• Journal of Korean Ophthalmic Optics Society
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• v.14 no.3
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• pp.51-57
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• 2009

Purpose: The purpose of this study was to determine if monocular and binocular accommodative facility tests would be useful in diagnosing general binocular dysfunctions. Methods: 95 symptomatic children, who were selected from comprehensive vision tests, were classified into four groups (29 subjects with accommodative dysfunctions, 28 subjects with vergence dysfunctions, 25 subjects with combined accommodative and vergence dysfunctions, 13 subjects with normal binocular functions). Monocular and binocular accommodative facility was measured with ${\pm}$2.00 D flipper lenses. Results: Statistical analysis revealed that binocular accommodative facility measurement was significantly lower than monocular accommodative measurement in the vergence dysfunction group (p<0.01). However, there were no differences between monocular and binocular accommodative facility measurements in the group of accommodative or combined accommodative and vergence dysfunction (p>0.05). In addition, subjects with general binocular dysfunctions performed significantly poorer than subjects with normal binocular function on monocular and binocular accommodative facility (p<0.000). Conclusions: As a result of this study, monocular and binocular accommodative facility test, which could differentiate dysfunction from normal as well as between dysfunctions, indicated useful means for diagnosis of general binocular dysfunctions.

• Journal of Korean Ophthalmic Optics Society
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• v.10 no.4
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• pp.381-389
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• 2005

To Analysis of Correlation of Visual Function Findings, by assessing convergence and accommodation, 92 selected objects without any ocular diseases by apperatuses of visual chart(Shinnippon CT30) and phoropter(Shinnippon VT10) at a shan distance(40 cm) were tested upon MEM retinoscopy(Welch Allyn, USA), BELL retinoscopy(Welch Allyn, USA), binocular accommodative facility (${\pm}2.00$ D nipper, Bernell Co., USA), vergence facility(prism nipper, Bernell Co., USA). The results showed as follows. MEM retinoscopy(accommodative lag) showed the same result of a right eye and left eye. Bell retinoscopy(accommodative lag) showed higher correlations between right and left eye than MEM. The lower accommodative lag meant the higher accommodative facility. The binocular accommodative facility(polaroid) was higher than binocular accommodative facility(red-green). Correlations of accommodative facility between right and left eye were higher, and as the higher monocular accommodative facility also meant the higher binocular accommodative facility, monocular and binocular accommodative facilities were relative to vergence facility, These findings can be used as a clinical guide by curing patients' visual function.

• Journal of Korean Ophthalmic Optics Society
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• v.14 no.3
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• pp.75-81
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• 2009

Purpose: The purpose of this controlled study was to determine the effectiveness of vision therapy for accommodative infacility in children. Methods: 10 children 9 to 13 years of age with symptomatic accommodative infacility were divided into a treatment group (n=6) and a contol group (n=4). The treatment group received 12 weeks of vision therapy while the control group received nothing. Results: The visual symptom assessed by COVD-QOL score for the treatment group showed both statistically and clinically significant reduction from 27.50${\pm}$5.68 to 12.00${\pm}$7.24 (p<0.01). Also, there were statistically and clinically significant improvement in the clinical measures of monocular accommodative facility of right eye (from 0.67${\pm}$1.03 cpm to 15.42${\pm}$4.85 cpm; p<0.001) and binocular accommodative facility (from 0.33${\pm}$0.82 cpm to 13.92${\pm}$3.58 cpm; p<0.001). In contrast, there were no significant improvement in symptoms and in the clinical measures of monocular and binocular accommodative facility for the control group (p>0.05). Conclusion: Vision therapy is an effective mode of treatment in eliminating symptoms and improving accommodative facility in children with accommodative infacility.

• 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.

• Proceedings of the IEEK Conference
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• 2003.07e
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• pp.1895-1898
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• 2003

양안 입체 TV 에서는 3 차원 카메라의 시점거리에 따라 눈의 편안함과 3 차원 효과 사이에 대차 관계가 존재한다. 일반적으로 카메라 사이의 거리가 인간의 동공 사이의 거리인 65㎜ 일 때 최적의 효과를 낸다고 한다. 그러나 일반적인 방송용 화질의 상용 카메라는 렌즈 크기가 크기 때문에 이 거리를 맞춘 3 차원 카메라를 제작하기는 매우 어렵다. 그래서 보기 편한 양안입체 영상을 제공하기 위해서는 스테레오 카메라에서 얻은 영상을 조작하여 원하는 가상 시점에서의 영상으로 만들어 줄 필요가 있다. 본 논문에서는 먼저 적응적 다중 창틀 정합을 이용한 계층적 변이 추정을 사용하여 변이 지도를 추출하고, 이것을 이용하여 가상 시점에서의 영상을 합성했다. 다양한 스테레오 영상을 이용한 실험을 통해 제안된 기법의 타당성을 확인하였다.

• Journal of Korean Ophthalmic Optics Society
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• v.20 no.2
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• pp.219-228
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• 2015

Purpose: The current study was performed to compare the difference in binocular visual function depending on variable background colors at near work. Method: Fifty four adults (18 males, 34 females) who consented to the present study and had no ocular disease, ocular surgery history, strabismus and amblyopia with normal binocular vision were participated into this study. The subjects were asked to read the novels with black letter printed on white, red, green and blue background for 15 min. Then, their heterophoria, AC/A ratio, near point of convergence, accommodation facility, relative accommodation and vergence were measured before and after reading. The difference of measurements were compared. Result: Overall heterophoria was tended to decrease with regardless of background color. AC/A ratio showed a tendency of increase after reading the novels with all backgrounds except white background. Near point of convergence was significantly increased compared to before reading at all background color. Accommodative facility of dominant and non-dominant eyes were also significantly increased after reading however, binocular accommodative facility showed a tendency of decrease. Negative relative accommodation also decreased at all background colors however, the change of positive relative accommodation was not significantly different. In case of vergence, there was significant difference in break point of far BO and recovery point of far BI by the wavelength of background color. Conclusions: From the results, it was known there is convergence change depending on the wavelength of light even though same amount of accommodation and convergence is required when doing near work for certain period. Thus, it can be suggested that the adjustment of the near working environment which perception of various color was required, should be conducted according to the main wavelength.

• Journal of Korean Ophthalmic Optics Society
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• v.15 no.2
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• pp.169-174
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• 2010

Purpose: The purpose of this study is to evaluate the long-term stability of the improved symptoms and accommodative functions after completion of accommodative therapy. Methods: Seven children (mean age${\pm}$SD: $12{\pm}1.41$ years) who were successfully treated with a vision therapy program for either accommodative insufficiency or infacility were followed for 1 year. The visual symptoms of the subjects were measured by the College of Optometrists in Vision Development Quality of Life (COVD-QOL) checklist, and this was followed by measurement of the monocular and binocular accommodative facility with ${\pm}2.00$ D flipper lens. Results: The mean visual symptoms at the 1 year follow-up examination ($15.14{\pm}8.59$) showed a small increase, but there was no significant difference (p=0.446) from post-therapy ($11.86{\pm}7.22$). There was small regression in the monocular (left eye, $13.86{\pm}3.93cpm$) and binocular ($11.14{\pm}3.13cpm$) accommodative facility at the 1 year follow-up examination, but there were no significant different from the monocular ($15.86{\pm}4.14cpm$, p=0.147) and binocular ($13.21{\pm}3.76cpm$, p=0.066) accommodative facility measurements at post-therapy. Also, every subject met the normative values of ${\geq}7$ cpm for monocular accommodative facility and ${\geq}5$ cpm for binocular accommodative facility in the long-term. Conclusions: There was long-term maintenance of the improved visual symptoms and accommodative functions, and so it is clear that the positive therapeutic effects persist with accommodative therapy.

• 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.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.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.