) persons. Conclusions: Myopic anisometropia was not affected by corneal refraction and both eyes difference of spherical equivalent was less as compared with both eyes difference of accommodative response.

목적: 굴절부등의 발생률과 근시성 굴절부등의 양안 조절반응량, 각막굴절력 등을 알아보았다. 방법: 안질환이 없는 5세에서 89세의 남녀 808명 중 양안 근시성 굴절부등이 1.00D이상인 67명을 대상으로 하였으며, 양안개방형 자동굴절검사기(Nvision K-5001)를 이용해 검사를 실시하였다. 결과: 굴절부등이 있는 경우는 85명(10.5%)이였고, 그 중 67명(78.8%)이 근시성 굴절부등으로 나타났다. 근시성 굴절부등의 굴절이상이 강한 쪽과 약한 쪽으로 분리하여 양안 차이를 비교해 본 결과 등가구면굴절력은 -1.22D${\pm}$0.94로, 조절반응량은 -0.25D${\pm}$0.72로, 각막굴절력은 0.04D${\pm}$0.68로 나타났다. 또한 양안의 조절반응량이 같은 경우가 33명(49.3%), 근시가 약한 쪽이 많은 경우가 25명(37.3%), 근시가 강한 쪽이 많은 경우가 9명(13.4%)으로 나타났다. 결론: 근시성 굴절부등은 각막굴절력에 영향을 받지 않았으며, 양안 등가구면굴절력 차이에 비해 조절반응량의 차이가 적었다.

Keywords

References

  1. 九尾敏夫, "屈折異常 診療" 4판, 文光堂, pp. 70-71(1997).
  2. 강현식, "안경학개론" 4판, 신광출판사, pp. 299-300(2008).
  3. Benjamin and William J., "Barish's Clinical Refraction", W. B. saunders company, pp. 1134-1135(1998).
  4. 신진아, "안기능과 임상굴절", 1판, 한미의학, pp. 217-229(2003).
  5. 박미경, 진용한, "구면렌즈로 유발된 부동시가 원거리 및 근거리입체시에 미치는 영향", 대한안과학회지, 37(5):862-870(1996).
  6. 김성언, 임기환, "구면렌즈로 유발된 부동시가 동적입체시에 미치는 영향", 대한안과학회지, 39(10):2426-2431(1998).
  7. 최진영, 김재민, 김현정, "유발된 부동시의 교정에 따른 입체시 변화", 한국안광학회지, 13(4):121-126(2008).
  8. Ingram R. M., "Refraction of 1-year-old children after atropine cycioplegia", Br. J. Ophthalmol., 63(5):343-347(1979). https://doi.org/10.1136/bjo.63.5.343
  9. Abrahamsson M., Fabian G., and Sjostrand, J., "A longtudinal study of a popualation based sample of astigmatism children: II. The changeability of anisometropia", Acta Ophthalmol., 68(4):435-440(1990).
  10. Hirsch M. J., "Anisometropia: A preliminary report of the Ojai Longitudinal study", Am. J. Optom. Arch. Am. Acad. Optom., 44(9):581-585(1967). https://doi.org/10.1097/00006324-196709000-00003
  11. Laatikainen L. and Erkkila H., "Refractive errors and ocular findings in school children", Acta Ophthalmol.(Khh), 58:129-135(1980).
  12. Phelps W. L. and Muir J., "Anisometropia and Strabismus", Am. Orthopt. J., 27:131-133(1977). https://doi.org/10.1080/0065955X.1977.11982437
  13. Fledelius H. C., "Prevalences of asigmatism and anisometropia in adult Danes: With reference to presbyopes' possible use of supermarket standard glasses", Acta Ophthalmol., 62(3):391-400(1984).
  14. Woodruff M. E. and Samek M. J., "A study of the prevalence of spherical equivalent refractive states and anisometropia in Amerind population in Ontario", Can. J. Public Health, 68(5):414-424(1977).
  15. Yamashita T., Watanabe S. and Ohba N., "A longitudinal study of cycloplegic refraction in a cohort of 350 Japanese schoolchildren. Anisometropia", Ophthalmic & Physiological optics, 19:30-33(1999). https://doi.org/10.1046/j.1475-1313.1998.00407.x
  16. Jampolsky A. Floam B. C., Weymouth F. W. and Moses L. E., "Unequal corrected visual acuity as related to anisometropia", Arch. Ophthalmol., 54(6):893-905(1955). https://doi.org/10.1001/archopht.1955.00930020899013
  17. 이상민, 권정윤, "부등시안에 대한 임상적 고찰", 대한안과학회지, 41(12):118-124(2000).
  18. Duke-elder S., "The practice of Refraction", 7th Ed., St. Louis C. V. Mosby(1963).
  19. 初川嘉一, "不同視 調節", 眼科, 29:621-629(1987).
  20. 丸尾敏夫, "屈折異常 診療" 4판, 文光堂, pp. 72-73(1997).
  21. 강현식, "안경학개론" 4판, 신광출판사, pp. 300-301(2008).
  22. 신진아, "안기능과 임상굴절" 1판, 한미의학, pp. 218-219(2003).