• Journal of Korean Ophthalmic Optics Society
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• v.14 no.4
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• pp.59-63
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• 2009

Purpose: This study was designed to compare the relative accommodation, the accommodative facility, and the addition whose 40's initial presbyopia divided into five occupations (driver, official worker, housewife, field worker, teacher). Methods: We measured the values of near point convergence (NPC), positive relative accommodation (PRA), negative relative accommodation (NRA), accommodative facility, and addition. Results: Official worker group had lower PRA, higher NRA, and lower accommodative facility compared with them of the other groups. The average of addition was as follows: official worker > driver > field worker > housewife > teacher. Conclusions: Because the difference of working environment based on occupation affects the accommodative functions and addition, it is important to consider the patient's occupation when opticians measure the addition for near vision of initial presbyopia.

• Journal of Korean Ophthalmic Optics Society
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• v.17 no.3
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• pp.285-291
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• 2012

Purpose: This study was conducted to research any effect on visual function related to accommodation by VDT work. Methods: The refraction power, accommodative lag, accommodative facility, relative accommodation, amplitude of accommodation and blink rate were measured before and after VDT work for 2 hours on 48 university students (16 males and 32 females), without abnormal accommodative function and systemic and ocular disease, who had never undergone corrective eye surgery. All examinations were performed with distant refraction, and a survey was conducted on the items related to subjective symptoms of VDT syndrome. Results: After 2 hours of VDT work, refractive power increased by 0.23 D, the amount of change in accommodative lag were $0.17{\pm}0.42D$ in the right eye and $0.23{\pm}0.47D$ in the left eye (t=2.26, p=0.03). There were statistically significant differences. Both the accommodative facility and relative accommodation and amplitude of accommodation were decreased after work. However, blink rate were increased. After VDT work, 33.4% of the subjects showed subjective symptoms of asthenopia and 33.3% of them showed shoulder pain. Conclusions: As a result, the accommodative lag increased in response to the two hours of VDT work, and overall accommodative functions were decreased. In addition, as symptoms of providing visual strain, asthenopia showed the most prominent subjective symptoms.

• Journal of Korean Ophthalmic Optics Society
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• v.20 no.3
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• pp.341-347
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• 2015

Purpose : This study was to examine a correlation of response AC/A ratio by additional spherical powers with PD(Pupilary distance) and relative accommodation, and was to investigate correlation of CA/C ratio by prism powers. The mean differences between a reciprocal response AC/A ratio and a CA/C ratio were compared, and were suggested to be used as data in the refractive power and prism prescriptions in the clinical. Methods: The open field autorefractometer (Nvision-K 5001, Shin nippon) and Howell target at 40 cm fixation distance to 62 persons with average $22.62{\pm}2.84$ ages were used to measure the response AC/A ratio according to additional Spherical powers. The CA/C ratios were measured using the DOG card at 40cm according to prism powers. Results: When the response accommodation according to Additional Spherical power changes and the response accommodation according to prism power changes were compared, it was larger than the response accommodation according prism power change. These were significant differences statistically. The correlation of response AC/A ratio and PD is showed as r = -0.158, the CA / C ratio is shown as r = 0.093. The correlation of response AC/A ratio and relative accommodation showed as r = -0.253, the CA/C ratio showed as r = 0.566 that is predictable correlation. The correlation of response AC/A ratio and CA/C ratio showed as r = -0.355 that is low minus correlation (p = 0.000). The difference between a reciprocal response AC/A ratio and a CA/C ratio showed $0.12{\pm}0.06D/{\Delta}$ with a significant difference statistically (p=0.000). Conclusions: The correlation of relative accommodation and CA/C ratio showed that depend on the individual, The more a relative accommodation is, the higher a response accommodation of convergence by convergence stimulus is. The reciprocal response AC/A and CA/C ratio showed significant differences statistically. This can have higher CA/C ratio in patients with low AC/A ratio in clinical as an independent variable. Thus when the abnormal binocular vision was prescribed in the clinical, it is necessary to consider the accommodative response even if the AC/A ratio is a normal range.

• The Korean Journal of Vision Science
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• v.20 no.4
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• pp.453-459
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• 2018

Purpose : This study was to investigate the change of accommodative functions by different color density and color of colored lenses. Methods : Participant had a normal NPC and no dyschromatopsia, phoria and eye disease, also had no histories of eye surgery in 31 students of university. Their accommodative functions were measured according to 50%, 80% density of the gray, blue, brown lens and non-colored lenses. Tests of accommodative functions performed include amplitude of accommodation, accommodative facility, relative accommodation, and accommodative lag. Results : The amplitude of accommodation and accommodation lag were increased when wearing the colored lens. Negative relative accommodation was more increased when wearing the colored lens than achromatic. Positive relative accommodation increased when wearing the blue color lens density by 50%. Also, accommodation facility increased when wearing the colored lens, but, as the density of the color increased, the accommodation facility was decreased. Conclusion : As since the accommodation function changes according to density of the colored lenses, working distance and environment of the wearing colored lens should be considered when selecting density and color of colored lenses.

• Journal of Korean Ophthalmic Optics Society
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• v.15 no.1
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• pp.73-78
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• 2010

Purpose: The purpose of this study was to examine diurnal variation of accommodation on people whose age are between 35 and 50 years old with frequent alternation of accommodation at period 1 (8:00-10:00), period 2(13:00-15:00) and period 3 (18:00-20:00). Methods: All \04 subjects were separated to nonpresbyopia and incipient presbyopia. Tests were done for amplitude of accommodation, accommodative facility and relative amplitude of accommodation. Results: Both nonpresbyopia and incipient presbyopia had the highest amplitude of accommodation in oculus dexter, oculus sinister and oculus uterque at period 2. In addition, the incipient presbyopia showed the statistical significance of daily change. The nonpresbyopia had the most accommodative facility at period 3 and incipient presbyopia had the most accommodative facility at period 2. Their daily variations were statistically significant. Both nonpresbyopia and incipient presbyopia had the most negative relative accommodation of daily change at period I. Both of them had the most positive relative accommodation at period 2. Conclusions: The incipient presbyopia had the highest amplitude of accommodation, accommodative facility. and positive relative accommodation (except the negative relative accommodation) at period 2.

• Journal of Korean Ophthalmic Optics Society
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• v.16 no.1
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• pp.75-81
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• 2011

Purpose: The daily changes of accommodation at period 1 (08:00~10:00), period 2 (13:00~15:00) and period 3 (18:00~20:00) were surveyed with fifty two incipient presbyopia of from 38 to 49 years old. Methods: 52 incipient presbyopia subjects (30 men, 22 women) were classified into 4 groups (groupI: ${\geq}$ 7 hrs~group IV: < 3 hrs) according to near working amount. Their amplitude of accommodation, accommodative facility and relative amplitude of accommodation were inspected, respectively. Results: The amplitude of accommodation was measured to be the lowest for the groupI that near working time was the most during daily work, and the amplitude of accommodation of oculus dexter, oculus sinister and oculus uterque were the highest at period 2 in case of all the group I~IV. In the accommodative facility, it appeared that the oculus dexter, oculus sinister and oculus uterque of group I, oculus dexter and oculus sinister of group II, and oculus dexter, oculus sinister and oculus uterque of group III were the highest at period 2. The oculus uterque of group II and oculus dexter, oculus sinister and oculus uterque of group IV were the highest accommodative facility at period 3. It appeared that the negative relative accommodation was the highest at period 1 in case of all the group I~IV, and the positive relative accommodation was the highest at period 2 in case of the group I~III and was the highest at period 3 in case of the group IV. Conclusions: Because the difference of near working time affects the accommodation, it would become a help in solving the asthenopia symptom of the incipient presbyopia that opticians consider their near working time during daily work and take a checkup on their accommodation.

• Journal of Korean Ophthalmic Optics Society
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• v.17 no.2
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• pp.177-184
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• 2012

Purpose: In this study, the effect of the eye movement direction on visual function related to accommodation was investigated when playing computer games for a certain period of time. Methods: Total 60 subjects in 20s who had the visual acuity of 1.0 or higher without any ocular disease and accommodative dysfunction were asked to play computer games separately in horizontal and vertical directions for 40 and 90 minutes and then measured their accommodative amplitude, accommodative facility, accommodative lag and relative accommodations. Thevisual function when not doing the computer game was regarded as a control value, and further compared and analyzed. Results: The accommodative amplitude, accommodative facility, accommodative lag and relative accommodations showed the tendency of decrease after the computer game for 40 minutes, and more reduced values of the visual functions were shown when the computer game extended up to 90 minutes except positive relative accommodation. Positive relative accommodation had a tendency to increase slightly after the computer game for 90 minutes. Meanwhile, the change of the visual functions was primarily influenced by the eye movement in horizontal direction rather than by the eye movement in vertical direction during computer game when analyzed by the direction of eye movement. Conclusions: Over all accommodative functions tended to decrease with the extended VDT working time by computer game, and the frequent eye movement in horizontal direction during VDT tasks could be the main cause of eyestrain since the eye movement in horizontal direction rather than vertical direction significantly affected the change of accommodative function.

• Journal of Korean Ophthalmic Optics Society
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• v.15 no.3
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• pp.287-291
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• 2010

Purpose: The aim of this study was to compare binocular functions such as near point of convergence (NPC), AC/A ratios, heterophoria, accommodation, accommodation lag, positive relative accommodation (PRA), negative relative accommodation (NRA), positive relative convergence (PRC), negative relative convergence (NRC) in normal subjects and convergence insufficiency. Methods: 86 subject (male n=45, female n=41, mean $age{\pm}SD=23.27{\pm}2.85$ years) without amblyopia, strabismus, and ocular pathology were studied. Forty three patients each group were classified as normal subjects and convergence insufficiency group based on AC/A ratio and far and near phoria. Binocular function of the two groups was measured using phoropter. r. Results: The values between normal subjects and convergence insufficiency were 5.71 cm and 7.07 cm for NPC, 5.28 and 2.81 for Heterophria AC/A, 0.92 exo/3.36 exo and 2.17 exo/10.84 exo for far and near phoria, 15.49/23.30/13.30 and 13.50/20.02/9.09 for PRC, respectively. However, there were no significant differences between normal subjects and convergence insufficiency for accommodative amplitude, accommodative lag, PRA, NRA, BI vergence test, BO vergence test, NRC. Conclusions: Both groups were a significant difference for cover test, NPC, Heterophria AC/A, far and near phoria, break point of PRC, and recovery point of PRC.

• Journal of Korean Ophthalmic Optics Society
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• v.10 no.3
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• pp.205-213
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• 2005

To evaluate the reliability of binocular vision measurements by phorometry. 90 students volunteered to participate in this study. 25 subjects were males, and 65 were females, they ranged in ages from 21 to 30 years. All subjects had normal ocular and systematic health, and all of them had at least 1.0 visual acuity with their best correction. At negative relative convergence(NRC) measurement in distance, the percentage of subjects is included in expected value(blur point/break point/recovery point) was 78%/61%/67%, divergence excess(DE) was 9%/31%/33%, and divergence insufficience(DI) was 13%/8%/9%, respectively. And positive relative convergence(PRC) measurement, includes expected value was 20%/46%/39%, convergence excess(CE) was 22%/14%/16%, and convergence insufficience(CI) was 35%/40%/45%. AC/A ratios of 42 subjects were normal. 38 were low, and the rest of them high. A low AC/A ratio is usually the result of a small vergence response in relation to accommodation. Negative relative convergence(NRC) at near, includes expected value was 26%/29%/44%, divergence excess(DE) was 61%/33%/24%, and divergence insufficience(DI) was 3%/38%/32%. And PRC at near, includes expected value was 33%/40%/31%, convergence excess(CE) was 61%/23%/42%, and convergence insufficience(CI) was 6%/37%/27%. For the near point of convergence(NPC) test, 58% of their subjects had a break of ${\leq}8cm$ with the accommodative target. In case of NRA(PRA) measurement, the expected value was 41%(33%). Accommodative insufficiency (AI) was 33%(43%), and accommodative excess(AE) was 26%(24%), respectively. AE was related to respectively low values of NRA. AI and CE are associated with high value of NRA, and the dysfunction of convergence excess combined with AE was related to a normal-high values of NRA. PRA in AI was related to a low value, wheres the dysfunction are associated with high values of PRA.

• Journal of Korean Ophthalmic Optics Society
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• v.20 no.2
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• pp.195-200
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• 2015

Purpose: This study was performed in order to figure out the influence of illumination on visual function. Methods: 40 adults (male 21, female 19) of average age $23.93{\pm}1.59$ years were participated in this study. The test chart surface illumination was adjusted to 5, 50, 200, 500 and 800 lx, and then amplitude of accommodation, near point of convergence, far and near distance phoria, far and near distance fusional vergence, relative accommodation, and accommodation lag were measured at each illumination condition. Results: As illumination intensity of test chart was reduced, amplitude of accommodation was significantly decreased (p<0.05), accommodation lag was also decreased, near point of convergence was receded, and horizontal phoria showed a tendency of esodeviation. In the case of negative fusional vergence, with reduction of illumination intensity, the break point and the recovery point were decreased but in the case of positive fusional vergence, the break point was increased. The negative and positive relative accommodation were significantly decreased (p<0.05) with reduction of illumination intensity. Conclusions: In clinical practice, visual functional test should be performed under condition of adequate illumination level through patient's living environment and job.