• Journal of the Korea society of information convergence
• /
• v.6 no.2
• /
• pp.51-55
• /
• 2013

The accomodation is made to see near objects. This accomodation have different characteristics from individual to individual. Difference also occurs accommodation of the theory and real. This is accomodative-lag. Depth of focus directly affects the accomodative-lag. Depth of focus is affected by the refractive power and the size of the pupil. Depth of focus becomes deeper as the size of the pupil is small, the refractive power is increased. The accomodative-lag occur more as depth of focus is deep. In this paper, a study was made of the relationship of the accomodative-lag and refractive power. A Monocular Estimation Method(MEM) use for measuring the accomodative-lag. Results were measured by MEM, it tended to increase the refractive power so as to increase the accodative-lag. The accomodative-lag amount was measured at 0.51D. Men were measured at 0.52D, women were measured at 0.49D. The accomodative-lag by gender tended also increases the amount of refractive power increases.

• Journal of Korean Ophthalmic Optics Society
• /
• v.19 no.4
• /
• pp.551-555
• /
• 2014

Purpose: This study is to investigate if the improvement of visual sensory (VS) by amblyopia treatment affects the ocular functions in refractive errors, accommodative errors and phoria at distance and near. Methods: 10 subjects (17 eyes, mean age of $10.7{\pm}2.9$ years) who treated amblyopia completely, were participated for this study. Refractive errors, accommodative errors, and distance and near phoria were compared between before and after treatments of amblyopia. Refractive errors and accommodative errors at 40 cm were measured using openfield auto-refractor (NVision-5001, Shin Nippon, Japan) and using monocular estimated method (MEM) respectively. Phoria was determined at 3 m for distance and at 40 cm for near using Howell phoria card, cover test or Maddox rod. Results: Mean corrected visual acuity (CVA) significantly increased from $0.46{\pm}0.11$ (decimal notation) for before amblyopia treatment to a level of $1.03{\pm}0.13$ for after amblyopia treatment (p < 0.001). For spherical refractive error, hyperopia significantly decreased from $+2.29{\pm}0.86D$ to a level of $+1.1{\pm}2.38D$ (p < 0.05) but astigmatism did not significantly change; $-1.80{\pm}1.41D$ for before treatment and $-1.65{\pm}1.30D$D for after treatment (p > 0.05). Accommodative error significantly decreased from accommodative lag of $+1.1{\pm}0.75D$ to a level of $+0.5{\pm}0.59D$ (accommodative lag) (p < 0.05). Distance phoria significantly changed from eso $2.9{\pm}6.17PD$ (prism diopters) to a level of eso $0.2{\pm}3.49PD$ (p < 0.05), and near phoria also significantly changed from eso $0.4{\pm}2.32PD$ to level of exo $2{\pm}4.9PD$ (p < 0.05). There was a high correlation (r = 0.88, p < 0.001) between improvement of visual acuity and decrease of accommodative lag. Conclusions: Hyperopic refractive error decreased with improvement of CVA or VS by amblyopia treatment. And the improvement of VS by amblyopia treatment also improved accommodative error, and changed phoria coupled with accommodation.