• Journal of Korean Ophthalmic Optics Society
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• v.15 no.1
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• pp.105-116
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• 2010

Purpose: To analyze and compare differences between single vision lenses and functional progressive addition lenses and improvement to binocular visual function wearing functional lenses for pre-presbyopes altered their single vision lenses to functional progressive addition lenses with low addition. Methods: Healthy 32 subjects aged 24.03${\pm}$1.87 (male 23, female 9) who were recruited from university students wore functional progressive addition lenses (EYE-T, Chemilens Co., Korea, ADD 0.750) for 2 months. Objective refraction, corrected visual acuity at distance and near, near point of convergence, near point of accommodation, accommodative facility, phoria at distance and near were measured. And subjective satisfaction was investigated by using a questionnaire designed to fatigue, comfort, discomfort, overall satisfaction and preference. Results: Functional progressive addition lenses were better than single vision lenses at near point of convergence and accommodation, accommodative facility. Exo phoria measured at distance with single vision and functional progressive addition lenses. Exo phoria measured at near with functional progressive addition lenses was higher than that with single vision lenses. As a survey, the satisfaction was increased in questions related near work. However, single vision lenses were preferred in distance test of overall satisfaction, easy 10 adapt, lime to adapt. A survey showed thai preference of functional progressive addition lenses were increased 75.00% to 81.26% for near work, 50.00% to 65.63% for visual fatigue, 47.75% to 50.00% for visual comfort and 31.25% to 46.88% for overall comfort. Conclusions: Comparing between single vision lenses and functional progressive addition lenses, binocular visual function related near work, subjective satisfaction and preference was improved after wearing functional progressive addition lenses. This study suggested that functional progressive addition lenses were useful for long time near work.

• Journal of Korean Ophthalmic Optics Society
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• v.15 no.4
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• pp.381-388
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• 2010

Purpose: This study was to compare the contrast sensitivity evaluated the visual ability at near wearing functional lenses for pre-presbyopes altered their single vision lenses to functional progressive addition lenses with low addition for 2 months. Methods: Healthy 32 subjects aged 24.03${\pm}$1.87 (male 23, female 9) who were recruited from university students wore functional progressive addition lenses(EYE-T, Chemilens Co., Korea, ADD 0.75D) for 2 months. Corrected visual acuity at distance and near and contrast sensitivity at near were tested right after wearing functional progressive addition lenses to compare wearing single vision lenses. And we had second test after 2 months later. Results: Comparing between test and retest, contrast sensitivity at near wearing functional progressive addition lenses was improved more than wearing single vision lenses at all spatial frequency of right, left and both eyes. Conclusions: There was considered that contrast sensitivity test is useful to evaluate the visual ability as well as quality of near work and can be applied variously.

• Journal of Korean Ophthalmic Optics Society
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• v.14 no.4
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• pp.45-51
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• 2009

Purpose: The purpose of this study is to compare and analyze the survey results of clinical performance and visual problem, and the survey were carried out before and after of VDT working for 4 hours by wearing functional lens designed for improving VDT syndrome and single-vision lens. Methods: We tested near & far visual acuity, change of spherical equivalent, near point of accommodation, near point of convergence, AC/A ratio, accommodative facility and survey of subjective symptoms to visual problem of before and after VDT working for 4 hours after wearing single-vision lens and functional lens subjected on 30 males and females in the age of 20 to 45. Results: When wearing functional lens comparing to single-vision lens, near visual acuity, near point of accommodation, near point of convergence, and accommodative facility are significantly improved. It is investigated that average scores of 10 items to visual problem after VDT working for 4 hours are 3.63${\pm}$0.75 at single-vision lens and 4.69 ${\pm}$ 0.83 at functional lens, and therefore functional lens is significantly improved. Conclusions: It is thought that functional lens is an excellent lens which helps to improve accommodative function and visual problem after VDT working for 4 hours than single-vision lens.

• Journal of Korean Ophthalmic Optics Society
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• v.15 no.3
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• pp.263-268
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• 2010

Purpose: Eye movements and fixation ability are an important procedure to obtain external information and essential means of clear vision. The purpose of this study was to determine the reading performance such as reading time and number of fixations when random text was viewed at varying distances. Methods: Twenty two presbyopes were participated. All subjects were screened for their suitability to participate in the study by clinical examination, and none of the participants had previously worn contact lenses and no previous experience of wearing any types of presbyopic vision correction except single vision. The reading time and number of fixations were recorded using eye tracker while each subjects was waring four vision corrections which included single vision for distance (SV), bifocal spectacle lenses (BIF), progressive addition lenses (PAL), and monovision (MV). The reading material was presented at distance and near distance. Results: Reading time and number of fixations for near stimulus were significantly different among vision correction used in this study (p<0.001). In particular, wearing SV required longer reading time and produced longer fixation duration for near text. However, reading distance text was similarity performed across vision corrections tested and there was no statistical difference found for either reading time and number of fixations. Conclusions: Wearing presbyopic vision correction is advantageous for reading task of near stimuli, but not having near correction such as wearing SV could result in longer reading time and higher number of fixation due to lacks of accommodative ability for near task. For the future studies, it would be interesting to examine the performance of reading both at adapted and unadapted stages as examining only unadapted wearers was limitation of this study.

• Journal of Korean Ophthalmic Optics Society
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• v.16 no.1
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• pp.51-60
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• 2011

Purpose: This study was to investigate visual performance and subjective satisfaction with multifocal soft contact lenses at near works in university students. Methods: In a cross-over study design, 26 students (6 male, 20 female) who did not have any ocular disorder with at least 20/20(1.0) binocular vision were fitted with singlevision lenses (SofLens$^{TM}59$, Bausch + Lomb Co. USA) or multifocal lenses (SofLens Multifocal, Bausch + Lomb Co. USA). After 2 weeks, visual performance assessments included visual acuity, stereoacuity and contrast sensitivity function at distance and near. Near point of accommodation, accommodative facility, near point of convergence, vergence facility and near range of clear vision at near were examined. Students' satisfaction and preference were measured using survey questionaries. Results: Subjects maintained at least 20/20 binocular vision with multifocal and single-vision lenses at distance and near. There was no difference between multifocal and single-vision lenses in stereoacuity, contrast sensitivity function and vergence facility at far and near. The near point of accommodation, accommodative facility, near point of convergence and the near range of clear vision with multifocal lenses were better than single-vision lenses. On the survey questionaries, subjects reported that they preferred and satisfied with multifocal lenses with near works, and single-vision lenses with distance works. Conclusions: The majority of university students preferred multifocal to single vision lenses because multifocal lenses provided better visual performance at near works. This study suggests that multifocal lens is helpful for young adult in prolonged near works.

• Journal of Korean Ophthalmic Optics Society
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• v.17 no.2
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• pp.195-202
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• 2012

Purpose: We intended to study effects of wearing the progressive lenses on legibility of Korean letters under the VDT circumstance. Methods: Fifty subjects wearing the progressive lenses and the single focus lenses were asked to find designated characters on web-pages under the VDT circumstance. We measured times for subjects to read the web-pages and numbers of missed characters, considering them as standards of legibility, and compare results of the progressive lenses with those of the single focus lenses by variables of the size and legibility of letters and the width of web-pages. Results: In case of the progressive lenses, all the times to read the web-pages and some of the numbers of missed characters increased with statistical significance. Smaller the character size, lower the legibility of character itself, and wider the width of web-page, the legibility tended to be seriously lowered by the progressive lenses. Conclusions: It is presumed that the intermediate part of progressive lenses with narrow visual field lowers the legibility of Korean letters under the VDT circumstance.

• Journal of Korean Ophthalmic Optics Society
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• v.18 no.1
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• pp.75-84
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• 2013

Purpose: Changes of refractive correction value in different age group were investigated. Regarding the inhibitive effects against myopia progression after wearing reverse geometry contact lenses and myopia control lenses (MC lenses), the effects after wearing single vision lenses were compared. Methods: We organized children between the ages of six and fifteen into three groups by age, and distributed fifty-seven reverse geometry contact lenses, fifty-six MC lenses and seventy-eight single vision lenses among them to be worn. Group 1 consisted of children aged ten and under, Group 2 consisted of children between the ages of eleven and fifteen, and Group 3 represents all of the study participants. The aim of this study was to learn the inhibitive effects against myopia progression attained by changes of refractive correction value and to verify their statistical significance at twelve months and under, thirteen to twenty-four months and twenty-five to thirty-six months. Results: Changes of refractive correction value by each length of use in Group 3 were as follows. For the age group of under twelve months, participants using the reverse geometric contact lens showed no change, while those using the MC or single vision lens had significant changes (P<0.05) of $-0.36{\pm}0.10$ D and $-0.67{\pm}0.52$ D, respectively. Users of all three lens types displayed significant change (P<0.05), in the age group of between thirteen and twenty-four months, of $0.18{\pm}0.49$ D, $0.60{\pm}0.42$ D and $1.37{\pm}0.72$ D for users of the reverse geometry contact lens, the MC lens and the single vision lens, respectively. There were significant changes (P<0.05) of $0.29{\pm}0.61$ D, $0.93{\pm}0.57$ D and $1.72{\pm}0.78$ in the same respective order as the above in the age group of twenty-five to thirty-six months. Refractive correction value showed changes with different age group. Group 1 displayed significant changes (P<0.05) of $0.29{\pm}0.73$ D, $1.07{\pm}0.59$ D and $1.75{\pm}0.74$ D for users of the reverse geometry contact lens, MC lens and single vision lens, respectively, up to thirty-six months of lens wearing; Group 2, also up to thirty-six months, displayed significant changes (P<0.05) of $0.28{\pm}0.42$ D, $0.75{\pm}0.49$ D and $1.70{\pm}0.84$ D in the same respective order, and changes in refractive correction for the age group under ten years was significantly greater (P<0.05) for the age group of eleven and older. Conclusions: The results found in this study demonstrate that there were no changes of refractive correction value for the case of wearing reversing geometry contact lens up to twelve month or less. MC lens showed less changes in variations of visual acuity for all users which might be resulted in inhibiting progression of myoptia. When both reverse geometry contact lens and the MC lens are wearing for the period from 13 to 36 month, both lens showed less changes in variation of visual acuity for all users. The results suggested that the less changes in variation of visual acuity of both lens had an effect on inhibiting progression of myopia.

• Journal of Korean Ophthalmic Optics Society
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• v.17 no.1
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• pp.19-26
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• 2012

Purpose: This paper was to study the clinical effects of moderating myopia by comparing the myopia control lens, which was being recently recognized as a method of inhibiting the progression of myopia, with the wearers of single vision lens. Methods: Using 56 subjects between the ages of 8-15 years (112 eyes) with myopia in the areas of City of Daegu and Gyeongsangbuk Province as study subjects, refractive error, axial length, near point of convergence and accommodative near point were measured and compared a total of 3 times at the baseline, after 1-month and after 6-months. Results: For refractive error, suppression and mitigation were seen in the progression of spherical equivalent when MC lens was worn, as compared to using SV lens, and, when axial length MC lens was worn, the axial progression was significantly suppressed and delayed (p < 0.05). The near point of convergence became shorter with the use of MC lens, and the amplitude of convergence was improved when MC lens was worn. Accommodative near point became shorter with the use of MC lens, and focus ability was significantly improved (p <0.05). Conclusions: It was shown that MC lens, compared to SV lens, could alleviate myopia progression in school-age children and youth. It is considered that MC lens can be used as a useful therapy for the inhibition of myopia progression in the increasing number of myopic children and adolescents.

• Journal of Korean Ophthalmic Optics Society
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• v.20 no.2
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• pp.117-124
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• 2015

Purpose: The purpose of this study was to compare the accommodative function of young adult in their 20s wearing monovision, modified monovision, and aspheric multifocal contact lenses at near task. Methods: Thirty young adults ($23.53{\pm}2.37years$) were fitted with monovision, modified monovision (the application of single vision contact lenses and center-near low addition aspheric multifocal contact lenses), and aspheric center-near multifocal contact lenses. After wearing these modalities during a week for adaption, and after watching visual display at computer for inducing accommodative pressure for 1 hour. The following assessments of accommodative function were made: contrast visual acuity (VA) at distance and near; accommodative response; near accommodative facility; and negative relative accommodation (NRA)/positive relative accommodation (PRA). All measurements were carried out binocularly. Results: In binocular distance VA with contrast of 10%, monovision was the worst among the four modalities (p=0.005). In accommodative response at 1 m (1.00 D), monovision was the lowest (p<0.05) and accommodative response at 40 cm (2.50 D) with monovision was lower than that of modified monovision and multifocal contact lens (p<0.05). We also found that there were no significant differences in accommodative facility and NRA/PRA among the four modalities. Conclusions: In young adult (20s), monovision with low add reduced the accommodative response at near task, however, modified monovision and multifocal lens with center-near type did not affect accommodative relaxation.

• Journal of Korean Ophthalmic Optics Society
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• v.14 no.1
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• pp.103-108
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• 2009

Purpose: The objective of this study is to compare and analyze the wearing status of refractive error correction devices of elders who reside in a city or in a small town district. Methods: Each of opticians from a small town or a city was selected for the study of wearing status of presbyopia correction device for each residential district in units of percentage. with the analysis of the age and gender distributions of the elders, numbers of elderly members, and the kinds of presbyopia correction. Results: The wearing rate of progressive lens was reduced in reverse proportion to the increase of the age for the people of presbyopia in a twon. Pepople in 60s living in a town perferred to wearing bifocal lens, but people of 50~60s preferred to single vision lenses. However, none of people living in a city who is diagnosed as presbyopia had refractive error correction device, and no one used bifical lenses. The progressive lens was mostly used in the people of 40~50s and using rate of those lenses reduced with the age; and single vision lens had the highest rate of in the 40~50s but no one wore it in the 70s. Conclusions: Among the refractive error correction devices, the progressive lens was most widely worn by presbyopia group who is living in a town or a city. In particular, the refractive error correction devices were most preferred in 40~50s of early presbyopia. The highest preference for the progressive lens in the people with the early presbyopia indicates that the wearing rate of the progressive will be increased in future. Therefore, the opportunity of systematic education on the progressive lens should be increased.