• Title/Summary/Keyword: 부등굴절력

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The Study of Relationship Between Hyperopic Amblyopia, Anisometropic Power and Astigmatism (원시성약시와 굴절부등, 난시와의 관계 연구)

  • Park, Hyun-Ju
    • Journal of Korean Ophthalmic Optics Society
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    • v.12 no.3
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    • pp.137-142
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    • 2007
  • The purpose of this study was to investigate sole effect of therapy of spectacles correction on the refractive amblyopia. Spectacles were prescribed to give the same effect as the occlusion therapy undercorrecting in the case of hyperopia, and effectiveness of the therapy was compared with occlusion therapy without additional prescription. The results can be summarized as follows: 1. The higher anisometropic power was the lower initial visual acuity was. 2. Anisometropic power did not influence final visual acuity. 3. The latter beginning time of therapy was the higher astigmatism was. 4. Therapy of spectacles correction on the hyperopic amblyopia was quite effective.

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A Clinical Study on Relation among Accommodative Amplitude, Response, and Facility in young adults (근시성 굴절부등에 대한 임상적 고찰)

  • Joo, Seok-Hee;Shim, Moon-Sik;Shim, Hyun-Seog
    • Journal of Korean Ophthalmic Optics Society
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    • v.14 no.1
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    • pp.121-125
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    • 2009
  • Purpose: This study has been conducted to know the prevalence of anisometropia and corneal refraction, accommodative response of myopic anisometropia. Methods: The study subject were 67 persons who myopic anisometropia of at least 1.00D, from among 808 total subject without ophthalmic diseases history from age 5 to 89 and the test were used to examine with both eyes open-view autorefractometer (NvisionK-5001). Results: The case which anisometropia were 85(10.5%) persons and myopic anisometropia were 67(78.8%) persons among the anisometropia. Difference between higher myopic eye and lower myopic eye were -1.22D${\pm}$0.94 in spherical equivalent, -0.25D${\pm}$0.72 in accommodative response, 0.04D${\pm}$0.68 in corneal refraction. In addition, the same case of both eyes accommodative response were 33(49.3%) persons, the great case of lower myopic eye accommodative response were 25(37.3%) persons and the great case of higher myopic eye accommodative response were 9(13.4%) persons. Conclusions: Myopic anisometropia was not affected by corneal refraction and both eyes difference of spherical equivalent was less as compared with both eyes difference of accommodative response.

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Comparison of Induced Aniseikonia with Influential Factors (영향인자에 따른 유발 부등상시도의 비교)

  • Jung, Su A;Kim, Hyun Jung
    • Journal of Korean Ophthalmic Optics Society
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    • v.18 no.1
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    • pp.45-51
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    • 2013
  • Purpose: This study was performed to provide indicator of expected aniseikonia by correcting refractive error and to investigate influential factors on aniseikonia. Methods: 20 college students (14 males, 6 females, a mean age of $22.50{\pm}2.72$ years) were selected as subjects whose refractive error with spherical equivalent were within ${\pm}0.50$ D, corrected visual acuity were more than 1.0, and aniseikonia values by AWAYA were less than 1%. After correcting refractive error with spectacles in anisometropia induced by wearing contact lens on their dominant eye or non-dominant eye, practical measured values of aniseikonia were compared with theoretical expected values of it by the formula of spectacle magnification. Results: Practical measured values were higher than theoretical expected values in induced aniseikonia over the whole range of diopter of wearing contact lens. And there was higher measured value of aniseikonia in case of higher diopter of wearing contact lens to induce anisometropia and correcting refractive error with spectacles of (+) diopter after wearing contact lens of (-) diopter to induced anisometropia in dominant eye of women. Conclusions: It is considered that dominant eye plays more important role for visual function in induced aniseikonia and factors such as the induced eye of aniseikonia, the diopter of wearing contact lens, and gender have influenced on aniseikonia.

A Comparison of Refractive Components in Anisometropia and Isometropia (굴절부등안과 동등안의 양안 굴절요소 차이 비교)

  • Shim, Hyun-Seog;Shim, Jun-Beom;Kim, Eun-Suck
    • Journal of Korean Ophthalmic Optics Society
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    • v.16 no.2
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    • pp.187-193
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    • 2011
  • Purpose: This study was to compare differences between both eyes in corneal powers, axial lengths, anterior chamber depths in anisometropia and isometropia, and to investigate the relationship between anisometropia and refractive components. Methods: The subject was a total of 83 patients, anisometropia 45 patients (90 eyes) and isometropia 38 patients (76 eyes) from 2.7 to 15.3 years old, prescribed eyeglasses and contact lenses by refraction from July 2010 to August 2010 in Gwangju City B eye clinic. Axial length, anterior chamber depth, corneal curvature, and corneal refractive power were measured using IOL Master. Refractive error was measured using an Auto-refractometer. Results: Anisometropia was a statistically significant difference in axial length, binocular refractive components, refractive error, and axial length, Axial length/corneal radius (AL/CR) ratio showed a statistically significant difference in anisometropia and isometropia. The major cause of anisometropia all 45 subjects was the axial length. Among the refractive components axial length, AL/CR had a strong correlation, but corneal refractive power had no correlation. Anterior chamber depth had a weak correlation. Conclusions: This study found that refractive error was the most axial ametropia caused by the axial length. The main cause of anisometropia was the axial length, but refractive components had a weak correlation.

Comparison of Stereopsis by Influence Factors in Induced Aniseikonia (유발 부등상시에서 영향인자에 따른 입체시의 비교)

  • Jung, Su A;Kim, Hyun Jung
    • Journal of Korean Ophthalmic Optics Society
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    • v.18 no.4
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    • pp.465-471
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    • 2013
  • Purpose: This study was conducted to research effects of influence factors on stereopsis of induced aniseikonia in emmetropia. Methods: 20 college students (a mean age of $22.50{\pm}2.72$ years, 14 males, 6 females) were selected as subjects and all of them had no ocular disease or systemic disease, the refractive correction of spherical equivalent within ${\pm}0.50$ D, the corrected visual acuity of 1.0 or better and the aniseikonia values less than 1% by AWAYA. Subject's dominant eye was checked by Hole in card method and contact lenses of -7.00 ~ +7.00D were fitted to cause anisometropia in dominant eye or non-dominant eye, respectively. And then aniseikonia was induced with spectacles to correct refractive error by contact lenses. Stereopsis was measured by Random Dot Stereo Acuity Test with LEA symbols$^{(R)}$ (Vision Assessment Corporation$^{TM}$, USA). Results: Stereopsis was remarkably reduced by inducing aniseikonia, with induced aniseikonia in dominant eye, with higher diopter of wearing contact lenses to induce anisometropia, with spectacles lenses correction of minus power after fitting contact lenses with plus power and in case of men. Conclusions: It should be considered to correct anisometropia that aniseikonia could cause reduction of stereopsis.

The Dioptric Differences between Both Eyes by Dioptric Power Matrix (굴절력 매트릭스에 의한 양안의 굴절력 차이)

  • Yu, Dong-Sik
    • Journal of Korean Ophthalmic Optics Society
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    • v.8 no.2
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    • pp.71-76
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    • 2003
  • This study was performed to survey dioptric differences between the refractive states of both eyes from 1,100 patients who were given their prescriptions in spectacles. The differences were obtained by using dioptric power matrix. The prevalence of anisometropia was 96.9% for isoanisometropia, 2.9% for simple anisometropia, 0.2% for antimetropia. Spherical anisometropia was 22.1%, cylindrical anisometropia was 10.9%, spherocylindrical anisometropia was 46.5%, and no anisometropia was 20.5%. Anisometropia was more in thirties and forties than in other groups. In distribution of only spherical diopter differences, 76.1% were less than 0.50D, 91.7% were under 1.00D, only 2.5% were over 2.00D. In cylindrical diopter differences alone, 93.3% had under 0.50D, 1.7% had more than 1.00D. In spherocylindrical anisometropia, 52.8% were less than 0.50D, 78.6% were under 1.00D, 5.1% were more than 2.00D. In axis differences, with-the-rule type was 29.9%, against-the-rule type was 29.8%, oblique type was 40.3%.

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Survey on the Refractive Errors Status in the First Wearing Glasses (최초 안경착용시의 굴절이상 상태 조사)

  • Kim, Hye-Ran;Jang, Seong-Ju;Shim, Hyun-Seog
    • Journal of Korean Ophthalmic Optics Society
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    • v.13 no.1
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    • pp.113-117
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    • 2008
  • Purpose: This study is to survey that uncomfortable feeling of visual acuity in the first wearing glasses, the number of visiting in age, above vision ranging and refractive errors, astigmatism, and anisometropia. Methods: Automatic refraction and naked visual acuity test executed to receive prescription glasses that the man 509 and women's 499 people visited for the first time, among 3~15 years old who visited an ophthalmoiogical hospital, from January to December, 2003. Results: The first wearing glasses started 3 years old and the most cases was 8~9 years old when they were visited visual acuity 0.5 to 0.7 in most cases. Refractive errors appeared 8 years old and its most plentifully with 20.4%, 92.2% was myopia and 5.2% was hyperopia for the man. Also cases of women was 91.9% for myopia and 5.1% for the hyperopia. Spherical equivalent power was S-1.50${\pm}$1.10D and appeared 62.3% for the low myopia. Astigmatism was appeared 44.6% for the with the rule astigmatism and 75% was cylinder power lower than 1.00D. Cases of simple astigmatism need to glass when was cylinder power C-1.37${\pm}$1.01D, and C-0.50D appeared most distribution. More than 2.00D anisometropia appeared 2.3% for the whole subjective. Conclusions: Of the first wearing glasses visual acuity is 0.5~0.7, spherical equivalent power is S-1.50${\pm}$1.10D, cylinder power of simple astigmatism is C-1.37${\pm}$1.01D.

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Assessment of Dynamic Stereoacuity of Adults in their 20s' with Howard-Dolman Test (하워드-돌먼 입체검사를 이용한 20대 성인의 동적 입체시 평가)

  • Shim, Hyun-Suk;Choi, Sun-Mi;Kim, Young-Cheong
    • Journal of Korean Ophthalmic Optics Society
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    • v.20 no.1
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    • pp.61-66
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    • 2015
  • Purpose: In this study, dynamic stereoacuity of 20s' adults were measured by using the Howard-Dolman test(H-D TEST, Bernell, U.S.A), and compared of male and female. And the correlation between dynamic stereoacuity and PD(pupillary distance), and between dynamic stereoacuity and anisometropia caused by difference in the spherical refractive power of the left and right eyes were analyzed. Methods: The mean age of $22.68{\pm}0.50$(20~29)years old, 20s' 63 adults (30 male, 33 female) were conducted for this experiments. After the full correction of subject's refractive error, dynamic stereoacuity was measured 5 times for 1 subject at 2.5 m distance using the H-D test. at 2.5 distance. Results: The mean of dynamic stereoacuity was $28.44{\pm}25.03$ sec of arc for total subjects, $28.23{\pm}23.34$ sec of arc for male, and $28.63{\pm}26.83$ sec of arc for female. In the dynamic stereoacuity classified by the range of inter-pupil distance (IPD), the dynamic stereoacuity was $33.87{\pm}18.53$ sec for the IPD being under 59.80 mm, $26.24{\pm}25.26$ sec of arc for 59.81~66.15 mm, $34.60{\pm}25.65$ sec of arc for over 66.15 mm. However, there were no significant differences between 3 groups (P=0.73, r=0.03). In dynamic stereoacuity classified by the refractive error difference between two eyes, dynamic stereoacuity was $26.81{\pm}24.86$ sec of arc for the under 1 D, $41.45{\pm}24.18$ sec of arc for over 1 D, and there was no significant difference between two groups (P=0.15, r=0.15). Conclusions: Dynamic stereacuity by the H-D test in 20s adults showed that there was no significant differences between male and female, and PD and anisometropia did not have a significant impact upon the dynamic stereoacuity.

Development of An Optometric Questionnaire for the Elderly Suitable for Optical Shops in Korea (한국 안경원 실정에 맞는 노안용 문진표의 개발)

  • Noh, Young-Jin;Kim, Dal-Young
    • Journal of Korean Ophthalmic Optics Society
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    • v.15 no.2
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    • pp.161-167
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    • 2010
  • Purpose: The aim of this study was to help the rapid and effective eye-tests of old patients by developing an optometric questionnaire for the elderly suitable for optical shops in Korea. Methods: We surveyed several previous studies about the age-related changes of the eye, and deduced 10 items which were appropriate for optometric eye-tests. Excluding the items that could be easily found in a routine eye-test and that was just physiological changes, we principally chose anomaly items which could be catched by simple oral questions. The questionnaire was mainly composed of clinically important items that were frequently observed. Results: To diagnose optometric symptoms related to eye-aging, we listed 15 questions on the questionnaire for the elderly. Each of the 15 questions was respectively about the decline in the amplitude of accommodation (no.1), anisometropia (no.2), xerophthalmia (no.3), muscae volitantes (no.4-5), dark adaptation (no.6) light and dark adaptation (no.7), contrast sensitivity (no.8), contrast sensitivity and anisometropia (no.9), contrast sensitivity and colour vision (no.10), the field of view (no.11), stereoscopic vision (no.12), colour vision (no.13), cataract (no.14), and presbyopia (no.15). Each question was easy to understand and related to the generally observed symptoms. Conclusions: Our optometric questionnaire for the elderly, which was developed by the procedure mentioned above, was expected to be a help for examining the aging eye and offer the basis of eye-tests of older patients in Korean optical shops.