• Journal of Korean Ophthalmic Optics Society
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• v.7 no.2
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• pp.47-54
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• 2002

This study as performed to survey symmetrical and asymmetrical astigmatism among 1,100 patients(2,200eyes) who were prescribed with spectacles. Of the 2,200 eyes, 59.3%(1,305 eyes) had astigmatism. Among all patients, 21.4%(235 patients) had unilateral astigmatism, 48.6%(535 patients) had bilateral astigmatism. In 1,070 eyes(535 patients) with the bilateral astigmatism, the orientation of astigmatism were 61.2% for with-the-rule astigmatism, 24.7% for against-the-rule astigmatism and 14.1% for oblique astigmatism. On the astigmatic power, -0.25~-0.50D was 47.5%, -0.75~-1.00D was 29.9%. Symmetrical astigmatism was 83.4% of the bilateral astigmatism. Asymmetrical astigmatism was 16.6% of them. From 41 to 50 years of age, 45.4% of the age had symmetrical astigmatism, 14.3% had asymmetrical astigmatism. Types of the left and the right eye in symmetrical astigmatism consisted of with-the-rule astigmatism and with-the-rule astigmatism(65.5%), against-the-rule astigmatism and against-the-rule astigmatism(25.3%), oblique astigmatism and oblique astigmatism(5.6%), etc. In asymmetrical astigmatism, with-the-rule astigmatism and oblique astigmatism was 23.6%, oblique astigmatism and with-the-rule astigmatism was 20.2%. As the results of this study, most of spectacles wearers had bilateral astigmatism that was more than unilateral astigmatism. Symmetrical astigmatism was 5 times more than asymmetrical astigmatism with no sex differences. Especially, symmetrical and asymmetrical astigmatism were more in forties than in other age groups. Over the half of symmetrical astigmatism was with-the-rule astigmatism in the left eye and with-the-rule astigmatism in the right eye. These findings will be used in prescriptions for more comfortable vision.

• Journal of Korean Ophthalmic Optics Society
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• v.12 no.2
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• pp.25-36
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• 2007

We researched the change of astigmatism power when the fixation point moved from far distance to near distance. Astigmatism power was measured by using both eyes open-view auto-refractometer. We divided the ages between 5 and 67 years old into 12 groups with 1,598 healthy eyes(male-698 eyes and female-900 eyes) without eyes problems and experiences of eyes operations. The mean power in far astigmatism showed that with-the-rule of the total astigmatism: -0.79D, with-the-rule of the corneal astigmatism: -1.07D and against-the-rule of the residual astigmatism : -0.79D were found most respectively. The correlation between cornea astigmatism and total astigmatism was y=0.7493 x + 0.5661 r=0.6510, residual astigmatism and total astigmatism was y=0.248 x - 0.5926 r=0.2598 and corneal astigmatism and residual astigmatism was y=-0.4439 x - 0.1813 r=-0.5551 in the far distance. The mean power in near astigmatism showed that with-the-rule of total astigmatism : -0.92D, with-the-rule of corneal astigmatism : -1.12D, against-the-rule of residual astigmatism : -0.87D were found most respectively. In the near distance, The correlation between corneal astigmatism and total astigmatism was y=0.6872 x + 0.5934 r=0.6204, residual astigmatism and total astigmatism was y=0.303 x - 0.6066 r=0.3165, corneal astigmatism and residual astigmatism was y=-0.46 x - 0.0626 r=-0.5322. When the fixation point moved far distance to near distance, the differences of power according to the type of astigmatism were total astigmatism: $-0.07D{\pm}0.44D$, corneal astigmatism: $-0.04D{\pm}0.54D$ residual astigmatism:$0.01D{\pm}0.53D$. Most of astigmatism refractive power was increased except for oblique-the -astigmatism. When the fixation point moved far distance to near distance, the change of astigmatism refractive power showed total astigmatism: 540 eyes(33.7%), corneal astigmatism: 638 eyes(39.9%), residual: 841 eyes(52.6%).

• Journal of Digital Convergence
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• v.13 no.12
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• pp.285-290
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• 2015

The purpose of this study is to compare the status of eyesight according to the change of astigmatism axis in myopic astigmatism and to minimize errors in making astigmatic glasses based on accurate optometry and prescription. The subjects were 93 males and females(186 eyes) who have myopic astigmatism without any ocular disease or systemic disease. We performed comparative analysis on the status of visual acuity according to the change of astigmatism axis to 5, 10 and 15 degree in corrected eyesight 1.0. The direct astigmatism was the most common astigmatism type among the 186 eyes. After all subjects were perfectly corrected into 1.0, the change of astigmatism axis affected eyesight; The results suggested that the more change was made in astigmatism axis, the worse their eyesight would become. The main astigmatism type was changed from direct astigmatism to inverse astigmatism as age increased. The change of the astigmatism axis resulted in failing of corrected eyesight. Therefore, the convergence of examination and correction for astigmatism strength and axis is necessary when conducting refraction inspection for astigmatism.

• Journal of Korean Ophthalmic Optics Society
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• v.5 no.1
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• pp.117-123
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• 2000

In this study, total astigmatism and corneal astigmatism were studied 328 eyes of healthy Korean for astigmatism. Total astigmatism was measured by fogging-and-dial technique, and corneal astigmatism was measured with Topcon OM-4 keratometer. Residual astigmatism was determined by a discrepancy between total and corneal astigmatism. The results were as follows: As they aged, there were a statistically significant changes in total and corneal astigmatism but not in residual astigmatism. And the amount of with-the-rule total and corneal astigmatism had a tendency to decrease, but residual astigmatism had no changes. From 30 years, total astigmatism showed a tendency to become against the rule. The average diopteric value was +0.342D in total astigmatism. +0.920D in corneal astigmatism and -0.579D in residual astigmatism.

• Journal of Korean Ophthalmic Optics Society
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• v.19 no.3
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• pp.377-382
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• 2014

Purpose: To investigate the effect of anterior, posterior corneal astigmatism and total corneal astigmatism on posterior corneal astigmatism by analyzing correlation. Methods: Participants were 31 patients (31 eyes) without corneal disease at the age range of 22 to 28 who had visited hospital to receive corneal refractive surgery. The total corneal astigmatism and anterior and posterior corneal astigmatism were measured using a rotating scheimpflug camera before surgery. The magnitude of astigmatism was calculated with the difference between the meridian of the steep refractive power and the flat, and With-The-Rule and inverse astigmatism were divided according to the direction of the meridian that was the steepest. Results: The averages of total corneal astigmatism and anterior and posterior astigmatism were found to be $1.13{\pm}0.76D$, $1.51{\pm}0.84D$, and $-0.59{\pm}0.17D$. The magnitude of posterior corneal astigmatism was distributed between -1.0 D and -0.25 D in all the subjects, and when the magnitude of total corneal astigmatism was set as 100, the magnitude of anterior corneal astigmatism was $142.9{\pm}29.9%$. Total corneal astigmatism indicated the highest correlation with the magnitude of anterior astigmatism (y = 0.871x-0.184, $R^2=0.982$) and high negative correlation with posterior astigmatism (y = -2.974x-0.184, $R^2=0.698$). All the subjects' anterior and posterior corneal astigmatism was classified into With-The-Rule. Conclusions: Anterior and posterior corneal astigmatism in the subjects in their 20's showed the magnitude of -3.8 D in 0.2 D and -0.25 D in -1.0 D separately, and both anterior and posterior astigmatism indicated a high percentage of With-The-Rule.

• Journal of Korean Ophthalmic Optics Society
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• v.8 no.2
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• pp.85-89
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• 2003

A tear lens formed by between back surface of spherical rigid gas permeable(RGP) contact lens and front surface of cornea shows an excellent correction effect of astigmatism. To study an effects of tear lens power using spherical RGP lens and therefore to utilize them in clinical procedures, we analyze a change of the total astigmatism, the cornea astigmatism, and the residual astigmatism, we derive the following conclusion. 1. Almost all refractive astigmatism below than 2.00D present fully corrected. Thereby resulting good visual acuity. Refractive astigmatism higher than 2.50D show under-corrected and apparent decrease of visual acuity if it is higher than 3.00D. 2. Amount of corneal astigmatism below than 2.50D show acceptable under-corrected while higher than 3.000 present unacceptable visual acuity. 3. An estimated residual astigmatism is not revealed as it is : but it is reduced when it incorporate to refractive astigmatism.

• Journal of Korean Ophthalmic Optics Society
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• v.12 no.2
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• pp.47-59
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• 2007

When the fixation point moved far distance to near distance, the change of astigmatism type in total astigmatism showed no-changed eyes: 1,020 eyes (63.8%), changed eyes: 578 eyes(36.1 %). The change of with-the-rule into oblique-astigmatism, oblique-astigmatism into with-the-rule, against-the-rule into oblique-astigmatism of change was plenty the most respectively. In corneal astigmatism was no-changed eyes: 1,164 eyes (72.8%), changed eyes: 434 eyes(27.1%). The change of with-the-rule into oblique-astigmatism, oblique-astigmatism into with-the-rule, against-the-rule into with-the-rule astigmatism was plenty the most respectively. In residual astigmatism is no-changed eyes: 935 eyes(58.5%), changed eyes: 663 eyes(41.4%). The change of with-the-rule into oblique-astigmatism, oblique-astigmatism into against-the-rule, against-the-rule into oblique-astigmatism was plenty the most respectively. When the fixation point moved far distance to near distance, the change of astigmatism axis in total astigmatism was no-changed eyes: 761 eyes(48.5%), cyclotorsioned eyes the above 10 degrees: 837 eyes(52.3%). In corneal astigmatism was no-changed eyes: 846 eyes(52.9%), cyclotorsioned eyes the above 10 degrees : 752 eyes(47%). In residual astigmatism was no-changed eyes: 614 eyes(38.4%), cyclotorsioned eyes the above 10 degrees : 984 eyes(62.5%). The magnitude of cyclotorsion of astigmatism axis in total astigmatism was Counter clockwise rotation: 31 degrees, clockwise rotation: 20 degrees. In coneal astigmatism was Counter clockwise rotation: 25 degrees, clockwise rotation: 27 degrees. In residual astigmatism was Counter clockwise rotation: 33 degrees, clockwise rotation: 35 degrees.

• Journal of Korean Ophthalmic Optics Society
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• v.6 no.1
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• pp.71-76
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• 2001

In this study, the variation of astigmatism axis according to the age was studied 4227 eyes of healthy eyes. The refractive errors were measured by objective and subjective refraction. The astigmatism among the total eyes was 76.5%. With-the-rule, against-the-rule and oblique astigmatism were 51.4%, 31.7% and 16.9%, respectively. The frequency of with-the-rule was the highest and against-the-rule was the lowest of all the astigmatism in the refractive error. In relation to the age and astigmatism, the with-the-rule was 68.3% in the 10's age group which was the highest among the astigmatism and the against-the-rule was 10.3% in the 50's age group and upward which was the lowest among the astigmatism. The difference in the with-the-rule and against-the-rule ratio was a little in the 30's age group. As they aged, the tendency of the with-the-rule was increased between 10's and 20's age group continually. And the tendency of the against-the rule was increased between 30's and 50's age group and upward. There was a decrease in with-the-rule and an increase in against-the-rule, with the age increase. The oblique astigmatism relationship to age could not be determined.

• Journal of Korean Ophthalmic Optics Society
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• v.5 no.1
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• pp.159-163
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• 2000

In this study, It obtained that how myopitic astigmatism eyes appear in highschool students. The results were as follows. 1. In test, myopitic astigmatism eyes of men students are measured 60% in ratio and women students are measured are 57% in ratio. 2. In $-1.00{\geq}$cyl>0.00 Dptr, myopitic astigmatism eyes are measured 82% in ratio and in $-1.50{\geq}$cyl>-1.00 that is measured 12% in ratio. 3. In -2.00>cyl, myopitic astigmatism eyes are measured 6% in ratio. 4. In the kind of astigmatism, The direct astigmatism axis is 81 % in ratio and each of the indirect astigmatism axis and the oblique astigmatism is 5%, 14% in ratio.

• Journal of The Korean Ophthalmological Society
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• v.60 no.2
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• pp.126-134
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• 2019

Purpose: To assess the accuracy of toric intraocular lens (IOL) implantation by the location and size of the corneal incision. Methods: We retrospectively reviewed the medical records of 98 patients (98 eyes) who underwent phacoemulsification with toric IOL implantation from January 2014 to March 2017. The patients were divided into two groups: group 1 got an incision of the superior side of the cornea (n = 54) and group 2 received an incision on the temporal side of the eye (n = 44). For both groups, incisions were made at their steep corneal astigmatism axises. Each group was further divided into subgroups for whom different sized blades were employed (2.75 vs. 2.2 mm widths). We measured the refractive index and autokeratometric parameters. We postoperatively assessed residual astigmatism and any reduction thereof. Results: In both groups, uncorrected and best-corrected visual acuity, refraction cylinder astigmatism, and autokeratometric astigmatism improved statistically. Between two groups, corneal astigmatism decrease was not significant. Residual astigmatism also showed no significant differences between the two. Patients in both groups treated using 2.75 mm wide blades exhibited greater increases in corneal astigmatism. Conclusions: During cataract surgery, precise correction of astigmatism via toric IOL implantation is possible when surgically induced astigmatism is minimized by careful choice of the location and size of the corneal incision.