• Title/Summary/Keyword: Heterophoria

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Study on the Influence of LASIK on Binocular Change (양안시 변화에 대한 라식수술의 영향에 관한 연구)

  • Lee, Ki-Seok;Sung, A-Young
    • Journal of Korean Ophthalmic Optics Society
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    • v.11 no.3
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    • pp.267-273
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    • 2006
  • For this study, we measured heterophoria, Calculated AC/A, Gradient AC/A of pre & post LASIK operation. In case of heterophoria, the results showed that orthophoria 2.78% decreased, exophoria 2.78% increased on pre & post op distance phoria and exophoria 5.55% increased, esophoria 5.55% decreased on pre & post op near phoria. In case of AC/A, Calculated AC/A significantly decreased as 0.36 at AC/A and accommodation decreased as 1.25D (p<0.05). It showed that Gradient AC/A decreased 0.34 and PC/A increased 0.09 but they didn't show significant difference.

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A Case of Prismatic Correction for Cyclovertical Heterophoria (회선수직사위의 프리즘 교정 증례)

  • Yu, Dong-Sik;Cho, HyunGug;Moon, Byeong-Yeon
    • 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.

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A Study About N.P.C, Heterophoria and Near Convergence and Divergence by Amount of the Refractive Errors (굴절이상도에 따른 폭주근점과 근거리 수평사위, 폭주 및 개산 여력의 연구)

  • Choi, Sun-Mi
    • Journal of Korean Ophthalmic Optics Society
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    • v.14 no.4
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    • pp.53-57
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    • 2009
  • Purpose: To study the relationship of N.P.C, heterophoria and near convergence and divergence by amount of the refractive error. Methods: All subjects have no ocular disease and their mean age is 22.7. All 39 subjects examined about refractive error, near point of convergence (NPC), heterophoria, near convergence and divergence. Results: Classified by low refractive state, middle refractive state, and high refractive state compared with the expected value of Morgan. NPC had been measured within low and middle refractive state eight all the 8cm. However, high refractive state measured 9.64 cm. Low and middle refractive state for the classification by near phoria. Near esophoria groups was smallest by near divergence and exophoria groups was smallest by near convergence. Conclusions: Near convergence were largest with esophoria while near divergence were largest with exophoria.

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Time-dependent Changes of Ocular Functions after Alcohol Ingestion (알코올 섭취 후 시간경과에 따른 시 기능의 변화)

  • Kim, Sang-Yoeb;Moon, Byeong-Yeon;Lee, Sun Haeng;Cho, Hyun Gug
    • Journal of Korean Ophthalmic Optics Society
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    • v.14 no.1
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    • pp.133-138
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    • 2009
  • Purpose: This study was designed to investigate the changes of vision and ocular functions induced by increase of blood alcohol level. Methods: Blood alcohol level, vision, refractive errors, near point convergence, heterophoria, and relative convergence were measured at 1 h, 4 h, and 24 h after acute alcohol ingestion of 0.7 g per kg body weight. Results: At 1 h after alcohol ingestion, myopization and ocular functions which measured near point convergence, positive and negative convergences, and degree of heterophoria remarkedly worked a changes accompanied with the maximum value of blood alcohol level. But at 24 h after that, all of ocular functions were recovered to degree of 90~99% compared with non-alcoholic normal conditions. Conclusions: As the increase of blood alcohol level is able to induce the significant changes of visual acuity and ocular functions, opticians have to understand thoroughly the patient's conditions by alcohol ingestion before refractive test and ocular examinations.

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The Analysis on Trend of Articles about Strabismus in Journal of Korean Medicine (국내 한의학 학술지에 게재된 사시 관련 논문들의 경향성 분석)

  • Kim, Young-Bin;Kwon, Kang
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.34 no.1
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    • pp.13-28
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    • 2021
  • Objectives : Strabismus is a disease that can be observed and treated directly from the outside. Therefore, it is very important in Korean medicine ophthalmology in accessibility to treatment. This study is designed to investigate the trends of strabismus-related studies published in Journal of Korean medicine. Methods : 5 Internet databases were selected to search for the study subject. The following 9 keywords were used; Strabismus, Heterophoria, Binocular vision, Visual acuity, Diplopia, Paralytic, Cover test, Oculomotor nerve paralysis, Abducens nerve paralysis. Through this process, a total of 45 studies were found and analyzed into 5 categories ; publication year, publication journal, number of author, type of article, analyzation of case report. Results : There were 2 review articles, 1 original article and 42 case reports. 5 studies(11.1%) were published in 2004 year. Journal of Korean Oriental Medical Ophthalmology & Otolaryngology & Dermatology were the most common with 40%. The authors were often 2 and 3 (each 22.2%). In the case report study, the treatment period was most often 1-30 days (35.7%). Conclusions : 42 studies were on paralytic strabismus and 1 study was on paralytic and non-paralytic strabismus. These results represent that the studies are concentrated in case reports about paralytic strabismus, but this seems to be an area to be improved in future research.

The Functional Change of Accommodation and Convergence in the Mid-Forties by Using Smartphone (스마트폰 사용에 의한 40대 중년층의 조절 및 폭주기능 변화)

  • Kwon, Ki-il;Kim, Hyun Jin;Park, Mijung;Kim, So Ra
    • Journal of Korean Ophthalmic Optics Society
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    • v.21 no.2
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    • pp.127-135
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    • 2016
  • Purpose: The present study was aimed to investigate the effect of excessive near work by using a smartphone on subjective symptoms and accommodative and convergent function in their 40s. Methods: A total of 40 subjects(male, 10; female, 30; age, $43{\pm}7.2year$) in their 40s who have monocular and binocular visual acuities of 0.8 and 1.0, respectively, were divided into presbyopia group and non-presbyopia group. The subjects were asked to watch a movie on the screen of smartphone for 30 minutes. Their accommodative amplitude and facility, and relative accommodation were measured and compared before and after the use of smartphone. Changes in fusional vergence and near heterophoria by using smartphone were also evaluated. Furthermore, the change of subjective symptoms was surveyed using a questionnaire. Results: The presbyopia in mid-40s reported discomfort in an order of asthenopia, blur and dryness after the use of smartphone. Accommodative function and non-strabismic binocular function were generally decreased. Accommodative functions such as monocular accommodative amplitude, and relative accommodation were significantly decreased after smartphone use, and the change of phoria was observed as a result of decreased convergence and divergence. Negative fusional vergence was also significantly reduced. On the other hand, non-presbyopia in mid-40s reported discomfort in an order of asthenopia, dryness and blur, and only accommodative amplitude among the accommodative functions was significantly reduced. Significant reduction of negative fusional vergence was also observed. Conclusion: From the results, it was confirmed that the subjective discomfort of mid-40s after smarphone use might be related to whether presbyopia or not. It was due to not only the reduction of accommodative function but also the overall deterioration of visual function including heterophoria and fusional vergence. Therefore, it suggests that the accurate determination of the cause based on the overall visual functional tests such as heterophoria, fusional vergence as well as the decrease of accommodation due to the aging may be necessary when the mid-40s feels discomfortable symptoms by near work.

Measurement of Heterophoria by Alternative Cover Method Using a Color Filters (색필터와 교대가림법을 이용한 새로운 사위측정)

  • Park, Sun-Young;Yu, Dong-Sik;Lee, Sun-Haeng;Kim, Sang-Yeob;Cho, Hyun-Gug
    • Proceedings of the KAIS Fall Conference
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    • 2010.05b
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    • pp.894-897
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    • 2010
  • 적청 색필터와 새로운 시표를 이용한 교대가림법(Twinkle R/B법)이 임상적으로 새로운 사위검사법으로 사용될 수 있는지 그 가능성을 평가하였다. 대학생 109명(남 73명, 여 36명)을 대상으로 Twinkle R/B법, Modified Thorington법, Howell법, 그리고 Von Graefe법으로 40cm 거리에서 사위검사를 실시하였다. 사위검사는 검사자별로 반복 측정을 실시하여 검사방법에 따른 신뢰도를 평가하였다. 실험 결과, 검사자의 반복측정에 따른 신뢰도는 Twinkle R/B법이 가장 높았다. 결과적으로 Twinkle R/B법은 신뢰도가 높은 사위검사법으로서 임상에서 충분히 사용 가능한 것으로 나타났다.

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Change of Binocular Vision Induced by Longitudinal Chromatic Aberration during Near Work (근거리 작업 시 종색수차에 따른 양안시의 변화)

  • Kim, Se-il;Park, Mijung;Kim, So Ra
    • Journal of Korean Ophthalmic Optics Society
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    • v.20 no.2
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    • pp.219-228
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    • 2015
  • Purpose: The current study was performed to compare the difference in binocular visual function depending on variable background colors at near work. Method: Fifty four adults (18 males, 34 females) who consented to the present study and had no ocular disease, ocular surgery history, strabismus and amblyopia with normal binocular vision were participated into this study. The subjects were asked to read the novels with black letter printed on white, red, green and blue background for 15 min. Then, their heterophoria, AC/A ratio, near point of convergence, accommodation facility, relative accommodation and vergence were measured before and after reading. The difference of measurements were compared. Result: Overall heterophoria was tended to decrease with regardless of background color. AC/A ratio showed a tendency of increase after reading the novels with all backgrounds except white background. Near point of convergence was significantly increased compared to before reading at all background color. Accommodative facility of dominant and non-dominant eyes were also significantly increased after reading however, binocular accommodative facility showed a tendency of decrease. Negative relative accommodation also decreased at all background colors however, the change of positive relative accommodation was not significantly different. In case of vergence, there was significant difference in break point of far BO and recovery point of far BI by the wavelength of background color. Conclusions: From the results, it was known there is convergence change depending on the wavelength of light even though same amount of accommodation and convergence is required when doing near work for certain period. Thus, it can be suggested that the adjustment of the near working environment which perception of various color was required, should be conducted according to the main wavelength.

The Relationship Fixation Disparity between Associated Phoria (주시시차와 각비정시의 관계)

  • Kim, Hyun-Il
    • Journal of Korean Ophthalmic Optics Society
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    • v.9 no.1
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    • pp.93-104
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    • 2004
  • In order to have a comfortable vision without any asthenopia in work place, it is very necessary to make a complete binocular correction in addition to the perfect correction of refractive deficits. For this, At first, the exact understanding of the required corrective value of the existing angular ametropia(associated phoria) is needed. The fact likely seems fact that a correction of refractive deficits could not to be reached with single optotype, the corrections of angular ametropia(associated phoria) with single optotype is impossible. The reason is that a most ametropia(associated phoria) is accompanied with the fixation disparity. To make a perfect measurement of ametropia(associated phoria), at least, 3 kinds of optotype is essential. This fact could be explained by stating the fusional stimulus in the binocular refraction tests on each eye. If these types of three tests have not practical practice. The most of many cases may result in undercorrection.

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Screening Strabismus of Elementary School (초등학생의 사시에 관한 연구)

  • Kim, Chang Sik;Lee, Hak Jun
    • Journal of Korean Ophthalmic Optics Society
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    • v.4 no.1
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    • pp.73-76
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    • 1999
  • Screening of strabismus was followed in 1306 healthy elementary school students from 8 to 13 years old. The cover-uncover test with M1N GLASSES was used to screen strabismus for all of students and then we examined abnormal students by the prism cover test. Finally 16 students were strabismus. So the cover-uncover test with MIN GLASSES was a good method to screen strabismus because of easy and simple testing. The number of strabismus was 16 patients who consisted in from 10 to 13 years old, and girls(2.4%) was 3 times more than boys(0.9%). The type of 16 strabismus was only heterophoria which consisted in 8 patients of exophoria, 7 patients of esophoria and 1 patient of hyperphoria. So the rate of exophoria and esophoria was almost same. 3 patients was ametropic amblyopia by testing visual acuity, and all of patients were normal color vision by color testing.

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