• Journal of Korean Ophthalmic Optics Society
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• v.12 no.3
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• pp.39-48
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• 2007

The stimulus of accommodation A, the stimulus of convergence C and the prism diopter ${\Delta}$ are reviewed and redefined more obviously. How the A and C are managed in the practice are reviewed and summarized. As a result, the common practical process of the binocular vision findings is most suitable in the case of the $l_c=26.67mm$, where the near distance is measured from the test lens to the near target and its value is 40 cm and the average of the P.D equal to 64 mm. The $l_c$ is the distance between the test lens and the center of rotation. Those values were used at calculating the various values in this paper. The error of the stimulus of accommodation values which are evaluated by the practically used formula (5) are calculated. Where the distance between lens and the principle point of eye is 15.07 mm ($=l_H$). The incremental stimulus of convergence values P' caused by the addition prism $P_m$ are evaluated by the recursion computation method. The P' are varied with the $P_m$, the distance $p_c$ between the prism and the center of rotation, the initial convergence value (or inverse target distance) $C_o$ and the refractive index n of the prism material. The recursion computation method and the other formulas are described in detail. In this paper n=1.7 is used. The two factors by which the P' is increased are exist. The one which is major is the property by which the values of convergence whose unit is ${\Delta}$ are not added in the generally way. The other is the that the actual power of the prism is varied with the angle of incidence light. And the P' is decreased remarkably by an increase in the $p_c$ and $C_o$. The $P^{\prime}/P_m$ are calculated and graphed which are varied with the $p_c$ and $C_o$, where the $P_m=20{\Delta}$, P.D=64 mm and n=1.7. The index n dependence of the $P^{\prime}/P_m$ is negligible (refer to fig. 6). The $p_c$ are evaluated at which the P' equal to the $P_m$ for various $P_m$ (refer to table 1). The actual values of the stimulus of convergence and accommodation which are manipulated simply in the practice are calculated. Two graphical forms are suggested. The one is like as the commonly used one. But the stimulus of convergence and of accommodation values in the practice are positioned at the exact positions when the graphic is made (refer to fig. 9). The other is the form that the incremental stimulus of convergence values caused by the addition prisms are represented at actual positions (refer to fig. 11).

• Journal of Korean Ophthalmic Optics Society
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• v.19 no.1
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• pp.87-92
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• 2014

Purpose: Comparison with contrast sensitivity between binocular and monocular of 20s adult was measured by spatial frequency 3.0, 6.0, 12.0 and 18.0 cpd and compares difference between monocular and binocular and difference between male and female. Methods: Topcon CV-3000 Phoroptor was used for full correction of 99 ophthalmic optics students and contrast sensitivity were measured by using Vector Vision CSV-1000E at 2.5 m in photopic condition (100 $cd/m^2$). Results: Photopic condition at 2.5 m, average contrast sensitivity of entire subject was 52.54, 80.40, 36.79 and 13.56 with right eye and 52.33, 81.29, 41.73 and 14.22 with left eye in 3, 6, 12 and 18 cpd. For both eye 65.46, 113.69, 52.04 and 19.44 were measured. The contrast sensitivity of male was 58.22, 83.52, 37.89 and 13.82 with right eye and 56.03, 46.68 and 15.67 with left eye in spatial frequency of 3, 6, 12 and 18 cpd. Both eyes were measured to 70.89, 120.96, 56.56 and 19.89. The contrast sensitivity of female was 46.50, 77.09, 35.61 and 13.28 with left eye and 48.40, 70.43, 36.47 and 12.68 with left eye in spatial frequency of 3, 6, 12, 18 cpd. Both eyes were 59.68, 105.97, 47.23 and 18.95. Conclusions: Contrast sensitivity value of binocular shows higher than monocular to both male and female. Contrast sensitivity of difference between male and female were statistically remarkably higher to male in right eye 3 cpd, left eye 6 cpd, 12 cpd and both eye 3 cpd. In other frequency, there was no statistical significance but male shows higher.

• Journal of Korean Ophthalmic Optics Society
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• v.17 no.1
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• pp.59-65
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• 2012

Purpose: The purpose of this study was to determine the distribution and correlation of accommodative lag with refractive error. Method: We had tested the clinical refraction and the accommodative lag in clinically normal 49 young adults (total 98 eyes) aged 18 to 25 years without abnormal binocular function. Monocular and binocular accommodative lag were tested with 0.50 D cross-cylinder lens and near vision test chart which had cross-hairs after full correction of LogMAR visual acuity over 0.05. Results: There was no statistical differences in monocular accommodative lag between right ($0.64{\pm}0.64$ D) and left eye ($0.63{\pm}0.64$)(p=0.858). The accommodative lag of male was higher than female and the range of the value was broader than female in binocular accommodative lag (p=0.015). The wider the inter-pupillary distance was, the higher the accommodative lag was (p=0.003). However, there were no differences with age (p=0.800) and dominant eye (p=0.402). The ranges of accommodative lag of low, middle, and high myopia were 0.75 ~ -0.25 D, 1.25 ~ -0.50 D, and 1.50 ~ -0.75 D, respectively, and the regression was 'y = -0.03953x+0.09205'. Conclusions: These data suggest that clinically normal young adults with high amounts of refractive error have more variable accommodative lag and increased spherical equivalent refraction.

• Journal of Korean Ophthalmic Optics Society
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• v.18 no.1
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• pp.37-43
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• 2013

Purpose: The present study was conducted to investigate whether the directions of eye movement in playing computer games for certain period affected the change of near point of convergence (NPC) and fusional reserve (FR) or not. Methods: Total 40 subjects in 20s who have the visual acuity of 1.0 or higher without any ocular disease and accommodative dysfunction were asked to successively play computer games. After the subjects were moving eyes in horizontal and vertical directions for 40 and 90 minutes, their horizontal fusional reserves, vertical fusional vergence and near point of convergence were measured. Results: The near point of convergence showed a tendency to be receded after computer gaming in the horizontal and vertical directions, and both of horizontal and vertical fusional reserves were significantly reduced. The range of declined fusional reserves and receded near point of convergence after computer gaming for 90 minutes was smaller than those after computer gaming for 40 minutes. The change of binocular vision was affected by the horizontal eye movement rather than the vertical movement when analyzed by the direction of eye movement. Conclusions: This study revealed that the change in FR and NPC was different along with dominant direction of eye movement during visual display terminal (VDT) tasks. Therefore, the adjustment of VDT working time is required to prevent the dysfunction of binocular vision according to the dominant direction of eye movement during VDT task.

• Journal of the Korea Convergence Society
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• v.10 no.5
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• pp.103-110
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• 2019

The present study investigated the effects of AD on stereoscopic vision. Sixty participants (20 AD patients, 20 mild cognitive impairment patients, 20 healthy elderly controls) participated in the study. Two cubes, one on the left and the other on the right of the center of the monitor, appeared at varying distances from the observer with their relative distances controlled in two disparity conditions (absolute vs relative disparity) combined with two disparity directions (crossed vs uncrossed disparity). Participants identified the object that appeared closer to them. Results demonstrated comparable performance with all three groups performing accurately, suggesting that the effect of AD on stereopsis is negligible. Discussion focused on brain pathology affected by AD involving high level visual processing.

• Journal of Korean Ophthalmic Optics Society
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• v.15 no.1
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• pp.61-66
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• 2010

Purpose: This study was performed to determine vertical fixation disparity by Fixation Disparity Card. The purpose of this study was to investigate distribution of the curve types obtained with Wesson card. Methods: Fixation disparity curves were measured on 52 subjects with the Wesson fixation disparity card. A fixation disparity curve was an x, y coordinate plot of the angular amount of fixation disparity as a function of the power of prisms through which the patient views. The fixation disparity curve variables that were used to aid in the diagnosis and management of binocular vision disorders included the x-intercept, y-intercept, curve slope and curve type. Results: Vertical fixation disparity curves by Wesson Fixation Disparity Card were very various. Conclusions: Vertiical fixation disparity curves could be used to aid in the diagnosis and prescription.

• Journal of Korean Ophthalmic Optics Society
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• v.13 no.2
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• pp.37-41
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• 2008

Purpose: The purpose of this case study is to prescribe a prismatic correction in uncommon case of cyclovertical heterophoria. Methods: The prescribed prism was used to balance the vertical vergence break values by the binocular vision evaluation such as phoria, vergence, accommodative function and the others. Results: Although asymptomatic lateral phoria was changed, the vertical prismatic correction improved the symptoms such as eyestrain, headaches, diplopia and others. And cyclophoria was disappeared by prismatic correction. Conclusions: The prismatic correction for this case was useful for alleviating symptoms of cyclovertical deviations.

• Journal of Korean Ophthalmic Optics Society
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• v.18 no.4
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• pp.555-560
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• 2013

Purpose: The aims of this study were to investigate the stereoacuity and subjective symptoms of aniseikonia with prescription of the size lens. Methods: Participants were myopic anisometropia patients with the binocular refraction difference between 1.75 D~3.50 D. Inclusion criteria of participants were no ocular pathology, no amblyopia, more than 1.0 of corrected visual acuity. With fully corrected spectacles and a correction with the size lens, Awaya aniseikonia test and Randot Stereo test were conducted respectively. In addition, subjective symptoms were also examined using questionnaire. Results: As the anisometropia increased, the aniseikonia increased. Under the anisometropia with same refractive correction was different for each individual. The prescription of size lens caused less aniseikonia than the general prescription of glasses. In addition, prescription of the size lens improved stereoacuity and relieved the symptoms of asthenopia. Conclusions: The prescription of size lens that can correct aniseikonia with prescription of glasses can improve stereoacuity and reduced asthenopia.

• Journal of Industrial Convergence
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• v.22 no.6
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• pp.99-106
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• 2024

The author thought about how to explain visual functions in an easy-to-understand way to customers visiting the optical shops and provide easy customer consultation, and attempted to evaluate the usability and value of the educational webtoon for patient consultation by applying it to the optical shops's visitors. Survey study was conducted targeting 152 customers who visited optical shops A in Incheon from January to December 2023. In this study, consultation was conducted using educational webtoons to help the general public understand concepts that are difficult to understand, such as binocular vision function, the concept of heterophoria, prism lenses, and binocular balance. The areas of 'understanding', 'interest', 'usability', 'necessity', and 'expression of expertise' felt by the visitors who received counseling were scored and evaluated, and differences according to counseling method were evaluated using an independent sample t-test. Statistical verification was performed. When the optometrist only explained verbally, the score distribution was relatively low: 1.96 points for understanding, 2.06 points for interest, 2.96 points for usability, 4.20 points for necessity, and 3.19 points for expertise. When the optometrist provided explanations along with the book, understanding was 4.14 points, interest was 3.28 points, usability was 3.60 points, necessity was 4.17 points, and expertise was 3.55 points. When the optometrist explained with a webtoon, understanding was 4.57 points, interest was 4.96 points, usability was 4.18 points, necessity was 4.65 points, and expertise was 3.15 points. When explanations were given only verbally, all items showed the lowest scores, whereas consultations using webtoons showed 4 points or more (excellent) in all items except the 'expression of expertise' item. It is evaluated that actively using webtoons in various consultation situations that occur in optical shops will help increase customer interest and concentration.

• Journal of Korean Ophthalmic Optics Society
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• v.14 no.2
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• pp.41-46
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• 2009

Purpose: Stereopsis is one of primary characteristics for assessment of binocular function. The purpose of this study was to determine the possible relationship between the degree of exophoria and stereoacuity at near. Methods: 110 exophores (male n=71, female n=39, mean $age{\pm}SD=11.30{\pm}1.47$ years) without amblyopia, strabismus, and ocular and systemic pathology were studied. Subjects were also excluded if they had visual acuity poorer than 0.8 in either eye or vertical phoria greater than 1 prism diopter. Clinical tests were performed for near phorias by von Graefe technique using a Digital Refractor (CDR-3100, Huvitz, Korea) with chart (Predio CDC-4000, Huvitz, Korea), and for stereoacuity using the Titmus fly. Results: A one-way analysis of variance revealed that mean values of the stereoacuity classified according to the degrees of the exophoria were not significantly different (p>0.05). Conclusions: Based on the result of this study, it was found that there was no relationship between the degree of exophoria and stereoacuity.