• Title/Summary/Keyword: 타각적

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Characteristics of Accommodative Lags Determined by Objective and Subjective Methods and Their Correlation (타각적 및 자각적으로 결정된 조절래그의 특성과 상관관계)

  • Yu, Dong-Sik;Kwak, Ho-Weon;Roh, Byeong-Ho;Son, Jeong-Sik
    • Journal of Korean Ophthalmic Optics Society
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    • v.20 no.3
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    • pp.333-339
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    • 2015
  • Purpose: The aim of this study was to evaluate clinical characteristics of subjective accommodative lags determined by fused cross-cylinder (subjective method), and an open-field autorefractor (objective method) under uncorrected and corrected conditions. Methods: Thirty three healthy subjects (26 males and 7 females aged $23.73{\pm}1.35$ years from 22 to 27 years) participated. Four methods were used to determine accommodative lag: (1) a subjective method with the fused cross-cylinder (FCC) under +2.00 D fogging lenses condition, (2) an objective method with the autorefractor under uncorrected condition (3) a corrected method (effective accommodative lag) using equations presented by Gwiazda et al. in objective methods, and (4) a corrected method using equations presented by Mutti et al. in objective methods. Results: The mean accommodative lags were 0.72 D for subjective method, 0.82 D for uncorrected objective method, 0.88 D for corrected method with Gwiazda's equations, and 0.78 D for corrected method with Mutti's equations. There were significant differences between the objective accommodative lags, but no significant differences between the objective and subjective accommodative lags. The effective accommodative lags showed significant correlations between phorias and refractive errors. The effective accommodative lag by Mutti's equations had a high correlation with uncorrected accommodative lags (r=0.99, p<0.001). Conclusions: The objective accommodative lag correlated with phorias and refractive errors. Especially, The effective accommodative lag using Mutti's equations may be considered for clinical availability and qualitative evaluation associated with symptoms.

Comparison between Subjective and Objective Angle of Deviation Using by Synoptophore and Prism Bar in Strabismus Patients (사시환자에서 Synoptophore와 Prism bar를 이용한 자각적 사시각과 타각적 사시각의 비교)

  • Wi, Dae-Gwang;Joo, Seok-Hee;Lee, Koon-Ja;Leem, Hyun-Sung
    • Journal of Korean Ophthalmic Optics Society
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    • v.15 no.1
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    • pp.79-85
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    • 2010
  • Purpose: We studied the relationship between subjective and objective deviating angle. Methods: Those who were diagnosed with strabismus among the patients who had no systemic diseases that fifty-one subjects (Male; 21, Female; 30) were measured between seven to sixty three years, evaluated to alternate cover test after AR/K (Canon RK-FI, Japan) and retinoscope measured refractive errors. Objective deviating angle was measured using prism bar; and subjective and objective deviating angles were measured and compared using the synoptophore. Results: For the correlation between subjective and objective deviating angles. The differences were $2.6{\pm}2.5{\Delta}$, between subjective deviating angle measured using synoptophore and objective deviating angles measured using synoptophore were $0.7{\pm}1.4{\Delta}$, the average with each other were $1.7{\pm}1.8{\Delta}$, with all the differences highly significant. Conclusions: We thought not only reduced angle of deviating errors and identified the significance in the correlation between subjective and objective deviating angles but also considered to be useful in determining deviating angle of patient with strabismus.

Changes in Visual Acuity and Values of Objective Refraction with Breath Alcohol Concentration (호흡 알코올 농도에 따른 시력과 타각적 굴절검사 값의 변화)

  • Jung, Su A;Nam, Soo-Kyung;Kim, Hyun Jung
    • Journal of Korean Ophthalmic Optics Society
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    • v.20 no.2
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    • pp.187-193
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    • 2015
  • Purpose: This study was aimed to investigate effects of increased breath alcohol concentration (BrAC) which is the standard measurement of alcohol consumption in sobriety test under current laws on visual acuity and values of objective refraction. Methods: For twenty three males in 20s (average age $21.17{\pm}2.19$ years, body mass index (BMI) $22.09{\pm}2.16$) were selected. Distance and near visual test was performed at BrAC of 0%, 0.05% and 0.08%, and objective refraction with open-field auto-refractometer was also performed at different BrAC. Results: As breath alcohol concentration is increased, distance visual acuity was decreased, which was statistically significant, but near visual acuity was not changed. Also, values of objective refraction tended to be increased towards minus as breath alcohol concentration is increased. Conclusions: As breath alcohol concentration is increased, corrected visual acuity is decreased and refractive power is towards minus, it is necessary that visual acuity test and refraction measurement should be conducted under sober condition.

THE EFFECT OF SEDATIVES ON AUDITORY BRAINSTEM RESPONSE (Sedative가 정상청력 성인의 ABR에 미치는 영향)

  • 손진호;장원삼;손수준;조태환;성창섭
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1987.05a
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    • pp.7.3-8
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    • 1987
  • 청성뇌간 유발반응이 Juwett 및 Sohmer와 Feinmesser에 의하여 보고된 이래 타각적 청력검사로서 임상적응용에까지 이르렀다. 타각적 청력검사는 반응역치와 청각역치의 오차가 적어야 하며 주파수별로 역치측정이 가능하여야 하며 개인차가 적고 반응의 재현성이 높아야 되며 반응의 판정이 용이해야 함이 필요조건으로서 이러한 조건이 피검자의 수면상태하에서도 충족되어야 한다. 저자들은 정상 성인 청력자를 대상으로 sedation전후의 ABR에 대한 latency 및 amplitude를 중심으로 관찰하여 다음과 같은 결과를 얻었다. 1) Sedative의 사용에 있어서 amplitude및 latency의 차이는 없었다. 2) Sedative의 사용에는 무관하게 low frequency filter에서 high frequency filter보다 voltage의 유의한 차가 있었다.

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Usefulness of Rotation for Toric Soft Lenses Using Objective Refraction (타각적 굴절검사를 이용한 토릭 소프트 렌즈 회전 평가의 유용성)

  • Yu, Dong-Sik;Moon, Byeong-Yeon;Son, Jeong-Sik
    • Journal of Korean Ophthalmic Optics Society
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    • v.16 no.3
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    • pp.265-272
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    • 2011
  • Purpose: The clinical usefulness of rotation evaluation using objective refraction in toric soft lenses fitting was investigated. Methods: Toric soft lenses were fitted for 32 subjects (64 eyes; mean age of 24.69 ${\pm}$ 1.65 years) with astigmatism and both eyes of each subject were fitted with toric soft lenses. Objective refraction-based lenses rotation was evaluated from refraction and over-refraction data by indirect calculating technique. These calculated data were compared with the measured data from slit lamp with direct measuring technique. Results: Orientation of toric soft lenses around zero position (within ${\pm}$ 5$^{\circ}$ vertical line) was investigated. The orientations to the direction of nose of measured and calculated values were 69.78% and 63.64%, respectively, which showed similar values between two techniques. Agreement frequency between measured and calculated values in the magnitude of lenses rotation 54.69% and 82.82% for 10$^{\circ}$ and 20$^{\circ}$ of vertical line, respectively. The 95% limits of agreement between calculation and measurement were from -10.08$^{\circ}$ to 12.65$^{\circ}$, and mean difference was 1.29$^{\circ}$ within ${\pm}$ 10$^{\circ}$. The result showed there was no significant difference (p = 0.1984) and high correlation (r = 0.56, p = 0.0004) between two techniques. But the 95% limits of agreement was widen in ${\pm}$ 20$^{\circ}$ of vertical line. The magnitude of lens rotation between two methods was 9.66 ${\pm}$ 6.16$^{\circ}$, 16.17 ${\pm}$ 12.38$^{\circ}$ and 10.58 ${\pm}$ 12.02$^{\circ}$ for normal, loose and tight fitted conditions. Conclusions: From the results with smaller difference between two techniques, it was found that higher availability of subjective over-refraction data can be used as a supplementary tool for subjective refraction. An application using objective refraction with direct measuring could be provide high success in prescription on toric soft lenses.

The Change of Corneal Refractive Power by Everted Silicone Hydrogel Contact Lens Wear (역방향 실리콘 하이드로겔 렌즈 착용에 따른 각막 굴절력 변화)

  • Kim, Soo-Hyun;Shin, Dong-Min;Jeong, Ju-Hyun
    • Journal of Korean Ophthalmic Optics Society
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    • v.18 no.3
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    • pp.271-277
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    • 2013
  • Purpose: The purpose was to study the corneal refractive power changes associated with the wearing of everted silicone hydrogel soft lenses. Methods: The corneal refractive power and corneal astigmatism were measured using corneal topographer (CT-1000, Shin-nippon Co., Japan) for checking change of corneal refractive power and objective refractive error was measured by auto-refractometer (Natural vision-K 5001, Shin-nippon Co., Japan). We measured at baseline and 1 week after lens wearing. Results: The correcting of corneal refractive power could be effective in low myopia. It's more effective to the higher power of greatest meridian of cornea and the more corneal astigmatism. 73% of subjects' refractive error was decrease less than 1 D and 17% of the subjects had an reverse effect (increase) occurs. The reduction of objective refractive error was more effective when cornea refractive power was great or corneal astigmatism was much. Conclusions: Pressure which the everted silicone hydrogel lens to the cornea could be caused. It occurred as the degrees of corneal power, corneal astigmatism and objective refractive error differences. Selection of an appropriate subject is important considering difficulty of changing the parameters of the lens.

Comparative Analysis of Questionnaires for Dry Eye Screening Test (안구건조증 설문지의 일치도 연구)

  • Kim, Da-Young;Lee, Sun-Haeng;Cho, Hyun-Gug;Kim, Kun-Kyu;Kim, Ha-Na;Moon, Byeong-Yeon
    • Journal of Korean Ophthalmic Optics Society
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    • v.19 no.4
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    • pp.499-504
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    • 2014
  • Purpose: This study is to evaluate the accuracy of dry eye screening test by comparing coincidences between three types of questionnaires and objective tests. Methods: 90 adults were classified into the normal and dry eye groups using evaluations of three types of questionnaires (SPEED, OSDI, TERTC-DEQ) and objective tests (NIBUT, Schirmer test). Coincidences-between the results of objective tests and questionnaires were compared and analyzed for dry eye diagnosis. Results: Coincidences between NIBUT test and each questionnaire were 83.3% by SPEED, 77.8% by OSDI and 72.3% by TERTC-DEQ, respectively. Concordance by SPEED was highest among three types of questionnaire. Coincidences between the Schirmer test and each questionnaire were 57.8% by SPEED, 58.9% by OSDI and 73.3% by TERTC-DEQ, respectively, thus coincidence by TERTC was higher than by others. But coincidences by Schirmer test were generally lower than those by NIBUT test. Conclusions: SPEED questionnaire showed the highest concordance with objective test as compared with others. Therefore, SPEED is expected to be used usefully to diagnose dry eyes.

The Relationship between Habitual Patient-Reported Symptoms and Signs in the Soft Contact Lens Wearers (소프트 콘택트렌즈 착용자에서 평상시 나타난 증상에 관한 연구)

  • Lee, Koon-Ja;Buyn, Jang-Won;Mun, Mi-Young;Leem, Hyun-Sung
    • Journal of Korean Ophthalmic Optics Society
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    • v.13 no.3
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    • pp.19-28
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    • 2008
  • Purpose: To understand symptoms and signs in soft contact lens wearers the authors evaluate the attribution of the tear test to the contact lens related symptoms and signs. Methods: Sixty-two healthy soft contact lens wearers (23.95${\pm}$4.38 years old, 18.60${\pm}$16.92 months of prior lens wear) were participated in this study. 3 kinds of tear test and McMonnies' questionnaire test were performed for the soft contact lens wearers and subjective symptoms and objective signs were graded using CCLRU scales during the study period. Results: In this surveys, we found ocular dryness, redness and tiredness are the most common frequent and severe symptoms in soft contact lens wearers. Frequency of the ocular dryness, redness and tiredness are associated with grittiness, burning sensation and foreign body sensation respectively, and severity of the photophobia, foreign body sensation are associated with unstable vision and grittiness and which are associated with score of McMonnies' Questionnaire. Conjunctival redness and limbal redness are major signs but those are not need to be clinical care and rarely occurred corneal and conjunctival staining which are associated with tear break-up-time statistically. Conclusions: Dryness, redness and tiredness are primary common symptoms in Korean soft contact lens wearers. The frequency of those symptoms are increased with the period of soft contact lens wear and those are associated with other symptoms but have no relationship with signs.

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Maneuverabilities of the M . S . Pusan 404 (부산 404호의 조종성능에 관한 연구)

  • Min-Seok Kim;Ki-Yun Kim
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.25 no.3
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    • pp.133-133
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    • 1989
  • The maneuverabilities of the M.S. Pusan 404 are studied, based on maneuvering indices and the data obtained from her Z test. The results obtained are summarized as follows: 1. The maneuvering indices K' and T' of the M.S Pusan 404 are 0.9359, 0.1955 at 10° Z test and 0.9781, 0.5802 at 20° Z test and 0.9108, 0.7090 at 30° Z test respectively. The above calculated values K', T' showed that her maneuverabilities are more effective when the rudder is used to small angle than to large angle. 2. As her maneuvering indices K' and T' at 10° Z test are smaller than the standard maneuvering indices of fishing boats, her turning ability was found to be lower but her obeying ability higher. 3. the running distance of a turn at her 10° Z test was about 8.7 times her own len호 and she was considered to have good maneuverabilities synthetically.

Maneuverabilities of the M . S . Pusan 404 (부산 404호의 조종성능에 관한 연구)

  • Kim, Min-Seok;Kim, Gi-Yun
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.25 no.3
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    • pp.125-128
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    • 1989
  • The maneuverabilities of the M.S. Pusan 404 are studied, based on maneuvering indices and the data obtained from her Z test. The results obtained are summarized as follows: 1. The maneuvering indices K' and T' of the M.S Pusan 404 are 0.9359, 0.1955 at 10$^{\circ}$ Z test and 0.9781, 0.5802 at 20$^{\circ}$ Z test and 0.9108, 0.7090 at 30$^{\circ}$ Z test respectively. The above calculated values K', T' showed that her maneuverabilities are more effective when the rudder is used to small angle than to large angle. 2. As her maneuvering indices K' and T' at 10$^{\circ}$ Z test are smaller than the standard maneuvering indices of fishing boats, her turning ability was found to be lower but her obeying ability higher. 3. the running distance of a turn at her 10$^{\circ}$ Z test was about 8.7 times her own len호 and she was considered to have good maneuverabilities synthetically.

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