• Journal of Korean Ophthalmic Optics Society
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• v.18 no.4
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• pp.465-471
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• 2013

Purpose: This study was conducted to research effects of influence factors on stereopsis of induced aniseikonia in emmetropia. Methods: 20 college students (a mean age of $22.50{\pm}2.72$ years, 14 males, 6 females) were selected as subjects and all of them had no ocular disease or systemic disease, the refractive correction of spherical equivalent within ${\pm}0.50$ D, the corrected visual acuity of 1.0 or better and the aniseikonia values less than 1% by AWAYA. Subject's dominant eye was checked by Hole in card method and contact lenses of -7.00 ~ +7.00D were fitted to cause anisometropia in dominant eye or non-dominant eye, respectively. And then aniseikonia was induced with spectacles to correct refractive error by contact lenses. Stereopsis was measured by Random Dot Stereo Acuity Test with LEA symbols$^{(R)}$ (Vision Assessment Corporation$^{TM}$, USA). Results: Stereopsis was remarkably reduced by inducing aniseikonia, with induced aniseikonia in dominant eye, with higher diopter of wearing contact lenses to induce anisometropia, with spectacles lenses correction of minus power after fitting contact lenses with plus power and in case of men. Conclusions: It should be considered to correct anisometropia that aniseikonia could cause reduction of stereopsis.

• Journal of Korean Ophthalmic Optics Society
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• v.18 no.1
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• pp.45-51
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• 2013

Purpose: This study was performed to provide indicator of expected aniseikonia by correcting refractive error and to investigate influential factors on aniseikonia. Methods: 20 college students (14 males, 6 females, a mean age of $22.50{\pm}2.72$ years) were selected as subjects whose refractive error with spherical equivalent were within ${\pm}0.50$ D, corrected visual acuity were more than 1.0, and aniseikonia values by AWAYA were less than 1%. After correcting refractive error with spectacles in anisometropia induced by wearing contact lens on their dominant eye or non-dominant eye, practical measured values of aniseikonia were compared with theoretical expected values of it by the formula of spectacle magnification. Results: Practical measured values were higher than theoretical expected values in induced aniseikonia over the whole range of diopter of wearing contact lens. And there was higher measured value of aniseikonia in case of higher diopter of wearing contact lens to induce anisometropia and correcting refractive error with spectacles of (+) diopter after wearing contact lens of (-) diopter to induced anisometropia in dominant eye of women. Conclusions: It is considered that dominant eye plays more important role for visual function in induced aniseikonia and factors such as the induced eye of aniseikonia, the diopter of wearing contact lens, and gender have influenced on aniseikonia.

• Journal of Korean Ophthalmic Optics Society
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• v.16 no.2
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• pp.187-193
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• 2011

Purpose: This study was to compare differences between both eyes in corneal powers, axial lengths, anterior chamber depths in anisometropia and isometropia, and to investigate the relationship between anisometropia and refractive components. Methods: The subject was a total of 83 patients, anisometropia 45 patients (90 eyes) and isometropia 38 patients (76 eyes) from 2.7 to 15.3 years old, prescribed eyeglasses and contact lenses by refraction from July 2010 to August 2010 in Gwangju City B eye clinic. Axial length, anterior chamber depth, corneal curvature, and corneal refractive power were measured using IOL Master. Refractive error was measured using an Auto-refractometer. Results: Anisometropia was a statistically significant difference in axial length, binocular refractive components, refractive error, and axial length, Axial length/corneal radius (AL/CR) ratio showed a statistically significant difference in anisometropia and isometropia. The major cause of anisometropia all 45 subjects was the axial length. Among the refractive components axial length, AL/CR had a strong correlation, but corneal refractive power had no correlation. Anterior chamber depth had a weak correlation. Conclusions: This study found that refractive error was the most axial ametropia caused by the axial length. The main cause of anisometropia was the axial length, but refractive components had a weak correlation.

• Journal of Korean Ophthalmic Optics Society
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• v.18 no.4
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• pp.555-560
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• 2013

Purpose: The aims of this study were to investigate the stereoacuity and subjective symptoms of aniseikonia with prescription of the size lens. Methods: Participants were myopic anisometropia patients with the binocular refraction difference between 1.75 D~3.50 D. Inclusion criteria of participants were no ocular pathology, no amblyopia, more than 1.0 of corrected visual acuity. With fully corrected spectacles and a correction with the size lens, Awaya aniseikonia test and Randot Stereo test were conducted respectively. In addition, subjective symptoms were also examined using questionnaire. Results: As the anisometropia increased, the aniseikonia increased. Under the anisometropia with same refractive correction was different for each individual. The prescription of size lens caused less aniseikonia than the general prescription of glasses. In addition, prescription of the size lens improved stereoacuity and relieved the symptoms of asthenopia. Conclusions: The prescription of size lens that can correct aniseikonia with prescription of glasses can improve stereoacuity and reduced asthenopia.

• Journal of Korean Ophthalmic Optics Society
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• v.14 no.4
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• pp.71-75
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• 2009

Purpose: This study was designed to investigate the condition of refractive correction and heterophoria and monocular pupillary distance on myopic elementary school children wearing glasses in Gwangju city. Methods: Subjective refraction and objective refraction were examined after investigating heterophoria and monocular pupillary distance on 145 (290eye) elementary school children wearing myopia-corrected glasses. Results: 1. Anisometropia > 2.00 D was present in 4 children (3%). 2. 9 anisometropia (47%) were present in 19 undercorrected visual acuity boy wearers. and 16 anisometropia (64%) were present in 25 undercorrected visual acuity girl wearers. 3. Among the 67 myopic glasses boy wearers, the distance between optical centers was coincided with the pupillary distance in 30% (Oculus Uterque), and discrepant in 70% (Oculus Uterque). Among the 78 myopic glasses girl wearers, the distance between optical centers was coincided with the pupillary distance in 23% (Oculus Uterque), and discrepant in 77% (Oculus Uterque). The mean optical center distance was longer than the pupillary distance on both boy and girl wearers 4. The result of measured heterophoria revealed 14% for orthophoria, 63% for exophoria, 23% for esophoria at far distance and 10% for orthophoria, 76% for exophoria, 14% for esophoria at near distance. Conclusions: Correct refractive test and monocular pupillary distance must be examined because incorrect refractive test and pupillary distance induce asthenopia and heterophoria.

• Journal of Korean Ophthalmic Optics Society
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• v.19 no.4
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• pp.519-525
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• 2014

Purpose: On this study, we investigated the relationship between the kinetic visual acuity (KVA) and the dynamic stereoacuity and the effects of anisometropia with measuring KVA and the dynamic stereoacuity. Methods: For 63 adults (male 30, female 33), KVA and the dynamic stereoacuity were measured by using the kinetic visual acuity tester (KOWA AS-4A) and the Howard-Dolman test (H-D test) at distance 2.5 m after conducted full correction of subjects' refractive error respectly. Results: The means of KVA were $0.49{\pm}0.25$ for total subjects, $0.58{\pm}0.26$ for male, $0.40{\pm}0.22$ for female, and LogMAD (Log minimum angle of displacement) dynamic stereoacuities were $1.27{\pm}0.44$($28.44{\pm}25.03sec$ of arc) for total subjects, $1.28{\pm}0.44$($28.23{\pm}23.34sec$ of arc) for male, $1.27{\pm}0.45$($28.63{\pm}26.83sec$ of arc) for female. KVA showed a statistically significant difference between male and female (p=0.00), but dynamic stereoacuity was no significant difference (p=0.97). No significant correlation was present between KVA and dynamic stereoacuity (r=0.03). Also there were no significant differences in the dynamic stereoacuity of the three group which were classified according to the low, middle, high range of KVA (p=0.99). The anisometropia were less than 1 D and over 1 D when divided into two groups, KVA and dynamic stereoacuity showed no significant difference between each (p=0.11, p=0.99). There was no significant correlation between anisometropia and KVA (r=0.33), dynamic stereoacuity (r=0.18) but the correlation between KVA and anisometropia revealed more higer than between dynamic stereoacuity and anisometropia. Conculsions: The KVA for adults showed a significant difference between male and female and male was higher than female for KVA. The dynamic stereoacuity due to the KVA, the KVA and dynamic stereoacuity due to anisometropia were not significant differences between each and also were not great correlations.

• Journal of Korean Ophthalmic Optics Society
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• v.13 no.1
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• pp.113-117
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• 2008

Purpose: This study is to survey that uncomfortable feeling of visual acuity in the first wearing glasses, the number of visiting in age, above vision ranging and refractive errors, astigmatism, and anisometropia. Methods: Automatic refraction and naked visual acuity test executed to receive prescription glasses that the man 509 and women's 499 people visited for the first time, among 3~15 years old who visited an ophthalmoiogical hospital, from January to December, 2003. Results: The first wearing glasses started 3 years old and the most cases was 8~9 years old when they were visited visual acuity 0.5 to 0.7 in most cases. Refractive errors appeared 8 years old and its most plentifully with 20.4%, 92.2% was myopia and 5.2% was hyperopia for the man. Also cases of women was 91.9% for myopia and 5.1% for the hyperopia. Spherical equivalent power was S-1.50${\pm}$1.10D and appeared 62.3% for the low myopia. Astigmatism was appeared 44.6% for the with the rule astigmatism and 75% was cylinder power lower than 1.00D. Cases of simple astigmatism need to glass when was cylinder power C-1.37${\pm}$1.01D, and C-0.50D appeared most distribution. More than 2.00D anisometropia appeared 2.3% for the whole subjective. Conclusions: Of the first wearing glasses visual acuity is 0.5~0.7, spherical equivalent power is S-1.50${\pm}$1.10D, cylinder power of simple astigmatism is C-1.37${\pm}$1.01D.

• Journal of Korean Ophthalmic Optics Society
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• v.20 no.1
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• pp.61-66
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• 2015

Purpose: In this study, dynamic stereoacuity of 20s' adults were measured by using the Howard-Dolman test(H-D TEST, Bernell, U.S.A), and compared of male and female. And the correlation between dynamic stereoacuity and PD(pupillary distance), and between dynamic stereoacuity and anisometropia caused by difference in the spherical refractive power of the left and right eyes were analyzed. Methods: The mean age of $22.68{\pm}0.50$(20~29)years old, 20s' 63 adults (30 male, 33 female) were conducted for this experiments. After the full correction of subject's refractive error, dynamic stereoacuity was measured 5 times for 1 subject at 2.5 m distance using the H-D test. at 2.5 distance. Results: The mean of dynamic stereoacuity was $28.44{\pm}25.03$ sec of arc for total subjects, $28.23{\pm}23.34$ sec of arc for male, and $28.63{\pm}26.83$ sec of arc for female. In the dynamic stereoacuity classified by the range of inter-pupil distance (IPD), the dynamic stereoacuity was $33.87{\pm}18.53$ sec for the IPD being under 59.80 mm, $26.24{\pm}25.26$ sec of arc for 59.81~66.15 mm, $34.60{\pm}25.65$ sec of arc for over 66.15 mm. However, there were no significant differences between 3 groups (P=0.73, r=0.03). In dynamic stereoacuity classified by the refractive error difference between two eyes, dynamic stereoacuity was $26.81{\pm}24.86$ sec of arc for the under 1 D, $41.45{\pm}24.18$ sec of arc for over 1 D, and there was no significant difference between two groups (P=0.15, r=0.15). Conclusions: Dynamic stereacuity by the H-D test in 20s adults showed that there was no significant differences between male and female, and PD and anisometropia did not have a significant impact upon the dynamic stereoacuity.

• Journal of The Korean Ophthalmological Society
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• v.60 no.5
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• pp.470-473
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• 2019

Purpose: To investigate the relationship between dominant eye and refractive error in patients with myopic anisometropia. Methods: This study population consisted of myopes less than 15 years old who were followed up for anisometropia defined as interocular difference of spherical equivalent (SE) ≥1.0 diopter (D). All patients underwent the hole-in-the-card test at far and near to determine ocular dominance. The data were analyzed for statistical significance using Fisher's exact test. Results: A total of 102 eyes in 51 patients were analyzed. The mean age of the patients was 10.4 ± 1.4 years and 54.9% were male. The mean SE was -2.97 ± 1.95 D in the right eye and -3.02 ± 1.92 D in the left eye. The right eye was the dominant eye in 43.1% and 37.3% at distance and near, respectively. The agreement of dominancy between distant and near was 82.4%. The near dominant eyes showed statistically significant accordance with more myopic eyes (p = 0.009). On the other hand, there was no statistically significant relationship between more myopic eyes and distant dominant eyes (p = 0.09). Conclusions: The near dominant eye was more myopic eye in patients with myopic anisometropia. This was considered to be related with the lag of accommodation in dominant eye with near distance.

• Journal of Korean Ophthalmic Optics Society
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• v.16 no.2
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• pp.117-122
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• 2011

Purpose: This study analyzed the factors related to adaptation of people who wears progressive lenses glasses for the first time. Methods: 463 presbyopia (Aged 41~78) without any ocular diseases with the progressive lens glasses were prescribed from 2010 to 2011 at B clinic in the Gwangju city. Progressive lenses adaptation were analyzed according to gender, age, distance refractive state, presbyopic addition, progressive lens design, the old glasses, astigmatism type, and anisometropia etc. High, mid and low-adapted groups were categorized as the status of wearing progressive lenses glasses, re-wearing, occasionally wearing and failed to weraing, respectively. Results: Men showed significantly higher adaptation (p=0.02) than women. Presbyopic addition (p=0.05) and progressive lens design (p=0.02) were statistically significant. However, it was found that there was so statistical significance for the factors of age, distance refractive state, the old glasses, astigmatism type, and anisometropia. Conclusions: According to the results of this study, when progressive lenses were prescribed, we should consider for adaptation gender, presbyopic addition, and progressive lens design etc.