• Title/Summary/Keyword: Dept. of Optometry

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Evaluation of Reliability for Combined Refractive Power of Lenses in an Automatic Phoropter (자동포롭터 내부렌즈의 합성굴절력에 대한 신뢰도 평가)

  • Lee, Hyung Kyun;Kim, So Ra;Park, Mijung
    • Journal of Korean Ophthalmic Optics Society
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    • v.20 no.4
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    • pp.501-509
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    • 2015
  • Purpose: To evaluate the reliability of refractive power by comparing the marked refractive power in an automatic phoropter and actually measured spherical/cylindrical refractive power. Methods: Actual refractive power of minus spherical lens and cylindrical lens in an automatic phoropter was measured by a manual lensmeter and compared with the accuracy of marked refractive power. Furthermore, combined refractive power and spherical equivalent refractive power of two overlapped lenses were compared and evaluated with the refractive power of trial lens. Results: An error of 0.125 D and more against the marked degree was observed in 70.6% of spherical refractive power of spherical lens which is built in phoropter, and the higher error was shown with increasing refractive power. Single cylindrical refractive power of cylindrical lens is almost equivalent to the marked degree. Combined spherical refractive power was equivalent to spherical refractive power of single lens when spherical lens and cylindrical lens were overlapped in a phoropter. Thus, there was no change in spherical refractive power by lens overlapping. However, there was a great difference, which suggest the effect induced by overlapping between cylindrical refractive power and the marked degree when spherical lens and cylindrical lens were overlapped. Spherical equivalent refractive power measured by using a phoropter was lower than that estimated by trial glasses frame and marked degree. The difference was bigger with higher refractive power. Conclusions: When assessment of visual acuity is made by using an automatic phoropter for high myopes or myopic astigmatism, some difference against the marked degree may be produced and they may be overcorrected which suggests that improvement is required.

Individual Difference in the Decrease of Visual Acuity and the Change in Contrast Threshold According to the Level of Optically Induced Retinal Defocus (광학적으로 유발된 망막흐림의 정도에 따른 시력감소의 개인차와 인식 대비도의 변화)

  • Kim, Sang-Yeob;Moon, Byeong-Yeon;Cho, Hyun Gug
    • Journal of Korean Ophthalmic Optics Society
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    • v.19 no.1
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    • pp.93-98
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    • 2014
  • Purpose: We were aim to investigate individual difference of visual acuity (VA) decrease and the change of contrast threshold (CT) according to the level of optically induced retinal defocus. Methods: A total of 69 eyes were examined using consist of ten-graded decimal vision chart (Landolt's ring). After conducted full correction of subject's refractive error, a monocular VA and CT were measured according to sequential increase by 0.25 D each time. Results: VA gradually decreased according to the increase of retinal defocus level. Individual difference of VA decrease was range from 1.2 to 0.6 in retinal defocus induced by +0.25 D. When retinal defocus was induced as much as +0.50 D and +0.75 D, it was in the range of 1.0 to 0.3 and 0.9 to 0.1 respectively. With +1.00 D, some participants didn't even recognize the 0.1 in the chart. With +1.75 D, whole participant did not recognize the 0.1. Also, CT was gradually decreased with increase of the retinal defocus level. Conclusions: Examiners should consider individual difference in the decrease of VA according to the level of residual refractive error when determining final prescription of a patient.

Changes of Body Balance on Static Posture According to Types of Induced Ametropia (정적자세에서 유도된 비정시의 유형에 따른 신체균형의 변화)

  • Kim, Sang-Yeob;Moon, Byeong-Yeon;Cho, Hyun Gug
    • Journal of Korean Ophthalmic Optics Society
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    • v.19 no.2
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    • pp.239-246
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    • 2014
  • Purpose: This study was performed to investigate the effect of induced ametropia on static posture for body balance. Methods: Twenty subjects (10 males, 10 females) of average age $23.4{pm}2.70$ years were participated and ametropia(binocular myopia; BM, simple myopic anisometropia; SMA, binocular hyperopia; BH, and simple hyperopic anisometropia; SHA) were induced with ${pm}0.50D$, ${\pm}1.00D$, ${\pm}1.50D$, ${\pm}2.00D$, ${\pm}3.00D$, ${\pm}4.00D$, ${\pm}5.00D$, respectively. General stability (ST), weight distribution index (WDI), and fall risk index (FI) were measured using TETRAX the biofeedback systems. Each index of the body balance was evaluated for 32 seconds in each ametropic condition and those value was compared with the value in fully corrected condition. Results: The ST showed significant increase from +0.50 D under condition of BM, from +1.00 D under condition of SMA, from -1.00 D under condition of BH, and from -1.50 D under condition of SHA compared with under condition of fully corrected condition, respectively. The FI showed significant increases from +4.00 D under condition of BM, from -1.00 D under condition of BH, and from -1.50 D under condition of SHA. The WDI show no change in all ametropia condition. Conclusions: Whatever ametropia is, uncorrected refractive error could reduce the general stability of body balance and increase the falling risk.

The Change of Corneal Refractive Power by Everted Silicone Hydrogel Contact Lens Wear (역방향 실리콘 하이드로겔 렌즈 착용에 따른 각막 굴절력 변화)

  • Kim, Soo-Hyun;Shin, Dong-Min;Jeong, Ju-Hyun
    • Journal of Korean Ophthalmic Optics Society
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    • v.18 no.3
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    • pp.271-277
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    • 2013
  • Purpose: The purpose was to study the corneal refractive power changes associated with the wearing of everted silicone hydrogel soft lenses. Methods: The corneal refractive power and corneal astigmatism were measured using corneal topographer (CT-1000, Shin-nippon Co., Japan) for checking change of corneal refractive power and objective refractive error was measured by auto-refractometer (Natural vision-K 5001, Shin-nippon Co., Japan). We measured at baseline and 1 week after lens wearing. Results: The correcting of corneal refractive power could be effective in low myopia. It's more effective to the higher power of greatest meridian of cornea and the more corneal astigmatism. 73% of subjects' refractive error was decrease less than 1 D and 17% of the subjects had an reverse effect (increase) occurs. The reduction of objective refractive error was more effective when cornea refractive power was great or corneal astigmatism was much. Conclusions: Pressure which the everted silicone hydrogel lens to the cornea could be caused. It occurred as the degrees of corneal power, corneal astigmatism and objective refractive error differences. Selection of an appropriate subject is important considering difficulty of changing the parameters of the lens.

Comparison and Analysis of Keywords in the Korean Ophthalmic Optics Society Articles to MeSH Terms (한국안광학회지 게재 논문의 주제어와 MeSH 용어의 비교·분석)

  • Kim, Daeyoon;Lee, Min Hyung;Choi, Moonsung
    • Journal of Korean Ophthalmic Optics Society
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    • v.21 no.2
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    • pp.83-90
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    • 2016
  • Purpose: The purpose of this study is to compare and analyze keywords of articles in the Korean Ophthalmic Optics Society to MeSH (Medical Subject Headings) terms. The study hopes to enhance the understanding and usage of MeSH and give fundamental information to the Korean Ophthalmic Optics Society in advance. Methods: A total of 1952 keywords from 409 informative articles published from 2004, Vol 9(1) to 2016, Vol 21(1) were compared with MeSH terms according to the criteria of complete coincidence, incomplete coincidence and complete incoincidence. Results: 439 keywords (22.4%) were completely coincident with MeSH terms, 815 keywords (41.8%) were incompletely coincident with MeSH terms and 693 keywords (35.5%) were completely incoincident with MeSH terms. The most used keyword in MeSH terms is in the order of Myopia, Astigmatism and visual acuity. For the incompletely coincident keywords Refractive error, Soft contact lens, and Phoria were used the most. Finally, the most used keywords in the category of completely incoincident were Accommodative lag and Pseudomonas aeruginosa. Conclusions: It is highly recommended that MeSH terms are selected as controlled keywords to increase usage of searced Korean Ophthalmic Optics Society articles in MEDLINE.

A Study on the Change of Contrast Sensitivity with Breath Alcohol Concentration in Various Luminance (다양한 휘도에서 호흡 알코올 농도에 따른 대비감도 변화 연구)

  • Nam, Soo-Kyung;Jung, Su A;Kim, Hyun Jung
    • Journal of Korean Ophthalmic Optics Society
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    • v.19 no.4
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    • pp.505-511
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    • 2014
  • Purpose: This study was to investigate the effect of breath alcohol concentration (BrAC) increase with drinking alcohol on contrast sensitivity in the conditions of restricted BrAC. Methods: 23 males in 20s (average age $21.17{\pm}2.19$ years, body mass index (BMI) $22.09{\pm}2.16$) were selected and administered the amount of alcohol to reach 0.05% and 0.08% BrAC calculated by BAC (blood alcohol concentration) Dosing Software program, which was developed as basis of Watson's formula. Then, the contrast sensitivity in various luminance conditions (photopic, mesopic, and mesopic with glare) was measured and compared between these conditions. Results: The contrast sensitivity in all spatial frequency was decreased with BrAC increase. Although BrAC was increased, the peak of contrast sensitivity didn't change as 6 cycle per degree (cpd) in the photopic condition and 3 cpd in the mesopic condition, respectively. But, in the mesopic condition with glare, the peak of contrast sensitivity was shifted from 6 cpd at 0% and 0.05% BrAC to 3 cpd at 0.08% BrAC with increase of alcohol concentration. Conclusions: The increase of BrAC by drinking alcohol induces the decrease of contrast sensitivity in all spatial frequency and the shift of peak of contrast sensitivity, which can cause safety accidents, and may have an effect on various visual tasks.

Repeatability of Monocular Spherical Endpoints Test (단안 구면 끝점검사의 반복성 검증)

  • Kim, Sang-Yeob;Moon, Byeong-Yeon;Cho, Hyun Gug
    • Journal of Korean Ophthalmic Optics Society
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    • v.17 no.2
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    • pp.209-213
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    • 2012
  • Purpose: To assess the repeatability of the monocular spherical endpoints, a test was performed with four methods which are the retinoscopy, the MPMVA (maximum plus maximum visual acuity) method, the R/G duochrome method, and the crossed cylinder method. Methods: The monocular spherical endpoints was measured by four kinds of method (Retinoscopy, MPMVA method, R/G duochrome method, Crossed cylinder method) on 20 subjects (40 eyes) of average age 23.0 year-old men and women. After a week, retest was performed by same procedure and the test-retest repeatability was assessed by using the Bland-Altman plot analysis. Results: The test-retest mean difference of retinoscopy was the smallest diopters of -0.03 and that of R/G duochrome method was the largest diopters of -0.19. The upper/lower 95% limits of agreement for repeatability was the narrowest in retinoscopy and was the widest in crossed cylinder method. When compared the spherical endpoints of each eye between by retinoscopy and by other three methods, the error rate of ${\pm}0.25D$ in total eyes was 85% in MPMVA method, 80% in R/G duochrome method, and 24% in crossed cylinder method. Conclusions: Test-retest repeatability is the highest in the retinoscopy, and the retinoscopy, the MPMVA method, and R/G duochrome method are suitable for monocular spherical endpoints test.

The Evaluation of Visual Quality by Employing Double-pass Principle in Circle Contact Lens Wearers after Refractive Surgery (시력교정술 후 써클콘택트렌즈 착용시 double-pass 원리를 이용한 시력의 질 평가)

  • Kwon, Ki Nam;Kim, So Ra;Park, Mijung
    • Journal of Korean Ophthalmic Optics Society
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    • v.20 no.3
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    • pp.277-284
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    • 2015
  • Purpose: The study aimed to evaluate the effect of circle contact lens wearing on visual quality of the eyes after a refractive surgery. Methods: The objective visual quality was evaluated for 40 eyes who did not get refractive surgery and 30 eyes who got a refractive surgery after applying plano circle contact lenses on their eyes, respectively. Modulation transfer function (MTF), objective scatter index (OSI) and the focusing ratio on retina (Strehl ratio) were measured by using optical quality analysis system (OQAS) and the correlation between pupil size and objective visual quality was analyzed by measuring the pupil size. Results: When wearing circle contact lens on the eyes after refractive surgery, MTF and Strehl ratio were reduced and OSI was increased compared with the eyes without refractive surgery. The eyes after a refractive surgery showed more significant difference changes in MTF, OSI and Strehl ratio according to the pupil size compared with those without refractive surgery. Conclusions: The results showed that wearing of circle contact lens after the refractive surgery has deteriorated the objective visual quality based on the quality of focused image on the retina. Therefore, we suggest that sufficient understanding and consideration about the deterioration of visual quality is necessary in the case of circle contact lens wearing after refractive surgery.

A study on the accuracy of optotypes test chart (자동 시력표 정확도에 관한 연구)

  • Song, Kyung-Sek;Kim, Tae-Hun;Sung, A-Young
    • Journal of Korean Ophthalmic Optics Society
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    • v.10 no.2
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    • pp.111-118
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    • 2005
  • The optotypes widely used as a necessity in the course of optometry are the world authorized versions which contain items such as the Landolt's rings, Snellen's chart and also Arabian numbers, Korean letters, Pictures and so on. In Korea, the Hahn-chun-suk test chart has been In use generally alolng with Chung-san test chart and Jin-yong-han test chart also in use on the wall. But these sort of test charts hung on the wall have some problems such as the difference in test results owing to the rate of illumination and so a more accurate method is required. To solve the problem of inaccuracy in optometry, the projected type of charts with digital instrument such as the beam projector has been developed lately. This chart projector with consistent high resolution and the ability to provide various charts can help eye examiner perform effective examination and thus is looked positively upon as the automated total optometry system. So in this study our purpose is to examine the accuracy of the projected chart. It was done by comparing it with the frequently used test chart. The results of experiment are as follow. When the projected chart was used, cases that subject read charts one step higher were 10%, two step higher 2% than perfectly corrected vision. When Han-chun-suk test chart was used, cases that subject read charts one step higher were 12%, and two step higher were 4%.

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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.