• Journal of Korean Ophthalmic Optics Society
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• v.17 no.1
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• pp.53-58
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• 2012

Purpose: The purpose of this study was to predict the amount of astigmatism through logMAR visual acuity by Jin's chart at best vision spherical power and to compare availability of astigmatism expectation by Jin's and beam project chart. Methods: LogMAR and decimal visual acuity were measured for 150 college students and visual acuity and compared the amount of astigmatism under full correction. Results: Jin's chart was showed marked differences at least more than 0.25 D intervals per line than beam project chart. Correlation with the amount of astigmatism was higher the logMAR visual acuity r = 0.8578 than decimal visual acuity r = -0.7199. Conclusions: LogMAR visual acuity at best vision spherical power was able to predict to amount of astigmatism and Jin's chart was easier than beam project chart to predict difference of each lines.

• Journal of Korean Ophthalmic Optics Society
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• v.18 no.3
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• pp.291-295
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• 2013

Purpose: The purpose of this study was to investigate the effect of under and over refractive correction on visual acuity performance and the variation of the visual performance measurement using two different visual acuity charts. Methods: Ten young adults, aged between 19 and 25 years old, were recruited. Inclusion criteria: no history of ocular injury or pathology with a best-corrected visual acuity of 6/6 on dominant eye. The over and under refractive corrections were induced using minus and plus spherical ophthalmic lenses in 0.50 D steps up to 3.00 D; as well as using three axis orientations of cylindrical ophthalmic lenses ($45^{\circ}$, $90^{\circ}$ and $180^{\circ}$) in 0.50 D steps. The variation of visual acuity performance measurements was investigated using Bailey-Lovie LogMAR chart and Landolt C chart. Results: The visual acuity changes with lenses were significantly different between two charts [F = 49.15, p < 0.05 with plus spherical ophthalmic lenses and F = 174.38, p < 0.05 with minus spherical ophthalmic lenses]. The visual acuity changes with three different cylindrical axis showed no significant difference between Bailey-Lovie LogMAR chart [F = 2.35, p > 0.05] and Landolt C chart [F = 3.12, p = 0.05]. Conclusions: The over and under refractive correction affected the visual acuity performance differently. The Landolt C chart and Bailey-Lovie LogMAR chart demonstrated variation in measurements.

• Journal of Korean Ophthalmic Optics Society
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• v.17 no.4
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• pp.419-424
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• 2012

Purpose: We were to obtain the basic data for studying kinetic visual acuity through the comparative analysis in kinetic visual acuity, visual acuity, refractive error, pupil size, and hand reaction time for college students. Methods: We had tested the kinetic visual acuity, visual acuity, refractive error and hand reaction time using the kinetic visual acuity tester (KOWA AS-4A), the hand reaction time program and auto-refractometer for thirty-nine male and same female optometry students with more than +0.1 LogMAR visual acuity in both eyes. And the results were examined gender differences of kinetic visual acuity and the factors correlation. Results: In the measured values of male, pupil size were 6.00 mm, hand reaction time 0.23 msec, refractive error -1.66 D, visual acuity -0.07, kinetic visual acuity 0.59 and pupil size 5.86 mm, hand reaction time 0.24 msec, refractive error -2.08 D, visual acuity -0.02, kinetic visual acuity 0.46 in female. It was significant difference for kinetic visual acuity values but other factors were not. The kinetic visual acuity and left visual acuity had the highest correlation, r=-0.406. The kinetic visual acuity indicated more excellent values in the case of increasing visual acuity and decreasing myopia amount. Conclusions: It was able to see that male college students were better than female for kinetic visual acuity and the visual acuity were related to kinetic visual acuity.

• Journal of Korean Ophthalmic Optics Society
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• v.21 no.1
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• pp.1-10
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• 2016

Purpose: The study was aimed to suggest the most effective color of the tinted lenses by evaluating the effect of the prescription with tinted lenses on the visual quality of the elderly at the age of the sixty or more. Methods: The visual acuity of fifty subjects at the age of sixty or more (17 males, 33 females with the averaged age of $71.0{\pm}6.3$) were corrected to have the visual acuity at a far distance of 0.5 or more using a trial lens frame, and non-tinted, brown-tinted, and gray-tinted lenses were randomly applied on the trial frame. The minimum legibility and minimum separability were measured at a far distance in the aspect of the visual acuity and calculated as LogMAR and then, the visual acuity was compared. The stereopsis and contrast sensitivity were also estimated at a near distance in the aspect of the visual function. The participants' preference for tinted lenses and their subjective symptoms of the visual perception and the movement were further surveyed. Results: The best minimum legibility and minimum separability was shown when wearing non-tinted lenses, and brown-tinted and gray-tinted lenses were in the next. The stereopsis and the contrast sensitivity at a near distance and the visual perception was the best when wearing brown-tinted lenses. It was surveyed that the subjective discomfort was the biggest when wearing gray-tinted lenses, and brown-tinted lenses were the best in the aspect of the subjective preference. Conclusions: As the result of this study, it was revealed that the visual acuity and visual function could be improved by the use of tinted ophthalmic lenses however, its change of visual acuity and visual function was not completely correlated with the subjective satisfaction. Therefore, the appropriate color of ophthalmic lenses should be selected in accordance with the individual visual perception and the main vision lifestyle in the elderly generation. From the present study, the use of non- or brown-tinted lens and brown- or gray-tinted lens can be recommended for distance work and near work, respectively, in the elderly generation under the illumination of about 1,000 lux.

• Journal of Korea Entertainment Industry Association
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• v.15 no.1
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• pp.191-197
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• 2021

This study studied the effect of visual difference on balance and walking ability in college students' life care. The study was conducted on 45 students attending H University in G City, divided into control groups (n=22, not wearing glasses and contact lenses) and experimental groups (n=23, wearing glasses and contact lenses). In not wearing glasses and contact lenses, the subjects measured visual acuity with logMAR charts, evaluated their balance ability with BIOrescue, and evaluated walking ability with G-Walk. The results of this study showed that the experimental group had statistically significantly lower vision than the control group in the visual acuity measurement(p<.01). Static balance ability was statistically significant increase in center of mass movement of the right foot in the experimental group compared to the control group(p<.05). Dynamic balance ability was statistically significantly reduce in limit of stability for groups of experiments compared to control group(p<.05). The walking ability was statistically significantly shorter on step length and stride length, swing of the experimental group compared to the control group in the right foot(p<.05). The findings showed that the visual difference in university students reduces balance and walking ability. Therefore, university students with poor visual acuity are recommended to correct of visual acuity to prevent collision and falls in their daily lives.

• Medical Lasers
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• v.10 no.4
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• pp.229-237
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• 2021

Background and Objectives To assess the effectiveness of overnight orthokeratology (OK) in myopia using a new contact lens design over a one-month wearing period. Materials and Methods Participants were required to have myopia between -3.00 and -7.50D and astigmatism ≤ 2.00 D to participate in the study. The participants underwent OK with the White OK lens^® (Interojo, Pyungtek, Korea), which has a 6-curve lens design. Participants were assessed at weeks 1, 2, and 4 using slit-lamp bio-microscopy, and tested for refraction, uncorrected distance visual acuity, and corneal topography. Success was defined as achieving a Logarithm of the Minimum Angle of Resolution (logMAR) ≤ 0.1. Results A total of 46 eligible subjects with a mean age of 23.11 ± 7.89 years were recruited. Baseline logMAR was 1.18 ± 0.30 and a consistent decrease in logMAR was observed from week 1 to week 4. The success rate was 95.35% at week 4. The mean sphere significantly decreased from a mean pre-fitting value of -4.58 ± 1.28 D to a mean value of -0.65 ± 0.69 D at week 4 (p < 0.0001). Statistically significant corneal flattening was detected during keratometry at week 4. Conclusion Overnight OK with the White OK lens is effective for the correction of moderate and high myopia with astigmatism over a one-month wearing period.

• Journal of The Korean Ophthalmological Society
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• v.59 no.11
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• pp.1030-1038
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• 2018

Purpose: To evaluate whether early visual acuity response at 4 weeks after the first intravitreal anti-vascular endothelial growth factor (VEGF) injection or 4 weeks after the third injection in neovascular age-related macular degeneration (nAMD) is associated with 12-month follow-up outcome. Methods: Thirty treatment-naive patients (30 eyes) with nAMD, treated with intravitreal anti-VEGF, were retrospectively included. Initially, all patients were injected at least three times for three consecutive months and followed up with a pro re nata regimen for at least 12 months. The relationship between 4 weeks after the first and third anti-VEGF injections in visual acuity response was explored, including the mean change from baseline in best-corrected visual acuity (BCVA). The mean change in BCVA was classified into three groups according to visual improvement: <1, 1-<3, or ${\geq}3$ logMAR line(s) in BCVA. The associations among baseline characteristics (gender, age, duration of symptoms, initial BCVA, central macular thickness, and intraocular pressure) and visual acuity responses 4 weeks after the first and third anti-VEGF injections were also assessed. Results: The proportions of eyes with <1, 1-<3, and ${\geq}3-line(s)$ improvement at 4 weeks after the first injection were 6 eyes (20%), 7 eyes (23.3%), and 17 eyes (56.6%), respectively. The proportions of eyes with <1, 1-<3, and ${\geq}3-line(s)$ improvement at 4 weeks after the third injection were 9 eyes (30%), 9 eyes (30%), and 12 eyes (40%), respectively. A BCVA response ${\geq}3-lines$ improvement at 4 weeks after the third injection showed significant associations with ${\geq}3-line(s)$ improvement and BCVA response at 12 months in multiple logistic and linear regression analyses (p = 0.04). Conclusions: In this study, BCVA response ${\geq}3-lines$ improvement at 4 weeks after the third injection showed a significant association with ${\geq}3-line(s)$ improvement and BCVA response at 12 months.

• Journal of Korean Ophthalmic Optics Society
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• v.18 no.3
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• pp.305-311
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• 2013

Purpose: This study was conducted to evaluate the effect of prescription of overcorrection (-) lens, which is the one of the non-surgical treatments, on stereo-acuity and angle of deviation in intermittent exotropia. Methods: Twenty four children with intermittent exotropia were enrolled from October 2011 to December 2011. The angle of deviation(${\Delta}$), stereo-acuity (arcsec), monocular and binocular visual acuity (BVA, LogMAR), control of exodeviation and fusional ability using Worth 4 dot test were evaluated at near (33 cm) and far (6 m), under the overcorrecting (-)lens of -1.00, -.00, and -.00 D. Results: As a baseline finding, the angle of exodeviation was $20.9{\pm}9.7$ at near and $23.0{\pm}7.5$ at far. The angle of exodeviation at near decreased to $18.5{\pm}10.0$ (p<0.01), $15.8{\pm}9.0$ (p<0.01), $14.0{\pm}9.1$ (p<0.01) compared with baseline angle of exodeviation at near, as increasing diopters of (-) lens from -.00 D, -2.00 D and -.00 D, respectively. The angle of exodeviation at far also decreased to $21.4{\pm}5.2$ (p=0.01), $19.6{\pm}6.3$ (p<0.01) compared with baseline, as increasing minus lens from -2.00 D and -3.00 D, respectively. However, BVA, control of exodeviation, fusional ability and stereo-acuity showed no significant decrease despite of increasing diopters of (-)lens. Conclusions: The prescription of overcorrection (-)lens is an effective therapeutic method in intermittent exotropia which can reduce the near and far angle of exodeviation, and binocular visual acuity and stereo-acuity maintained without significant decrease despite of application of overcorrection (-)lens.

• Journal of The Korean Ophthalmological Society
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• v.59 no.12
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• pp.1142-1151
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• 2018

Purpose: We assessed the visual and anatomical outcomes, and the safety profile of long-term intravitreal anti-vascular endothelial growth factor (VEGF) injections (aflibercept, ranibizumab, and bevacizumab) given to treat neovascular age-related macular degeneration (NAMD). Methods: We analyzed medical records collected over 7 years of treatment-naive NAMD patients who received outpatient clinic-based intravitreal anti-VEGF injections. All were treated employing either "treat-and-extend" or "as needed" protocols at the discretion of the retinal specialist. The number of injections, adverse events associated with injection, and measures of visual acuity (VA), central foveal thickness (CFT), and intraocular pressure (IOP) were recorded. Results: Overall, we assessed 196 eyes of 196 patients (average age $68.6{\pm}9.6years$; 77 females). Patients received an average of $17.3{\pm}13.5$ injections over $78.0{\pm}16.5months$ of clinical follow-up. The initial mean VA (logMAR) was $0.75{\pm}0.58$ and the CFT was $349.7{\pm}152.6{\mu}m$. Both parameters exhibited maximal improvements at the 6-month visit (p < 0.05). However, the clinical outcomes worsened over the 7-year clinical course; the best-corrected visual acuity (BCVA) was $0.91{\pm}0.78$ and the CFT was $284.5{\pm}105.8{\mu}m$ at 7 years. The BCVA at 7 years was significantly correlated with the initial BCVA. IOP-related events increased 11-fold and anterior chamber reactions increased 3-fold over the years, but no significant complications such as endophthalmitis were recorded. Conclusions: The use of intravitreal anti-VEGF agents was associated with initial visual improvements over 6 months but did not prevent the worsening of NAMD over 5 years. The BCVA at the initial visit was a strong predictor of the final BCVA. A more intensive injection schedule might improve long-term outcomes.

• The Korean Journal of Vision Science
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• v.20 no.4
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• pp.579-588
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• 2018

Purpose : To analyze the eyeglasses supply system for ametropic soldiers in ROK military. Methods : We investigated and analyzed the supply system of eyeglasses for the ametropic soldiers provided by the Korean military. The refractive powers and corrected visual acuity were measured for 37 ametropic soldiers who wear insert glasses for ballistic protective and gas-masks supplied by the military based on their habitual prescriptions. Full correction of refractive error was prescribed for subjects having less than 1.0 of distance visual acuity, and comparison was held for inspecting the changes in corrected visual acuity. Suggestions were provided for solving the issues regarding current supplying system, and this study investigated the applicabilities for utilizing professional optometric manpower. Results : The new glasses supplied by army for ametropic soldiers were duplicated from the glasses they worn when entering the army. The spherical equivalent refractive powers of the conventional, ballistic protective and gas-mask insert glasses supplied for 37 ametropic soldiers were $-3.47{\pm}1.69D$, $-3.52{\pm}1.66D$ and $-3.55{\pm}1.63D$, respectively, and the spherical equivalent refractive power of full corrected glasses was $-3.79{\pm}1.66D$, which showed a significant difference(p<0.05). The distant corrected visual acuity measured at high and low contrast(logMAR) of conventional, ballistic protective and gas-mask insert glasses were $0.06{\pm}0.80$, $0.21{\pm}0.82$, $0.15{\pm}0.74$, $0.34{\pm}0.89$, $0.10{\pm}0.70$ and $0.22{\pm}0.27$, respectively, while the corrected visual acuity by full corrected glasses were increased to $0.02{\pm}1.05$, $0.10{\pm}0.07$, $0.09{\pm}0.92$, $0.26{\pm}0.10$, $0.04{\pm}1.00$ and $0.19{\pm}1.00$, respectively. There was a significant difference(p<0.05) except for the case of the low contrast corrected visual acuity of the conventional and gas-mask insert glasses. The procedure for ordering, dispensing, and supplying military glasses consists of 5 steps, and it was found that approximately two weeks or more are required to supply from the initial examination. Conclusion : The procedure of supplying the military glasses showed three issues: 1) a lack of refraction for prescription system, 2) relatively long length of time required for supplying the glasses, 3) an inaccurate power of supplied glasses. In order to solve those issues, in the short term, education is necessarily required for soldiers on the measurement of the refractive powers, and in the near future, further standard procedures for prescription of glasses as well as the securement of optometric manpower are expected.