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A Study on the Relationship Between the Off-Axis Cylinder and Corrected Vision of Astigmatism (난시안의 교정축 이탈과 교정시력과의 관계 연구)

  • Kim, Jung Hee;Kang, Sue Ah
    • Journal of Korean Ophthalmic Optics Society
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    • v.12 no.3
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    • pp.83-87
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    • 2007
  • This study was classified and compared astigmatism's refractional abnormal degrees with visual acuity state of full correction which turned on axises of only 5 degree, 10 degree, and 15 degree. Subjects of this study were 57 college students (114 eyes) who had neither eye diseases nor binocular abnormality, were from their twenties to fifties, with myopia. It appeared that 30.8% of subjects who had astigmatism wore glasses with wrong axis of astigmatism. After accurate correction of the visual acuity and degrees of astigmatism, when we moved to corrected axises at 5 degree, 10 degree, 15 degree, failure of visual acuity with one line or more were 56.1%, 84.2%, 93.8%, respectively. When we comapre the completely-corrected visual acuity with the visual acuity with dricted axes, the bigger the width of visual acuity's weakness was the bigger the drifted angle. The change of normal visual acuity according to drifting angle of corrected axises of astigmatism, when we compared with full correction, appeared 0.94 in 5 degree, 0.87 in 10 degree, and 0.79 in 15 degree. Drift of 5 degree from fully corrected axis, corresponded to difference of visual acuity about one line, drift of 10 degree to 1.8 line difference of visual acuity, and drift of 15 degree about to 2.6 line difference. Through this study, we were sure that, in the case of drifting away from the right axis of astigmatism, it lead to visual weakness and asthenopia. Therefore we darely advise that optometrists should make mistake of axis least by confirming accucacy of corrected axis after despensing of spectacles of astigmatism.

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The Comparison of Fluorescein Patterns between Spherical RGP Lens and Aspherical RGP Lens by Corneal Type and Astigmatic Degree (각막형상과 난시도에 따른 구면 RGP 렌즈와 비구면 RGP 렌즈의 플루레신 염색 패턴 비교)

  • Park, Eun Hye;Kim, So Ra;Park, Mijung
    • Journal of Korean Ophthalmic Optics Society
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    • v.17 no.1
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    • pp.37-45
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    • 2012
  • Purpose: The change of alignment between RGP lens and cornea according to the lens design was investigated by comparing the areas of fluorescein pattern in central and peripheral regions analyzed by astigmatic degree and corneal type when spherical and aspherical RGP lenses fitted in alignment. Methods: The fluorescein patterns of 90 eyes (19-30 years, $25.12{\pm}3.52$) having with-the-rule astigmatism were analyzed after spherical and aspherical RGP lenses fitted in alignment. Then, their fluorescent areas in central and peripheral regions were calculated and compared for the quantitative evaluation. Results: The case showing concordant base curve between spherical and aspherical RGP lenses in alignment fitting was 72% however, the possibility to have same base curves between spherical and aspherical RGP lenses in alignment fitting was to be less in the case of symmetric bowtietyped cornea and high astigmatism. The fluorescent area in peripheral region of aspherical RGP lens in alignment fitting was smaller than it of spherical RGP lens. Peripheral fluorescent areas in both RGP lenses decreased according to the increase of astigmatic degree and peripheral area in symmetric bowtie-typed corea was smaller than round-typed cornea's peripheral area. In the case of same astigmatic degree, peripheral fluorescent area of aspherical RGP lens was smaller in both corneal types. Conclusions: The results above suggest the changing degree in the alignment between RGP lens and cornea can be varied according to lens design, corneal astigmatism and corneal type. Thus, the results obtained from the quantitative analysis of the alignment between lens design and cornea may be used as the basic information about the establishment of guidelines for RGP lens fitting, the development of proper lens design, and different tear volume in partial regions.

A Study on the Ametropia of High School Students in Jeonbuk Province (전북 지역 고등학생 비정시에 관한 연구)

  • Doo, Ha-Young;Sim, Sang-Hyun;Choe, Oh-Mok;Gang, Myoung-Jin
    • Journal of Korean Ophthalmic Optics Society
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    • v.7 no.2
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    • pp.67-71
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    • 2002
  • To investigate the ametropia and refractive error of 364 ametropic eyes en the 182 high school students in Jeonbuk provicne, the visual acuity test was performed by the object and subject method. The results were as follows. 1. The eye types were 85.7% positive for myopia, 6.6% for emmetropia and 7.6% hyperopia, respectively. 2. The abnormal refraction eyes were 30.8% positive for simple myopia, 58.5% for myopia compound astigmatism, 7.5% for myopia simple astigmatism, and 1.8% for simple hyperopia, 1.3% for hyperopia compound astigmatism, 1.9% for hyperopia simple astigmatism, respectively. 3. The axes of astigmatism were 78.7% for astigmatism with-the-rule, 13.9% for astigmatism against-the-rule, 7.4% for astigmatism oblique, respectively. 4. As for the astigmatic power, the 0.50 < cylinder < 1.00dptr was 60.0%, the 1.00 < cylinder < 2.00dptr was 29.2%, and anything over the 2.00cylinder dptr was 10.8%. 5. As for the equivalent spheric power of myopic abnormal refraction eyes, the -0.50 < spheric equivalent < -2.00 diopter was 64.6%, the -2.00 < spheric equivalent < -6.00 dptr was 29.1% and anything over the -6.00 dptr was 6%. 6. The equivalent spheric power of hyperopic abnormal refraction eyes was 50% anything under 2.00diopter and 50% for anything over the 2.00diopter.

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Relationship on the Refractive Status of the High School 3rd Grade Students with Subnormal Visual Acuity in Gwangju Metropolitan City (광주지역 고등학교 3학년생의 비정시안의 굴절상태에 대한 고찰)

  • Yoon, Young;Ryu, Geun-Chang
    • Journal of Korean Ophthalmic Optics Society
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    • v.12 no.3
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    • pp.105-110
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    • 2007
  • To investigate the ametropia and refractive error of 222 ametropic eyes of the 111 high school students in Gwangju Metropolitan City, the visual acuity test was performed by the object and subject method. 85% of the eye types were positive for myopia, 14% for emmetropia, and 1% for hyperopia, respectively. 38% of the abnormal refraction eyes were positive for simple myopia, 4% for myopia simple astigmatism, 56% for myopia compound astigmatism, and 0% for simple hyperopia, 0% for hyperopia simple astigmatism, 2% for hyperopia compound astigmatism, 0% for mixed astigmatism, respectively. 92% of the axes fo astigmatism were for astigmatism with-the-rule, 6% for astigmatism against-the rule, 2% for astigmatism oblique, respectively. As for the astigmatic power, 0.50 < cylinder < 1.00D was 68%, 1.00 < cylinder < 2.00D was 25%, and anything over the 2.00 cylinder D was 7%. As for the equivalent spheric power of myopic abnormal refraction eyes, -0.50 < spheric equivalent < -2.00D was 26%, -2.00D < spheric equivalent < -6.00D was 55% and anything over the -6.00D was 19%. The rate of wearing glasses was 74%. It increases compared to 20 years ago. 91% of the eye test place was the optical shop, 9% the eye doctor hospital. 80% of the students need to change their optical lenses because spherical equivalent power was over 0.50D.

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Axial Rotation of Toric Soft Lens by Corneal Astigmatism and Change of Posture (각막난시와 자세 변화에 의한 토릭소프트렌즈의 축 회전)

  • Kim, So Ra;Kim, Hyun Sun;Jung, Ga Won;Park, Hyung Min;Park, Sang Hee;Park, Mijung
    • Journal of Korean Ophthalmic Optics Society
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    • v.18 no.4
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    • pp.441-447
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    • 2013
  • Purpose: The present study was conducted to investigate the axial rotations of toric soft lens during the change of lens wearer's posture, and the relationship between its rotation and corneal astigmatism. Methods: The amount, direction, and speed of toric soft contact lens rotation were measured for 42 eyes (aged 20s) with the rule astigmatism in the straight and lying postures, and it compared between their changes according to corneal astigmatism. Results: There was no significant difference in the axial rotation of lens for the astigmatism prescription between the straight and lying postures. However, the rotation angle was significantly different according to the posture of lens wearer. Rotating directions in straight posture were nasal direction for 20 eyes and temporal direction for 22 eyes. In lying posture, lenses of most wearers were rotated to a direction of lying posture, and the initial rotating speed was very fast in initial wearing for -0.75 D toric lenses, but consistency for -1.25 D toric lenses. The rotation angle in lying posture showed significantly different according to the amount of corneal astigmatism, the lens speed was also significantly different according to the wearing time but not the amount of corneal astigmatism. Conclusions: The axial rotation of toric soft lens was different by the lens wearer's posture and its amount was the greater with the higher degree of corneal astigmatism. Thus, these factors should be considered for the development of toric lens design.

Clinical Study on Measurement Accuracy of Astigmatic Components (난시성분의 측정 정확도에 관한 임상적 연구)

  • Yoo, Jong-Sook;Sung, A-Young;Kim, Douk-Hoon
    • Journal of Korean Ophthalmic Optics Society
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    • v.11 no.1
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    • pp.63-69
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    • 2006
  • Clinical evaluation by Astigmatic Components of autorefractors was performed to examine validity and accuracy compared with subjective refraction. The mean cylindrical powers of Astigmatic Components of Subjective Refraction, Closed-view and Open-view were found to be $-0.689{\pm}0.516D$, $-0.691{\pm}0.530D$, $-0.470{\pm}0.507D$, respectively. The Difference of cylindrical Components between Subjective Refraction and Closed, Open-view were found to be $0.002{\pm}0.191D$, $0.015{\pm}0.137D$, respectively. Approximately 85% of Closed-view and Open-view autorefractor measurements were within ${\pm}20^{\circ}$ range of the difference of cylindrical axis with subjective refraction. The mean $J_0$ Components of Astigmatic Components of subjective refraction, Closed-view and Open-view were found to be $-0.155{\pm}0.332D$, $-0.004{\pm}0.178D$, $-0.001{\pm}0.156D$, respectively. The mean $J_{45}$ Components of Astigmatic Components, Closed-view and Open-view were found to be $-0.023{\pm}0.227D$, $-0.026{\pm}0.172D$, $-0.014{\pm}0.182D$, respectively. Both of the Closed-view and Open-view refractor showed available accuracy in measuring astigmatic components.

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The Study for Refractive Error of the Westerner in 20s: North America Region (20대 서양인의 굴절이상에 대한 연구: 북미지역)

  • Lee, Young-Il;Hong, Jin Seok
    • Journal of Korean Ophthalmic Optics Society
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    • v.14 no.1
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    • pp.97-101
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    • 2009
  • Purpose: To assess the refractive state of the westerners (male: 44, female: 62) in twenties who visited the A optical shop at Seoul. Methods: The visual acuity test was performed by the objective and subjective method. Results: The emmetropia and myoptia were 35 and 177 eyes (83.49%), respectively. About 26.76% of tested males was ametropia. Myopia compound and myopia simple astigmatism were found in 60.56% and 12.68% of tested males, respectively. However, about 43.40% of tested females was ametropia. Myopia compound and myopia simple astigmatism were 49.06% and 7.55% were found in tested females, respectively. As for the equivalent spheric power of myopic abnormal refractive eyes, the -0.5D < spheric equivalent ${\leq}$ -2.00D was 35.02% of tested westerners, the -2.00D < spheric equivalent ${\leq}$ -6.00D was 60.45% and anything over the -6.00D was 4.53%. The percentages of with-the-rule, against-the-rule and oblique astigmatism among people with astigmatism were 59.82%, 26.78% and 13.40%, respectively. The average of pupillary distance in male (63.5${\pm}$2.4 mm) was greater than that in female (59.7${\pm}$2.3 mm). Conclusions: Korean opticians were provided some useful information about making up a prescription for the westerners in twenties by this research.

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Correlations between Higher-order Aberrations and Myopic Degree (근시도와 고위수차와의 상관관계)

  • Ryu, Nam-Yul;Kim, So Ra;Park, Mijung
    • Journal of Korean Ophthalmic Optics Society
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    • v.19 no.2
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    • pp.199-206
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    • 2014
  • Purpose: The present study was aimed to investigate the correlation between higher-order aberration and myopic degree by the analysis of fluctuation of high-order aberration according to the change of myopic degree in certain ranges of myopia and astigmatism. Methods: The high-order aberration in a total of 992 eyes was analyzed by using a LADARWave device employing Hartmann-Shack system, and the relation between high-order aberration and myopia by the change of myopic degree through manifest refraction test. Results: In all subjects, spherical aberration and total coma aberration were significantly increased by the increase of myopic degree, however, trefoil aberration and astigmatic aberration and tetrafoil aberration were decreased. With the group of lower myopic degree, the change of coma aberration was greater by myopic degree and its change was significantly different. The change of spherical aberration by myopic degree was greatly large in the a group of -3.00 D or more and the group of -6.00 D or more where as its change was not large in the group of lower than -3.00 D. The significant decrease of coma aberration was observed only in the group of astigmatic degree of -1.00 D or less when analyzing the correlation between the higher-order aberrations and myopia in the certain groups of astigmatic degree. In the case of spherical aberration, the significant change was shown in all astigmatic groups, however, its increase was larger with the increase of myopic degree in lower degree of astigmatism. The consistent relationship in variations of horizontal and vertical coma aberration in certain myopic and astigmatic groups was neither established nor statistically significant. Conclusions: It is concluded that the correlation between the higher-order aberration and low-order aberration obtained from the results of the present study can help the understanding related to vision quality and the improvement of vision quality.

A Study of Eye Refraction state on old Age (노안의 굴절이상과 안경착용에 대한 연구)

  • Kim, Jin-Koo
    • Journal of Korean Ophthalmic Optics Society
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    • v.6 no.2
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    • pp.81-84
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    • 2001
  • This study can provide the accurate information on the treatment of visual acuity of a old ages by test of eye refraction state. The test was performed the visual acuity test by the object methods, and subjects was the over 45 old age. The eye types were 12% positive for emmetropia, 19% for myopia. and 69% for hyperopia, respectively. The abnormal refraction eyes were 3% positive for simple myopic astigmatism, 16% for myopic astigmatism, 14% for simple hyperopia, 5% for simple hyperopic astigmatism, 62% for mixed astigmatism, respectively. The axis of astigmatisms were 72% positive for against-the-rule astigmatism, 21% for with-the-rule astigmatism, 7% for ablique astigmatism, respectively.

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Study on the Analysis of Cycloplegic Autorefraction Value in Infancy (소아기의 조절마비 굴절검사값 분석에 관한 연구)

  • Jung, Mi-Boon;Lee, Ki-Seok;Kim, Tae-Hun;Sung, A-Young
    • Journal of Korean Ophthalmic Optics Society
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    • v.11 no.3
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    • pp.275-280
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    • 2006
  • For this study, we analysed the difference of values between noncycloplegic and cycloplegic autorefraction in primary school children. We classified the elementary school one, two, three grade (8~10age) 79children(158eyes) who did not have strabismus or amblyopia. They were examined by using the Autorefractor in domestic market before and after cycloplegic. Discrepancies beyond 0.50D in spherical and cylindrical power and 20 degree in cylindrical axis were regarded as significant. The percentages of discrepancy were greater in spherical power between noncydoplegic and cycloplegic autorefraction(p<0.05). The percentages of discrepancy were not greater in cylindrical power between noncycloplegic and cycloplegic autorefraction. The percentages of discrepancy were greater in cylindrical axis between noncydoplegic and cycloplegic autorefraction(p<0.05). In conclusion, for the primary school children who did not wear glasses, the prediction table of this study will be helpful to reduce the test error in visual acuity and refractive error tests.

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