• Journal of Korean Ophthalmic Optics Society
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• v.18 no.2
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• pp.173-178
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• 2013

Purpose: This study is to predict refractive errors according to uncorrected visual acuity using uncorrected visual acuity of the first glasses wearers. Methods: For 886 children who visited an ophthalmic clinic, subjective refraction was carried out with maintain refraction (MR) and cycloplegic refraction (CR), and objective refraction was carried out using auto-refractometer. Uncorrected visual acuity and corrected visual acuity were tested using on a trial lens and a Han's visual acuity chart. Results: In correlation between with the uncorrected visual acuity and refractive the myopia was the highest (r=0.774) and followed by hyperopia (r=0.670), simple astigmatism (r=0.623), simple with-the-rule astigmatism (r=0.604)and simple against-the-rule astigmatism (r=0.508). Conclusions: There were differences in the predictions between uncorrected visual acuity and refractive error according to the types of refractive error and astigmatism.

• Journal of Korean Ophthalmic Optics Society
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• v.13 no.2
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• pp.29-36
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• 2008

Purpose: We have evaluated both the reliability and accuracy of refractive measurement from autorefractor by comparing with subjective refraction data. Methods: Measurements of refractive error were performed on 198 eyes of 99 subjects in noncycloplegic condition. Also we analyzed refraction results and evaluated repeatability and accuracy of subjective refraction and autorefraction. Furthermore we analyzed accuracy of autorefractor by Fourier analysis. Results: Reliability coefficient of the autorefraction for the right eye were determined to by 0.993, 0.974 and 0.925 respectively, in the spherical, cylinderical component and cylinderical Axis. Also, the reliability coefficient of the autorefraction for the left eye were found to be 0.991, 0.948 and 0.886, respectively, in the spherical, cylinderical component and cylinderical Axis. From the Fourier analysis no statistically significant differences in $J_{0}$ component were found between the auto and subjective refraction measurements (p>0.05) whereas difference of refractive power of $J_{45}$ component when compared with the subjective refraction were -0.019, -0.164. Conclusions: We conclude that autorefractormeter can be effectively used to measure the refractive power within the error limits.

• Journal of Korean Ophthalmic Optics Society
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• v.16 no.4
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• pp.425-431
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• 2011

Purpose: For better understanding refractive error in Korean children and teenagers, a follow-up study on the changes of refractive error was performed in 1~13-year-old subjects for ten years. Methods: Among the people who had visited an ophthalmologic hospital in Seoul to examine the visual acuity and to correct refractive error from 2000 to 2010 years, 223 subjects (364 eyes) having the corrected visual acuity over 0.7 had been investigated the changes of spherical equivalent power of the cycloplegic clinical refraction and manifest clinical refraction from the accumulated medical record data for ten years. Results: The changes of spherical equivalent power for ten years in 1 to 13 years old were shown the highest change at 7-year-old. And annual change of spherical equivalent power was shown the highest change at from 9-year-old to 10-year-old (-0.64${\pm}$0.64 D) followed by from 8-year-old to 9-year-old (-0.64${\pm}$0.81 D). Conclusions: The changes of refractive error for Korean children and teenagers aged 1 to 13 years in an optometric practice were shown the tendency to proceeding to myopia with age, especially the largest increase at from 7-year-old to 10-year-old, and this period is important for vision care.

• Journal of Korean Ophthalmic Optics Society
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• v.15 no.4
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• pp.389-397
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• 2010

Purpose: This study was to investigate the changes of refractive error and astigmatism associated with age in Korean subjects between the ages of 6 and 80 years during 10-year period. Methods: 220 normal subjects (345 eyes) who visited ophthalmic clinic was recruited and followed for 10 years between 1999 and 2009, cycloplegic manifest refraction being performed annually. Visual acuity was tested on a Han's chart. Results: The mean 10-year change in the spherical equivalent refraction (SER) of age 6 to 10 years old and 10 to 20 years was -3.649D and -2.165D respectively. There was no change of refractive error in age 21 to 40 years. The myopic shift decreased with age from 41 up to 69 years but increased slightly in patients 70 years and older; the hyperopic shift showed the opposite trend. The distribution of refractive error over the 10 years in aged 6 to 10 and 11 to 20 years was shifted myopic. The incidence of medium (> -3.01D) to high myopia at age 6 to 10 years was 4.8% and after 10 years was 62.5%. The 10-year change of astigmatism axis was in "with the rule" direction for younger age group and in a "against the rule" direction for older subjects. Conclusions: This study has documented refractive error changes in Korean subjects and confirmed reported trends of myopic shift from age 6-20 years and hyperopic shift before age 70 years and a myopic shift thereafter. The axis of astigmatism turns to "against the rule" after 40's.

• Journal of Korean Ophthalmic Optics Society
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• v.15 no.3
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• pp.219-225
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• 2010

Purpose: Usefulness in predicting the power of spherical rigid gas-pearmeable (RGP) lenses prescription using dioptric power matrices and arithmetic calculations was evaluated in this study. Noncycloplegic refractive errors and over-refractions were performed on 110 eyes of 55 subjects (36 males and 19 females, aged $24.60{\pm}1.55$years) in twenties objectively with an auto-refractometer (with keratometer) and subjectively. Tear lenses were calculated from keratometric readings and base curves of RGP lenses, and the power of RGP lenses were computed by a dioptric power matrix and an arithmetic calculation from the manifest refraction and the tear lens, and were compared with those by over-refractions in terms of spherical (Sph), spherical quivalent (SE) and astigmatic power. Results: The mean difference (MD) and 95% limits of agreement (LOA=$MD{\pm}1.96SD$) were better for SE (0.26D, $0.26{\pm}0.70D$) than for Sph (0.61D, $0.61{\pm}0.86D$). The mean difference and agreement of the cylindrical power between matrix and arithmetic calculation (-0.13D, $-0.13{\pm}0.53D$) were better than between the others (-0.24D, $0.24{\pm}0.84D$ between matrix and over-refraction; -0.12D, $0.12{\pm}1.00D$ between arithmetic calculation and over-refraction). The fitness of spherical RGP lenses were 54.5% for matrix, 66.4% for arithmetic calculation and 91.8% for over-refraction. Arithmetic calculation was close to the over-refraction. Conclusions: In predicting indications and powers of spherical RGP lens fitting, although there are the differences of axis between total (spectacle) astigmatism and corneal astigmatism, Spherical equivalent using an arithmetic calculation provides a more useful application than using a dioptric power matrix.

• Journal of Korean Ophthalmic Optics Society
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• v.11 no.2
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• pp.109-114
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• 2006

We evaluated the contour using corneal asphericity of the myopic cornea in Korea and investigated the relationship between refractive error and other ocular dimensions in Korean myopia, including anterior chamber depth and asphericity. The monoocular asphericity value of 50 myopes with $-4.83{\pm}2.38$ D between early 20 age and early 30 age in adult was included. Cycloplegic refraction, corneal asphericity and anterior chamber depth using corneal topography were examined. The mean asphericity values were$-0.27{\pm}0.13$ and the corneas of 96.0% were prolate ellipse. Refractive error was related to asphericity and anterior chamber depth among myopes. However, asphericity only were significant difference in high and low myopia group. Corneal configuration on the contact lens fits are discussed. We think that the longitudinal study for myopia and asphericity was required.

• Journal of Korean Ophthalmic Optics Society
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• v.17 no.1
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• pp.67-74
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• 2012

Purpose: The purpose of this study to evaluate visual acuity and refractive state and measure and analyze the components of eye's optical system in children and teenagers. Methods: With subjects of 124 (230 eyes) children and teenagers who had no eye diseases, correlation between the correlation between refractive errors and component's of eye's optical system was investigated. The spherical equivalent power of cycloplegic clinical refraction or manifest clinical refraction(SE), corneal power(CP), corneal radius(CR), axial length(AL), anterior chamber depth(ACD) and axial length to corneal radius (AL/CR) ratio were measured and analysed. Results: the SE was negatively correlated with the AL(r = -0.80, p = 0.00), the ACD(r = -0.35, p = 0.00) and the CR(r = -0.11, p=0.00) and positively correlated with the CP(r = +0.11, p=0.00). The AL was positively correlated with the AL/CR ratio (r = +0.84, p = 0.00), the ACD(r = +0.47, p=0.00) and the CR(r = +0.38, p = 0.00) and negatively correlated with the CP(r = -0.38, p=0.00). The CR was negatively correlated with CP(r = -1.00, p = 0.00), the AL/CR ratio(r = -0.19, p = 0.00) and the ACD(r = -0.06, p = 0.39). The CP was positively correlated with the AL/CR ratio(r = +0.19, p = 0.00) and the ACD(r = +0.06, p = 0.39). The ACD was positively correlated with the AL/CR ratio(r = 0.53, p = 0.00). Conclusions: the highest change of refractive errors was shown that the AL/CR ratio was a very important indicator for diagnosing the refractive errors of the children and teenagers.

• Journal of Korean Ophthalmic Optics Society
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• v.12 no.2
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• pp.61-66
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• 2007

This study was to analysis the values for anterior and posterior Best-Fit Sphere(BFS) in a Korean emmetropic population using the Orbscan II system. Cycloplegic refraction and anterior and posterior BFS were performed 40 eyes of 20 patients and we compared the results by sex and between the two eyes. Respectively, the 1, 3, 5mm zone average of anterior BFS showed each $5.63{\pm}3.49{\mu}m$, $4.48{\pm}2.81{\mu}m$ and $2.14{\pm}1.82{\mu}m$. The 1, 3, 5mm zone average of posterior BFS showed each $22.54{\pm}10.25{\mu}m$, $15.88{\pm}7.55{\mu}m$ and $4.43{\pm}4.94{\mu}m$ in 40 emmetropic eyes. Anterior and posterior BFS were not statistically significant difference in male and female using Mann-Witney U test.