• Title/Summary/Keyword: Moderate myopia

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Analysis of Correlation by Myopic Refractive Errors and Intraocular Pressure (근시성 굴절이상과 안압의 상관관계 분석)

  • Kim, Bo-Yun;Lee, Eun-Hee;Jung, Mi-A
    • Journal of the Korea Convergence Society
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    • v.11 no.8
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    • pp.317-321
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    • 2020
  • This study researched the correlation between myopic refractive errors and intraocular pressure. The study population comprised 39 adults(17 of males, 22 of females). We measured the intraocular pressure using a Non-Contact Tonometer(NCT) and the correlation between myopic refractive errors was analyzed by dividing into three groups: mild, moderate, high myopia. The gender of subjects showed no statistically difference between the intraocular pressure and refractive errors, but as the refractive errors increased, the intraocular pressure incereased, which showed a statistically significant difference. In addition, the higher intraocular pressure in moderate and high myopia than mild myopia can cause glaucoma, that can develop at a young age. it is need to sufficient recognition and understanding correlation between intraocular pressure and myopic refractive errors in the middle-aged high myopia.

Effectiveness of Overnight Orthokeratology with a New Contact Lens Design in Moderate to High Myopia with Astigmatism

  • Park, Yuli;Kim, Hoon;Kang, Jae Ku;Cho, Kyong Jin
    • 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.

A Study on the Progression and Prevalence of Myopia according to Age for the Last Five Years : from 2008 to 2012 (최근 5년간 연령에 따른 근시 유병률 진행에 관한 연구 : 2008년에서 2012년 중심으로)

  • Lee, Wan-Seok;Ye, Ki-Hun;Shin, Bum-Joo
    • Journal of Korean Ophthalmic Optics Society
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    • v.19 no.1
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    • pp.121-133
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    • 2014
  • Purpose: In this study, we analyzed the progression and prevalence of myopia according to age for the last five years. Methods: We have done a comparative analysis of the progression and prevalence of myopia with the Korean National Health and Nutrition Examination Survey document from 2008 to 2012. Results: According to classification of myopia by age group for the last five years, the prevalence of low myopia was 25.5% for 5-11ages group, 25.1% for 12-18ages, 27.3% for 19-29ages, 30.7% for 30-39ages, 29.6% for 40-49ages, 19.2% for 50-59ages, 11.8% for 60-69ages, and 20.2% for over 70ages respectively. The prevalence of moderate myopia was 21.7% for 5-11ages group, 43.6% for 12-18ages, 36.2% for 19-29ages, 30.0% for 30-39ages, 20.4% for 40-49ages, 9.9% for 50-59ages, 5.2% for 60-69ages, and 7.6% for over 70ages respectively. The prevalence of high myopia was 2.1% for 5-11ages group, 11.7% for 12-18ages, 11.5% for 19-29ages, 6.9% for 30-39ages, 5.6% for 40-49ages, 1.9% for 50-59ages, 1.5% for 60-69ages, and 1.0% for over 70ages respectively. Conclusions: We must recognize an importance to the increase of the progression and prevalence of myopia, so it is necessary to provide a social interest in prevention of deteriorating vision and eye health welfare.

The Impact of Refractive Errors on Quality of Life in Elementary School Children (초등학교 학생의 근시도가 삶의 질에 미치는 영향)

  • Kim, Hyojin;Kim, Eun-Ji;Kim, Jong-Eun;Lee, Kyu-Byung;Lee, Eun-Hee;Park, Sang-Shin;Park, Jee-Hyun;Lee, Se-Eun
    • Journal of Korean Ophthalmic Optics Society
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    • v.15 no.2
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    • pp.175-183
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    • 2010
  • Purpose: This study investigated the impact of ametropia and myopia on health-related quality of life (QoL) measures in elementary schoolers. Methods: Elementary school children of 92 aged 12 to 13 were divided into emmetropia and myopia groups by spherical equivalent. Then myopia was classified into the low, moderate and high myopia groups. Vision-related QoL scores were determined using PedsQL 4.0 (Pediatric Quality of Life Inventory) with physical health (8 items), emotional functioning (4 items), social functioning (5 items) and school functioning (5 items). Results: The total QoL score in the myopia group appeared lower than that in the emmetropia group, however the difference was not statistically significant (p>0.05). When it comes to physical health (running or exercising) and social functioning (getting along with friends or being teased)-related questions, the QoL score in myopia was low compared with the emmetropia group (p<0.05). High myopia showed a low score in physical health items but there was no significant difference in overall QoL scores in comparison with other groups (p<0.05). Conclusions: Refractive errors does not have a great impact on the total health-related QoL in elementary school children but it causes discomfort in physical health and social functioning.

EFFECTS OF ANTHOCYANOSIDE OLIGOMER ON MESOPIC CONTRAST SENSITIVITY IN MILD TO MODERATE MYOPIA

  • Seong Gong Je
    • Proceedings of the Korean Society of Food Science and Nutrition Conference
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    • 2001.12a
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    • pp.52-60
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    • 2001
  • Purpose: We performed a randomized, double-blind, placebo-controlled trial in mild to moderate myopia patients to evaluate the benefit of taking a nutrient supplement containing anthocyanoside oligomers for improving nocturnal visiual function and/or clinical symptoms. Methods: The subjects included have refractive error between -lD(Diopters) $\~$-8D in both eyes, symptoms of decreased night vision and asthenopia based on the scoring result of a pre-structured questionnaire, and abnormal results of mesopic contrast sensitivity(MCS) screening test showing abnormal curve of contrast sensitivity in the middle and high frequency level, between 6.0 and 30.0 CPD(Cycles per degree) at mesopic condition(-2$\~$0 log cd/$m^2$). Total 60 people who qualified the criteria above were enrolled and the subjects were instructed to take the investigational product (anthocyanoside or placebo) twice daily for a 4 week period. The enrolled subjects were investigated for nocturnal vision performance by MCS and clinical symptoms at their first visit and re-evaluated at post-intervention (4 weeks later). MCS was measured and improvement of contrast threshold level according to each CPD was calculated by subtracting initial values from final values. Age, refractive error, and MCS were compared between the placebo and anthocyanoside. Results: After 4 weeks of drug administration 22 of the anthocyanoside group showed symptom improvement compared to 1 of the placebo group (p=0.000). Contrast sensitivity levels according to each CPD before and after drug treatment showed significant improvement in the anthocyanoside group but not in the placebo group. Mean MCS change of anthocyanoside group is 2.41$\pm$1.91 which showed significant improvement compared to -0.40$\pm$2.47 of the placebo group(p=0.000). MCS changes of anthocyanoside group showed significant improvement compared to placebo group in all levels of CPD(p<0.05). During our investigation none of the subjects complained of specific side effects related to anthocyanoside use. Conclusion: Our results show that under careful selection of people with significant symptoms and definite MCS abnormalities, anthocyanoside oligomers may improve the subjective symptoms and objective MCS results.

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Comparative Effect of Spectacles and Orthokeratology Lenses on Axial Elongation in Children with Mild-to-Moderate Myopia (중등도 이하 소아 근시에서 안경과 각막굴절교정렌즈 착용이 안축장 성장에 미치는 영향 비교)

  • Kim, Tae Hee;Kim, Myung Hun;Kwag, Joo Young;Choi, Jin Seok;Pak, Kyu Hong;Lee, Kyeongwook;Park, Taeseong;Chung, Sung Kun;Hyun, Joo
    • Journal of The Korean Ophthalmological Society
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    • v.59 no.11
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    • pp.1009-1016
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    • 2018
  • Purpose: To assess the effect on axial elongation and associated factors between spectacles and of orthokeratology lens (OK) wearing in children with mild to moderate myopia. Methods: A total of one hundred subjects, ranging in age from 6 to 13 years, and with mild to moderate myopia no more than -4.50 diopters in spherical equivalent, visited our clinic from 2013 to 2015. The OK group (75 eyes) and the spectacles group (64 eyes) were compared and analyzed on the axial elongation and associated factors. Results: In the OK group, axial length was elongated in 1 year period with a mean increase of $0.24{\pm}0.29mm$. In spectacles group, axial length was elongated in 1 year period with a mean increase of $0.42{\pm}0.20mm$. The statistically significant suppression of axial elongation was observed in OK group compared to the spectacles group (Mann-Whitney U test, p < 0.05). For OK group, the age of starting OK (Pearson's correlation, r = -0.481, p < 0.05) was the only influencing factor on axial elongation, which had negative correlation with axial elongation. In spectacles group, the age of starting spectacles had negative correlation with axial elongation (Pearson's correlation, r = -0.462, p < 0.05) and baseline spherical equivalent, spherical diopter, cylindrical diopter from manifest refraction had positive correlation with axial elongation. Comparison of axial elongation in orthokeratology lens group and spectacles group by age groups (6 to 9 years [28 eyes], 9 to 13 years [47 eyes]), 9 to 13 years of orthokeratology lens group had the stronger suppression of axial elongation (Mann-Whitney U test, p < 0.05). Conclusions: The OK effectively suppresses axial elongation compared to the spectacles. Although the patients are in age from 9 to 13 years, the axial elongation was effectively suppressed.

The Efficacy and Effect of Reverse Geometry Contact Lens on Cornea (역기하학 렌즈의 유효성과 각막에 미치는영향)

  • Kim, Kwang-Bae;Kim, Young-Hoon;Bark, Sang-Bai;Sun, Kyung-Ho;Jeong, Youn-Hong
    • Journal of Korean Ophthalmic Optics Society
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    • v.12 no.2
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    • pp.1-12
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    • 2007
  • Object of this research is to estimate the effect of myopia correction and safety on reverse geometry contact lens fitting in school children. This research include 53(106eyes) schoolchildren among 7 to 18 years who has low to moderate myopia(-1.00D~-5.00D) and prescribed reverse geometry contact lens for purpose on orthokeratology between January to July 2004 and had 3months full follow up examination. They were tested for slit lamp examinations, BUT(Break up time), direct ophthalmoscopy, retinoscopy, uncorrected visual acuity, best corrected visual acuity, autorefraction, autokeratometry and corneal topography in each examination(1day, 1week, 2weeks, 1, 2, and 3months) of before-and-after lens wearing to find out the effect of myopic correction and side effect. The results came out as follow. The average of uncorrected visual acuity was $0.0938{\pm}0.378$ before lens wear and $0.3136{\pm}0.283$ after 1day lens wear, and there was fast improvement after 1week($0.7925{\pm}0.301$) and little improvement after 2weeks period but still they shows better uncorrected visual acuity(p<0.01). The result of this study, the reverse geometry lens is very useful to correct refractive error and control the progression of myopia temporally among low to moderate myopic patient. The side effects were relatively rare but further study should be necessary with long term lens wear effect on eye health. For the lens prescription, the clinical fitting process had higher rate of success with consideration of eccentricity and corneal topography.

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The Study of Abnormal Refraction Eye on Women Population of University Students in South-East Korea (한국 동남지역 여대생들의 굴절이상 눈에 대한 연구)

  • Choi, Hoe-Sung;Jung, Su-Ja;Kim, Douk-Hoon
    • Journal of Korean Ophthalmic Optics Society
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    • v.13 no.1
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    • pp.125-129
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    • 2008
  • Purpose: To research the study of abnormal refraction eye on women population of university students in South - East Korea. Methods: Between March 2007 and October 2007, the refraction test of eye glasses wearer was evaluated on women population (367 students, aged 19~22 years) of university in living on Kyung-Nam and Pusan province. Data was analysed with T-test. Results: On the abnormal refraction status, Compound Myopic Astigmatism was 76.72%, simple myopia was 10.90%, mixed astigmatism was 6.27%, respectively. On the prevalence of myopic power, low was 59.57%, moderate was 24.93%, high was 15.49%, respectively. On the myopic equivalent power, the right eye had more increase to compare to left eye. but these was not a statically significant correlation (p<0.5) between the right and left eyes. On the anisometropia of spherical equivalents and cylinder power, most subjects was under 1.0 diopter. On the other hand, the type of astigmatic axis was with-the rule (70.79%), against -the rule (18.41%), and oblique (10.80%). Conclusions: This study identify that the refraction status of abnormal refraction eye on women population in university students in South-East Korea have been more increased prevalence the myopia and astigmatism.

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