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The Clinical Study on the Visual Acuity and Cornea of ez-NANOsence II RGP Contact Lens (ez NANOsence II RGP 콘택트렌즈의 시력과 각막에 미치는 임상적 연구)

  • Kim, Douk-Hoon;Bae, Han-Young;Han, Mung-Gyo
    • Journal of Korean Ophthalmic Optics Society
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    • v.12 no.4
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    • pp.55-69
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    • 2007
  • The purpose of this study was to perform a clinical test using ez NANOsence II RGP contact lenses for the effects of visual acuity and cornea on subjects with abnormal refraction status. One hundred twenty one adults (twenty nine males, ninety two females, range = 17 to 43, mean = 22.86) were recorded. The subject's history including, the symptoms from previous lens wear, were studied. The subjects were observed, both pre and post lens wear, for any symptoms and signs of change of the eye. The Visual acuity and the binocular status were tested at the far distance using the contact lens. The refraction test was performed on the naked eye using the objective method (Topcon KR-8100, Japan). The Stereopsis test was performed at the near distance after contact lens wear by the Titmus fly (Stereo Optical Co., U.S.A) and TNO (TECH, The netherlands). The contrast sensitivity diagnosis was performed at 1m distance after contact lens wear by the contrast sensitivity chart (pelli-Robertson, USA). The corneal topography was analyzed on the naked eye after lens wear by ORB scan (Bausch Lomb, U.S.A.). The ultra structure of surface on the contact lens was observed using SEM (JMS-5800, Japan). The chemical component's of the contact lens was analyzed by EDS program. The results of this study were as follows: 1. The longer of contact lens wear period, The subjects have acquired the most improved visual function. 2. Subjects had experienced few side effects wearing the contact lenses. 3. The lenses were easy to use by the subjects. 4. The longer of contact lens wear period, the power of cornea had more decrease. but the base curve of cornea had more increase and corneal astigmatism was decrease (p<0.01). Also, the thickness of corneal center was few decrease. 5. Longer periods of using the contact lens showed stereopsis and contrast sensitivity at more normal values. 6 The corneal topographical after lens wear showed most subjects with similar morphology for different wear periods. 7. The surface ultrastructure of the new and used contact lens was the similar fine shape. 8. The chemical component's of in the new and used contact appeared to have similar results. In conclusion, this study showed that the surface ultrastructure and chemical component's of the new and used contact lens are similar. In addition, the subjects had improved the quality of vision and few experienced any side effects during long periods of contact lens wear. Also they have decrease of corneal astigmatism during the long period of lens wear. Our test has showed that the chemical composition and fine structure of contact lens have related to the visual function on contact lens wearer. In this paper, we suggested that ez NANOsence II RGP contact lenses had a moderate effect for correcting vision of abnormal refraction eye.

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Clinical Efficacy of Bunny Multifocal Intraocular Lens after Cataract Surgery (버니 다초점인공수정체의 임상적 효용성)

  • Cho, Myung Ho;Park, Jae Yeong;Park, Byung Gun;Lee, Jong Soo
    • Journal of The Korean Ophthalmological Society
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    • v.59 no.12
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    • pp.1129-1136
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    • 2018
  • Purpose: To compare the postoperative clinical outcomes after cataract surgery and implantation using the BunnyLens $MF^{(R)}$ and $ReSTOR^{(R)}$ multifocal intraocular lenses. Methods: Sixty-five eyes implanted with multifocal intraocular lenses were divided into two groups involving either $ReSTOR^{(R)}$ (39 eyes) or BunnyLens $MF^{(R)}$ (26 eyes) lenses. In these two groups, the distant and near visual acuity, astigmatism, spherical equivalent, and contrast sensitivity test were examined at preoperative and postoperative 1 week, 8 weeks, and 24 weeks. We compared the clinical efficacy between the two groups before and after cataract surgery using statistical analysis. Results: The mean value of distant and near visual acuity, and spherical equivalent of both groups after intraocular lens implantation were significantly improved, compared with the preoperative values (p < 0.05), while there was no significant differences between the two groups (p > 0.05). The means of postoperative distant and near visual acuity, astigmatism, and contrast sensitivity test were not significantly different between $ReSTOR^{(R)}$ and BunnyLens $MF^{(R)}$ lenses (p > 0.05). The mean numeric error of spherical equivalent at the final postoperative 24 weeks was $-0.17{\pm}0.50$ diopters (D) for the $ReSTOR^{(R)}$ lenses and $-0.34{\pm}0.52D$ for the BunnyLens $MF^{(R)}$ lenses (p > 0.05). Conclusions: BunnyLens $MF^{(R)}$ and $ReSTOR^{(R)}$ lenses showed no significant difference in clinical efficacy, including distance and near vision, spherical equivalent error, and contrast sensitivity test after cataract surgery. However, it should be noted that BunnyLens $MF^{(R)}$ lenses had a tendency toward myopic shift compared with $ReSTOR^{(R)}$ lenses.

The Influence of the Shift of Incident Beam on the MTF (입사광의 편위가 MTF 미치는 영향)

  • Park, Seong-Jong
    • Journal of Korean Ophthalmic Optics Society
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    • v.7 no.2
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    • pp.55-60
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    • 2002
  • In this paper, we investigate the MTF in image plane using the shifted magnitude, the shifted direction, and the astigmatism as the real amplitude distribution of incident beam in an optical system is shifted. The shifted magnitudes of incident beam are 0.0, 0.25, 0.5 and 0.75 and the shifted directions of incident beam are 0 and ${\pi}/2$. We also consider the optical system having the astigmatism which are $0.0{\lambda}$, $0.25{\lambda}$, $0.5{\lambda}$, and $0.75{\lambda}$. As the shifted magnitude of the real amplitude distribution of incident beam increases, the MTFs of sagittal and tangential direction in an optical system having an aberration free decrease, but that in an optical system having the astigmatism which is $0.75{\lambda}$ and the shifted direction of incident beam which is ${\pi}/2$ increases. We know from these results that the shift of the real amplitude distribution of the incident beam in an optical system compensates the effect of astigmatism as the shifted direction of that in an optical system is ${\pi}/2$, and Stiles-Crawford effect having the shifted real amplitude distribution of incident beam in pupil area is minimized the effect of astigmatism for eye.

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The Effect of cycloplegia in Emmetropia with Use of Cycloplegia (조절마비제로 정시안이 된 눈의 조절마비 효과)

  • Shim, Hyun-Seog;Shim, Moon-Sik;Jang, Seong-Ju
    • 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.

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The Study of tear film stability for normal eyes in adults (성인 정상안의 눈물 안정성에 대한 연구)

  • Oh, Hyun-Jin;Doo, Ha-Young;Sim, Sang-Hyun;Choi, Sun-Mi;Oh, Seung-Jin
    • Journal of Convergence Society for SMB
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    • v.6 no.4
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    • pp.85-91
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    • 2016
  • This study is to research the tear film stability for 48 eyes, agreed the purpose of study, didn't have no contact lens wearing and were tested all two times in a day. Their visual acuity was more than 0.8, corrective visual acuity more than 0.8, the fattest K-reading, apical corneal radius, was in 7.40~8.40mm, corneal astigment was less than 1.00D and orthophoria. The tests, tear scope test, tear film break up time test(TBUT) and schirmer test order, were performed their functions before and after their working at interval of 6 hours over. The tearscope test results was no difference, TBUT was no difference, although 1.2 seconds more in the afternoon, shcirmer test was decreased 2.0mm in the afternoon.

The Age-specific Change of Refraction(D) Power and Relative Risks of Refractive Errors (연령에 따른 굴절력 변화와 굴절이상의 상대 위험도)

  • Lee, Eun-Hee;Lee, Sang-Yoon;Lee, Hee-Jung;Cho, Sung-Il;Paek, Domyung
    • Journal of Korean Ophthalmic Optics Society
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    • v.12 no.3
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    • pp.1-5
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    • 2007
  • This is a succeeding article of J. Korean Optalmic Optics Society vol. 11(2) pp. 121-129(2006) [Research about the distribution of refractive errors in distinction of gender and at age of Kyonggi province's partial area]. The former article showed age-specific distribution of myopia, hyperopia and astigmatism which generally appears in refractive errors. This paper aimed to investigate the change of refractive power and prevalence of refractive errors by age. Total 928 subjects were sampled and their refractive errors were determined using auto refractometer. As the results, change of refractive power of subjects appeared at the age about 40, and suddenly reduced over 46 years resulting in (+)refractive power at their fifties. Relative risks of refractive errors of myopia increased in younger subjects but the risks decreased in older subjects (over 46 years). On the other hand, the risks of hyperopia decreased as the age of subjects increase, but could increase to 0.24 (95% CI: 0.07-0.88) after 36 years. This results showed that presbyopia might progress more early when people were before 40 years.

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The Clinical Study on Spectacle Wearers of Highschool Students (고등학생 안경착용자의 착용상태에 관안 임상적 연구)

  • Kim, Sang-Kyun;Sung, A-Young
    • Journal of Korean Ophthalmic Optics Society
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    • v.9 no.1
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    • pp.19-27
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    • 2004
  • The purpose of this study is to survey spectacle wearers's way of thinking through the questionaire and to investigate their wearing conditions through fitting conditions, the pantascopic angle, vertex distance, the coincidence of vertical and horizontal distance between optical center of the lens and pupillary distance of the eye in random selected 150 ametropic corrective wearers in the age of 17 to 19. The results are as follows : 1. The most popular causes of physical complaints in the ex-wearing spectacle are frame pressure(34.0%), slipping forward(30.0%) and most popular visual complaints are blur vision(30.0%) and asthenopia(20.0%). 2. The most common physical or visual complaints in the present wearing spectacle are slipping forward(30.0%), pressure (50.0%), color(10.0%). 3. Myopic glasses wearers accounted for 56.7% of the subjects, the others were compound myopic astigmatism. In 60% of the subjects' binocular diopter did not coincide. 4. In the pantascopic angle of the both eyes coincide in 66.7% of the subjects. The average of pantascopic angle is $10.07^{\circ}$. 5. In the vertex distance of the both eyes coincided in 65.3% of the subjects. the he average of vertex distance is 13.6 mm. 6. Among 150 eyes with monocular, the vertical distance between optical center of the lens and pupillary distance of the eye is within the RAL-RG 915 that is tolerance of ophthalmic dispensing in German Standards in 82 eyes (54.6%). 7. Among 150 eyes with monocular, the horizontal distance between optical center of the lens and pupillary distance of the eye is within the RAL-RG915 that is tolerance of ophthalmic dispensing in German Standards in 86 eyes(57.3 %).

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Study on Relationship between Eye Health and Household Income of the Elderly (노인의 가구 소득과 눈 건강과의 관계)

  • Park, Jee-Hyun;Kim, Hyo-Jin;Ye, Ki-Hun
    • Journal of Korean Ophthalmic Optics Society
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    • v.16 no.2
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    • pp.209-217
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    • 2011
  • Purpose: In this study, eye-health inequity was investigated by analyzing the relationship between household incomes and eye-health of senior citizens. Further, this study suggested the preliminary data for establishment of public eye-health policy in order to improve low income senior citizens' life quality. Methods: The data from the 2009 Survey of Korea National Health and Nutrition Examination were analyzed in this study. The objectives of the KNHNE survey were over 65 year old group (1,668 people). Main factors of eye-health (visual acuity, cataract, pterygium, intraocular pressure, retinophathy, age-related macular degeneration, diabetic retinophathy, myopia, hyperopia, astigmatism, and anisometropia prevalence) were analyzed with t-test and chi square test. Results: Low income group revealed that refractive error rate and intraocular pressure were low, however, naked eye visual acuity and corrected visual acuity were high at 0.1 to less than 0.5. On the other hands, in the high income group, there was high prevalence of hyperopia. Cataract mainly occurred at low income group besides group which maximum corrected visual acuity was below 0.8 also highly showed cataract. Moreover, the prevalence of cataract showed that it related with smoking, drinking, occupation, and education level. Conclusions: Results revealed that there was inequity of eye-health which related with socioeconomic status of the elderly. Especially, the prevalence of cataract was correlated with life quality. Consequently, establishment of public eye-health policy seems to be required for eye-health inequity of low income senior citizens.

Analysis of Axial Mis-alignment After Wearing of Toric Soft Contact Lenses (토릭소프트콘택트렌즈의 착용 후 축 정렬 상태의 변화 분석)

  • Kim, Sang-Yoeb;Lee, Dong Yeol;Lee, Sun-Haeng;Kim, Kun-Kyu;Song, Sop;Cho, Hyun Gug
    • Journal of Korean Ophthalmic Optics Society
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    • v.15 no.3
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    • pp.213-217
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    • 2010
  • Purpose: To emphasize the necessity of post-fitting by follow-up test, the mis-alignment was analyzed after initial wearing of toric soft contact lenses (TSCL). Methods: After trial contact lenses were worn to 87 eyes with myopic astigmatism for 1 week, we observed the alignment of axis mark on trial contact lenses using slit lamp and corrected the rotated axis by method of LARS. After final fitting, rotation ratio, rotation degree and rotation position were analyzed compared to initial prescription divided to amount of cylinderical and spherical powers. Results: Rotation ratio of TSCL's axis was increased as increment of both cylinderical powers and (-)spherical powers. An average of rotation degree was $10^{\circ}{\sim}13^{\circ}$ which was not related to amount of their powers. Rotation position of TSCL's axis was more to temporal than to nasal. Conclusions: Because mis-alignment of axis after TSCL wearing induce the poor sight, adjustment of axial alignment as a result of follow-up must be performed.

The Effect of Environmental Factors upon Children's Visual Acuity (어린이 시력과 생활 환경과의 관계에 관한 연구)

  • Kang, H.S.;Seo, Y.W.;Kang, I.S.
    • Journal of Korean Ophthalmic Optics Society
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    • v.2 no.1
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    • pp.77-83
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    • 1997
  • This study was carried out to investigate the effect of environmental factors on 380 children's unaided visual acuity and to determine the visual acuity and objective refraction error of these children. The unaided visual acuity and objective refraction error were measured by the TOPCON chart projector and refractometer on 147 kindergarteners and 233 primary school children ranging from age 5 to 12. The measurement on the unaided visual acuity of children were 3% for below the 0.1 visual acuity 9% for 0.1~0.4. 18% for 0.5~0.7. 16% for 0.8~0.9. and 54% for over 1.0 visual acuity respectively. The refractive errors were 9.35% for mixed astigmatism. 14.5% for hyperopia 75.88% for myopia. and 0.27% for emmetropia. respectively. When analyzing the environmental factors. the relationship between the children's visual acuity and the number of hours the children watched TV. the more hours they watched TV. the more the children lost their visual acuity. The visual acuity of children decreased abruptly in the groups that watched TV more than 4 hour a day. When comparing the relationship between the children's visual acuity and proximity to the TV, the further away from the TV they were the higher visual acuity. There is rna relation between the children's visual acuity and the studying hour or reading hour of children. The relationship between the children's visual acuity and their dwelling environment, the visual acuity of children who lived in an independent house were better than the visual acuity of children who dwelled in an apartment.

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