• Journal of Korean Ophthalmic Optics Society
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• v.16 no.3
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• pp.273-281
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• 2011

Purpose: In order to provide the fundamental information for the design development of RGP lenses and its clinical prescription, the corneal types of Korean twenties were analyzed according to corneal shapes, astigmatic degree, and the certain distance from the corneal apex. Methods: Corneal types of total 252 eyes in 20s were firstly classified, then their corneal radii from the certain distance from the corneal apex were measured by corneal topography and further analyzed based on the astigmatic degree. Results: Korean 20s' corneal types were classified as 14.3%(36 eyes) of round, 31.3%(79 eyes) of oval, 28.6%(72 eyes) of symmetric bow tie, 17.5%(44 eyes) of asymmetric bow tie, 8.3%(21 eyes) of irregular shapes. The round and oval typed corneas had mild astigmatic degree whereas the higher astigmatic degree in symmetric and asymmetric bow tie typed corneas were shown. The relative corneal radii of round and oval typed corneas at each distance from corneal apex were shown to consistently increase regardless of astigmatic degrees when they measured at certain distances from the corneal apex. However, the relative corneal radii of symmetric and asymmetric bow tie typed corneas within 1.0-1.5mm from the corneal apex were decreased, which showed steeper slope than it within 1.0 mm and somewhat different based on astigmatic degrees. Bigger change of corneal radii outer 3.5 mm from the corneal apex in symmetric bow tie typed corneas with astigmatism of 1.50-2.00 D and 2.25-2.75 D appeared. Conclusions: The consideration of radial change from the central cornea to peripheral cornea is necessary for manufacturing RGP lens and its prescription since they showed different change in corneal radii by corneal patterns and astigmatic degrees.

• Journal of Korean Ophthalmic Optics Society
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• v.19 no.2
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• pp.199-206
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• 2014

Purpose: The present study was aimed to investigate the correlation between higher-order aberration and myopic degree by the analysis of fluctuation of high-order aberration according to the change of myopic degree in certain ranges of myopia and astigmatism. Methods: The high-order aberration in a total of 992 eyes was analyzed by using a LADARWave device employing Hartmann-Shack system, and the relation between high-order aberration and myopia by the change of myopic degree through manifest refraction test. Results: In all subjects, spherical aberration and total coma aberration were significantly increased by the increase of myopic degree, however, trefoil aberration and astigmatic aberration and tetrafoil aberration were decreased. With the group of lower myopic degree, the change of coma aberration was greater by myopic degree and its change was significantly different. The change of spherical aberration by myopic degree was greatly large in the a group of -3.00 D or more and the group of -6.00 D or more where as its change was not large in the group of lower than -3.00 D. The significant decrease of coma aberration was observed only in the group of astigmatic degree of -1.00 D or less when analyzing the correlation between the higher-order aberrations and myopia in the certain groups of astigmatic degree. In the case of spherical aberration, the significant change was shown in all astigmatic groups, however, its increase was larger with the increase of myopic degree in lower degree of astigmatism. The consistent relationship in variations of horizontal and vertical coma aberration in certain myopic and astigmatic groups was neither established nor statistically significant. Conclusions: It is concluded that the correlation between the higher-order aberration and low-order aberration obtained from the results of the present study can help the understanding related to vision quality and the improvement of vision quality.

• Journal of Korean Ophthalmic Optics Society
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• v.19 no.3
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• pp.353-362
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• 2014

Purpose: The present study was aimed to investigate the change of higher-order aberrations induced by aging and the effect of myopic degree on the correlation between age and higher-order aberrations. Methods: The higher-order aberrations in 931 eyes aged from 20 to 60 were measured by using a LADARWave device employing Hartmann-Shack system to analyze the effect of myopic degree measured by manifest refraction test on higher-order aberrations. Results: Coma and vertical coma aberrations were significantly decreased by the increase of myopic degree while vertical astigmatic aberration was significantly increased. The correlations of age and coma, vertical coma, spherical, vertical trefoil, horizontal trefoil, vertical astigmatic, horizontal astigmatic and vertical tetrafoil aberrations depended on the myopic degree, except for horizontal coma and horizontal tetrafoil aberrations. Conclusions: It is suggested to consider the myopic degree for the refractive correction including the laser surgery based on the present result that higher-order aberrations are affected by the myopic degree.

• Journal of Korean Ophthalmic Optics Society
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• v.21 no.1
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• pp.77-81
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• 2016

Purpose: This study was performed to investigate the difference of meridional visual acuity and the loss of corrected visual acuity (VA) in order to emphasis the importance of astigmatic correction. Methods: 64 subjects (122 eyes) aged $22.75{\pm}2.36years$ participated in this study. After full correction of astigmatic refractive error, VA was measured in which the direction of the slit filter was matched with astigmatic axis and $90^{\circ}$ to the astigmatic axis. Results: 52 eyes showed no difference in VA between the two direction. However 70 eyes had difference VA between them. 14 out of 52 eyes and 24 out of 70 eyes had under 1.0 in monocular VA. The astigmatic degree was higher in the existence of VA difference between the two direction than non-existence. The difference is higher with under 1.0 monocular VA. Monocular VA is closely related to the focal line having better VA in the principal focal line. Glasses replacement period was analyzed as 6~12 months for the preservation of better VA. Conclusions: The final glasses prescription has to be given with full correction because continued under-correction for astigmatism causes meridional VA difference.

• Journal of Korean Ophthalmic Optics Society
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• v.17 no.1
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• pp.37-45
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• 2012

Purpose: The change of alignment between RGP lens and cornea according to the lens design was investigated by comparing the areas of fluorescein pattern in central and peripheral regions analyzed by astigmatic degree and corneal type when spherical and aspherical RGP lenses fitted in alignment. Methods: The fluorescein patterns of 90 eyes (19-30 years, $25.12{\pm}3.52$) having with-the-rule astigmatism were analyzed after spherical and aspherical RGP lenses fitted in alignment. Then, their fluorescent areas in central and peripheral regions were calculated and compared for the quantitative evaluation. Results: The case showing concordant base curve between spherical and aspherical RGP lenses in alignment fitting was 72% however, the possibility to have same base curves between spherical and aspherical RGP lenses in alignment fitting was to be less in the case of symmetric bowtietyped cornea and high astigmatism. The fluorescent area in peripheral region of aspherical RGP lens in alignment fitting was smaller than it of spherical RGP lens. Peripheral fluorescent areas in both RGP lenses decreased according to the increase of astigmatic degree and peripheral area in symmetric bowtie-typed corea was smaller than round-typed cornea's peripheral area. In the case of same astigmatic degree, peripheral fluorescent area of aspherical RGP lens was smaller in both corneal types. Conclusions: The results above suggest the changing degree in the alignment between RGP lens and cornea can be varied according to lens design, corneal astigmatism and corneal type. Thus, the results obtained from the quantitative analysis of the alignment between lens design and cornea may be used as the basic information about the establishment of guidelines for RGP lens fitting, the development of proper lens design, and different tear volume in partial regions.

• Journal of Korean Ophthalmic Optics Society
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• v.16 no.3
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• pp.327-331
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• 2011

Purpose: The purpose of this study was an accurate grasp of the astigmatic change due to eyes accommodation on near vision and suggested problems occurring accommodative astigmatism using near glasses. Methods: 154 subjects(308eyes) from 20 to 40 years selected for this study who had many opportunity of near vision. First, far vision corrective refraction measured using the phoropter, and then both eyes opened simultaneously for maintaining the function of binocular put away dot chart 40 cm. One eye was fogging and the other eye measured near vision astigmatism axis and degrees astigmatism using cross cylinder, and then compared with far astigmatism. Results: Increased degree of astigmatism persons on near vision more than decreased or did not changed degree of astigmatism persons, which could affect visual acuity more than 0.75 diopters in 30 eyes with an increase of 9.7% of total subjects. Direct astigmatism and oblique astigmatism were increased on near vision. Astigmatic axes were rotated base in direction on both eyes and 66.9% of subjects were more than ${\pm}$5$^{\circ}$ rotation. Due to the rotation axis of astigmatism, residual astigmatism is expected to occur and expect to adversely affect the eyes. Conclusions: Long-term using the glasses without correction of increased astigmatic and rotated axis on near vision should occur new residual astigmatism and increase the asthenopia also. Considered to be taken astigmatic change on near vision during near refraction examination.

• Journal of Korean Ophthalmic Optics Society
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• v.17 no.3
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• pp.255-264
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• 2012

Purpose: In this study, the effect of lens fitting status on the contact area between spherical/aspherical RGP lens and the cornea having different astigmatic degree and corneal type was investigated for guiding the proper selection of RGP lens. Methods: Spherical and aspherical RGP lenses were applied on ninety eyes $(25.12{\pm}3.52years)$ having with-the-rule astigmatism by different fitting status. Then, their central, mid-peripheral and peripheral areas of fluorescein pattern were calculated and compared for the quantitative evaluation of the contact area between spherical/aspherical RGP lens. Results: The central and peripheral areas with the alignment fitting was significant different based on lens design. However, the central area didn't show any significant difference by lens design and corneal type when fitted in steep or flat. When analyzed by the corneal shape, both lenses with alignment and flat fitting had significant difference in central and peripheral areas. However, the central, mid-peripheral and peripheral areas with steep fitting didn't show the difference by corneal types. When analyzed by the astigmatic degree, the central and peripheral areas with alignment fitting changed proportionally to the increase of corneal astigmatism regardless of corneal shape. With steep and flat fitting, however, the central, mid-peripheral and/or peripheral areas in round- and symmetric bowtie-typed corneas showed the conflicting result when compared to those of alignment fitting when analyzed by the astigmatic degree. Conclusions: In this study, it was confirmed that the contact areas of cornea and RGP lens fitted steep and flat status were largely affected by the corneal type and corneal astigmatism rather than RGP lens fitted in alignment status. Also, this result commonly occurred in both spherical and aspherical RGP lenses.

• Journal of Korean Ophthalmic Optics Society
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• v.19 no.2
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• pp.189-198
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• 2014

Purpose: The present has analyzed the correlation between the direction of lens and the amount of rotation upon soft toric contact lens fitting after classifying the corneal astigmatism. Methods: Soft toric contact lens was fitted on 114 with-the-rule astigmatic eyes with total astigmatism of at least -0.75 D in their 20s and 30s according to the fitting guideline of the manufacturer and the correlation between the astigmatic degree and the rotational direction/amount of rotation was analyzed by when keeping the eyes on the front and by changing the direction of gaze. As for re-orientation movement. The speed of lens re-orientation and total amount of lens rotation was compared and analyzed by corneal astigmatism after mis-location of lens of $45^{\circ}$ to temporal and nasal direction, respectively. Results: The positive correlations were shown between corneal astigmatism and the direction of lens rotation and between corneal astigmatism and the amount of lens rotation. Meanwhile, the amount of lens rotation was different by the direction of gaze however, there was no correlation with corneal astigmatism. The speed of lens re-orientation was fastest in the group of high astigmatic degree when the lens was mis-located to both temporal and nasal directions. Conclusions: For optimal axis stabilization of toric soft lens, it is proposed that the adjustment of fitting guideline considering corneal astigmatism is necessary since the current fitting guideline is only based on total astigmatism.

• Journal of Digital Convergence
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• v.13 no.12
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• pp.285-290
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• 2015

The purpose of this study is to compare the status of eyesight according to the change of astigmatism axis in myopic astigmatism and to minimize errors in making astigmatic glasses based on accurate optometry and prescription. The subjects were 93 males and females(186 eyes) who have myopic astigmatism without any ocular disease or systemic disease. We performed comparative analysis on the status of visual acuity according to the change of astigmatism axis to 5, 10 and 15 degree in corrected eyesight 1.0. The direct astigmatism was the most common astigmatism type among the 186 eyes. After all subjects were perfectly corrected into 1.0, the change of astigmatism axis affected eyesight; The results suggested that the more change was made in astigmatism axis, the worse their eyesight would become. The main astigmatism type was changed from direct astigmatism to inverse astigmatism as age increased. The change of the astigmatism axis resulted in failing of corrected eyesight. Therefore, the convergence of examination and correction for astigmatism strength and axis is necessary when conducting refraction inspection for astigmatism.

• Journal of the Korean Institute of Electrical and Electronic Material Engineers
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• v.26 no.1
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• pp.80-82
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• 2013

White light emitting diode (LED) determined the most appropriate color temperature in reading lighting evaluated fatigue degree of eye according to color temperature. The eye fatigue degrees are determined by brightness and color temperature. Therefore, we measured the results of eyes test according to the change of color temperature and brightness. Experiments except for astigmatic corrected visual acuity of 0.8 more and age 20 to 25 years old, male and female college students was conducted in 100 patients. And constant illumination conditions, visual acuity was measured by varying the color temperature. The optometry at 10 minutes in the darkroom adapted eye. And then the temperature of $25{\pm}3$ degrees, the humidity was carried out at $50{\pm}5%$. As a result of typical color temperature of white light (5,600 K) has identification of the readability.