• Journal of Korean Ophthalmic Optics Society
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• v.14 no.1
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• pp.109-114
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• 2009

Purpose: This study was designed to investigate the condition of refractive correction on wearing glasses currently of elementary school children and their accommodative ability in Jinju city. Methods: Objective refraction, subjective refraction, amplitude of accommodation, negative and positive accommodation, accommodative facility, and dynamic retinoscopy were examined on 60 elemenary school children who aged 8~12 wearing myopiacorrected glasses. Results: The condition of refractive corrections was distributed that a case of full correction was 11.7%, a case of low correction with more than 0.8 visual acuity (VA) was 10%, and a case of low correction with less than 0.8 VA was 78.3% in wearing glasses currently. In results from examination of accommodative ability, the number of children having accommodative anomaly is 8 persons (13.3%), they were divided into accommodation insufficiency (4 persons), accommodative facility insufficiency (2 persons), accommodation excess (1 person), and accommodation insufficiency related to ocular function (1 person). Conclusions: It is demanded a periodic inspection of refractive correction to growing children, and the refractive correction after due consideration to accommodative ability is really needed.

• Journal of Korean Ophthalmic Optics Society
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• v.18 no.2
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• pp.165-171
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• 2013

Purpose: This study are to analyze and to compare between pupillary size, reaction time, refractive error, corrected vision, dominant eye, static visual angle (SVA) and kinetic visual acuity (KVA) of male and female college students, to measure KVA of them in full correction and to identify changes of KVA by +0.50 D and -0.50 D spherical power addition respectively in full correction condition. Methods: KVA, SVA, pupillary size, reaction time, refractive error, corrected vision and dominant eye of 40 male and 40 female optical science students were measured by utilizing KOWA AS-4A, reaction time measurement program, subjective refractometer, and objective refractometer, and KVAs were measured when +0.50 D/-0.50 D were added in both eyes respectively. Results: Binocular KVA of whole subjects was $0.45{\pm}0.22$, and in monocular KVAs were $0.36{\pm}0.19$ for right eye and $0.34{\pm}0.19$ for left eye, and binocular KVA was significantly higher than monocular KVA. It appeared that the better SVA was, the better KVA was in significant way, and in terms of refractive error the less myopia amount was, the better KVA was, but it was not significant statistically. The lower astigmatism was, the slightly and significantly higher KVA was when dividing between equal or less than -1.00 D astigmatism group and over -1.00 D astigmatism group. In resulting from correction condition of refractive error KVAs were $0.45{\pm}0.22$ for full correction, $0.26{\pm}0.15$ for +0.50 D addition, $0.48{\pm}0.22$ for -0.50 D addition which indicates that KVA in over myopia correction was significantly the highest and followed by full correction and under correction. Similar findings were revealed in both male and female, and KVA of male was better than female in comparing between male and female. There was no significantly different KVA between dominant eye and non-dominant eye. Conclusions: Accordingly, it is concluded that KVA is related with far distance SVA, astigmatism amount, and refractive error amount except a dominant eye. Through this research, it was found that prescription for enhancing KVA is to make full correction or to overcorrect slightly myopia.

• Journal of Korean Ophthalmic Optics Society
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• v.5 no.1
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• pp.139-146
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• 2000

Once refractive error of the eye was fully corrected, Maddox rod was used to investigate binocular vision function. When the deviations of subjects' eyes were measured, orthophoria. without any horizontal deviations, was found in 10%, esophoria in 55% and exophoria in 34% of the patients. Esodeviation of the eye was found to be greater than exo-deviation by 11%. This is also refracted in deviations found to be greater than $4{\Delta}$ diopter magnitude where esophoria was 23% and exophoria was 9%. Thus for the patients to achieve comfortable binocular vision function, binocular vision anomalies need to be considered in spectacle prescription. In examining ocular anomalies of corrected refractive error, the deviation of the eye differed from under corrected refractive power to over corrected refractive power. There was a decrease in exophoria and an increase in esophoria, with over correction. This was thought to be due to accommodation. Furthermore, calculated AC/A ratio was found to vary from 1.25 to 6.61 and its relationship to refractive error could not be determined.

• Journal of Korean Ophthalmic Optics Society
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• v.9 no.2
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• pp.361-370
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• 2004

The purpose of this study was to evaluate the outcome and Factors that influence the quantity of Phoria in the low correction and perfect correction. Also the coincidence with the opticenter and the pupillary distance was a principal factor that influence the quantity of Phoria. Thereupon, this study is attributed to promote the perfect Phoria test. The subjects for this study were 120 persons(240 eye) in myopic refractive errors. ISP/WIN program was used for the data analysis. The collected data was analyzed by descriptive statistics and Spearman's correlation coefficient. The results of this study were as follows: 1. The prism pattern was difference between low correction and perfect correction in the Phoria test. The proportion of orthophoria was changed from 10.0% to 12.5%, exophoria was changed from 67.5% to 62.5%, and esophoria was changed from 22.0% to 32.5%, respectively. 2. The average of optical center distance and pupillary distance were 31.70mm and 31.49 mm, respectively. 3. Among the 120 myopic glasses wearers, the distance between optical centers was coincided with the pupillary distance in 37.5%, and discrepant in 62.5%. 4. For the patients who were coincided with the pupillary distance, the proportion of exophoria decreased 53.33%, esophoria increased 20.0%. 5. For the changing of the quantity of Phoria in the low correction, the degree of exophoria decreased 1.11 prism diopters in the perfect correction, esophoria increased 0.39 prism diopters.

• Journal of Korean Ophthalmic Optics Society
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• v.14 no.3
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• pp.7-15
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• 2009

Purpose: To investigate the corneal recovery after discontinuing orthokeratology (OK) lenses wear in children for long-term period. Methods: Among the OK lens wearers who wear over 8 months and showed successful refractive correction, 25 subjects were selected who want to discontinue the OK lenses. Uncorrected visual acuity, refractive correction, corneal curvature (Sim K), central corneal thickness and corneal eccentricity were measured during the OK lens wearing period and after discontinuation for 1 month. Results: Uncorrected visual acuity and corneal shape had remodeled significantly during the OK lens wear and recovered significantly during the first week of discontinuation. Uncorrected visual acuity and refractive correction had achieved full recovery 2 weeks after discontinuation of lens wear and were highly correlated with the changes in corneal thickness. But corneal shape recovered slowly, eccentricity had recovered fully after 1 month and corneal curvature and central thickness had not been achieved full recovery until 1 month after discontinuation. Conclusions: Recovery of after longterm use of OK lens is rapid for refractive change, but slow for corneal curvature and central thickness that to refit the contact lenses, practitioners need patience.

• Journal of Korean Ophthalmic Optics Society
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• v.15 no.1
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• pp.25-30
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• 2010

Purpose: This study was conducted to estimate the changes of corrected diopter and corrected visual acuity with the change in vertex distance. Also we aimed to provide basic data for refraction test. Methods: Using the trial lens, we measured the corrected diopter and corrected visual acuity after performing binocular balance test. We measured the changes of corrected diopter and corrected visual acuity in change of vertex distance. We analyzed statistical significance and relations between vertex distance and corrected diopter and corrected visual acuity. Results: There was no difference in corrected diopter with the change of vertex distance within -1.00D, but the corrected diopter increased with it over - 1.25D. In particular, the change of diopter was largest when the vertex distance increased 15 mm. At over 11.00D, there was large changes of diopter with the changes of vertex distance at 5 mm, 10 mm and 15 mm. On correlation analysis between the vertex distance and the corrected diopter, there was strong correlation (r=0.999 at 5 mm increase of vertex distance, r=0.982 at 10 mm increase and r=0.957 at 15 mm increase) and also there was significant (p<0.01). At the change of visual acuity in increased of vertex distance, the range of a decrease in visual acuity was large when the changes of vertex distance was largest. On correlation analysis between the vertex distance and the corrected visual acuity, there was strong correlation (r=0.969 at 5 mm increase of vertex distance, r=0.985 at 10 mm increase and r=0.994 at 15 mm increase) and also there was significant (p<0.01). Conclusions: The vertex distance was very important at the refraction test and at wearing spectacle. On correlation analysis between the vertex distance and the corrected diopter, and the corrected visual acuity, there was strong correlation and statistically significant. Therefore, the vertex distance should be kept at the refraction using trial lens, and the best fitting was made not to slipping forward, and so we suggested regular refitting of spectacle and the managing method of spectacle were educated to the spectacle wearers.

• Journal of Korean Ophthalmic Optics Society
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• v.11 no.3
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• pp.201-206
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• 2006

The purpose of this study is observed effect of cycloplegia in emmetropia with use of cycloplegia. We examined the naked visual acuity, mainfest refraction, 105eyes with emmetropia(under SE ${\pm}0.50D$, Cyl ${\pm}1.00D$) after the use of cycloplegia. We used Nidek ARK-700 autorefractometer. Sexual difference of mainfest refraction error showed in male -0.67D, female -0.92D and difference of the CR and the MR male 0.5D, female 0.81D the total mean 0.69D. The naked visual acuity were in male 0.82, female 0.74, total mean 0.77. Age comparison, difference CR and MR were total mean 0.69D and 13 years group 1.1D were the highest. The naked visual acuity were in the highest 10 years group 0.86. Effect of cycloplegia was $0.69D{\pm}0.79$ in emmetropia and visual acuity was $0.77{\pm}0.21$. The optician, it will not be able to use cycloplegia, must pay attention spectacle prescription unnecessary and over correction in condition below -0.75D MR, above 0.77 visual acuity.

• Journal of Korean Ophthalmic Optics Society
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• v.15 no.4
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• pp.367-372
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• 2010

Purpose: The purpose of this study was to provide useful information for evaluating the sensory function of patients with strabismus by identifying the distribution of anomalous retinal correspondence (ARC) and normal retinal correspondence (NRC) by the degree of refractive errors and deviation angles. Methods: Objective refraction (AR/K, Cannon RK-F1, Japan) and subjective refraction tests were performed on 56 subjects (male: 26, female: 30) by an examiner; objective deviation angle was measured using synoptophore (OCULUS Synoptophore, Germany) with subject' eyes fully corrected for distance, and then subjective deviation angle was measured. Results: In all groups with refractive errors, the number of ARC was larger than that of NRC(67%). Particularly, it was largest in groups with myopia (71%), and in all groups, the number of UARC was larger than that of HARC. In groups with anisometropia, although the numbers of NRC and ARC were same, the number of UARC was larger than that of HARC as in other groups. In the distribution of NRC and ARC by deviation angle, the number of NRC was larger than that of ARC (46%) only at microstrabismus (0 ~ ${\pm}10{\triangle}$). Conclusions: Normal retinal correspondence were the most emmetropia in the retinal response were much higher than in the more hyperopia than the retinal correspondence were more myopia. In addition, the smaller the angle of retinal correspondence Normal over many, but overall, respectively.

• Journal of Korean Ophthalmic Optics Society
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• v.18 no.2
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• pp.179-186
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• 2013

Purpose: To compare corneal asphericity, visual acuity (VA), and ocular and corneal higher-order aberrations (HOAs) between myopic refractive surgery and emmetropia groups. Methods: Twenty three subjects ($23.0{\pm}2.5$ years) who underwent myopic refractive surgery and twenty emmetropia ($21.0{\pm}206$ years) were enrolled. The subjects'criteria were best unaided monocular VA of 20/20 or better in both two groups. High and low contrast log MAR visual acuities were measured under photopic and mesopic conditions. Corneal and ocular HOAs were measured using Wavefront Analyzer (KR-1W, Topcon) for 4 mm and 6 mm pupils. Corneal asphericity was taken by topography in KR-1W. Results: There was no significant difference in VA between two groups under either photopic or mesopic conditions. In ocular aberrations, there were significant differences in total HOAs, fourthorder and spherical aberration (SA) for a 6 mm between two groups (p=0.045, p<0.001, and p<0.001, respectively). In corneal aberrations, there was a significant difference in SA for 4 mm (p=0.001) and 6 mm (p<0.001) pupils between two groups and there were statistically significant differences in total HOAs (p<0.001) and fourth-order aberrations (p<0.001) between two groups for a 6 mm pupil. There was a significant correlation in emmetropia between Q-value and SA in ocular aberrations for 4 mm and 6 mm pupils (r=0.442, p=0.004, and r=0.519, p<0.001) and in corneal aberrations for 4 mm and 6 mm pupils (r=0.358, p=0.023, and r=0.646, p<0.001). No significant correlations were found between Q-value and SA in refractive surgery group. Conclusions: VA in myopic refractive surgery is better than or similar to emmetropia. Nevertheless, the more increasing pupil size is, the more increasing aberrations are. Thus, it could have an influence on the quality of vision at night.

• Journal of Korean Ophthalmic Optics Society
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• v.6 no.2
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• pp.139-144
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• 2001

This paper was investigated the change of naked visual acuity and the full corrective refractive powers of alcoholicity for 0, 0.05 and 0.1. We research the prescriptions for 9 males and females 9 aged 20 above years. The naked visual acuity was decreased with increasing alcoholicity. Most of tested patients, the spherical refractive powers was also decreased with increasing alcoholicity. The change of the cylinder refractive power was uniformity. For the astigmatism axis. there were many changes.