• Title/Summary/Keyword: 타각적 굴절검사

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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.

Study on the Night Myopia of Refraction (야간근시 굴절검사에 대한 연구)

  • Lee, Hark-Jun;Kim, Chang-Sik
    • Journal of Korean Ophthalmic Optics Society
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    • v.13 no.1
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    • pp.107-112
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    • 2008
  • urpose: This thesis is a study the Night myopia was surveyed by Subjective refraction and Objective refraction (Dark retinoscopy), and analyzed the relationship between them. It also looked at the relation between Night myopia and pupil size. Methods: 82 adult subjects (ages of 19 to 44, 44 males and 38 females) were examined by Subjective refraction and Objective refraction in the light place. Then Night myopia and pupil size were examined by Subjective refraction and Objective refraction in the dark again. The Statistics were analyzed by SPSS (Statistical Package for Social Science). Results: As the subjects became younger, the observed Night myopia was getting higher in both Subjective refraction, $x^2$=219.48 (p<0.01) and Objective refraction, $x^2$=241.98 (p<0.01). The relationship was statistically significant by showing large pupil size, $x^2$=151.74 (p<0.01). In Objective refraction, as pupil size became larger in the dark place, so did Night myopia, $x^2$=84.27 (p<0.01), reaching a statistically significant correlation, however, the correlation was low in Subjective refraction. In Subjective refraction, observed Night myopia was 73%, 64 examples of 88 examples, a standard of 0.96${\pm}$0.4584D in ${\pm}$0.25D, in male examples, and it was 64%, 49 examples of 76 examples, a standard of 1.01${\pm}$0.4509D in ${\pm}$0.25D, in female examples. In Objective refraction, it was 48%, 42 examples of 88 examples, in standard of 0.85${\pm}$0.4651D in ${\pm}$0.25D, in male examples. And it was 71%, 54 examples of 76 examples, in standard of 0.96${\pm}$0.4133D in ${\pm}$0.25D, in female examples. Conclusions: Night myopia which is measured by both methods, observed as $x^2$=265.35 (p<0.01) and showed a large relationship. The correlation between the two refractions suggests that observed night myopia diopter by Subjective refraction could be used as correction of night myopia.

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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.

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

  • Ryu, Dong-Kyu
    • Proceedings of the KAIS Fall Conference
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    • 2010.11b
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    • pp.599-602
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    • 2010
  • 조절반응의 평가는 옵토메트리 검사의 중요한 일부분이다. 본 연구는 조절반응의 타각적인 검사방법인 자동굴절계와 MEM 검영법 및 Nott 동적검영법으로 측정한 검사결과의 상관성과 차이를 비교하고자 하였다. 본 연구의 취지에 동의하는 19~29사이(평균나이 22.22${\pm}$2.43세)의 정상시력을 가진 27명의 대학생을 선정하여 4D(25cm)의 조절자극이 주어진 상태에서 자동굴절계(Shin-Nippon NVision-K 5001)와 MEM 검영법 및 Nott 동적검영법을 실시하여 조절 반응을 측정하였다. 4D의 조절자극에 대한 조절반응은 자동굴절계(Shin-Nippon NVision-K 5001) 3.70${\pm}$0.25D, MEM 검영법 3.58${\pm}$0.30D 그리고 Nott 동적검영법 3.77${\pm}$0.29D로 각각 측정되었다. 3가지 검사는 상호간에 높은 상관성이 있었다(p<0.05). MEM 검영법은 Nott 동적검영법보다 0.19${\pm}$0.13D 더 낮게 측정되었고(p<0.05), 자동굴절계(Shin-Nippon NVision-K 5001) 보다 0.12${\pm}$0.24D 더 낮게 측정되었다(p<0.05). Nott 동적검영법과 자동굴절계(Shin-Nippon NVision-K 5001)로 측정한 값은 유의한 차이가 없었다(p>0.05). MEM 검영법으로 측정한 조절반응은 Nott 동적검영법이나 자동굴절계로 측정한 값보다 더 낮았다. 저자는 조절반응을 평가할 때, MEM 검영법을 제외한 Nott 동적검영법과 자동굴절계(Shin-Nippon NVision-K 5001)는 상호 대체하여 사용할 수 있다고 주장한다.

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Refractive Power Changes after Removal of Contact Lenses (콘택트렌즈를 임시 제거한 상태에서의 착용 조건에 따른 굴절력 변화)

  • Cho, Yun-Kyung;Kim, Soo-Woon;Yu, Dong-Sik
    • Journal of Korean Ophthalmic Optics Society
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    • v.18 no.3
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    • pp.279-289
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    • 2013
  • Purpose: To evaluate the changes of refractive power when worn soft contact lenses were temporarily removed. Methods: 91 soft contact lens wearers (15 males and 76 females; total 182 eyes) from 17 to 39 years of age (average: $24{\pm}4.8$ years) were participated. Objective and subjective refraction, and corneal radius were measured at 0, 30, 60 and 90 min after lens removal. The changes in refractive power were evaluated between measurements over time. The other parameters such as types of lenses, fitting and wearing conditions were also assessed. Results: Objective refraction, subjective refraction and corneal radius were significantly changed according to measured time (p<0.0001). A moderate myopic shifts was observed at the beginning (30 min after lens removal) and a slight myopic shift at the late of measurement (60 min to 90 min after lens removal). There are no significant differences between lens types, fitting states, wearing time, wearing days and sleeping time in the previous day. However, there was significant interaction in changes for corneal radius between measuring time and lens type (p=0.017), fitting state (p=0.019), and sleeping time prior to the test (p=0.010). Conclusions: Time to reach refractive and corneal radius stability after contact lens removal revealed at least more than 60 min, regardless of types of lenses, fitting and wearing conditions. Therefore, refraction for correction should be performed after waiting for more than that time as possible.

Diurnal fluctuations of vision in myopes (근시안의 일일 시럭변동에 관한 연구)

  • Park, Sang-Chul;Sung, A-Young;Kim, Tae-Hyun;Kim, Douk-Hoon
    • Journal of Korean Ophthalmic Optics Society
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    • v.10 no.1
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    • pp.35-40
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    • 2005
  • Subjective and objective visions were measured on young adults(mean 21 yrs, 126 eyes) who were free of any ocular diseases and laser surgery and none wore contact lenses. The aim of this study was to investigate the diurnal variation of vision through subjective and objective measurements. Subjective visual acuity were measured at 5 m three times a day, morning(8:00 AM-10:00 AM), noon(12:00 PM-2:00 PM) and afternoon(4:00 PM-6:00 PM). The instrument used for objective refraction right after visual acuity measurement was Nvision-K 5001(shin-nippon) which unique in being able to disregard subject's accommodation because of its unrestricted viewing conditions. Also, we measured that three times and then calculated the average values. The result showed that an average subjective visual acuity in the morning, noon, afternoon were 0.256(${\pm}0.263$), 0.266(${\pm}0.276$), 0.242(${\pm}0.249$) respectively. Average spherical equivalent power in objective refraction of right eyes showed -3.416 D(${\pm}2.907$), -3.359 D(${\pm}2.735$), -3.297 D(${\pm}2.709$) respectively and dioptric power was decreased from morning to afternoon. Vision changed throughout the day in both subjective and objective measurements nevertheless its variations were statistically insignificant(p<0.05). Therefore it does not seem to matter of time for either visual acuity test or refraction.

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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.

Research on the Refractive State Screening in Preschool Children (취학전 아동의 굴절상태 실태조사)

  • Kim, Jeoung-Hee
    • Journal of Korean Ophthalmic Optics Society
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    • v.6 no.2
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    • pp.105-109
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    • 2001
  • The investigate of preschool children at 7-year-old at three kindergartens in Iksan was done by the naked visual acuity, the refractive state and cover-uncover test. Total 246 eyes were examined by the objective and subjective methods. The results were as follows: 1. Among the 246 eyes, the naked visual acuity of below the average 0.7 was 64 eyes(26%). 2. As to the distribution of refractive errors, myopic eyes and hyperopic eyes were 26.55% and 26.55%, respectively. 3. As to the type of astigmatisms, with the rule was 85.8%, against the rule was 8.9% and oblique was 5.3%. 4. The percentage of preschool children who had been tested was 13.8%. 5. In test none of children were the phoria.

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A study of refraction state of middle aged & manhood in Daegu (대구지역 중·장년층의 굴절상태 연구)

  • Choi, Gei-Hun
    • Journal of Korean Ophthalmic Optics Society
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    • v.9 no.2
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    • pp.323-332
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    • 2004
  • This study researched the visual acuity test object and Auto-refractormeter, visual of near power. The object were composed of middle aged, the old men and women who in habit Daegu. The results were as follows : 1. The subjects consisted of 537 people, 29.98% men, 70.02% women. 2. The emmetropia was 1.12% for myopia, 2.79% for hyperopia, 96.09% for astigmatism. 3. The abnormal refraction was composition for myopic compound astigmatism(16.57%), hyperopia compound astigmatism(45.62%), Mixed astigmatism(33.89%). 4. On the Myopic Spherical Equivalent(S.E) power, the range of -0.50D ${\leq}$ M.S.E < -1.00D was 21.67%, -1.00D ${\leq}$ M.S.E < -2.00D was 48.89%, -2.00D ${\leq}$ M.S.E < -6.00D was 29.44%. 5. On the Hyperopic Spherical Equivalent(S.E) power, the range of +0.50D ${\leq}$ H.S.E < +1.00D was 28.57%, +1.00D ${\leq}$ H.S.E < +2.00D was 49.30%, +2.00D ${\leq}$ H.S.E < +6.00D was 23.13%. 6. The addition power was 1.00D(8.01%), 1.50D(8.57%), 2.00D(13.78%), 2.50D(16.57%), 3.00D(16.95%), 3.50D(17.88%), 4.00D(18.25%).

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Research of Difference between the Refractive Powers by Autorefractometer and the Prescription using Phoropter (자동 굴절력계의 굴절력값과 포롭터를 이용한 처방값의 차이에 관한 연구)

  • Lee, Ju-Whan;Lee, Koo-Seok;Hong, Hyung-Ki
    • Journal of Korean Ophthalmic Optics Society
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    • v.19 no.2
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    • pp.231-237
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    • 2014
  • Purpose: This study is research of the conditions which causes difference between the refractive power of the measurement of autorefractometer and the prescription using phoropter. Methods: Autorefractometer (SR-7000) and phoroptor (AV-9000) were used to measure 60 eyes of 30 participants who had no eye diseases and wore the corrective lens due to Ametropia. To prevent the dependence of the prescription value of the refractive power on the testers, two testers measured the refractive power of the eyes of the participants at the same measuring conditions. Results: Statistically, the prescribed values of the refractive power by two testers were not significantly different. Most of the prescribed values of the refractive power were smaller than the refractive power by autorefractometer In case of myopic eyes, the difference between refractive powers by the measurement of autorefractometer and the prescription using phoropter showed the trend of increase as the spherical refractive power became larger. The result was analyzed by the range of the different cylindrical refractive power for the myopic astigmatic eyes. In this case, the difference between refractive powers showed the trend of decrease as the cylindrical refractive power became larger. Conclusions: No difference between the prescribed value by two testers was observed. In case of myopic or myopic astigmatic eyes, the difference between refractive powers by autorefractometer and the prescription were measured to be approximately proportional to the refractive powers of ametropic eyes. As the this difference become larger for the participant who needs the lens of larger refractive power, additional caution is needed in the prescription of the refractive power of the corrective lens.