• Title/Summary/Keyword: 타각적굴절검사

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A Study on the Ametropia in the West Seoul (서울서부지역 비정시에 관한 연구)

  • Lee, Young-II;Lee, Young-Dal
    • Journal of Korean Ophthalmic Optics Society
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    • v.6 no.1
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    • pp.77-80
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    • 2001
  • To research the ametropia in the west seoul, 510 eyes were tested by the object and subject methods. The results were as follows. 1. Among the 510 eyes, myopia is 71.9%, hypropia is 22.1%, and emmetropia is 5.8%, respectively. 2. In test over the 20 ages, myopia is 66.9%, hypropia is 7.1%, and emmetropia is 23%, respectively. 3. In test under the 20 ages, myopia is 76.6%, hypropia is 3.8%, and emmetropia is 19.6%, respectively.

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Case Study of Vision Therapy (시기능 교정의 임상사례)

  • Park, Hyun-Ju
    • Journal of Korean Ophthalmic Optics Society
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    • v.11 no.1
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    • pp.35-41
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    • 2006
  • I performed the refraction and binocular test for study of binocular abnormalities. The problems of the accommodation and binocular on subjects was need to the correction of the refractive error. also the subjects was need to a specific treatment for each of the problems. On two patients who had convergence excess, The full corrections of eyeglasses or (+)ADD for near vision were prescribed and the subjects trained for 4 weeks. After 4 weeks, the unconvenience of near vision have more decrease, and the objective test have good results. On clinical, If the optical correction and vision therapy was applied the treatment for binocular abnormalities. The continuous research of vision training in binocular abnormalities will be good results for treatment of several binocular abnormalities in the future.

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Examination of Refractive Correction and Accommodative Ability on Myopic Elementary School Children Wearing Glasses in Jinju City (진주지역 근시 안경착용 초등학생들의 굴절교정상태와 조절기능의 검사)

  • Nam, Woon-Go;Cho, Hyun Gug;Son, Jeong-Sik;Kwak, Ho-Weon;Moon, Byeong-Yeon
    • Journal of Korean Ophthalmic Optics Society
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    • v.14 no.1
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    • pp.109-114
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    • 2009
  • Purpose: This study was designed to investigate the condition of refractive correction on wearing glasses currently of elementary school children and their accommodative ability in Jinju city. Methods: Objective refraction, subjective refraction, amplitude of accommodation, negative and positive accommodation, accommodative facility, and dynamic retinoscopy were examined on 60 elemenary school children who aged 8~12 wearing myopiacorrected glasses. Results: The condition of refractive corrections was distributed that a case of full correction was 11.7%, a case of low correction with more than 0.8 visual acuity (VA) was 10%, and a case of low correction with less than 0.8 VA was 78.3% in wearing glasses currently. In results from examination of accommodative ability, the number of children having accommodative anomaly is 8 persons (13.3%), they were divided into accommodation insufficiency (4 persons), accommodative facility insufficiency (2 persons), accommodation excess (1 person), and accommodation insufficiency related to ocular function (1 person). Conclusions: It is demanded a periodic inspection of refractive correction to growing children, and the refractive correction after due consideration to accommodative ability is really needed.

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Survey on the Refractive Status of Primary School Children with Subnormal Visual Acuity in Seoul (서울지역 초등학동 비정시안의 굴절상태에 대한 조사)

  • Kim, Hye Dong
    • Journal of Korean Ophthalmic Optics Society
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    • v.6 no.1
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    • pp.65-69
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    • 2001
  • To investigate the visual acuity of the primary school children. This study was researched visual acuity test using objective and subjective methods. 1. The eye types were 90.3% positive for myopia, 3.1% for emmetropia, 4.9% hyperopia, 1.7% for mired astigmatism. 2. The abnormal refraction eyes were 58.6% positive for simple myopia, 29.9% for myopic compound astigmatism, 5.1% for my optic simple astigmatism and 1.9% for simple hyperopia, 1.9% for hyperopic compound astigmatism, 1.3% for hyperopic simple astigmatism, 1.3% for mixed astigmatism. 3. The axis of astigmatism were 85.7% for astigmatism with-the-rule, 9.3% for astigmatism against-the-rule, 5.0% for astigmatism oblique. 4. On total myopic spheric power. the -0.50

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Predicting Powers of Spherical Rigid Gas-permeable Lenses Prescription (구면 RGP 렌즈의 처방 굴절력 예측)

  • Yu, Dong-Sik;Yoo, Jong-Sook
    • 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.

The Examination of Refractive Correction and Heterophoria and Monocular Pupillary Distance on Myopic Elementary School Children Wearing Glasses in Gwangju City (광주지역 근시안경 착용 초등학생의 굴절상태와 사위 및 단안PD에 대한 조사)

  • Hwang, Kwang-Ha;Seong, Jeong-Sub
    • Journal of Korean Ophthalmic Optics Society
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    • v.14 no.4
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    • pp.71-75
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    • 2009
  • Purpose: This study was designed to investigate the condition of refractive correction and heterophoria and monocular pupillary distance on myopic elementary school children wearing glasses in Gwangju city. Methods: Subjective refraction and objective refraction were examined after investigating heterophoria and monocular pupillary distance on 145 (290eye) elementary school children wearing myopia-corrected glasses. Results: 1. Anisometropia > 2.00 D was present in 4 children (3%). 2. 9 anisometropia (47%) were present in 19 undercorrected visual acuity boy wearers. and 16 anisometropia (64%) were present in 25 undercorrected visual acuity girl wearers. 3. Among the 67 myopic glasses boy wearers, the distance between optical centers was coincided with the pupillary distance in 30% (Oculus Uterque), and discrepant in 70% (Oculus Uterque). Among the 78 myopic glasses girl wearers, the distance between optical centers was coincided with the pupillary distance in 23% (Oculus Uterque), and discrepant in 77% (Oculus Uterque). The mean optical center distance was longer than the pupillary distance on both boy and girl wearers 4. The result of measured heterophoria revealed 14% for orthophoria, 63% for exophoria, 23% for esophoria at far distance and 10% for orthophoria, 76% for exophoria, 14% for esophoria at near distance. Conclusions: Correct refractive test and monocular pupillary distance must be examined because incorrect refractive test and pupillary distance induce asthenopia and heterophoria.

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Evaluation of scale accuracy and effect of off-the-visual-axis on schematic retinoscope training eye (검영기 훈련 모형안의 굴절상태 눈금과 벗어난 시축의 평가)

  • Ryu, Dong-Kyu
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.10
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    • pp.3789-3793
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    • 2010
  • To investigate accuracy of graduated scale of schematic retinoscope training eye(schematic eye) and induced effect when measured at off-axis from visual axis. Two skilled retinoscopist measured refractive power using retinoscope in random order. Seven schematic eyes from a single manufacturer were recruited and set to mark +4.00 to -6 diopter(+4, +3, +2, +1, 0, -1, -2, -3, -4, -5, -6). After introducing +2.00 diopter trial lens(50cm working lens), neutral distance was measured at 180 degree to estimate accuracy of scale, and refractive power measured at 0, 5, 10, 15 and 20 degree off-axis to see if any error was induced. According to the results measured by two specialists, in six of seven schematic eye, scale setting varied (p<0.05) and measured refractive power at 5, 10, 15 and 20 degree off-axis from visual axis were $-0.13{\pm}0.06$, $-0.29{\pm}0.06$, $-0.58{\pm}0.11$, and $-0.83{\pm}0.16$ diopter respectively. In some schematic eye, scale graduated on the schematic eye and scale measured by retinoscopy could be different and if retinoscopy is performed off-axis from visual axis, any measuring error can be caused.

Reliability of Autorefractometry after Corneal Refractive Surgery (레이저 굴절교정수술 후 자동굴절검사법의 신뢰성)

  • Lee, Ki-Seok
    • The Korean Journal of Vision Science
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    • v.20 no.4
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    • pp.443-451
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    • 2018
  • Purpose : To find out the reliability of autorefractometer after laser refractive surgery Methods : We measured and compared spherical and cylinder powers of those undergone LASEK surgery with 1.0 of naked vision after at least 3 months of the surgery with an autorefractometer(CANON Full Auto Ref-Keratometer RK-F1, Japan) and a retinoscope(Streak Retinoscope 18200, WelchAllyn, USA), and also applied spherical equivalent powers. The refractive status before surgery was divided into high, medium, and low myopia according to the results measured using an autorefractometer, and then analyzed again the reliability of the autorefractometer after surgery according to the preoperative refractive status. The agreement of two methods was identified using Bland-Altman(Bland-Altman limits of agreement(LoA)). Results : After the surgery, when comparing spherical, cylinder and equivalent powers in the whole data measured by autorefractometry and retinoscopy significant differences were found(p<0.01). According to the degree of refractive errors, all sort of refractive errors was shown significantly different(p<0.01) except for cylinder power of the medium myopia. In general, the refractive errors especially spherical and spherical equivalent powers by autorefractometry were shown a myopic trend from -0.38 D to -0.53 D. On the other hand, it was shown a hyperopic trend of approximately +0.30 D using retinoscopy. In comparison of two objective refractions, it was shown a myopic trend as $-0.51{\pm}0.45D$(LoA +0.36 D ~ -1.39 D) and compatible. Conclusion : Even though it would be positive in terms of compatibility of the methods, it is necessary that the glasses should be prescribed by subjective refraction since autorefractometry is shown myopic in those undergone the surgery and suffering from myopic regression.

Comparison of clinical techniques to assess objectively accommodative response (타각적 조절 반응 평가의 임상 기술들의 비교)

  • Ryu, Dong-Kyu
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.9
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    • pp.3406-3411
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    • 2010
  • Assessment of the accommodative response is an essential part of the optometric examination. This study measured objectively the accommodation responses those were measured by Autorefractor, MEM retinoscopy and Nott dynamic retinoscopy, and investigate the correlation and difference the results. Twenty-seven college students with normal visual acuity aged 19 to 29 years (mean $22.7{\pm}2.43$ years) participated in this study. Their accommodative responses to accommodative demand of 4D (25cm) were measured with Shin-Nippon NVision-K 5001 Autorefractor, MEM retinoscopy and Nott dynamic retinoscopy. The accommodative responses to accommodative demand of 4D were $3.70{\pm}0.25D$ by Shin-Nippon NVision-K 5001 Autorefractor, $3.58{\pm}0.30D$ by MEM retinoscopy and $3.77{\pm}0.29D$ by Nott dynamic retinoscopy, respectively. There were high correlations among the three techniques (p<0.05). MEM retinoscopy was measured $0.19{\pm}0.13D$ lower than Nott dynamic retinoscopy (p<0.05) and it was measured $0.12{\pm}0.24D$ lower than Shin-Nippon NVision-K 5001 Autorefractor (p<0.05). There was no significant difference between Nott dynamic retinoscopy and Shin-Nippon NVision-K 5001 Autorefractor (p>0.05). MEM retinoscopy showed lesser accommodative responses than Nott dynamic retinoscopy and Shin-Nippon NVision-K 5001 Autorefractor. Author suggest that Nott dynamic retinoscopy may use Shin-Nippon NVision-K 5001 Autorefractor interchangeably to evaluate accommodative responses expect MEM retinoscopy.

The Need for Change of Korean Optician(optometrist) System (안경사제도의 변화 필요성에 대하여)

  • Seo, Jae-Myoung;Kim, Jae-Do;Kim, Heung-Soo;Shim, Hyun-Suk;Kim, Sang-Hyun
    • Journal of Korean Ophthalmic Optics Society
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    • v.20 no.4
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    • pp.527-536
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    • 2015
  • Purpose: In this paper, we have dealt with problems and improvement of korean optician system. Methods: Using the relevant material of korean optician system and international optometrist system, provides the theoretical basis of the need for regulatory changes optician. Results: The people with refractive errors are increasing, 67% of refractive error test is made from optical shop and korean optician are sufficient trained, many opticians are in charge of the refractive error test at the ophthalmic hospital. We have confirmed that current law does not reflect adequately the nature of optician's work. Conclusions: Since current capacity of the Korean opticians and education system ready to provide health services for people, therefore an korean optician must redefine the law to fit the reality.