A Study on the Reliability of Corrected Diopter according to Subjective refraction instrument

Purpose: This research provided basic data for refraction by comparing the corrected diopter of trial lens and phoropter. Methods: We compared the corrected diopter of trial lens and phoropter, and analyzed statistical significance and relations of the spherical lens corrected diopter and cylindrical lens corrected diopter according to the types (trial lens and phoropter) of subjective refractive instruments. Also we analyzed statistical significance and relations between cylindrical lens corrected diopter at the astigmatism and the types (trial lens and phoropter) of subjective refractory instruments. Results: When we measured the corrected diopter of simple myopia, the mean value for corrected diopter was S-2.74D using the trial lens and S-2.65D using the phoropter. So the corrected diopter was 0.09D smaller when measured by phoropter. The degree of astigmatism was measured C-0.81D using the trial lens and C-0.77D using the phoropter which showed that the measured value was 0.04D smaller using the phoropter. On correlation analysis between the refractive instruments (trial lens and phoropter) and the corrected diopter, there was significant (p<0.01) strong correlation between refractory machine and corrected spherical diopter (r=0.996) and the correlation between refractory machine and corrected cylindrical diopter was r=0.986 and was also significant (p<0.01). Conclusions: The use of phoropter than trial lens was more desirable when performing refraction on high myopia (simple refractive error, high astigmatism), and when using trial lens, you should consider the vertex distance and the gap between overlapped lenses before prescription.

자각식굴절검사기기에 따른 교정굴절력의 신뢰도에 관한 연구

목적: 시험렌즈와 포롭터에서의 측정된 교정굴절력 변화를 비교하기 위하여 실시하였다. 방법: 시험렌즈와 포롭터를 사용했을 때의 교정굴절력을 비교하고, 굴절검사기기(시험렌즈와 포롭터)에 따른 구면렌즈교정굴절력, 원주렌즈 교정굴절력의 통계학적 유의성과 상관성, 난시안에서 난시량과의 굴절검사기기와의 상관성과 통계학적 유의성을 분석하였다. 결과: 단순근시안의 교정굴절력을 시험렌즈와 포롭터를 이용하여 측정한 결과 평균교정굴절력이 시험렌즈는 S-2.74D, 포롭터는 S-2.65D로, 포롭터로 측정했을 때의 교정굴절력이 약 0.09D 낮게 측정되었고, 난시량은 시험렌즈는 C-0.81D, 포롭터는 C-0.77D로, 포롭터를 이용하였을 때 약 0.04D 정도 낮게 측정되었다. 굴절검사기기(시험렌즈와 포롭터)와 교정굴절력과의 상관성 분석 결과, 굴절검사기기와 구면렌즈 교정굴절력은 r=0.996으로 높은 상관성이 있었고, 통계학적으로도 유의한 차이가 있었으며(p<0.01), 원주렌즈 교정굴절력도 r=0.986으로 높은 상관성이 있었고, 통계학적으로도 유의한 차이가 있었다(p<0.01). 결론: 고도비정시안(단순굴절이상과 고도 난시안)의 굴절검사는 시험렌즈보다는 포롭터를 이용하는 것이 바람직하고, 시험렌즈를 이용할 경우 처방 시 정점간거리나 렌즈사이의 간격에 주의가 요구 된다.