• Journal of Korean Ophthalmic Optics Society
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• v.16 no.4
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• pp.433-438
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• 2011

Purpose: To investigate the proper distance from patient to target when measuring refractive error using open view target type auto-refractor(OVTAR), it was compared refractive errors between by OVTAR using N-vision-K5001 auto-refractor and internal fixation target type auto-refractor(IFTAR) using Canon auto-refractor. Methods: 21 subjects(42 eyes) aged 22.2(${\pm}$3.4) years old who had over 1.0 of corrected visual acuity and no ocular disease were participated for this study. Noncycloplegic measurements of refractive error were performed using a IFTAR(RK-F1, Canon, Japan) and an OVTAR(N-vision-K5001, Shin-nippon, Japan). The distances from subjects to targets in using the open the view target type auto-refractor were 1 m, 3 m, 4 m and 6 m. The refractive errors were compared between by IFTAR and by 1 m, 3 m, 4 m and 6 m target distances respectively using OVTAR. Results: At 1 m fixation distance the mean of refractive errors for total subjects was not significantly different between by OVTAR(-2.75${\pm}$1.84 D) and by IFTAR(-2.95${\pm}$2.04 D)(p=0.06). However at 3, 4 and 6 m fixation distance refractive errors by OVTAR were significantly lower myopic refractive errors than by IFTAR(p<0.05). Conclusions: The distance from subject to fixation target is needed over 3 m for the measurement of refractive error using OVTAR even not to 5~6 m distance.

• Journal of Korean Ophthalmic Optics Society
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• v.19 no.4
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• pp.551-555
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• 2014

Purpose: This study is to investigate if the improvement of visual sensory (VS) by amblyopia treatment affects the ocular functions in refractive errors, accommodative errors and phoria at distance and near. Methods: 10 subjects (17 eyes, mean age of $10.7{\pm}2.9$ years) who treated amblyopia completely, were participated for this study. Refractive errors, accommodative errors, and distance and near phoria were compared between before and after treatments of amblyopia. Refractive errors and accommodative errors at 40 cm were measured using openfield auto-refractor (NVision-5001, Shin Nippon, Japan) and using monocular estimated method (MEM) respectively. Phoria was determined at 3 m for distance and at 40 cm for near using Howell phoria card, cover test or Maddox rod. Results: Mean corrected visual acuity (CVA) significantly increased from $0.46{\pm}0.11$ (decimal notation) for before amblyopia treatment to a level of $1.03{\pm}0.13$ for after amblyopia treatment (p < 0.001). For spherical refractive error, hyperopia significantly decreased from $+2.29{\pm}0.86D$ to a level of $+1.1{\pm}2.38D$ (p < 0.05) but astigmatism did not significantly change; $-1.80{\pm}1.41D$ for before treatment and $-1.65{\pm}1.30D$D for after treatment (p > 0.05). Accommodative error significantly decreased from accommodative lag of $+1.1{\pm}0.75D$ to a level of $+0.5{\pm}0.59D$ (accommodative lag) (p < 0.05). Distance phoria significantly changed from eso $2.9{\pm}6.17PD$ (prism diopters) to a level of eso $0.2{\pm}3.49PD$ (p < 0.05), and near phoria also significantly changed from eso $0.4{\pm}2.32PD$ to level of exo $2{\pm}4.9PD$ (p < 0.05). There was a high correlation (r = 0.88, p < 0.001) between improvement of visual acuity and decrease of accommodative lag. Conclusions: Hyperopic refractive error decreased with improvement of CVA or VS by amblyopia treatment. And the improvement of VS by amblyopia treatment also improved accommodative error, and changed phoria coupled with accommodation.