• Title/Summary/Keyword: 굴절수술

Search Result 49, Processing Time 0.023 seconds

Study of Masking Effect of Soft Contact Lenses on Cornea after Refractive Surgery (각막굴절교정 수술 안에 대한 소프트콘택트렌즈 착용 시 Masking 효과)

  • Moon, Ye-Rim;Park, Hyung-Min;Chu, Byoung-Sun
    • Journal of Korean Ophthalmic Optics Society
    • /
    • v.21 no.2
    • /
    • pp.91-98
    • /
    • 2016
  • Purpose: This study investigated the masking effect of the hydrogel lens and silicone hydrogel lens on the cornea with refractive surgery and without surgery. Methods: 24 university students (means age: $23.48{\pm}2.89years$) without refractive surgery (12, control group) and with refractive surgery (LASIK: 8, LASEK: 4, experimental group) participated in the study. Mean refractive errors of right eyes were -2.73 D for control group and -0.24 D for experimental group. The differences in the refractive power and corneal topography map between pre- and post-wearing the -3.00 D lenses were compared, and 2 kinds of hydrogel contact lenses (0.89 Mpa, 0.49 Mpa) and 2 kinds of silicone hydrogel lenses (1.5 Mpa, 0.8 Mpa) were used for -3.00 D lenses. NVision-K5001 (Shin nippon, Japan) was used to measure the refractive power and Keratograph 5M (Oculus, Germany) to measure the corneal topography map change. Results: Variations in the refractive power increased to the plus direction in the experimental group after wearing soft contact lenses. The corneal topography map showed significant changes on the both groups after wearing soft contact lenses (p<0.05). However there were no significant differences in the refractive power and corneal topography map variations by lens materials. Conclusions: Wearing soft contact lenses showed corneal topography map changes. Especially wearing soft contact lenses on the flat cornea after corneal refractive surgery showed greater corneal power changes. Therefore, it should pay attention to refractive change in case of prescribing soft contact lenses to patients with corneal refractive surgery.

Clinical results of wavefront guided laser in situ keratomileusis (파면 유도 맞춤 굴절교정각막수술의 임상 결과)

  • 이경섭;최철명;유용성;김진국;고동섭;권혁제;김현수
    • Proceedings of the Optical Society of Korea Conference
    • /
    • 2003.02a
    • /
    • pp.126-127
    • /
    • 2003
  • 눈의 시력을 진단하는 도구로는 시력표, 검영기, 빔프로젝터, 자동굴절력측정기 등이 있다. 파면분석기(wavefront aberrometer)를 이용하면 눈의 굴절력 및 난시도수 외에도 광학적 고위수차(higher order aberration)를 표현하는 파면수차함수를 산출할 수 있기 때문에, 눈의 결상 능력을 정확하고 정밀하게 진단할 수 있는 가능성을 가지고 있다. 따라서 파면분석기는 현재까지 사용되고 있던 시력 또는 굴절력 계측기들의 다음 세대를 이어갈 것으로 전망하고 있다. (중략)

  • PDF

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
    • /
    • v.15 no.9
    • /
    • pp.5621-5627
    • /
    • 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.

Ablation Depth of Cornea and Munnerlyn Formula in Refractive Keratectomy (각막굴절교정절제술에서 각막의 절제 깊이와 Munnerlyn 식)

  • Choi, Woon Sang;Kim, Yoon-Kyung;Lee, Sung Ah
    • Journal of Korean Ophthalmic Optics Society
    • /
    • v.12 no.3
    • /
    • pp.121-124
    • /
    • 2007
  • Ablation depth of cornea in refractive keratectomy was calculated by Munnerlyn formula. The calculations were preformed for various optical diameter (4 mm~8 mm) and various amount of corrections (-1 Dptr ~ -12 Dptr). The results to be compared with the Munnerlyn approximated formula had little effect within lower corrections, but in higher corrections > 6 Dptr can be occurred the error of 1 Dptr. Although ablation depth were evaluated, the results were only calculated by mathematical model of geometric assumptions. Because ablation depth can vary with operation conditions, the correction factor should be considered not only ablation depth by Munnerlyn formula but also surgeon-specific factor.

  • PDF

The Correlation of Refractive Error and Ocular Dimensions in Older Age (고령의 연령에서 굴절이상과 안광학 성분들의 연관성 분석)

  • Lim, Byung Kwan;Jeon, Soon-Woo;Jeong, Youn Hong
    • Journal of Korean Ophthalmic Optics Society
    • /
    • v.16 no.3
    • /
    • pp.293-297
    • /
    • 2011
  • Purpose: This study was to know the correlation among refractive error and the dimensions of ocular components on older adults. Methods: The subjects were 95 older age who had no eye diseases. The refractive error, corneal radius, corneal diopter, axial length, anterior chamber depth and lens thickness were measured and analysed. Results: The axial length(AL)/corneal radius(CR) ratio was positively correlated with the corneal diopter, axial length, the anterior chamber depth. Then it was negatively correlated with corneal radius. It was shown that the highest correlation was between the corneal diopter and axial length (r = -0.545, p = 0.000). The spherical equivalent of the refractive error was negatively correlated with the AL/CR ratio. Conclusions: It was shown that the AL/CR ratio was a very important indicator for diagnosing the refractive error of the old age.

A Study About N.P.C, Heterophoria and Near Convergence and Divergence by Amount of the Refractive Errors (굴절이상도에 따른 폭주근점과 근거리 수평사위, 폭주 및 개산 여력의 연구)

  • Choi, Sun-Mi
    • Journal of Korean Ophthalmic Optics Society
    • /
    • v.14 no.4
    • /
    • pp.53-57
    • /
    • 2009
  • Purpose: To study the relationship of N.P.C, heterophoria and near convergence and divergence by amount of the refractive error. Methods: All subjects have no ocular disease and their mean age is 22.7. All 39 subjects examined about refractive error, near point of convergence (NPC), heterophoria, near convergence and divergence. Results: Classified by low refractive state, middle refractive state, and high refractive state compared with the expected value of Morgan. NPC had been measured within low and middle refractive state eight all the 8cm. However, high refractive state measured 9.64 cm. Low and middle refractive state for the classification by near phoria. Near esophoria groups was smallest by near divergence and exophoria groups was smallest by near convergence. Conclusions: Near convergence were largest with esophoria while near divergence were largest with exophoria.

  • PDF

A Study on the Difference of Cataract Surgery Prognosis between Adult Diseases and Non-adult Diseases (성인병 여부에 따른 백내장 수술 효과의 차이 연구)

  • Cho, Seon-Ahr
    • Journal of Korean Ophthalmic Optics Society
    • /
    • v.21 no.3
    • /
    • pp.275-280
    • /
    • 2016
  • Purpose: This study is intended to look into the difference in surgery effects through the analysis of risk factors on how the common adult diseases among Korean adults diseases (glaucoma, hypertension and diabetes) are affecting cataract. Methods: Cataract surgery patients' daily records at hospitals in Jeonnam were used as analysis data. Factors - which can affect the results of medical treatment before and after an operation - were classified into the input, process and outcome of medical treatment. The medical treatment and patient characteristics were reflected as the input of medical treatment, and clinical results, functional status and general status as the process of medical treatment. Results: There was a close relationship between adult diseases of glaucoma, diabetes and hypertension, and cataract. Visual acuity of adult diseases patients was 10% lower than of non-adult diseases patients. And for post-surgery it was around 16% difference in refractive error and visual acuity between two groups. Conclusions: According to a study result, the cataract has been confirmed that there is a close relationship of Adult disease patients's glaucoma, diabetes and hypertension. Depending on the type about these adult diseases, before and after cataract surgery, vision and refractive power was found to indicate a significant difference when compared with conventional low normal adult control.

Scotopic Pupil Size in Myopes (근시안에서 암순응상태의 동공크기)

  • Jeong, Woo-Jae;Jeon, In-Chul;Kang, Ji-Hun
    • Journal of Korean Ophthalmic Optics Society
    • /
    • v.18 no.2
    • /
    • pp.197-202
    • /
    • 2013
  • Purpose: This research was performed to measure and analyze scotopic pupil size in myopes and to figure out the factors that influence it. Methods: The pupil size of 191 healthy myopic subjects were measured with the pupillometer (Colvard pupillometer, OASIS medical, USA) in scotopic and analyzed with the age, corneal size, spherical equivalent refractive error, corneal curvature. In addition, it was compared with the measurements of intra-examiner and inter-examiner to verify reproducibility of pupillometer. Results: The mean (${\pm}$SD) scotopic pupil size was $6.64{\pm}0.68$ mm (range, 5.00~8.00 mm), the lower age and the larger corneal size, The bigger the pupil size. The lower spherical equivalent refractive error and steepper corneal curvature tends to be smaller. The reproducibility of intra-examiner and inter-examiner in pupillometer showed the reliability highly (Guttman splithalf point > 0.91). Conclusions: The pupil size associated with age, corneal size, spherical equivalent refractive error and corneal curvature in scotopic condition. It can refer to prevent inconvenience that may occur RGP contact lenses, cataract surgery and refractive surgery.

Visual Performances of the Corrected Navarro Accommodation-Dependent Finite Model Eye (안구의 굴절능 조절을 고려한 수정된 Navarro 정밀모형안의 시성능 분석)

  • Choi, Ka-Ul;Song, Seok-Ho;Kim, Sang-Gee
    • Korean Journal of Optics and Photonics
    • /
    • v.18 no.5
    • /
    • pp.337-344
    • /
    • 2007
  • In recent years, there has been rapid progress in different areas of vision science, such as refractive surgical procedures, contact lenses and spectacles, and near vision. This progress requires a highly accurate modeling of optical performance of the human eyes in different accommodation states. A new novel model-eye was designed using the Navarro accommodation-dependent finite model eye. For each of the vergence distances, ocular wavefront error, accommodative response, and visual acuity were calculated. Using the new model eye ocular wavefront error, accommodation dative response, and visual acuity are calculated for six vergence stimuli, -0.17D, 1D, 2D, 3D, 4D and -5D. Also, $3^{rd}\;and\;4^{th}$ order aberrations, modulation transfer function, and visual acuity of the accommodation-dependent model eye were analyzed. These results are well-matched to anatomical, biometric, and optical realities. Our corrected accommodation-dependent model-eye may provide a more accurate way to evaluate optical transfer functions and optical performances of the human eye.