• Journal of Korean Ophthalmic Optics Society
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• v.18 no.2
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• pp.137-142
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• 2013

Purpose: This study was designed to investigate the current status of visual acuity for elementary school students in Muan-gun and to analyze improvements of their visual function after vision training for the elementary school students who have either insufficiency of accommodation or vergence. Methods: Subjective refraction, objective refraction and binocular function were examined for 335 elementary school children from year 1 to year 6 live in Muan area, and then 47 students who have symptoms of binocular dysfunction among them were selected. We analyzed and compared between before and after vision training (VT) in binocular vision function results. Results: The results show that most of the subjects had much problem in near point convergence (NPC) than accommodation. After the vision training, the average of subjects NPC was improved about 5.93 cm, from $11.57 {\pm}1.850$ cm for before VT to $5.66{\pm}0.965$ cm for after VT. After VT positive fusional vergence at near distance after VT was $19.64{\pm}3.66$ $\Delta$, which was as much as double of near phoria. Accommodative amplitude was improved from $10.02{\pm}2.566$ D for before VT to $12.30{\pm}1.397$ D for after VT, which similar to mean of expected accommodative amplitude of 11.27 years old. Conclusions: Among insufficiency of accommodation and vergence NPC was improved specially, and accommodative facility and other ocular functions were also improved. Therefore, it is considered the vision training is very effective to recover from visual function problems.

• Journal of Korean Ophthalmic Optics Society
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• v.18 no.2
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• pp.165-171
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• 2013

Purpose: This study are to analyze and to compare between pupillary size, reaction time, refractive error, corrected vision, dominant eye, static visual angle (SVA) and kinetic visual acuity (KVA) of male and female college students, to measure KVA of them in full correction and to identify changes of KVA by +0.50 D and -0.50 D spherical power addition respectively in full correction condition. Methods: KVA, SVA, pupillary size, reaction time, refractive error, corrected vision and dominant eye of 40 male and 40 female optical science students were measured by utilizing KOWA AS-4A, reaction time measurement program, subjective refractometer, and objective refractometer, and KVAs were measured when +0.50 D/-0.50 D were added in both eyes respectively. Results: Binocular KVA of whole subjects was $0.45{\pm}0.22$, and in monocular KVAs were $0.36{\pm}0.19$ for right eye and $0.34{\pm}0.19$ for left eye, and binocular KVA was significantly higher than monocular KVA. It appeared that the better SVA was, the better KVA was in significant way, and in terms of refractive error the less myopia amount was, the better KVA was, but it was not significant statistically. The lower astigmatism was, the slightly and significantly higher KVA was when dividing between equal or less than -1.00 D astigmatism group and over -1.00 D astigmatism group. In resulting from correction condition of refractive error KVAs were $0.45{\pm}0.22$ for full correction, $0.26{\pm}0.15$ for +0.50 D addition, $0.48{\pm}0.22$ for -0.50 D addition which indicates that KVA in over myopia correction was significantly the highest and followed by full correction and under correction. Similar findings were revealed in both male and female, and KVA of male was better than female in comparing between male and female. There was no significantly different KVA between dominant eye and non-dominant eye. Conclusions: Accordingly, it is concluded that KVA is related with far distance SVA, astigmatism amount, and refractive error amount except a dominant eye. Through this research, it was found that prescription for enhancing KVA is to make full correction or to overcorrect slightly myopia.

• Journal of Korean Ophthalmic Optics Society
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• v.12 no.4
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• pp.55-69
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• 2007

The purpose of this study was to perform a clinical test using ez NANOsence II RGP contact lenses for the effects of visual acuity and cornea on subjects with abnormal refraction status. One hundred twenty one adults (twenty nine males, ninety two females, range = 17 to 43, mean = 22.86) were recorded. The subject's history including, the symptoms from previous lens wear, were studied. The subjects were observed, both pre and post lens wear, for any symptoms and signs of change of the eye. The Visual acuity and the binocular status were tested at the far distance using the contact lens. The refraction test was performed on the naked eye using the objective method (Topcon KR-8100, Japan). The Stereopsis test was performed at the near distance after contact lens wear by the Titmus fly (Stereo Optical Co., U.S.A) and TNO (TECH, The netherlands). The contrast sensitivity diagnosis was performed at 1m distance after contact lens wear by the contrast sensitivity chart (pelli-Robertson, USA). The corneal topography was analyzed on the naked eye after lens wear by ORB scan (Bausch Lomb, U.S.A.). The ultra structure of surface on the contact lens was observed using SEM (JMS-5800, Japan). The chemical component's of the contact lens was analyzed by EDS program. The results of this study were as follows: 1. The longer of contact lens wear period, The subjects have acquired the most improved visual function. 2. Subjects had experienced few side effects wearing the contact lenses. 3. The lenses were easy to use by the subjects. 4. The longer of contact lens wear period, the power of cornea had more decrease. but the base curve of cornea had more increase and corneal astigmatism was decrease (p<0.01). Also, the thickness of corneal center was few decrease. 5. Longer periods of using the contact lens showed stereopsis and contrast sensitivity at more normal values. 6 The corneal topographical after lens wear showed most subjects with similar morphology for different wear periods. 7. The surface ultrastructure of the new and used contact lens was the similar fine shape. 8. The chemical component's of in the new and used contact appeared to have similar results. In conclusion, this study showed that the surface ultrastructure and chemical component's of the new and used contact lens are similar. In addition, the subjects had improved the quality of vision and few experienced any side effects during long periods of contact lens wear. Also they have decrease of corneal astigmatism during the long period of lens wear. Our test has showed that the chemical composition and fine structure of contact lens have related to the visual function on contact lens wearer. In this paper, we suggested that ez NANOsence II RGP contact lenses had a moderate effect for correcting vision of abnormal refraction eye.

• Journal of Korean Ophthalmic Optics Society
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• v.17 no.1
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• pp.75-81
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• 2012

Purpose: The study tried to figure out accommodative changes by measuring accommodative response, appearing on the full vision correction and low vision correction, with both eyes open-view auto-refractometer (Nvision-K5001, Shin-nippon, Japan). Methods: It carried out objective and subjective refractions, targeting 79 college students (58 males and 21 females) aged between 20 and 30($21.14{\pm}2.00$), by measuring accommodative changes with fixation distance at 1.0 m for eyesight of 1.0 after full version correction. The distances of 5.0 m, 1.0 m, 0.50 m, 0.33 m and 0.25 m for eyesight of 0.8, 0.7 and 0.6 after low vision correction arbitrarily added plus lens were applied. Results: the shorter measure fixation distances were, the greater changes accommodative response showed a tendency in the state of both full vision correction and low vision correction(0.7). The state of full vision correction showed a greater change of accommodative response than that of low vision correction(0.7). Both right and left eyes showed low accommodative responses in the state of low vision correction(0.7) than that of full vision correction. As a result of analyzing accommodative response at an eyesight of 0.8, 0.7, and 0.6 after low vision correction, the poorer eyesight was the lower accommodative response. Conclusions: Low vision correction from a near distance is expected to avoid unnecessary accommodative response, make eyes relaxed and prevent accommodative function disorder.

• Journal of Korean Ophthalmic Optics Society
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• v.18 no.2
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• pp.143-148
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• 2013

Purpose: The aim of this study was to investigate the distribution of age and gender, types of intraocular lens (IOL), and refractive errors in subjects who had cataract surgery. Methods: 2,217 subjects who had cataract surgery were surveyed at an optometry clinic in Chungbuk from 2010 to 2012. Information about IOL was obtained from case history, reflective and retroillumination images IOL by auto refracto-keratometer. Refractive errors were determined by objective and subjective refraction. Results: The mean age of the subjects was $71.74{\pm}10.62$ years. The number of cataract surgeries increased from 524 persons in 2010 to 888 persons in 2012. Of the subjects surveyed, 52 persons (2.3%) were under the 40 years of age, 144 persons (6.5%) were in 50s, 404 persons (18.2%) were in 60s, 1,132 persons (51.1%) were in 70s, 485 persons (21.9%) were in above 80s. Cataract surgery was significantly prevalent in more female (1,338 persons, 60.4%) than in male (879 persons, 39.6%). Types of IOL were 2,141 persons (96.6%) for monofocal lens, special IOLs such as multifocal, accommodative and toric lens were 76 persons (3.4%). The distribution of refractive errors after cataract operation were 1,588 eyes (38.5%) for simple myopic astigmatism, 327 eyes (7.9%) for simple hyperopic astigmatism, 601 eyes (14.6%) for mixed astigmatism, 1,240 eyes (30.0%) for myopia, 136 eyes (3.3%) for hyperopia, and 234 eyes (5.7%) for emmetropia. The uncorrected and best corrected visual acuity of the subjects were $0.55{\pm}0.25$ and $0.80{\pm}0.23$, respectively. Conclusions: The prevalence of cataract surgery increased with age until 70s years of age, it was more prevalent in men than women over 60s, and frequency of special types of IOL were low. Most cataract surgeries left residual refractive errors. Therefore even after cataract surgery it may need spectacles for better vision at either distance or near.

• Journal of Korean Ophthalmic Optics Society
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• v.16 no.4
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• pp.417-423
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• 2011

Purpose: This study was to investigate that near gradient AC/A ratio could be used to prescribe a patient with distance exophoria, we compared the difference between distance gradient AC/A ratio and near gradient AC/A ratio. Also, this thesis was to understand the relationship between calculated AC/A ratio and gradient AC/A ratio. Methods: Objective and subjective refractive error were corrected and we used Howell (3 m) chart for distance phoria tests and Howell-Kim (40 cm) chart for near phoria tests. The near gradient AC/A ratio and calculated AC/A ratio were used by Howell-Kim (40 cm) combined with +1.00 D, -1.00 D, +2.00 D and -2.00 D. Results: The average value of distance exophoria was 1.17${\pm}$1.17 $\Delta$, and the average value of near exophoria was 3.71${\pm}$2.80 $\Delta$ (t-test. p<0.001). The correlation of distance phoria with near phoria was little higher (r = 0.59, p < 0.001). Gradient AC/A ratios depending on measuring distance and stimulus were higher (r = 0.11~0.53. P < 0.001), when distance was shorter and stimulus to accommodation was more. Also, stimulus to accommodation by plus lens was higher than stimulus to accommodation by minus lens (paired t-test. p < 0.001). There was negative correlation between calculated AC/A ratio and gradient AC/A ratio. As the calculated AC/A ratio was higher, gradient AC/A ratio was lesser. Near gradient AC/A ratio was slightly higher than distance gradient AC/A ratio. Distance and near gradient AC/A ratio taken through the subjective -1.00 D were 1.30 $\Delta$/D and 1.68 $\Delta$/D(t-test. t=1.67, p < 0.001). Conclusions: There is negative correlation between calculated AC/A ratio and gradient AC/A ratio. Also, there is subtle difference between near gradient AC/A ratio and distance gradient AC/A ratio. Therefore, we need to measure distance gradient AC/A ratio when a practitioner prescribe glasses for a patient with distance exophoria.

• Journal of Korean Ophthalmic Optics Society
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• v.3 no.1
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• pp.145-150
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• 1998

To 160 persons(90 men, 70 women) who went to the national hospital of Solok-island with Hansens's disease, I tested the objective refracts test with the product of Cannon Ltd. Co. which RK-3 Auto Ref-keratometer's auto ophthalmoscope. The results were like these. Visual acuity of above 0.7 that can live without glasses was contained 44 men's eyes(24.4%) and 19 women s eyes(13.6%). These result are indicated that men have had more good visual acuity than women. Visual acuity of below 0.6 that cannot do normal life was contained 80.3% of the total patients. And amblyopia of below 0.3 and eyes which cannot be corrected were shown 44.4%(80 men's eyes and 55.7% 78 woman's eyes). Myopia was contained 119 eyes(43), hyperopia was contained 139 eyes (50.4%) and emmetropia was 6.5%. Astigmatism was shown 136 men s eyes (86.6%) and 97 women's eyes(81.5%). These results are indicated what many people accompany with astigmatism. And these ratio had some high percentages men rather than women. Direct astigmatic was contained 37 eyes (11.6%), Indirect astigmatic 81 eyes(25.3%) and Oblique Astigmatic 115 eyes(35.9%). As a of distributed result oblique astigmatic occupied best high point as 49.4% in 233 astigmatism and distributed the opposite direction as compared with normal irregular emmetropia not patient.

• Journal of Korean Ophthalmic Optics Society
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• v.14 no.3
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• pp.59-63
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• 2009

Purpose: To investigate the near horizontal heterophoria of the college students in their twenties on north Kyonggi Province. Methods: The all subjects had not experienced any ocular surgery and have no disease and their mean age is 22.9. As 122 subjects, they are 50 emmetropes and 72 ametropes. The ametropes are all myopia. After distance visual acuity correction with subjective and objective refraction test, evaluated their horizontal heterophoria with red maddox rod. Results: In maddox rod test, the subjects consist of orthophoria 4.9%, esophoria 9.8% and exophoria 85.3%. In the emmetropes orthophoria is 8%, esophoria is also 8% and exophoria is 84%. In the ametropes orthophoria is 2.8%, esophoria is 11.1% and exophoria is 86.1%. The mean size of horizontal heterophoria is esophoria 3.59PD (prism diopter), exophoria 7.04PD and in the emmetropes esophoria is 3.25PD, exophoria is 6.60PD. In the ametropes esophoria is 3.75PD and exophoria is 7.34PD. Conclusions: In the emmetropoes the orthophoria is more than in the ametropes and the esophoria and exophoria is more in the ametropes. But the differences between the heterophoria and emmetropia or ametropia were not significant (p>0.05). The mean size of heterophoria is higher in the ametropes than in the emmetropoes. The distribution range of heterophoria is wider in the male subjects than the female subjects.

• Journal of Korean Ophthalmic Optics Society
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• v.12 no.4
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• pp.43-54
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• 2007

Silicone hydrogel contact lenses developed as a continuous-wear modality are now used as a daily-wear contact lenses. The purpose of this study was to investigate the clinical performance in a group of successful long-term wearers of conventional hydrogel contact lenses when refitted with daily wear $O_2OPTIX$ silicone hydrogel lenses. Sixty-two wearers ($30.7{\pm}19.9$ months of prior lens wear) among sixty-five soft lens wearers refitted with $O_2OPTIX$ silicone hydrogel lenses were participated in this study finally. Subjective symptoms were scored and objective signs were graded using CCLRU scales during the study period. 98% of subjects were successfully refitted with the one base curve of $O_2OPTIX$, and 33.9% of subjects were needed more or less lens powers compared with their habitual lenses. Subjects reported a concurrent reduction in dryness, redness and tiredness compared with their habitual lenses and both subjective and objective evaluations showed that dryness, tiredness, itchiness, bulbar and limbal hyperemia were decreased and significantly decreased particularly for those subjects with greater baseline symptoms (p<0.0001). But corneal staining was increased and was seen in many subjects during the study (p<0.0001). Refitting existing soft contact lens wearers with silicone hydrogel contact lens could result in a decreased in dryness, redness and tiredness, particularly more effective for those subjects with greater baseline of those symptoms. When patients using conventional hydrogel materials switch to a silicone hydrogel material, the potential for increased corneal staining should be considered and over-refraction should be needed to give a best vision.

• Journal of Korean Ophthalmic Optics Society
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• v.15 no.1
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• pp.105-116
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• 2010

Purpose: To analyze and compare differences between single vision lenses and functional progressive addition lenses and improvement to binocular visual function wearing functional lenses for pre-presbyopes altered their single vision lenses to functional progressive addition lenses with low addition. Methods: Healthy 32 subjects aged 24.03${\pm}$1.87 (male 23, female 9) who were recruited from university students wore functional progressive addition lenses (EYE-T, Chemilens Co., Korea, ADD 0.750) for 2 months. Objective refraction, corrected visual acuity at distance and near, near point of convergence, near point of accommodation, accommodative facility, phoria at distance and near were measured. And subjective satisfaction was investigated by using a questionnaire designed to fatigue, comfort, discomfort, overall satisfaction and preference. Results: Functional progressive addition lenses were better than single vision lenses at near point of convergence and accommodation, accommodative facility. Exo phoria measured at distance with single vision and functional progressive addition lenses. Exo phoria measured at near with functional progressive addition lenses was higher than that with single vision lenses. As a survey, the satisfaction was increased in questions related near work. However, single vision lenses were preferred in distance test of overall satisfaction, easy 10 adapt, lime to adapt. A survey showed thai preference of functional progressive addition lenses were increased 75.00% to 81.26% for near work, 50.00% to 65.63% for visual fatigue, 47.75% to 50.00% for visual comfort and 31.25% to 46.88% for overall comfort. Conclusions: Comparing between single vision lenses and functional progressive addition lenses, binocular visual function related near work, subjective satisfaction and preference was improved after wearing functional progressive addition lenses. This study suggested that functional progressive addition lenses were useful for long time near work.