• Title/Summary/Keyword: 각막 굴절력

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Study of the cornea characteristics using Oculus Pentacam (Oculus Pentacam을 사용한 각막 특성 분석)

  • Lee, Jeung-Young;Park, Eun-Kyoo
    • Journal of the Korea society of information convergence
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    • v.6 no.1
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    • pp.37-41
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    • 2013
  • In this study, by using the Oculus Pentacam, we analyzed the relationship of corneal front astigmatism corneal and the radius of curvature of the rear face of the 20's to 40's. The vertical radius of curvature were man 7.94mm (${\pm}0.22$), women 7.87mm (${\pm}0.21$), the horizontal radius of the anterior corneal appeared man 7.69mm (${\pm}0.27$), women 7.63mm(${\pm}0.23$). And rear vertical radius of curvature were man 6.52mm(${\pm}0.23$), woman 6.55mm (${\pm}0.22$), the horizontal radius of the anterior corneal appeared man 6.06mm (${\pm}0.24$), woman 6.08mm(${\pm}0.24$). The results of correlation analysis between the radius of corneal posterior surface and the anterior corneal surface, it was found out that there is a significant correlation. In this study, similar results were obtained anterior surface of the cornea, the radius of curvature of the rear surface, the refractive power, and astigmatism, as other papers that have been reported. But in this paper, the cornea thickness was thicker than other previously reported paper.

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Reliability of Autorefractometry after Corneal Refractive Surgery (레이저 굴절교정수술 후 자동굴절검사법의 신뢰성)

  • Lee, Ki-Seok
    • The Korean Journal of Vision Science
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    • v.20 no.4
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    • pp.443-451
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    • 2018
  • Purpose : To find out the reliability of autorefractometer after laser refractive surgery Methods : We measured and compared spherical and cylinder powers of those undergone LASEK surgery with 1.0 of naked vision after at least 3 months of the surgery with an autorefractometer(CANON Full Auto Ref-Keratometer RK-F1, Japan) and a retinoscope(Streak Retinoscope 18200, WelchAllyn, USA), and also applied spherical equivalent powers. The refractive status before surgery was divided into high, medium, and low myopia according to the results measured using an autorefractometer, and then analyzed again the reliability of the autorefractometer after surgery according to the preoperative refractive status. The agreement of two methods was identified using Bland-Altman(Bland-Altman limits of agreement(LoA)). Results : After the surgery, when comparing spherical, cylinder and equivalent powers in the whole data measured by autorefractometry and retinoscopy significant differences were found(p<0.01). According to the degree of refractive errors, all sort of refractive errors was shown significantly different(p<0.01) except for cylinder power of the medium myopia. In general, the refractive errors especially spherical and spherical equivalent powers by autorefractometry were shown a myopic trend from -0.38 D to -0.53 D. On the other hand, it was shown a hyperopic trend of approximately +0.30 D using retinoscopy. In comparison of two objective refractions, it was shown a myopic trend as $-0.51{\pm}0.45D$(LoA +0.36 D ~ -1.39 D) and compatible. Conclusion : Even though it would be positive in terms of compatibility of the methods, it is necessary that the glasses should be prescribed by subjective refraction since autorefractometry is shown myopic in those undergone the surgery and suffering from myopic regression.

Anatophysiological Changes Related to Myopization Induced by Alcohol Ingestion on Eyes (알코올 섭취 후 발생한 근시화와 관련된 눈의 해부생리학적 변화)

  • Lee, Jung-Ouk;Moon, Byeong-Yeon;Cho, Hyun-Gug
    • Proceedings of the KAIS Fall Conference
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    • 2010.05b
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    • pp.890-893
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    • 2010
  • 알코올 섭취 후 발생하는 해부생리학적 변화가 눈의 일시적인 근시화에 미치는 영향을 알아보고자 하였다. 평균 24.5${\pm}$1.5세의 남자 8명(16 안)을 대상으로 0.42 g/kg의 알코올을 30분 간에 걸쳐 섭취토록 한 다음, 알코올 섭취 1시간, 4시간, 24시간 후의 교정굴절력, 각막곡률반경과 두께, 동공직경, 안압, 그리고 안구축의 길이변화를 측정하여 알코올 섭취 전과 비교하였다. 알코올 섭취 1시간 후에 알코올 섭취 전과 비교하여 호흡 중 알코올 농도가 가장 높았고(p<0.001), 교정굴절력의 구면 (-)굴절력 증가(p<0.05), 동공 크기의 감소(p<0.05), 안압의 하강(p<0.001), 그리고 안구축의 길이 증가가 나타났다. 알코올 섭취 4시간 후에도 모든 측정값들이 섭취 1시간 후와 동일한 경향이었다. 그러나 알코올 섭취 24시간 후에는 알코올 섭취 전과 비교하여 의의있는 변화를 보이지 않았다. 알코올 섭취로 인한 일시적인 근시화는 안압하강과 안구축의 길이변화와 관련성이 있을 것으로 판단된다.

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Diurnal fluctuations of vision in myopes (근시안의 일일 시럭변동에 관한 연구)

  • Park, Sang-Chul;Sung, A-Young;Kim, Tae-Hyun;Kim, Douk-Hoon
    • Journal of Korean Ophthalmic Optics Society
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    • v.10 no.1
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    • pp.35-40
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    • 2005
  • Subjective and objective visions were measured on young adults(mean 21 yrs, 126 eyes) who were free of any ocular diseases and laser surgery and none wore contact lenses. The aim of this study was to investigate the diurnal variation of vision through subjective and objective measurements. Subjective visual acuity were measured at 5 m three times a day, morning(8:00 AM-10:00 AM), noon(12:00 PM-2:00 PM) and afternoon(4:00 PM-6:00 PM). The instrument used for objective refraction right after visual acuity measurement was Nvision-K 5001(shin-nippon) which unique in being able to disregard subject's accommodation because of its unrestricted viewing conditions. Also, we measured that three times and then calculated the average values. The result showed that an average subjective visual acuity in the morning, noon, afternoon were 0.256(${\pm}0.263$), 0.266(${\pm}0.276$), 0.242(${\pm}0.249$) respectively. Average spherical equivalent power in objective refraction of right eyes showed -3.416 D(${\pm}2.907$), -3.359 D(${\pm}2.735$), -3.297 D(${\pm}2.709$) respectively and dioptric power was decreased from morning to afternoon. Vision changed throughout the day in both subjective and objective measurements nevertheless its variations were statistically insignificant(p<0.05). Therefore it does not seem to matter of time for either visual acuity test or refraction.

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Determination Factors Affecting the High Order Aberrations in Preoperative and Postoperative LASEK (라섹 수술 전과 후의 고위수차에 영향을 미치는 결정변수)

  • Kim, Tae-Heung;Lee, Hyun;Rhee, Kang-Oh;Lee, Tae-Yong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.9
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    • pp.5621-5627
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    • 2014
  • To specify the standard of LASEK surgery, this study examined the determination factors affecting the high order aberrations (HOAs) in preoperative and postoperative LASEK. 51 adult patients (102 eyes) were evaluated at the baseline and 2 months after LASEK surgery from Nov 2011 to Jul 2012. The postoperative HOAs ($0.538{\mu}m$) were higher than the preoperative ($0.341{\mu}m$). In linear regression analysis, the refractive components that affected the postoperative HOAs were $J_0$ of corneal astigmatism (CA, 0.400), $J_0$ of refractive astigmatism (RA, 0.389), corneal astigmatism (CA, 0.282), spherical equivalent (SE, 0.239), refractive astigmatism (RA, 0.213), and pupil size (PS, 0.194) with a high R. In multiple regression, $J_0$ of CA, PS and SE were significant factors with the postoperative HOAs. In conclusion, both HOAs and $J_0$ of CA should be considered when determining the suitable factors for LASEK surgery.

The Study of the Corneal Diopter Power and Corneal Radius on the Contact Lens Wear of the Korean Female in the Twenties Age (20대 한국여성의 콘택트 렌즈 착용자에 대한 각막 굴절력과 곡률반경에 대한 연구)

  • Kim, Douk-Hoon;Hwang, Sun-Hyung
    • Journal of Korean Ophthalmic Optics Society
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    • v.2 no.1
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    • pp.127-131
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    • 1997
  • An analysis on the corneal diopter power and corneal radius has been carried out the Korean female in the twenties age. The results were as follows. The most contact lens wears have the early stage of the twenties age, but the increase of aging have a decrease. The mean corneal diopter power on the right eye have 44.04 diopter, but left eye have 43.92 diopter. The mean of corneal radius on the right eye have the 7.66 mm, but left eye have the 7.69 mm. As a results, In increasing of the age, Most mean corneal diopter power have increase, but the mean of corneal radius have not change.

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Study on Distribution and Change of Curvature of the Anterior Corneal Surface with each Age in Emmetropia (정시안의 연령별 각막전면곡률 변화와 분포에 관한 연구)

  • Kim, Chan-Soo;Sung, A-Young
    • Journal of Korean Ophthalmic Optics Society
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    • v.9 no.2
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    • pp.211-221
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    • 2004
  • The purpose of this study is to evaluate the distribution and change of curvature of the anterior corneal surface with age in emmetropia. 504 subjects who have emmetroia with good naked vision of at least 0.6-1.0 (spherical equivalent: +0.75D- -0.75D) participated in this study. The 504 subjects into 8 groups with 10 year interval from 3-year to 83-year, and their corneal curvatures were analyzed using manual keratometry. The results are as follows. In individual analysis: First, regression analysis of corneal curvature radius with age has given an equation: Y = -0.003x + 7.796 (r = -0.26). The average corneal curvature radii was measured to be $7.68{\pm}0.25mm$ at 38.3-year and range was 6.98-8.54 mm. Second, frequency of corneal curvature radius were obtained in 36% between 7.61 and 7.80 mm, 78% between 7.41 and 8.00 mm, 96% between 7.21 and 8.20 mm, 100% between 6.98 and 8.54 mm. Third, as for the comparison of corneal curvature radius with respect to sex, The mean value of male (n = 304, mean: 37.6-year $7.72{\pm}0.24mm$, Range: 7.09-8.54 mm) is larger than that of female (n = 200, mean: 39.3-year $7.62{\pm}0.24mm$, Range: 6.98-8.42 mm) by 0.1mm (p<0.01). In groups analysis: First, regression analysis of corneal curvature radius with age has given an equation: $Y=-0.0066x^2+0.0227x+7.7282$ (r = -0.90). Second, vertical and horizontal curvature radius decreased with age (p < 0.01). Especially the decrease of horizontal curvature radius were more pronounced than the decrease of vertical (horizontal:10-70 age group: 0.38 mm decrease, vertical:10-70 age group: 0.20 mm decrease). Third, difference between steep and flat meridian (astigmatism) progressively decreased with age. (low age group:0.18 mm difference, high age group: 0.08 mm difference). Fourth, the corneal curvature radius of male was larger than female's in total groups(p < 0.01). Consequently, the change of corneal curvature radius with age progressively decreased in all conditions (mean, vertical, horizontal, male, and female) and this change was more outstanding in horizontal rather than in vertical.

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Comparison of Clinical Results of Excimer Laser Correction of Myopia and Compound Myopic Astigmatism Using VISX 20/20B $VisionKey^{TM}$ (VISX 20/20B $VisionKey^{TM}$ 엑시머레이저의 version 4.01 software를 이용한 근시교정술 및 근시성난시교정술의 임상성적 비교)

  • Lee, Sang-Bumm;Bae, Sang-Bok
    • Journal of Yeungnam Medical Science
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    • v.17 no.1
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    • pp.55-65
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    • 2000
  • Purpose: To compare the efficacy, predictability, stability and safety of excimer laser photorefracive keratectomy(PRK) for myopia and photoastigmatic refractive keratectomy(PARK) for compound myopic astigmatism. Methods: Two-hundred and three eyes(l18 eyes < -7D spherical equivalent, 85 eyes ${\geq}$ -7D spherical equivalent) received excimer laser correction for compound myopic astigmatism and 152 eyes(116 eyes < -7D, 36 eyes ${\geq}$ -7D) for simple myopia. A VISX 20/20B $VisionKey^{TM}$ excimer laser was used to perform either PARK or PRK. Visual acuity with and without correction, refraction, IOP, corneal haze, and topography were evaluated at 1, 3, 6, and 12 months postoperatively. All patients were followed up for more than 12 months. Results: Postoperative refraction were generally stable after 3 months without significant early overcorrection. At 12 months, 110(94.8%) eyes that underwent PRK and 104(88.1%) eyes that underwent PARK achieved UCVA of 20/30 or better in the group who had lower than -7D correction. For eyes treated with -7D or more, these figures were 31(86.1%) eyes after PRK and 57(67.1%) eyes after PARK. The incidences of within 1D of plano refraction at 1 year follow-up were 97.4% after PRK and 93.2% after PARK in the group who had lower than -7D correction. For eyes treated with -7D or more, these figures were 80.6% after PRK and 70.6% after PARK. Conclusions Myopia with or without astigmatism was successfully treated in most of the eyes using PRK or PARK with VISX 20/20B $VisionKey^{TM}$ excimer laser. The predictability and stability of the postoperative refraction during the first 12 months seem to be quite reliable. Further improvement of excimer laser system and software should increase the clinical outcomes and safety of refractive procedures.

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A Comparative Study on the Effects of Wearing Reverse Geometry Lenses by Degrees of Myopia (근시정도에 따른 역기하렌즈 착용효과에 관한 비교 연구)

  • Yoon, Min-Hwa;Lee, Ki-Young
    • Journal of Korean Ophthalmic Optics Society
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    • v.17 no.3
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    • pp.265-272
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    • 2012
  • Purpose: To compare the results on myopia correction with reverse geometry lenses, effects of wearing reverse geometry lenses were evaluated for the children with low-level and high-level myopia. Methods: The research investigated the corrective effects of having worn reverse geometry lenses for one week, one month, three months and six months on a total of thirty-six persons (sixty-two eyes) between the ages of seven and fifteen, divided into three groups by the degree of their myopia; nineteen eyes(Group One) with myopia of -2.00 D and under, twenty-eight eyes(Group Two) with myopia between -2.25 D and -4 D, and fifteen eyes(Group Three) with myopia of -4.25 D and above; as shown by changes in uncorrected vision and the degree of refraction in the corneal topography, and tested for statistical similarity among the pursued results. Results: After wearing reverse geometry lenses, Group One showed an improvement in vision of 0.5, from 0.45 to 0.95, after one week, and improvements to 0.91 after one month and 1.02 after three months but, after six months, the group's vision regressed to 0.95. Group Two showed an improvement in vision of 0.43, from 0.34 to 0.77, after one week of wearing and to 0.91 after one month, to 0.97 after three months and this was statistically maintained through the remainder of six months. Group Three showed an improvement in vision of 0.55, from 0.15 to 0.7, after wearing for one week, to 0.87 after one month and to 0.91 after three months but saw a regression to 0.86 after six months. The average Sim K (simulated keratometry reading) value for Group One started from $42.84{\pm}1.17D$ and decreased to $41.48{\pm}0.98D$ after one week of wearing and continued declining through three months before increasing during the remainder of six months. Group Two began from $42.91{\pm}1.57D$ and recorded $41.78{\pm}1.58 D$ after one week, continuing the decline through three months before increasing during the remainder of six months. Group Three began at $42.64{\pm}1.64D$ and showed its Sim K value decrease to $40.77{\pm}1.20D$ after one week of wearing, increase after one month and decrease after three months and continue the decline through the remainder of six months. Conclusions: From the results of this study, wearing reverse geometry lenses had myopia-correcting effects after one week of wearing. Although there were variations in the time for such effect to take place but myopia-correcting effects were evident in all test groups.

Induced Prisms of Wearing Glasses Measured by Photographing (사진촬영으로 측정한 착용안경의 유발프리즘)

  • Shin, Hyung-Sup;Jang, Jun-Kyu
    • Journal of Korean Ophthalmic Optics Society
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    • v.19 no.4
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    • pp.527-532
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    • 2014
  • Purpose: The matching of the optical center and the pupil center was measured by photographs in wearing glasses. In this study, the influences of the induced prism by the mismatching are studied. Methods: 74 subjects (148 eyes) who were spectacles wearer were participated in this study. The mean age was $29.19{\pm}12.22$ years (range 19-55 years). The facial photographs of subjects were taken while wearing spectacles. The matching of the corneal reflected image and optical center of the spectacle lens in the horizontal deviations, and the vertical deviations were measured by the observation of the photo image. The prisms induced in accordance with various frame type were calculated from the mismatching deviations. Results: The binocular horizontal deviations were $1.55{\pm}1.70mm$ for the metal frame, $1.71{\pm}2.21mm$ for the clings type plastic frame, and $1.15{\pm}1.38mm$ for the plastic frame. In the horizontal direction induced prism, the ratio over the tolerance was 23%. The ratio were the 17.6% at the BI prism, and 5.4% at the BO prism. The binocular vertical deviation comparisons were $3.93{\pm}1.91mm$ for the metal frame, $5.79{\pm}1.93mm$ for the clings type plastic frame, and 1$6.01{\pm}2.94mm$ for the plastic frame. In the vertical direction induced prism, the ratio over the tolerance was 44.6%. Based on the refraction power, the ratio were 12.2% at -0.25${\leq}-3.00$, and 32.4% at -3.00${\leq}-12.00D$. Conclusions: The induced prisms in the horizontal direction were much in the BI prism. The binocular vertical deviations of the glasses.