117 undergraduate ophthalmic optics students volunteered to participate in this study. They ranged in age from 19 to 26 years. Subject, had best corrected visual acuity of at least 1.0 in both eyes, no strabismus, no amblyopia, and no history of ocular surgery. 37 subjects are esphoria and 25 subjects are $3{\Delta}$ and less, and the rest of 12 subjects show more $4{\Delta}$. Average phoria amount is $2.96{\Delta}$ at far distance and $1.08{\Delta}$ at near distance, respectively. The variation of phoria amount in far and near distance, unchanging subjects are 3, 8 subjects are increase esophoria amount, and 26 subjects are phoria amount decreasing or appear exophoria. The reason of esophoria amount is decreasing in near distance, and the results are convergence burden decreases. At positive relative convergence, the expected value in far distance, blurred point is 7, break point is 16, and recovery point is 12. And negative relative convergence, break point is 7 and recovery point is 13, respectively. Moreover, at positive relative convergence, the expected value in near distance is blurred point is 8, break point is 7 and recovery point is 22. And negative relative convergence, blurred point is 2, break point is 8 and recovery point is 12, respectively.
Purpose: The purpose of this study was to investigate the relationships between reading ability and binocular functions, based on self tests through surveys. The possibility of the reading ability tests used in this study as a tool on the determination about vision efficiency was also evaluated. Methods: Through reading ability tests about 138 university students, 72 students (52.2%) of them were first selected. Through self tests about dyslexia and light sensitivity, 38 students (52.7%) of the first selected students were secondly selected, whose extents are more than 3. Binocular tests were carried out about three groups (high, middle, low) of these secondly selected students. Tests about NPCs, distance and near phoria, amplitude of accommodation, fusional vergence, AC/A ratio, accommodative facility, and vergence facility were performed as binocular tests. Results: NPCs were closest to eyes at high groups. Fusional vergence, AC/A ratio, accommodative facility, and vergence facility of high group showed higher than other groups. The phoria at middle group showed higher than other groups. Conclusions: We found that reading ability and some of binocular functions were closely related. Therefore, vision training, associated with insufficiencies of binocular functions, is expected to improve reading ability.
Purpose: The present study was aimed to investigate the effect of excessive near work by using a smartphone on subjective symptoms and accommodative and convergent function in their 40s. Methods: A total of 40 subjects(male, 10; female, 30; age, $43{\pm}7.2year$) in their 40s who have monocular and binocular visual acuities of 0.8 and 1.0, respectively, were divided into presbyopia group and non-presbyopia group. The subjects were asked to watch a movie on the screen of smartphone for 30 minutes. Their accommodative amplitude and facility, and relative accommodation were measured and compared before and after the use of smartphone. Changes in fusional vergence and near heterophoria by using smartphone were also evaluated. Furthermore, the change of subjective symptoms was surveyed using a questionnaire. Results: The presbyopia in mid-40s reported discomfort in an order of asthenopia, blur and dryness after the use of smartphone. Accommodative function and non-strabismic binocular function were generally decreased. Accommodative functions such as monocular accommodative amplitude, and relative accommodation were significantly decreased after smartphone use, and the change of phoria was observed as a result of decreased convergence and divergence. Negative fusional vergence was also significantly reduced. On the other hand, non-presbyopia in mid-40s reported discomfort in an order of asthenopia, dryness and blur, and only accommodative amplitude among the accommodative functions was significantly reduced. Significant reduction of negative fusional vergence was also observed. Conclusion: From the results, it was confirmed that the subjective discomfort of mid-40s after smarphone use might be related to whether presbyopia or not. It was due to not only the reduction of accommodative function but also the overall deterioration of visual function including heterophoria and fusional vergence. Therefore, it suggests that the accurate determination of the cause based on the overall visual functional tests such as heterophoria, fusional vergence as well as the decrease of accommodation due to the aging may be necessary when the mid-40s feels discomfortable symptoms by near work.
The investigate of preschool children at 7-year-old at three kindergartens in Iksan was done by the naked visual acuity, the refractive state and cover-uncover test. Total 246 eyes were examined by the objective and subjective methods. The results were as follows: 1. Among the 246 eyes, the naked visual acuity of below the average 0.7 was 64 eyes(26%). 2. As to the distribution of refractive errors, myopic eyes and hyperopic eyes were 26.55% and 26.55%, respectively. 3. As to the type of astigmatisms, with the rule was 85.8%, against the rule was 8.9% and oblique was 5.3%. 4. The percentage of preschool children who had been tested was 13.8%. 5. In test none of children were the phoria.
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.
In order to have a comfortable vision without any asthenopia in work place, it is very necessary to make a complete binocular correction in addition to the perfect correction of refractive deficits. For this, At first, the exact understanding of the required corrective value of the existing angular ametropia(associated phoria) is needed. The fact likely seems fact that a correction of refractive deficits could not to be reached with single optotype, the corrections of angular ametropia(associated phoria) with single optotype is impossible. The reason is that a most ametropia(associated phoria) is accompanied with the fixation disparity. To make a perfect measurement of ametropia(associated phoria), at least, 3 kinds of optotype is essential. This fact could be explained by stating the fusional stimulus in the binocular refraction tests on each eye. If these types of three tests have not practical practice. The most of many cases may result in undercorrection.
Purpose: Of the various methods of vision training, the essay aims to explore the effective ways of using the Fresnel prism lens in order to expand the positive fusional vergence for the patient having specific condition of convergence insufficiency or basic exophoria. Methods: 15 students of city of Daejeon university without an eye disease (average age $22.73{\pm}1.68$) were selected and underwent the subjective refraction test and binocular vision test, and recording their test results before vision training and replacing an identical frame with a lens of same quality after the full calibration, the lens was then adhered with the Fresnel prism lens and continued to train for thirty minutes daily during two weeks. Afterwards, the binocular vision test was reattempted. The observation of the change in the results of the binocular vision test in use of the fresnel prism lens in the vision training test was researched. Results: After training, the positive fusional vergence had increased to a number of $22.27{\pm}2.26$$\Delta$, to 7.80 $\Delta$, at near, the fused cross cylinder test increased to an average of $0.55{\pm}0.09$ D, 0.40 D after training, showing a normal result. The value of negative relative accommodation after training had an average of $2.22{\pm}0.08$D, showing that 0.42 D had increased. The value of near point of convergence after training had an average of $6.13{\pm}0.53$ cm, showing that 2.80 cm had decreased. To patients who had convergence insufficiency or basic exophoria, the value of the near vision test that used the Fresnel prism lens which was able to expand BO positive fusional vergence had increased without phoria. Conclusions: The changes were tested and the effectiveness of the Fresnel prism lens, due to the nature of the lens itself, helped with both cosmetic effects and cost. It also allows good optical correction effects, in addition to these clinical effects indicated before. Therefore, it may be determined that the Fresnel prism lens binocular vision therapy for patients is more popular and highly recommended.
Testing of color vision by Ishihara's test was followed in 1306 healthy elementary school students from 8 to 13 years old. The number of color deficiency was 27(2.07%) patients who consisted in 25(3.8%) boys among 654(male) and 2(0.31%) girls among 652(female). The male' s patients were definitely more than female's. The type of color deficiency were consisted in 10(37%) patients of red-green anomaly, 7(26%) patients of anomalous trichromatism, 6(22%) patient of red-green anopia and 4(15%) patients who were difficult to classify. All of patients were normal binocular vision and visual acuity.
This study performed apreliminary test with male high school students in Gwangju metropolitan city in order to determine visual function information of high school students. For the items in this preliminary test, there were inquiry, test for long distance unaided visual acuity, pinhole visual acuity test, colour vision test, cover test and stereo test. Most complaint related to eye was about blurred vision (28.4%) and over 90% of subjects had one or more, and among them, over 50% appealed two or more complaints. 76.1% of all subjects showed less than 0.7 in unaided distance visual acuity. In pinhole visual acuity test, 98% had an improved unaided pinhole visual acuity and most of them experienced an improvement and 2% had no change or dropped. The students with normal stereoscopic vision test were 85.6% and the students under normal range were 14.4%. In colour vision test, 7.9% of them were protanomaly and deuteranomaly and none of them had trichromasy and total color blindness. In cover test, it showed 30.2% of orthophoria, 8.2% of esophoria and 61.5% of exophoria, and none of them had strabismus.
Purpose: Three-dimensional (3D) displays are very useful in many fields, but induce physical discomforts in some people. This study is to assess symptom type and severity of asthenopia with their habitual distance corrective spectacle (HDCS) and their binocular vision corrective spectacle lenses (BVCSL) in people who feel physical discomforts. Methods: 35 adult subjects (ages $32.2{\pm}4.4$ yrs) were pre-screened out of 98 individuals to have the highest symptom/asthenopia scores following 65 minutes of 3D television viewing with HDCS. These 35 individuals were then retested symptom/asthenopia scores during they watched 3D television for 65 minutes at a distance of 2.7 m with wearing BVCSL of horizontal, vertical or base down yoked prisms. A 4-point symptom-rating scale questionnaire (0=no symptom and 3=severe) was used to assess 11 symptoms (e.g., blur, diplopia, etc.) related to visual fatigue/visual discomfort. Distance and near lateral phoria were measured using Howell phoria card and vertical phoria were measured using Maddox rod. Symptoms induced by watching 3D TV were compared between wearing HDCS and BVCSL. Results: Asthenopia in watching 3D TV with wearing BVCS was significantly lower than wearing HDCS at 5, 25, 45, and 65 minutes (all p < 0.001, paired t-tests). In only refractive error power correction power group, all asthenopia was not significantly different between HDCS and BVCSL (all $p{\geq}0.05$, paired t-tests). In prism correction groups for binocular imbalance, symptoms of asthenopia, however, was significantly lower for when wearing BVCSL than when wearing HDCS (all p < 0.05). Conclusions: Correction of phoria/vergence-based binocular vision imbalance can reduce asthenopia during 3D television viewing. An individual with binocular vision imbalance need corrected/compensated glasses with appropriate prisms prior to prolonged viewing of 3D television displays to reduce asthenopia/visual fatigue.
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