• Journal of Korean Ophthalmic Optics Society
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• v.17 no.2
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• pp.143-151
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• 2012

Purpose: The present study was conducted to investigate whether there is any difference in the centration of spherical RGP lens on cornea according to corneal types, corneal astigmatism and lens fitting states. Methods: Spherical RGP lens was fitted on 29 eyes of round-typed cornea and 45 eyes of symmetric bowtie-typed cornea with 0.00~2.75 D of corneal astigmatism in alignment, steep or flat. Their lens centrations on cornea were analyzed by taking photographs. Results: The centration of spherical RGP lens in the vertical direction was decentrated to downward direction in all cases, and the degree of decentration was not consistent. The lens centration in horizontal direction was significantly more-decentrated to the temporal meridian as base curve of lens was increased, and the degree of decentration was different according to the corneal type, corneal astigmatism and fitting states. With the same degree of astigmatism, the lens decentration to the temporal meridian was bigger in round-typed cornea than that in symmetirc bowtie-typed cornea. Conclusions: The centration of spherical RGP lens varies depending on lens fitting states, corneal astigmatism, and corneal types. Thus, the consideration of these factors may improve the success rate in RGP lens prescription.

• Journal of Korean Ophthalmic Optics Society
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• v.19 no.1
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• pp.17-22
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• 2014

Purpose: We aimed to evaluate reliability of eye exam for visual acuity as a function of distance. Methods: There were 39 patients (78 eyes) who had visual acuity 1.0 or more at 5 meters. We measured refractive power of patients at each distances, 5 meters, 4 meters and 3 meters. Automatic chart (LCD-700, Hyeseong Optic. Co., Korea) used for visual acuity, skiascope (Beta 200, Heine, Germany) and auto refractometer (RK-5, Canon, Japan) used as for objective refraction. Accommodation was examined by minus lens addition methods, and Accommodative lag was examined by grid chart for reading distance. Results: Being compared to 3 meter test, Amount of corrected spherical refractive power decreased by $0.10{\pm}0.38$ D, astigmatism decreased by $0.05{\pm}0.10$ D, and axis of astigmatism rotated toward to temporal by $2.64{\pm}18.75$ degrees for right eyes, by $11.43{\pm}48.55$ degrees for left eyes in case of 5 meter test. Changes of corrected refraction and astigmatism were slightly correlated (r=-0.31, r=-0.29). Conclusions: Because corrected refraction power and amount of astigmatism decreased and axis of astigmatism tends to turn the temporal direction according to exam distance, examination distance of visual acuity should improved as to 5 meters.

• Journal of Korean Ophthalmic Optics Society
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• v.21 no.3
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• pp.259-264
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• 2016

Purpose: To establish the cause of decrease in body stability and to analyze the effects on sensory organs maintaining static balance according to the induced astigmatic blur. Methods: Twenty subjects (10 males, 10 females; mean age, $23.40{\pm}2.70years$) were participated in this study. To induce myopic simple astigmatism, the axis directions of cylindrical lenses were placed $180^{\circ}$ on both eyes (with-the-rule), $90^{\circ}$ on both eyes (against-the-rule), and $45^{\circ}$ on both eyes (oblique). Cylindrical lenses of +0.50, +1.00, +1.50, +2.00, +3.00, +4.00, and +5.00 D were used to increase astigmatic blur in each astigmatism types. General stability (ST) and sway power (SP) in frequencies by each sensory organs were analyzed using the TETRAX biofeedback system. Results: ST in the all astigmatism types were raised with increase of astigmatic blur compared to full corrected condition, but a significant difference only showed in the induced oblique astigmatism. According to the results of correlation analysis between ST and SP in the each frequencies with increase of astigmatic blur, the causes of increased ST in the induced oblique astigmatism showed to have a high correlation in order of somatosensory system (high-medium frequency), central nervous system (high frequency), peripheral vestibular system (low-medium frequency), and visual system (low frequency). Conclusions: The visual information by uncorrected oblique astigmatism may disturb the normal functions of all sensory organs maintaining body balance, consequently, the body stability can be reduced. Therefore, optimal correction of astigmatism can play an important role for reducing the instability of body balance.

• Journal of Korean Ophthalmic Optics Society
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• v.16 no.3
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• pp.273-281
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• 2011

Purpose: In order to provide the fundamental information for the design development of RGP lenses and its clinical prescription, the corneal types of Korean twenties were analyzed according to corneal shapes, astigmatic degree, and the certain distance from the corneal apex. Methods: Corneal types of total 252 eyes in 20s were firstly classified, then their corneal radii from the certain distance from the corneal apex were measured by corneal topography and further analyzed based on the astigmatic degree. Results: Korean 20s' corneal types were classified as 14.3%(36 eyes) of round, 31.3%(79 eyes) of oval, 28.6%(72 eyes) of symmetric bow tie, 17.5%(44 eyes) of asymmetric bow tie, 8.3%(21 eyes) of irregular shapes. The round and oval typed corneas had mild astigmatic degree whereas the higher astigmatic degree in symmetric and asymmetric bow tie typed corneas were shown. The relative corneal radii of round and oval typed corneas at each distance from corneal apex were shown to consistently increase regardless of astigmatic degrees when they measured at certain distances from the corneal apex. However, the relative corneal radii of symmetric and asymmetric bow tie typed corneas within 1.0-1.5mm from the corneal apex were decreased, which showed steeper slope than it within 1.0 mm and somewhat different based on astigmatic degrees. Bigger change of corneal radii outer 3.5 mm from the corneal apex in symmetric bow tie typed corneas with astigmatism of 1.50-2.00 D and 2.25-2.75 D appeared. Conclusions: The consideration of radial change from the central cornea to peripheral cornea is necessary for manufacturing RGP lens and its prescription since they showed different change in corneal radii by corneal patterns and astigmatic degrees.

• Journal of Korean Ophthalmic Optics Society
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• v.6 no.2
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• pp.105-109
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• 2001

The investigate of preschool children at 7-year-old at three kindergartens in Iksan was done by the naked visual acuity, the refractive state and cover-uncover test. Total 246 eyes were examined by the objective and subjective methods. The results were as follows: 1. Among the 246 eyes, the naked visual acuity of below the average 0.7 was 64 eyes(26%). 2. As to the distribution of refractive errors, myopic eyes and hyperopic eyes were 26.55% and 26.55%, respectively. 3. As to the type of astigmatisms, with the rule was 85.8%, against the rule was 8.9% and oblique was 5.3%. 4. The percentage of preschool children who had been tested was 13.8%. 5. In test none of children were the phoria.

• Journal of Korean Ophthalmic Optics Society
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• v.19 no.2
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• pp.189-198
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• 2014

Purpose: The present has analyzed the correlation between the direction of lens and the amount of rotation upon soft toric contact lens fitting after classifying the corneal astigmatism. Methods: Soft toric contact lens was fitted on 114 with-the-rule astigmatic eyes with total astigmatism of at least -0.75 D in their 20s and 30s according to the fitting guideline of the manufacturer and the correlation between the astigmatic degree and the rotational direction/amount of rotation was analyzed by when keeping the eyes on the front and by changing the direction of gaze. As for re-orientation movement. The speed of lens re-orientation and total amount of lens rotation was compared and analyzed by corneal astigmatism after mis-location of lens of $45^{\circ}$ to temporal and nasal direction, respectively. Results: The positive correlations were shown between corneal astigmatism and the direction of lens rotation and between corneal astigmatism and the amount of lens rotation. Meanwhile, the amount of lens rotation was different by the direction of gaze however, there was no correlation with corneal astigmatism. The speed of lens re-orientation was fastest in the group of high astigmatic degree when the lens was mis-located to both temporal and nasal directions. Conclusions: For optimal axis stabilization of toric soft lens, it is proposed that the adjustment of fitting guideline considering corneal astigmatism is necessary since the current fitting guideline is only based on total astigmatism.

• Journal of Korean Ophthalmic Optics Society
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• v.21 no.1
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• pp.77-81
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• 2016

Purpose: This study was performed to investigate the difference of meridional visual acuity and the loss of corrected visual acuity (VA) in order to emphasis the importance of astigmatic correction. Methods: 64 subjects (122 eyes) aged $22.75{\pm}2.36years$ participated in this study. After full correction of astigmatic refractive error, VA was measured in which the direction of the slit filter was matched with astigmatic axis and $90^{\circ}$ to the astigmatic axis. Results: 52 eyes showed no difference in VA between the two direction. However 70 eyes had difference VA between them. 14 out of 52 eyes and 24 out of 70 eyes had under 1.0 in monocular VA. The astigmatic degree was higher in the existence of VA difference between the two direction than non-existence. The difference is higher with under 1.0 monocular VA. Monocular VA is closely related to the focal line having better VA in the principal focal line. Glasses replacement period was analyzed as 6~12 months for the preservation of better VA. Conclusions: The final glasses prescription has to be given with full correction because continued under-correction for astigmatism causes meridional VA difference.

• Journal of Korean Ophthalmic Optics Society
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• v.11 no.2
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• pp.121-129
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• 2006

Prevalence of refractive error have revealed variation in relation to ethnicity, educational level, age, gender, and social economic status. Especially prevalence of refractive error varies by country, estimation of prevalence of refractive error have shown increase in Asia than in Western world. The present report aimed to investigate the prevalence of refractive errors by the age and gender in Korean population without eye disease. A total of 960 subjects were sampled and their refractive error was determined using Auto refractometer. Prevalence of emmetropia was 29% and that for myopia and hyperopia was 67%, 4%, respectively. Astigmatism was 22%, and the simple astigmatism was 1%. However the compound astigmatism was 99%. Prevalence of refractive errors differed significantly among age and gender group in our results. The percentages of with-the-rule, against-the-rule and oblique astigmatism among people with astigmatism were 36.6%, 20.7% and 42.7% for right eye and 31.8%, 10% and 58.1% for left eye.

• Journal of Korean Ophthalmic Optics Society
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• v.7 no.2
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• pp.41-45
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• 2002

To study the ametropia and the sort of glasses, especially progressive multifocal lens, for near purpose on Middle aged & Manhood. 500 adults were tested by the object and subject methods. Among the 500 adults, myopia is 22.4%, hyperopia is 61.4%, and emmetropia is 16.2%, respectively. In test of astigmatism, the amount of astigmatism for the age of forty one to under forty five with-the rule is 28%, the amount of astigmatism against-the rule is 43% and the amount of astigmatism with oblique is 11%, respectively. Whereas, the amount of astigmatism for the age of fifty six to under sixty with-the rule is 10%, the amount of astigmatism against-the rule is 71% and the amount of astigmatism with oblique is 19%, respectively. With-the-rule decreased with increasing age while against-the-rule increased with increasing age. The oblique astigmatism relationship to age could not be determined. The ratio of the progressive multifocal lens was 67.3% for male and 35% for female.

• Journal of Korean Ophthalmic Optics Society
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• v.17 no.1
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• pp.53-58
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• 2012

Purpose: The purpose of this study was to predict the amount of astigmatism through logMAR visual acuity by Jin's chart at best vision spherical power and to compare availability of astigmatism expectation by Jin's and beam project chart. Methods: LogMAR and decimal visual acuity were measured for 150 college students and visual acuity and compared the amount of astigmatism under full correction. Results: Jin's chart was showed marked differences at least more than 0.25 D intervals per line than beam project chart. Correlation with the amount of astigmatism was higher the logMAR visual acuity r = 0.8578 than decimal visual acuity r = -0.7199. Conclusions: LogMAR visual acuity at best vision spherical power was able to predict to amount of astigmatism and Jin's chart was easier than beam project chart to predict difference of each lines.