• Journal of Korean Ophthalmic Optics Society
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• v.10 no.3
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• pp.159-164
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• 2005

Accommodation and convergence is combination movement which is closely connected with each other. When one of them is stimulated, both of functions occur at the same time. Specially, the convergence by the accommodation's stimulation is called as accommodative convergence. That has excess or deficiency according to refraction state of eye. This study was performed by using both of Gradient method and Heterophoria method to 41 adults who have no any ophthalmic disease. 1. As the result of investigation about the distribution of heterophoria at distance, there were orthophoria of 5 subjects, exophoria of 32 and esophoria of 4. Exoporia occupied at the hightest rate. The distribution of heterophoria at near cover a wider range more than at distance. 2. When we measured the horizontal heterophoria amount in the state of relaxation of accommodation power of lens, exophoria amount increased in case of 38 subjects. 3. The person who has $4{\sim}6{\Delta}/D$ which conform to normal AC/A ratio occupied 27 subjects(66%) in Heterophoria method and 16(39%) in Gradient method, respectively.

• Journal of Korean Ophthalmic Optics Society
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• v.17 no.3
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• pp.279-284
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• 2012

Purpose: We measured the amplitude of accommodation using the push-up and push-away tests and near point of convergence (NPC) and investigated the accommodative insufficiency (AI) and convergence insufficiency (CI) in elementary school children of 12~13 years old. Methods: 88 students who aged 12~13 $12.63{\pm}0.51$ years old with more than 1.0 spectacle best corrected visual acuity were examined using push-up and push-away tests. The break and recovery points of NPC also were measured. Results: Mean amplitudes of accommodations using push-up and push-away tests were $11.52{\pm}2.50D$ and $10.06{\pm}1.97D$, respectively in right eye (P<0.001). Mean break and recovery points in NPC were $8.66{\pm}1.99cm$ and $10.98{\pm}2.06cm$. AI and CI showed 28.75% and 30.00% each. 48.75% was within normal range in both amplitudes of accommodations according to their age expected and convergence. Students having both AI and CI were 7.50%. Conclusions: A high correlation between the push-up test and push-away test was found in elementary school children (r=0.6025; P<0.05). Students having normal amplitude of accommodation by their age expected and normal convergence were 71.25% and 70.00%, respectively.

• 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.12 no.1
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• pp.61-67
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• 2007

The binocular functional test was performed in test of both accommodation and convergence. The balance of accommodation and convergence was important. Objects were 100 adults in 18-36 years old ages. The used apparatus was vision tester(Shinnippon VT10)and visual chart(Shinnippon CT30). Accommodative lag test by fused cross cylinder were that in case of high 39.0%, in case of low 14.0%. Negative relative accommodation were that in case of high 23.0%, in case of low 38.0%. Positive relative accommodation were that in case of high 29.0%, in case of low 23.0%. In 18% were case of low accommodation.

• Journal of Korean Ophthalmic Optics Society
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• v.20 no.2
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• pp.229-235
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• 2015

Purpose: This study was undertaken to study on visual function before and after prescription of vertical prism. Methods: 80 subjects (10-30ages) who had been precribed vertical prism and 1 year after they were represcribed vertical prism. Results: Phoria (p=0.000), supra vergence (p=0.000), NPC (p=0.003), NPA (right eye) (p=0.005), NPA(left eye) (p=0.000) showed a significant change. Conclusion: Vertical prism prescription was reduced during revisit. Supra vergence, NPC, NPA(right eye), NPA(left eye) showed a significant change. Binocular Accommodative lag was not associated with vertical prism prescription and binocular vision findings.

• Journal of Korean Ophthalmic Optics Society
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• v.12 no.3
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• pp.39-48
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• 2007

The stimulus of accommodation A, the stimulus of convergence C and the prism diopter ${\Delta}$ are reviewed and redefined more obviously. How the A and C are managed in the practice are reviewed and summarized. As a result, the common practical process of the binocular vision findings is most suitable in the case of the $l_c=26.67mm$, where the near distance is measured from the test lens to the near target and its value is 40 cm and the average of the P.D equal to 64 mm. The $l_c$ is the distance between the test lens and the center of rotation. Those values were used at calculating the various values in this paper. The error of the stimulus of accommodation values which are evaluated by the practically used formula (5) are calculated. Where the distance between lens and the principle point of eye is 15.07 mm ($=l_H$). The incremental stimulus of convergence values P' caused by the addition prism $P_m$ are evaluated by the recursion computation method. The P' are varied with the $P_m$, the distance $p_c$ between the prism and the center of rotation, the initial convergence value (or inverse target distance) $C_o$ and the refractive index n of the prism material. The recursion computation method and the other formulas are described in detail. In this paper n=1.7 is used. The two factors by which the P' is increased are exist. The one which is major is the property by which the values of convergence whose unit is ${\Delta}$ are not added in the generally way. The other is the that the actual power of the prism is varied with the angle of incidence light. And the P' is decreased remarkably by an increase in the $p_c$ and $C_o$. The $P^{\prime}/P_m$ are calculated and graphed which are varied with the $p_c$ and $C_o$, where the $P_m=20{\Delta}$, P.D=64 mm and n=1.7. The index n dependence of the $P^{\prime}/P_m$ is negligible (refer to fig. 6). The $p_c$ are evaluated at which the P' equal to the $P_m$ for various $P_m$ (refer to table 1). The actual values of the stimulus of convergence and accommodation which are manipulated simply in the practice are calculated. Two graphical forms are suggested. The one is like as the commonly used one. But the stimulus of convergence and of accommodation values in the practice are positioned at the exact positions when the graphic is made (refer to fig. 9). The other is the form that the incremental stimulus of convergence values caused by the addition prisms are represented at actual positions (refer to fig. 11).

• Proceedings of the Korean Information Science Society Conference
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• 1998.10a
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• pp.374-376
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• 1998

ABR서비스는 ATM 망의 이용률을 증대시키고, 매우 버스트한 트래픽 응용을 지원하기위해 설계되었다. ATM 포럼에서는 망에서 소스의 셀 전송률을 조절하고 셀 손실을 최소화하기 위한 ABR 서비스 표준으로 폐쇄루프와 전송률기반의 폭주 제어 알고리즘을 채택하였다. 이러한 폭주 제어 알고리즘 중에서 대표적인 것이 ERIVCA(Explicit Rare Indication for Congestion Avoidance) 이다. 본 논문에서는 ERIVCA 의 견고성, 공평성 LAN/WAN 환경에 대해서 성능을 시험하고. 그 결과로 성능을 향상시키기 위해 개선된 최대-최소 구조를 제공한다. 또한 제안된 구조에 대한 시뮬레이션을 하여 기존 ERIVCA 알고리즘의 성능과 비교 분석한다.

• Journal of Korean Ophthalmic Optics Society
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• v.21 no.3
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• pp.235-242
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• 2016

Purpose: This study was to investigate whether the application of different diagnostic criteria affected the frequency of convergence insufficiency (CI). Methods: Eighty one subjects with mean age of 22.54 years (20 to 27 years) were evaluated. Binocularity tests after refraction were performed as the following tests: near point of convergence (NPC) with an accommodative target, phoria using von Graefe method, positive fusional vergence (PFV) with a phoropter. Subjects with CI were diagnosed when exophoria (exo) was greater at near than at distance ($exo{\geq}4{\Delta}$, or >$6{\Delta}$), fusional vergence was $PFV{\leq}11{\Delta}$ for blur, $PFV{\leq}15{\Delta}$ for break, Sheard's or Percival's criterion, and NPC was $NPC{\geq}6cm$, ${\geq}7.5cm$ or >10 cm. Results: Frequency of CI with one diagnostic criterion was ranged from 6.2% to 77.8%, and was overestimated or underestimated according to criteria. It was reduced to the range of 6.2% to 43.2% with diagnostic criteria more than two, especially to the range of 24.7% to 28.4% with lower variability in diagnostic criteria including phoria and Sheard's criterion. There were high relationship between total score of signs and phoria score (r = 0.772, p<0.001), and measured phoria and Sheard's criterion (r = -0.654, p<0.001), but NPC had a high variability and a weak or no significant relationship with other diagnostic criteria. Results suggested $exo{\geq}4{\Delta}$, Sheard's criterion and $NPC{\geq}7.5cm$ for diagnostic criteria of signs and sequence for CI. Conclusions: Frequency of CI is likely to be over- and underestimated with diagnostic criteria. Cutoff values and procedures for phoria, Sheard's criterion and NPC as clinical signs should be suggested definitely in diagnosis associated with CI.

• Journal of Korean Ophthalmic Optics Society
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• v.12 no.3
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• pp.125-130
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• 2007

The aim of this work was to study the relationship between subjective symptoms and binocular function during near work in forty one(12-17yr) schoolchildren. CISS symptom survey, amplitude of accommodation, accommodative facility, neagative relative accommodation(NRA)/positive relative accommodation(PRA) near point of convergence(NPC), heterophoria, AC/A ratios were measured. The results of measurement were compared with normal expected value of each test and classified into normal and abnormal group. Accommodative insufficiency was more general than convergence insufficiency and esophoria was greater than exophoria. NRA/PRA showed very high and AC/A ratios were very low compare with normal expected value. The results of CISS was as follows; most frequent symptom was tired, mean score was $16.63{\pm}7.49$, mean number of symptoms were $10.07{\pm}3.04$, and mean number of serious symptoms were $1.98{\pm}2.13$. After classified into 4 groups according to score of symptoms, number of symptoms, and degree of symptoms and then analyze the correlation compare with binocular vision test results. NRA was most correlated with group comparison, accommodative facility was most correlated with score of symptoms, NRA was most correlated with number of symptoms, and near horizontal phorias were most correlated with serious symptoms. NRA showed most correlative relation with near symptoms.

• Journal of Korean Ophthalmic Optics Society
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• v.17 no.2
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• pp.153-158
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• 2012

Purpose: The purpose of this study was to evaluate the convergence accommodation to convergence (CA/C) ratio and to investigate relationships among age, accommodative amplitude and PD (interpupillary distance) of adults in their early twenties with normal binocular vision. Methods: 44 subjects (mean age, $21.75{\pm}1.16$ years) with healthy eyes were examined. The CA/C ratios were measured by using the difference of Gaussian (DOG) target with retinoscopy. Results: The mean CA/C ratio was $0.052{\pm}0.017$ D/$\Delta$. A moderate negative correction was present between CA/C ratio and age (r = -0.50, p = 0.0005), and a highly positive correction was found between CA/C ratio and accommodative amplitude (r = 0.79, p<0.0001). There was no relation between PD and CA/C ratio. Conclusions: The CA/C ratio presented was mean value for adults in their early twenties with healthy eye between 19 and 25 years of age. There was a high correlation between accommodative amplitude and CA/C ratio. Therefore, the CA/C ratio will be useful basic information for comparison in age, gender and binocular anomalies with similar data from other countries.