• Title/Summary/Keyword: Convergence Insufficiency

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Case Study of Vision Therapy in Binocular Dysfunction-Convergence Insufficiency (양안시이상-폭주부족 교정의 임상사례)

  • Park, Hyun-Ju;Seong, Jeong-Sub
    • Journal of Korean Ophthalmic Optics Society
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    • v.12 no.3
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    • pp.131-135
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    • 2007
  • To investigate whether vision therapy (vision training) are an effective way to influence the near point of convergence, fusion range and asthenopic symptoms in convergence insufficiency. For one chosen patient who had convergence insufficiency, vision therapy (vision training) was prescribed for 4 weeks. 4 weeks later vision therapy (vision training) was quite effective in convergence insufficiency. That is, vision therapy (vision training) was an effective means of reducing symptoms, improving fusion range and decompensating exophoria in patient with convergence insufficiency.

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A Study for Phoria and Positive Fusion Reverse on Vision Training of Convergence Insufficiency (폭주부족 피검사자의 시기능 훈련에 의한 양성융합여력 및 사위 변화에 관한 연구)

  • Lee, Chang-Sun;Kim, In-Su;Son, Jeong-Sik;Sung, Duk-Yong;Kim, Jaedo;Kim, Ki-Hong
    • Journal of Korean Ophthalmic Optics Society
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    • v.13 no.1
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    • pp.83-87
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    • 2008
  • Purpose: This study was investigated for the effects of vision training on the phoria and positive fusion reverse (PFR) of patients with convergence insufficiency (C.I). Methods: Subjects were included 11 patients with CI of T Vision Center (5 patients with distance orthophoria, 6 patients with distance exophoria). The vision training of this study had been processed daily during an average of 2 months for each patients. Results: The result showed that after vision training, the phoria and PFR of CI patient were improved significantly than that before vision training (p<0.05) and when the groups were divided to the distance orthophoria convergence insufficiency (DOCI) group and distance exophoria convergence insufficiency (DE-CI) group, these improvements were proved similarly in the both groups. Conclusions: This study proved that vision training for patients with C.I was effective for the improvement of the phoria and PFR of these patients.

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Correlation between Convergence Insufficiency with CISS and Attentiveness in Children (어린이에서 CISS를 이용한 폭주부족과 주의집중력의 상관관계)

  • Ko, Eun Jeong;Kim, Hyojin
    • Journal of Korean Ophthalmic Optics Society
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    • v.20 no.4
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    • pp.511-518
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    • 2015
  • Purpose: The purpose of this study is to evaluate correlation between convergence insufficiency and concentration by evaluating attentiveness in children who have convergence insufficiency symptoms. Methods: The CISS survey and examination for the near point of convergence were conducted to 74 in children aged 12 to 13 years in order to divide them into a normal binocular vision (NBV) and a convergence insufficiency (CI) group. The attentiveness examination was used to all subjects to figure out their emotional problems, hyperactivity and impulsiveness problems, and managerial or functional problems with a 5-point scale. Correlation between convergence insufficiency-related symptoms included in CISS and attentiveness problems was analyzed. Results: there were 29 children (39.2%) in the CI group, the mean scores of CISS of the NBV and CI group were $5.91{\pm}3.69$ and $18.31{\pm}7.00$ each (p<0.001). On the survey of CISS symptoms, children in the CI group frequently expressed such symptoms as eye fatigue, loss of attentiveness, blurry vision, and forgetting the line they have been reading. In the attentiveness examination, the CI group ($74.83{\pm}9.83$) gained higher scores in problematic concentration than the NBV group ($46.80{\pm}11.30$). Convergence insufficiency had significantly positive correlation with total attentiveness (r=0.798). Conclusions: In elementary school students, it has been found that when perceived symptoms related with convergence insufficiency are more serious, problematic attentiveness gets serious, too.

Comparison on Accommodative Response Changes in the Normal Group and Convergence Insufficiency (정상군과 폭주부족군에서 조절반응 변화량의 비교)

  • Kwak, Ho-Weon;Lee, Se-Hee;Kwak, Hyung-Bin
    • Journal of Korean Ophthalmic Optics Society
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    • v.19 no.1
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    • pp.79-85
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    • 2014
  • Purpose: This study investigated accommodative changes by measuring accommodative response, appearing on the normal and convergence insufficiency Group, by using both eyes open-view auto-refractometer (Nvision-K5001, shin-nippon, Japan). Methods: It carried out objective and subjective refractions, targeting 74 college students (54 males and 20 females) aged between 19 and 29 ($21.59{\pm}2.53$), spherical equivalent OD $-2.28{\pm}2.03$ D, OS $-2.18{\pm}2.01$ D, by measuring accommodative responses at full correction and under correction with plus lens +0.25, +0.50, +0.75 arbitrarily added. Results: In the group of normal and convergence insufficiency, the shorter fixation distances were, the greater accommodative lags showed. The group of convergence insufficiency showed the lesser changes of accommodative response than those of normal. But we found that the convergence insufficiency group had a little larger accommodative amplitude in the total fixation distances. The full correction of convergence insufficiency group and the under correction (+0.50 D) of normal were alike in the accommodative responses. We have also investigated that the correlation between accommodative responses and fixation distances was decreased steeply at the excessive low vision correction. Conclusions: Under correction (+0.50 D) in a near distance is expected to avoid unnecessary accommodative responses, make eyes relaxed and comfortable.

Comparison of Binocular Function in Normal Subjects and Convergence Insufficiency (정상안과 폭주부족안의 양안시기능 검사값 비교)

  • Shim, Hyun-Seog;Shim, Moon-Sik;Kim, Sang-Hyun
    • Journal of Korean Ophthalmic Optics Society
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    • v.15 no.3
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    • pp.287-291
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    • 2010
  • Purpose: The aim of this study was to compare binocular functions such as near point of convergence (NPC), AC/A ratios, heterophoria, accommodation, accommodation lag, positive relative accommodation (PRA), negative relative accommodation (NRA), positive relative convergence (PRC), negative relative convergence (NRC) in normal subjects and convergence insufficiency. Methods: 86 subject (male n=45, female n=41, mean $age{\pm}SD=23.27{\pm}2.85$ years) without amblyopia, strabismus, and ocular pathology were studied. Forty three patients each group were classified as normal subjects and convergence insufficiency group based on AC/A ratio and far and near phoria. Binocular function of the two groups was measured using phoropter. r. Results: The values between normal subjects and convergence insufficiency were 5.71 cm and 7.07 cm for NPC, 5.28 and 2.81 for Heterophria AC/A, 0.92 exo/3.36 exo and 2.17 exo/10.84 exo for far and near phoria, 15.49/23.30/13.30 and 13.50/20.02/9.09 for PRC, respectively. However, there were no significant differences between normal subjects and convergence insufficiency for accommodative amplitude, accommodative lag, PRA, NRA, BI vergence test, BO vergence test, NRC. Conclusions: Both groups were a significant difference for cover test, NPC, Heterophria AC/A, far and near phoria, break point of PRC, and recovery point of PRC.

Measurement of Amplitude of Accommodation using Push-up and Push-away and Near Point of Convergence in Elementary School Children (초등학생에서 push-up과 push-away 방법을 이용한 조절력과 폭주 근점의 측정)

  • Kim, Hyojin;Lee, Eun-Hee;Oh, Hyunjin
    • Journal of Korean Ophthalmic Optics Society
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    • v.17 no.3
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    • pp.279-284
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    • 2012
  • Purpose: We measured the amplitude of accommodation using the push-up and push-away tests and near point of convergence (NPC) and investigated the accommodative insufficiency (AI) and convergence insufficiency (CI) in elementary school children of 12~13 years old. Methods: 88 students who aged 12~13 $12.63{\pm}0.51$ years old with more than 1.0 spectacle best corrected visual acuity were examined using push-up and push-away tests. The break and recovery points of NPC also were measured. Results: Mean amplitudes of accommodations using push-up and push-away tests were $11.52{\pm}2.50D$ and $10.06{\pm}1.97D$, respectively in right eye (P<0.001). Mean break and recovery points in NPC were $8.66{\pm}1.99cm$ and $10.98{\pm}2.06cm$. AI and CI showed 28.75% and 30.00% each. 48.75% was within normal range in both amplitudes of accommodations according to their age expected and convergence. Students having both AI and CI were 7.50%. Conclusions: A high correlation between the push-up test and push-away test was found in elementary school children (r=0.6025; P<0.05). Students having normal amplitude of accommodation by their age expected and normal convergence were 71.25% and 70.00%, respectively.

Case Study of Vision Therapy (양안시이상 교정의 일상사례)

  • Park, Hyun-Ju
    • Journal of Korean Ophthalmic Optics Society
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    • v.12 no.2
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    • pp.87-93
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    • 2007
  • Eye examination was performed for diagnosis accommodative and binocular dysfunction. The prevalence rates were similar to other studies, therefore patients required not just the correction of the refractive error but a specific treatment for each diagnosed problems. Two symptomatic(diplopia, asthenopia, and intermittent blur) patients diagnosed as a convergence insufficiency was given full correction with visual training for 4weeks. They had a one or mixed binocular problems included accommodative insufficiency. Following 4 weeks later, visual training was effective to Improve convergence and suggest that continuous observation is necessary.

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Relationship Between Subjective Symptoms with Near Work and Binocular Function (근업시 자각 증상과 양안시 기능의 관계)

  • Shin, Jin-Ah;Lee, Ok-Jin
    • Journal of Korean Ophthalmic Optics Society
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    • v.12 no.3
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    • pp.125-130
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    • 2007
  • The aim of this work was to study the relationship between subjective symptoms and binocular function during near work in forty one(12-17yr) schoolchildren. CISS symptom survey, amplitude of accommodation, accommodative facility, neagative relative accommodation(NRA)/positive relative accommodation(PRA) near point of convergence(NPC), heterophoria, AC/A ratios were measured. The results of measurement were compared with normal expected value of each test and classified into normal and abnormal group. Accommodative insufficiency was more general than convergence insufficiency and esophoria was greater than exophoria. NRA/PRA showed very high and AC/A ratios were very low compare with normal expected value. The results of CISS was as follows; most frequent symptom was tired, mean score was $16.63{\pm}7.49$, mean number of symptoms were $10.07{\pm}3.04$, and mean number of serious symptoms were $1.98{\pm}2.13$. After classified into 4 groups according to score of symptoms, number of symptoms, and degree of symptoms and then analyze the correlation compare with binocular vision test results. NRA was most correlated with group comparison, accommodative facility was most correlated with score of symptoms, NRA was most correlated with number of symptoms, and near horizontal phorias were most correlated with serious symptoms. NRA showed most correlative relation with near symptoms.

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The Solution of Insufficiency of Radio Frequency Spectrum in Republic of Kazakhstan

  • Abishev Olzhas;Jo Dong-Kwan;Chung Joong-Soo
    • Journal of information and communication convergence engineering
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    • v.4 no.2
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    • pp.53-57
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    • 2006
  • The objective of this paper is to propose a system by means of which the utilization of radio frequency. spectrum may be improved from the state of extreme inefficiency at the present time in Kazakhstan to a state of efficiency and equilibrium in the future.

Tunnel Deformation in Shallow Unconsolidated Ground by Using Strain-Softening Model (변형연화모델을 이용한 미고결 지반의 터널변형)

  • Seo, In-Shik;Kim, Byung-Tak
    • Journal of the Korean Society of Industry Convergence
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    • v.10 no.2
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    • pp.81-88
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    • 2007
  • In case of an urban tunnel, the displacement of ground base controls the tunnel design because it is built on shallow and unconsolidated ground many times. There are more insufficiency to describe the ground movement which coincides in the measured result of the situ because the design of an urban tunnel is dependent on the method of numerical analysis used to the existing elastic and elasto-plastic models. We studied about the prediction for the ground movement of a shallow tunnel in unconsolidated ground, mechanism of collapse, and settlement. Also this paper shows comparison with the existing elastic and elasto-plastic model using the unlinear analysis of the strain-softening model. We can model the real ground movement as the increasement of ground surface inclination or occurrence of shear band by using strain-softening model for the result of ground movement of an urban NATM tunnel.

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