• Title/Summary/Keyword: Contact lens

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A Study on the Clinical Practice in Ophthalmic Optics (안경광학과 임상실습 실태에 관한 연구)

  • Lee, Ok-Jin;Shin, Jin-Ah;Jung, Se-Hoon
    • Journal of Korean Ophthalmic Optics Society
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    • v.15 no.4
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    • pp.319-328
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    • 2010
  • Purpose: To understand the status and actual condition of clinical practice in ophthalmic optics and offer a effective operation plan and improvement of quality of clinical practice. Methods: The school survey were investigated from 30 ophthalmic optics school and student survey were investigated from 161 students among these 4 schools. Results: 'No specific program for clinical practice' were 60.7%. Most schools apply clinical practice to credit (96.4%) but naming of subject and credit were varied in each school. 'Communication skill' was most difficult task and 'cleaning and arrangement of frame and stuff' were major task to students during clinical practice. Best benefits through clinical practice was 'knowing real status of optical business'. Comparison in carrier preference, optical shop and spectacles/contact lens company were decreased and eye hospital and norelation work were increased after clinical practice. Conclusions: Wide study on effective operation plan for clinical practice in ophthalmic optics and on the improvement of students' satisfaction and close cooperation and interest were needed between schools and clinical practice places.

A Study on the Confidence of Dry Eye Diagnosis Methods (건성안 검사 방법의 신뢰도에 대한 연구)

  • Lee, Byeong Jun;Hong, Jae Hyeon;Jung, Dai;Park, Mijung
    • Journal of Korean Ophthalmic Optics Society
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    • v.13 no.1
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    • pp.15-20
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    • 2008
  • Purpose: To study on the confidence of dry eye diagnosis methods which need to prescribe contact lens. Methods: Non-invasive tear film break-up time (NIBUT) and tear film break-up time (TBUT) were measured in forty healthy subjects in their 20s, and then the subjects were classified into normal eye and dry eye. The results of McMonnies questionnaire, tear prism height measurement, Hardtack test, blink rate measurement and Schirmer test were compared with the results of NIBUT and TBUT. Results: The results of NIBUT and TBUT were as follows; 20 subjects had normal eyes, 10 subjects had dry eyes in both NIBUT and TBUT, and 10 subjects showed different results. In McMonnies questionnaire, the score of normal eye group averaged 8.2 and that of dry eye group averaged 18.5, which showed statistically significant difference. Furthermore, 100% of normal eye group classified by the results of NIBUT and TBUT corresponded with the result of McMonnies questionnaire and 90% of dry eye group showed the correspondence. Tear prism height of normal eye group averaged 0.32 mm and that of dry eye group averaged 0.23 mm, which were significantly different. Hardtack test, blink rate measurement and Schirmer test without local anesthesia showed no statistically significant difference between normal eye group and dry eye group. Conclusions: On dry eye diagnosis methods, the results of McMonnies questionnaire and tear prism height measurement had close correlation with the results of NIBUT and TBUT.

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Subjective Visuoperception to Vertical Yoked Prisms (수직동향프리즘의 자각적 시감각에 관한 연구)

  • Kim, Jae-Do;Kim, Dae-Hyun;Lee, Ik-Han;Kim, Bong-Whan;Kim, Young-Hoon
    • Journal of Korean Ophthalmic Optics Society
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    • v.13 no.1
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    • pp.95-99
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    • 2008
  • Purpose: Even refractive error is perfectly corrected by glasses power, the glasses wearer can feel imbalance and uncomfortable by prism effects. The purpose of this study was to investigate subjective imbalance to vertical yoked prism in visually normal subjects. Methods: Visually normal 37 subjects (aged 20 to 31 y) were fully corrected by soft contact lens and worn vertical yoked prism, base up and base down 1, 2, 4, 6, 8 prism diopter(pd) at random order. A rating scale questionnaire was administered to assess quantitatively subjective imbalance to the yoked prism. The near phoria tests were done using Howell-Kim phoria card at 40 cm distance. Results: For the subjective response of imbalance, base up yoked prism was higher than base down yoked prism (t-test: t=4.67, p=0.00) in over 2 prism diopters. The frequency of subjects who feel imbalance by base up vertical yoked prism is higher for near esophoric group than for exophoric group. Conclusions: To reduce subjective imbalance caused by glasses such as dizzy, it needs to make the minimum prism effect, and base down yoked prism is more effective than base up yoked prism in prism effects.

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Banded and Massive Iron Mineralization in Chungju Mine(I): Geology and Ore Petrography of Iron Ore Deposits (충주지역 호상 및 괴상 철광상의 성인에 관한 연구(I) : 지질 및 광석의 산출특성)

  • Kim, Gun-Soo;Park, Maeng-Eon;Enjoji, Mamoru
    • Economic and Environmental Geology
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    • v.27 no.6
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    • pp.523-535
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    • 1994
  • The strata-bound type iron ore bodies in the Chungju mine are interbedded with metamorphic rocks which are intruded by Mesozoic granitic rocks. The iron ore deposit occurs as layer or lens shape which are concordant with the metamorphic rocks. The iron ore is classified into banded and massive types based on the mode of texture and occurrence. Grain size and iron-oxides tend to become coarser toward massive ore than banded ore. Banded ores commonly contain internal layers defined by alternating magnetite- rich, hematite-rich, magnetite-hematite, and quartz-rich mesobands. The banded iron ore consists of hematite, magnetite, quartz, feldspar, and minor amounts of biotite, muscovite, chlorite, carbonates, epidote, allanite, and zircon. Massive ores which are characterized by high magnetite content occur in contact of granitic rocks. The massive iron ores consist mostly of magnetite and quartz, with minor amounts of hematite, pyrite, microcline, biotite, muscovite, chlorite, carbonates, epidote, allanite and zircon. Magnetite from banded and massive ores is almost pure $Fe_3O_4$ in composition, including 0.14 to 0.27 wt.% MnO and 0.10 to 0.15 wt.% MnO, respectively. Hematite of the ore contains 0.87 to 1.27 wt.% $TiO_2$ in banded ore and 3.44 to 6.96 wt.% $TiO_2$ in massive ore, respectively. Biotite shows a little compositional variation depending on ore types. Biotite of the banded ore has lower FeO, $TiO_2$ and $Al_2O_3$, and higher MgO and $SiO_2$ than the massive ore. The modes of occurrence and petrography of ore implies that massive ores might have been formed either under more reducing environments or higher temperature condition than banded ore. Banded ores might represent early episode of iron enrichment due to regional metamorphism. Massive ores might be related to the contact metamorphism resulting from late granitic intrusion.

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A study of Conjunctival Cellular Changes in Dry Eye Patients by Impression Cytology (Impression cytology를 이용한 건성안의 결막 세포변화에 관한 연구)

  • Kim, Jai-Min;Kho, Eun-Gyung;Chae, Soo-Chul;Kim, Soon-Ae
    • Journal of Korean Ophthalmic Optics Society
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    • v.9 no.2
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    • pp.333-343
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    • 2004
  • Impression cytology refers to application of cellulose acetate filter material to the ocular surface to remove the superficial layers of the conjunctival epithelium. The technique is non-invasive, is easy to perform, causes minimal discomfort to the patient, and can be used to follow changes in the conjunctival ocular surface over time. With this method, the morphology of the conjunctival ocular surface can be studied and the degree of squmaous metaplasia assessed. This study was performed to evaluate the conjunctival surface by impression cytology in dry eye patients. A total of 70 students with no contact lens wearing history were recruited. Subjects were required to fill in a McMonnies dry eye symptom questionnaire. The non-invasive tear thinning time(TIT) test of each subject was measured, followed by Schirmer tear test(STI), tear film break-up time(TBUT) tests and Rose-bengal staining were performed as a baseline. Conjunctival epithelial cells from the inferior bulbar conjunctiva were harvested by the impression cytology technique. The specimens collected were labelled and stained with PAS(Periodic Acid Schift)-haematoxylin. The goblet cells and conjunctival epithelial cells were observed under a light microscope of 400x magnification. The specimens were classified according to the Nelson Grading scale which was based on the degree of squamous metaplasia such as changes of goblet cells density, size/form, N:C(nucleus : cytoplasm) ratio. Dry eye patients were observed morphological changes of the epithelial cells, different nuclear alterations, decrease of the goblet cells density. The degree of cytological changes was related to severity of dry eye conditions. When the epithelial cell morphology was graded according to the system described by Nelson, specimens from the control group revealed 91.43% of the eyes to be grade 0 and 8.57% to be grade 1, whereas of the dry eye patients, 20% were grade 0, 42.86% grade 1, 34.29% grade 2 and 2,86% grade 3. Impression cytology represents a non- or minimally invasive biopsy of the ocular surface epithelium with no side effects or contraindications. It has demonstrated to be a useful diagnostic aid for a wide variety of processes involving the ocular surface. This technique is a safe, simple method and may help increase understanding of various ocular surface alterations in dry eye patients.

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Thermographic Assessment in Dry Eye Syndrome, Compared with Normal Eyes by Using Thermography (열화상카메라를 이용한 정상안과 건성안의 서모그래피 비교)

  • Park, Chang Won;Lee, Ok Jin;Lee, Seung Won
    • Journal of Korean Ophthalmic Optics Society
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    • v.20 no.2
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    • pp.247-253
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    • 2015
  • Purpose: The purpose of this study was to compare and analyze the ocular surface and the palpebral conjunctiva of categorized subjects, which were divided into normal eye group and dry eye group, by using a thermal camera. Methods: Subjects were 144 eyes of 72 normal university students, who didn't have any corneal disease, abnormal lacrimal ducts, medical records regarding ocular surgeries, or experience of using contact lens. Subjects were divided into two groups, which were normal eye group and dry eye group, based on the results of TBUT, Schirmer I test, and McMonnies test. After categorizing the subjects, the temperature of the subjects' ocular surface and the palpebral conjunctiva were measured and analyzed by using a thermal camera (Cox CX series, Answer co., Korea). Results: In the normal eye group's Central Ar.1, Nasal Ar.2, Temporal Ar.3, Superior Ar.4, Inferior Ar.5, the measured amount of temperature change on each area was $-0.13{\pm}0.08$, $-0.14{\pm}0.08$, $-0.12{\pm}0.08$, $-0.14{\pm}0.08$, $-0.10{\pm}0.09(^{\circ}C/sec)$. The dry eye group's results were $-0.17{\pm}0.08$, $-0.16{\pm}0.07$, $-0.16{\pm}0.08$, $-0.17{\pm}0.09$, $-0.15{\pm}0.08(^{\circ}C/sec)$. When compared with the normal eye group, the values of Ar.1, Ar.3, Ar.5 were significantly different in the dry eye group(p<0.05). The amount of temperature change, which was observed on the palpebral conjunctiva(Ar.1:central, Ar.2: nasal, Ar.3: temporal) of the normal eyes, measured by thermography, was $34.36{\pm}1.12$, $34.17{\pm}1.10$, $34.07{\pm}1.12^{\circ}C$ on each area. Same values taken from the dry eye group was $33.55{\pm}0.94$, $33.43{\pm}0.97$, $33.51{\pm}1.06^{\circ}C$ on each area. The values of Ar.1, taken from the dry eye group, had a significant difference, compared to the values of the normal eye group(p=0.05). Conclusion: The temperature of the ocular surface decreased faster on the dry eyes, compared to the normal eyes. The temperature measured on the palpebral conjunctiva of the dry eyes were also lower than the normal eyes. The temperature changes on the ocular surface, observed with a thermal camera, were objective values to assess the stability of tear films, and might provide useful data for studies related to dry eye syndrome.

Thermographic Assessment on Temperature Change of Eye Surface in Cataract Surgery Observation (백내장수술 안에서 열화상카메라를 이용한 안구표면 온도의 변화)

  • Park, Chang Won;An, Young-Ju;Kim, Hyojin
    • The Korean Journal of Vision Science
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    • v.20 no.4
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    • pp.497-504
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    • 2018
  • Purpose : The purpose of this study was to investigate the temperature changes of the ocular surface before and after cataract surgery using thermography of a thermal imaging camera. Methods : The study included 75 patients (75 eyes) aged from 50 to 79 years who underwent cataract surgery. In the past, those who underwent corneal-related surgery, wearing contact lens, disorder of tear secretion and taking medication for systemic disease were excluded from this study. The temperature changes of the eyeball surface were measured using a thermal imager (Cox CX series, Answer, Korea) following Tear Break Up Time (TBUT) test, Mcmonnies questionnaire and Schirmer's Test in real time, Results : While the temperature of preoperative ocular surface was $35.20{\pm}0.54^{\circ}C$ and that of postoperative temperature was $35.30{\pm}0.53^{\circ}C$, the difference was not significant. The temperature changes in the ocular surface were statistically significant at $-0.12{\pm}0.08{\Delta}$ ($^{\circ}C/sec$) before the surgery and $-0.18{\pm}0.07{\Delta}$ ($^{\circ}C/sec$) after the surgery. In comparison of the age groups, it was shown that the changes in the surface temperature before the surgery were from $-0.19{\pm}0.05{\Delta}$ ($^{\circ}C/sec$) to $-0.14{\pm}0.09{\Delta}$ ($^{\circ}C/sec$) in the 50s group, and from $-0.12{\pm}0.08{\Delta}$ ($^{\circ}C/sec$) to $-0.15{\pm}0.07{\Delta}$ ($^{\circ}C/sec$) in 60s group, and $-0.18{\pm}0.07{\Delta}$ ($^{\circ}C$) to $-0.12{\pm}0.08{\Delta}/sec$) in the 70s group, showing significant changes in the ocular surface temperature at all ages. Conclusion : Following the cataract surgery, all the indicators of dry eye syndrome were decreased, and eye surface temperature changes were significant. The thermography technique of the ocular surface would be expected to be useful for the evaluation of various dry eye syndromes because it is easy to evaluate dry eye syndrome noninvasively and can be quantified.