• Title/Summary/Keyword: Binocular function

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Comparison of Accommodative Function of Young Adults in their Twenties Wearing Monovision, Modified Monovision and Multifocal Soft Contact Lenses (모노비전, 변형된 모노비전, 멀티포컬 콘택트렌즈로 교정 시 20대 성인의 조절기능 비교)

  • Lee, A-Young;Kim, Jeong-Mee;Lee, Koon-Ja
    • Journal of Korean Ophthalmic Optics Society
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    • v.20 no.2
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    • pp.117-124
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    • 2015
  • Purpose: The purpose of this study was to compare the accommodative function of young adult in their 20s wearing monovision, modified monovision, and aspheric multifocal contact lenses at near task. Methods: Thirty young adults ($23.53{\pm}2.37years$) were fitted with monovision, modified monovision (the application of single vision contact lenses and center-near low addition aspheric multifocal contact lenses), and aspheric center-near multifocal contact lenses. After wearing these modalities during a week for adaption, and after watching visual display at computer for inducing accommodative pressure for 1 hour. The following assessments of accommodative function were made: contrast visual acuity (VA) at distance and near; accommodative response; near accommodative facility; and negative relative accommodation (NRA)/positive relative accommodation (PRA). All measurements were carried out binocularly. Results: In binocular distance VA with contrast of 10%, monovision was the worst among the four modalities (p=0.005). In accommodative response at 1 m (1.00 D), monovision was the lowest (p<0.05) and accommodative response at 40 cm (2.50 D) with monovision was lower than that of modified monovision and multifocal contact lens (p<0.05). We also found that there were no significant differences in accommodative facility and NRA/PRA among the four modalities. Conclusions: In young adult (20s), monovision with low add reduced the accommodative response at near task, however, modified monovision and multifocal lens with center-near type did not affect accommodative relaxation.

Analysis of Refractive Error according to Aging in Young Children in South Korea (한국 어린이의 연령에 따른 굴절이상 분석)

  • Kim, Douk-Hoon;Kim, Dae-Nyoun
    • Journal of Korean Clinical Health Science
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    • v.2 no.4
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    • pp.239-246
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    • 2014
  • Purpose. to describe the prevalence of refractive error according to aging in young children in South Korea. Methods : From July 2013 to June 2014, five hundred subjects( 250 male subjects, 250 female subjects; aged between 7 and 12 years) were performed in refraction test using the Auto-Refraction. Myopia, hyperopia, astigmatism, and anisometropia were defined as spherical equivalent(SE)${\leq}-0.50$ diopters, SE ${\geq}+2.00$ D, cylinder error ${\geq}0.75$ D and SE difference${\geq}1.00$ D between binocular eyes, respectively. Results. The refractive error by spherical equivalent among all subjects was myopia 80.41%, astigmatism 44.89%, emmetropia 18.27%, anisometropia 16.92%, and hyperopia 1.32%. The prevalence of myopia increased with age. but hyperopia was decrease. Myopia and astigmatism were much more common in male than females although the difference was not statically significant. Emmetropia and hyperopia were much more common in female than males although the difference was not statically significant. The prevalence of spherical equivalent was much common from -1.00 diopter to 0.99 diopter. On the other hand, the prevalence of myopia was much more than hyperopia. There was a statistical significance between 9 year and 10 year of female in the spherical equivalent power(p>0.05). In all another group of age, there was not a statistical significance as aging in spherical equivalent power(p>0.5). However, there was a statistical significance between male and female as age in the spherical equivalent power(P>0.01). Conclusions: Myopia was the most common refractive error in Korea young children, while hyperopia was decreased after 7 years. There was a statistical significance as age between male and female at spherical equivalent power(P> 0.01). these results suggested that the analysis of the refractive error as age at young children can give the useful diagnosis data for the correction of visual function.

Changes of Stereoacuity with Correction in Induced Anisometropia (유발된 부동시의 교정에 따른 입체시 변화)

  • Choi, Jin Young;Kim, Jai-Min;Kim, Hyun Jung
    • Journal of Korean Ophthalmic Optics Society
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    • v.13 no.4
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    • pp.121-126
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    • 2008
  • Purpose: To study the minimum diopter of spherical lens with normal binocular function in induced anisometropia by over-correction or under-correction in single eye. Methods: Stereoacuity of subjects without ophthalmic disease history in their twenties was measured by using Titmus-fly stereotest at 40 cm after overcorrection or under-correction in non-dominant eye or dominant eye, respectively. Results: In induced anisometropia, the stereoacuity decreased with increase of the power of added spherical lens in either nondominant eye or dominant eye. And the first reduction of stereoacuity was more prominent with the addition of (+) spherical lens than (-) spherical lens. In addition, there was more strikingly decrement of stereoacuity with addition of spherical lens to dominant eye than non-dominant eye. Conclusions: In induced anisometropia, the most outstanding reduction of stereoacuity was obtained with increment of the power of added (+) spherical lens in case of non-dominant eye with full correction and dominant eye with addition of spherical lens.

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The Change After Visual Training of Forced Vergence Fixation Disparity Curve (강제vergence 주시시차곡선의 시기능훈련 후의 변화)

  • Choi, Sun-Mi;Lee, Ki-Young;Park, Hyun-Ju
    • Journal of Korean Ophthalmic Optics Society
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    • v.19 no.4
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    • pp.539-550
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    • 2014
  • Purpose: This research was designed to figure out if there are changes based on types of vergence fixation disparity curve after optical correction and vision training to for people with steep slope of forced vergence fixation disparity curve and symptoms. Methods: For 30 subjects out of 91 subjects, who have steep slopes of fixation disparity curve examined with Wesson Fixation Disparity Card and symptoms about steep slope of fixation disparity curve, proper vision training was offered for 5 weeks. Results: After Vision training for 30 people with the symptoms of type I, II, III, IV for 5 weeks, slope of fixation disparity curve was significantly changed (p=0.013), and the results of binocular vision test and subjective symptoms were also significantly improved. Conclusions: Vision training can not only affect the change of fixation disparity curve, but also relieve the symptoms. Fixation disparity curve has lots of visual function information of the subject and can be suggested as a guideline for prescribing.

The Case Study of Elementary School Teachers Who Have Experienced Teacher Participation-oriented Education Program (TPEP) for Elementary School Teachers to Improve Class Expertise in Science Classes - Focusing on Visual Attention - (교사 참여형 교육프로그램(TPEP)을 경험한 초등교사의 과학 수업 전문성 변화 사례 - 시각적 주의를 중심으로 -)

  • Kim, Jang-Hwan;Shin, Won-Sub;Shin, Dong-Hoon
    • Journal of Korean Elementary Science Education
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    • v.39 no.1
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    • pp.133-144
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    • 2020
  • The purpose of this study is to identify the effect of Teacher Participation-oriented Education Program (TPEP) for Elementary School Teachers to Improve Class Expertise in Science Classes with a focus on visual attention. The participants were two elementary school teachers in Seoul and taught science subjects. The lesson topic applied to this study were 'Structure and Function of Our Body' in the second semester of fifth grade and 'Volcano and Earthquake' in the second semester of fourth grade. The mobile eye tracker SMI's ETG 2w, which is a binocular tracking system was used in this study. In this study, the actual practice time, participant's visual attention, visual intake time average, and visual intake time average were analyzed by class phase. The results of the study are as follows. First, as a result of analyzing the actual class execution time, the actual class execution time was almost in line with the lesson plan after the TPEP application. Second, visual attention in the areas related to teaching and learning activities was high after applying TPEP. Factors affecting the progress of the class and cognitive burdens were identified quantitatively and objectively through visual attention. Third, as a result of analyzing the visual intake time average of participants, there was a statistically significant difference in all classes. Fourth, as a result of analyzing the visual intake time average of participants, the results were statistically significant in the introduction(video), activity 1, activity 2, and activity 3 stages in the lecture type class. The Teacher Participation-oriented Education Program (TPEP) for Elementary School Teachers to Improve Class Expertise in Science Classes can extend elementary science class expertise such as self-class analysis, eye tracking, linguistic, gesture, and class design beyond traditional class analysis and consulting.

A Study of the Refractive Errors Comparition between City and Rural Elementary School Children (도시와 농촌지역 초등학생들의 굴절상태 비교에 관한 연구)

  • Kim, In Suk;Jang, Jung Un
    • Journal of Korean Ophthalmic Optics Society
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    • v.21 no.2
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    • pp.147-152
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    • 2016
  • Purpose: This study was designed to be used as the basic visual function data after analyzing and investigating the refractive errors variation between city and rural elementary school children. Methods: To compare with city and rural areas, 2501 elementary school children who lived in Mokpo, Yeongam, Muan, Hampyeong were participated. Objective refraction, Subjective refraction and binocular function examinations were measured. Results: Mean of refractive error of rural areas was -1.47 D in 2012 years, -1.52 D in 2013 years, and -1.40 D in 2014 years. However average of refractive error was -1.65 D in 2012 years, -1.76 D in 2013 years and -1.75 D in 2014 years who lives in city areas. Average myopia was showed higher who lives in rural areas elementary school children than city areas elementary school children. There were significant differences between rural areas and city areas elementary school children (p = 0.03), but there were no significant differences by averagre hyperopia (p = 0.32). Average myopia was showed the tendency of increase as the students get older by analysis compare with rural and city areas elementary school children. It also showed high prevalence of myopia who lives in city areas elementary school children compare with lives in rural areas elementary school children. Conclusions: It is the very important to performed regular visual acuity test and correction during the largest refractive change period and it is necessary to have experts in the visual acuity test.

Analysis of Teaching Behavior and Visual Attention according to Teacher's Career in Elementary Science Inquire-based Class on Respiration (탐구형 초등과학수업 '호흡' 차시에서 교사의 경력에 따른 교수행동 및 시각적 주의 분석)

  • Kim, Jang-Hwan;Shin, Won-Sub;Shin, Dong-Hoon
    • Journal of Korean Elementary Science Education
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    • v.37 no.2
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    • pp.206-218
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    • 2018
  • The purpose of this study is to analyze the teaching behaviors and visual attention according to teacher's career in Elementary Science Inquire-based Class. Participants were four elementary school teachers in Seoul. They were all in grade 5 and taught science. According to the experience of elementary science education, two novice teachers and two expert teachers were identified. Participants taught Respiration in the 'Structure and Function of our Body' in the elementary science fifth grade. The mobile eye tracker used in this study is SMI's ETG 2w, which is a binocular tracking system. In addition, a video camera was installed behind the classroom to record the entire class. We recorded all the contents of the recorded video and analyzed the results. In this study, the actual practice time, participant's visual attention, and decentralized attention ability were analyzed by class phase. The results of the study are as follows. First, there was a difference between planned class time and actual practice time. The novice teachers were having difficulty in reconstructing the contents of education, and the expert teachers were reconstructing the curriculum and interacting with the students with high understanding and application of the curriculum. There were many differences between the novice teachers and the expert teachers in the tour guidance to confirm student activities. Second, if we look at the visual attention on the area related to teaching and learning by class phase, the novice teacher concentrates all the steps in a specific area, expert teachers showed an equal visual attention to meaningful areas of teaching and learning activities. Third, there was a statistically significant difference in activities 1-1, 1-2, 2-1, and 2-2 when the participants' decentralized attention ability. Expert teachers frequently checked students' understanding and interests. There was a lot of interaction with students. It is also shown through the decentralized attention ability that the novice teachers concentrate on a specific area, and the expert teachers have a high degree of decentralized attention ability and visual attention evenly.

A Study on the Accommodative Astigmatism of Near Vision (근거리 주시 시 조절성 난시에 대한 연구)

  • Lee, Hark-Jun
    • 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.

Changes in Accommodative Function of Young Adults in their Twenties following Smartphone Use (스마트폰 사용에 따른 20대 성인의 조절기능 변화)

  • Park, Mijung;Ahn, Young Joo;Kim, Soo Jung;You, Jiyoung;Park, Kyung Eun;Kim, So Ra
    • Journal of Korean Ophthalmic Optics Society
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    • v.19 no.2
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    • pp.253-260
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    • 2014
  • Purpose: The present study was conducted to investigate whether near work with smartphone could induce the change of accommodative function. Methods: Total 63 subjects(26 male and 37 female) in their 20s were firstly examined their visual functions related to accommodation and uncorrected spherical equivalent power as the control. After that, the subjects were asked to read a book for 30 min and sequentially watch a movie on smartphone for the same time after 30 min-break under the indoor light or as it was in the reverse order to avoid time-ordered effect. Their accommodative functions, 1) accommodative amplitude, 2) accommodative facility, 3) relative positive/negative accommodation, and 4) accommodative lag and their uncorrected spherical equivalent power were examined again following each task and compared with the control values. Results: The monocular accommodative amplitude was significantly decreased after smartphone watching compared with it after reading. The monocular and binocular accommodative facilities were tended to reduce after smartphone watching and book reading but were not significantly different. Neither significant change in positive relative accommodation was determined after smartphone watching nor book reading. Negative relative accommodation after smartphone watching was almost unchanged unlike reading a book. The accommodative lag after smartphone work was significantly higher than after book reading. Conclusions: The near work with a smartphone for 30 min induced the change of some accommodative functions, which was significantly greater than when reading under the same working environment.

The Clinical Study on the Visual Acuity and Cornea of ez-NANOsence II RGP Contact Lens (ez NANOsence II RGP 콘택트렌즈의 시력과 각막에 미치는 임상적 연구)

  • Kim, Douk-Hoon;Bae, Han-Young;Han, Mung-Gyo
    • 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.

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