• Journal of Korean Ophthalmic Optics Society
• /
• v.13 no.4
• /
• pp.151-154
• /
• 2008

Purpose: Javals' rule is a commonly used formula for estimating total astigmatism from corneal astigmatism. Many researchers suggested a modication of Javals' rule. Therefore, we estimated the total astigmatism on the basis of measurements of corneal astigmatism and assessed the accuracy of Javals' rule. Methods: We estimated the total astigmatism on the basis of measurements of corneal astigmatism on 108 eyes of 54 subjects of koreans in their twenties. Results: The regression of the total astigmatism from corneal astigmatism is less than 1.25 of Javals' rule, but it was equivalent to Auger's modified Javals' rule. Conclusions: The regression equation for this study was as follows: Total Astigmatism=0.79 (Corneal Astigmatism)-0.49D${\times}$90.

• Journal of Korean Ophthalmic Optics Society
• /
• v.8 no.2
• /
• pp.85-89
• /
• 2003

A tear lens formed by between back surface of spherical rigid gas permeable(RGP) contact lens and front surface of cornea shows an excellent correction effect of astigmatism. To study an effects of tear lens power using spherical RGP lens and therefore to utilize them in clinical procedures, we analyze a change of the total astigmatism, the cornea astigmatism, and the residual astigmatism, we derive the following conclusion. 1. Almost all refractive astigmatism below than 2.00D present fully corrected. Thereby resulting good visual acuity. Refractive astigmatism higher than 2.50D show under-corrected and apparent decrease of visual acuity if it is higher than 3.00D. 2. Amount of corneal astigmatism below than 2.50D show acceptable under-corrected while higher than 3.000 present unacceptable visual acuity. 3. An estimated residual astigmatism is not revealed as it is : but it is reduced when it incorporate to refractive astigmatism.

• Journal of Korean Ophthalmic Optics Society
• /
• v.6 no.2
• /
• pp.105-109
• /
• 2001

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.

• Journal of Korean Ophthalmic Optics Society
• /
• v.19 no.3
• /
• pp.377-382
• /
• 2014

Purpose: To investigate the effect of anterior, posterior corneal astigmatism and total corneal astigmatism on posterior corneal astigmatism by analyzing correlation. Methods: Participants were 31 patients (31 eyes) without corneal disease at the age range of 22 to 28 who had visited hospital to receive corneal refractive surgery. The total corneal astigmatism and anterior and posterior corneal astigmatism were measured using a rotating scheimpflug camera before surgery. The magnitude of astigmatism was calculated with the difference between the meridian of the steep refractive power and the flat, and With-The-Rule and inverse astigmatism were divided according to the direction of the meridian that was the steepest. Results: The averages of total corneal astigmatism and anterior and posterior astigmatism were found to be $1.13{\pm}0.76D$, $1.51{\pm}0.84D$, and $-0.59{\pm}0.17D$. The magnitude of posterior corneal astigmatism was distributed between -1.0 D and -0.25 D in all the subjects, and when the magnitude of total corneal astigmatism was set as 100, the magnitude of anterior corneal astigmatism was $142.9{\pm}29.9%$. Total corneal astigmatism indicated the highest correlation with the magnitude of anterior astigmatism (y = 0.871x-0.184, $R^2=0.982$) and high negative correlation with posterior astigmatism (y = -2.974x-0.184, $R^2=0.698$). All the subjects' anterior and posterior corneal astigmatism was classified into With-The-Rule. Conclusions: Anterior and posterior corneal astigmatism in the subjects in their 20's showed the magnitude of -3.8 D in 0.2 D and -0.25 D in -1.0 D separately, and both anterior and posterior astigmatism indicated a high percentage of With-The-Rule.

• Journal of Korean Ophthalmic Optics Society
• /
• v.20 no.3
• /
• pp.349-354
• /
• 2015

Purpose: To investigate the changes of corrective values of astigmatism caused by the position of circle of least confusion on retina in refining astigmatic test using cross cylinder. Methods: 62 subjects (115 eyes) aged $22.24{\pm}2.48$ years participated for this study. After astigmatic test using a radial chart, refining test was performed using a cross cylinder in a condition of maximum plus to maximum visual acuity (MPMVA). Astigmatic refining test was repeatedly performed in each condition of which S+0.75 D, S+0.50 D, S+0.25 D, S-0.25 D, S-0.50 D, and S-0.75 D are added to spherical lenses of MPMVA. The measured values were compared with the values in MPMVA condition. Results: As compared with values in condition of MPMVA, change of astigmatic axis was increased with add the power of (+) spherical lenses and (-) spherical lenses. In same spherical condition, change of astigmatic axis was decreased with increment of astigmatic power (p<0.05). The corrective power of astigmatism was reduced with increment of (+) spherical lenses (p<0.05), and was raised with increment of (-) spherical lenses compared with the power in MPMVA condition. In case of adding (+) spherical lenses, difference of astigmatic power increased with increment of corrective astigmatism power in same test condition. Conclusions: In order to obtain a proper values for corrective astigmatism, position of circle of least confusion should be accurately adjusted before the performing an astigmatism's refining test.

• Journal of Korean Ophthalmic Optics Society
• /
• v.11 no.3
• /
• pp.275-280
• /
• 2006

For this study, we analysed the difference of values between noncycloplegic and cycloplegic autorefraction in primary school children. We classified the elementary school one, two, three grade (8~10age) 79children(158eyes) who did not have strabismus or amblyopia. They were examined by using the Autorefractor in domestic market before and after cycloplegic. Discrepancies beyond 0.50D in spherical and cylindrical power and 20 degree in cylindrical axis were regarded as significant. The percentages of discrepancy were greater in spherical power between noncydoplegic and cycloplegic autorefraction(p<0.05). The percentages of discrepancy were not greater in cylindrical power between noncycloplegic and cycloplegic autorefraction. The percentages of discrepancy were greater in cylindrical axis between noncydoplegic and cycloplegic autorefraction(p<0.05). In conclusion, for the primary school children who did not wear glasses, the prediction table of this study will be helpful to reduce the test error in visual acuity and refractive error tests.

• Journal of The Korean Ophthalmological Society
• /
• v.60 no.2
• /
• pp.126-134
• /
• 2019

Purpose: To assess the accuracy of toric intraocular lens (IOL) implantation by the location and size of the corneal incision. Methods: We retrospectively reviewed the medical records of 98 patients (98 eyes) who underwent phacoemulsification with toric IOL implantation from January 2014 to March 2017. The patients were divided into two groups: group 1 got an incision of the superior side of the cornea (n = 54) and group 2 received an incision on the temporal side of the eye (n = 44). For both groups, incisions were made at their steep corneal astigmatism axises. Each group was further divided into subgroups for whom different sized blades were employed (2.75 vs. 2.2 mm widths). We measured the refractive index and autokeratometric parameters. We postoperatively assessed residual astigmatism and any reduction thereof. Results: In both groups, uncorrected and best-corrected visual acuity, refraction cylinder astigmatism, and autokeratometric astigmatism improved statistically. Between two groups, corneal astigmatism decrease was not significant. Residual astigmatism also showed no significant differences between the two. Patients in both groups treated using 2.75 mm wide blades exhibited greater increases in corneal astigmatism. Conclusions: During cataract surgery, precise correction of astigmatism via toric IOL implantation is possible when surgically induced astigmatism is minimized by careful choice of the location and size of the corneal incision.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.15 no.9
• /
• pp.5621-5627
• /
• 2014

To specify the standard of LASEK surgery, this study examined the determination factors affecting the high order aberrations (HOAs) in preoperative and postoperative LASEK. 51 adult patients (102 eyes) were evaluated at the baseline and 2 months after LASEK surgery from Nov 2011 to Jul 2012. The postoperative HOAs ($0.538{\mu}m$) were higher than the preoperative ($0.341{\mu}m$). In linear regression analysis, the refractive components that affected the postoperative HOAs were $J_0$ of corneal astigmatism (CA, 0.400), $J_0$ of refractive astigmatism (RA, 0.389), corneal astigmatism (CA, 0.282), spherical equivalent (SE, 0.239), refractive astigmatism (RA, 0.213), and pupil size (PS, 0.194) with a high R. In multiple regression, $J_0$ of CA, PS and SE were significant factors with the postoperative HOAs. In conclusion, both HOAs and $J_0$ of CA should be considered when determining the suitable factors for LASEK surgery.

• Journal of Korean Ophthalmic Optics Society
• /
• v.12 no.3
• /
• pp.105-110
• /
• 2007

To investigate the ametropia and refractive error of 222 ametropic eyes of the 111 high school students in Gwangju Metropolitan City, the visual acuity test was performed by the object and subject method. 85% of the eye types were positive for myopia, 14% for emmetropia, and 1% for hyperopia, respectively. 38% of the abnormal refraction eyes were positive for simple myopia, 4% for myopia simple astigmatism, 56% for myopia compound astigmatism, and 0% for simple hyperopia, 0% for hyperopia simple astigmatism, 2% for hyperopia compound astigmatism, 0% for mixed astigmatism, respectively. 92% of the axes fo astigmatism were for astigmatism with-the-rule, 6% for astigmatism against-the rule, 2% for astigmatism oblique, respectively. As for the astigmatic power, 0.50 < cylinder < 1.00D was 68%, 1.00 < cylinder < 2.00D was 25%, and anything over the 2.00 cylinder D was 7%. As for the equivalent spheric power of myopic abnormal refraction eyes, -0.50 < spheric equivalent < -2.00D was 26%, -2.00D < spheric equivalent < -6.00D was 55% and anything over the -6.00D was 19%. The rate of wearing glasses was 74%. It increases compared to 20 years ago. 91% of the eye test place was the optical shop, 9% the eye doctor hospital. 80% of the students need to change their optical lenses because spherical equivalent power was over 0.50D.

• Journal of Korean Ophthalmic Optics Society
• /
• v.6 no.1
• /
• pp.49-53
• /
• 2001

To investigate the visual acuity of the primary school children. the visual acuity test wan performed the object and subject method. The results were follows. 1. The eye types were 94.8% positive for myopia, 1.2% for emmetropia and 4.0% hyperopia, respectively. 2. The abnormal refraction eyes were 71.3% positive for simple myopia, 17.9% for myopic compound astigmatism, 6.9% for myopic simple astigmatism, and 2.5% for simple hyperopia, 0.6%for hyperopic compound astigmatism, 0.8%for hyperopic simple astigmatism, respectively. 3. The axis of astigmatism were 72.8% for astigmatism with-the-rule, 23.2% for astigmatism against-the-rule, 4.0% for astigmatism oblique, respectively. 4. On the total myopic spheric power, the -0.50