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.
Purpose: This study was to find the correlation between exophthalmetry and visual functions. Methods: Exophthalmetry and visual functions of 200 adults without ophthalmophathy and general disease were examined. Exophthalmetry were measured with Hertel's exophthalmometer. Visual functions (myopia, distance exophoria, near exophoria, near point of convergence, near point of accommodation) were measured for three times. Results: The exophthalmetry was $13.59{\pm}1.10mm$. Myopia, distance exophoria, near exophoria, near point convergence, and near point accommodation were measured as $-2.48{\pm}1.91D$, $3.51{\pm}1.78{\Delta}$, $5.73{\pm}2.44{\Delta}$, $9.63{\pm}2.82cm$, and $21.73{\pm}10.28cm$. With increasing exophthalmetry, the unaided visual acuity, myopia and astigmatism were decreased. On the other hand, distance exophoria, distance esophoria, near exophoria, near point of convergence and near point of accommodation were significantly increased, while exophthalmetry was increased. Conclusions: The relationship between visual functions and exophthalmetry were found to be statistically significant. It could be used as the clinical criteria for prescription of binocular inspections.
Purpose: purchasing status and understanding trends of Functional progressive addtions lenses buyers', Correlation analysis of the Binocular Function value to determine ADD then can be apply sales and prescriptions. Methods: Years 2011 to 2014, 298 patients who were prescribed functional progressive lenses were analysed based on the prescription data and SPSS (Ver. 20.0) was treated using the statistics. Results: Results: The average age of our customers are $27.66{\pm}11.55$ years, average addition power is $+0.73{\pm}0.36D$, customers are using take a prescription of ADD $+0.75{\pm}0.28D$ was the highest 44.33% to 132 people. Near point of convergence of 276 people (92.62%) was mostly less than 10 cm, and near point of accommodation of 134 people (44.97%) was also below 10 cm, within 11~15 cm were 122 people (40.94%). Most of people were within normal range in terms of Near point of convergence and near point of accommodation, near point of accommodation tend to be longer than Near point of convergence. As you can see this result shows most of customers need extra help in their near point of accommodation instead of they are leak at it. FCC (Fused cross cylinder) check Value and ADD (addition power) tests showed that the value of a strong correlation (p=0.00), NPC and NPA were also p=0.001, the correlation of the NPC and ADD is p=0.003, In addition, NPA and ADD also showed a significant correlations (p=0.005). Near Point of Accommodation, negative relative accommodation, and positive relative accommodation are all significantly correlated (p=0.00). The short distance-related variables of the ADD which are NPC, NPA, Age, also appeared to side correlate significantly with each other. Conclusion: Binocular function values of the subjects were highly correlated with each other so precise examination is required. when Age young people are working at short distance, low ADD values was prescribed for solving discomfort. So, in the case of early presbyopia, accommodative insufficiency, or people feel fatigue when they often working at near although their accommodation function is normal, when functional progressive lenses are prescribed, expectation of this should be exactly notified.
Kim, Se Il;Kwon, Ki-Il;Lee, Jiye;Lee, Hyo Jin;Park, Mijung;Kim, So Ra
Journal of Korean Ophthalmic Optics Society
/
v.18
no.1
/
pp.37-43
/
2013
Purpose: The present study was conducted to investigate whether the directions of eye movement in playing computer games for certain period affected the change of near point of convergence (NPC) and fusional reserve (FR) or not. Methods: Total 40 subjects in 20s who have the visual acuity of 1.0 or higher without any ocular disease and accommodative dysfunction were asked to successively play computer games. After the subjects were moving eyes in horizontal and vertical directions for 40 and 90 minutes, their horizontal fusional reserves, vertical fusional vergence and near point of convergence were measured. Results: The near point of convergence showed a tendency to be receded after computer gaming in the horizontal and vertical directions, and both of horizontal and vertical fusional reserves were significantly reduced. The range of declined fusional reserves and receded near point of convergence after computer gaming for 90 minutes was smaller than those after computer gaming for 40 minutes. The change of binocular vision was affected by the horizontal eye movement rather than the vertical movement when analyzed by the direction of eye movement. Conclusions: This study revealed that the change in FR and NPC was different along with dominant direction of eye movement during visual display terminal (VDT) tasks. Therefore, the adjustment of VDT working time is required to prevent the dysfunction of binocular vision according to the dominant direction of eye movement during VDT task.
This study aimed to evaluate the possibility for assessment of binocular visual function about alteration for near point of convergence (NPC). Study subjects were total 30 (emmetropia 16, myopia 14), who had no eye disease except for the phoria and monocular corrected vision 1.0 and over. Near point of accommodation (NPA), NPC and phoria test were measured both at ordinary and stimulation of +1D. Ordinary NPC was 1.77cm shorter than NPC stimulated +1D and the NPC of emmetropia was shorter than that of myopia. The difference between NPC stimulated +1D and ordinary were increased in the emmetropia. As the NPC increased, the AC/A ratio was elevated and the feature of near exophoria appeared. The results suggested that the alteration of NPC might substitute AC/A ratio for reference variable of binocular vision. If converged and analyzed comparatively with another binocular visual evaluation test, the alteration of NPC could be developed for substitution of evaluation test.
117 undergraduate ophthalmic optics students volunteered to participate in this study. They ranged in age from 19 to 26 years. Subject, had best corrected visual acuity of at least 1.0 in both eyes, no strabismus, no amblyopia, and no history of ocular surgery. 37 subjects are esphoria and 25 subjects are $3{\Delta}$ and less, and the rest of 12 subjects show more $4{\Delta}$. Average phoria amount is $2.96{\Delta}$ at far distance and $1.08{\Delta}$ at near distance, respectively. The variation of phoria amount in far and near distance, unchanging subjects are 3, 8 subjects are increase esophoria amount, and 26 subjects are phoria amount decreasing or appear exophoria. The reason of esophoria amount is decreasing in near distance, and the results are convergence burden decreases. At positive relative convergence, the expected value in far distance, blurred point is 7, break point is 16, and recovery point is 12. And negative relative convergence, break point is 7 and recovery point is 13, respectively. Moreover, at positive relative convergence, the expected value in near distance is blurred point is 8, break point is 7 and recovery point is 22. And negative relative convergence, blurred point is 2, break point is 8 and recovery point is 12, respectively.
Purpose: The purpose of this study is to compare degrees of asthenopia in after wearing of dispensed reading glasses with different criterion of P.D. Methods: The person who has minus near correction power (distance correction value (-)) is compared to the degree of asthenopia by wearing of dispensed reading glasses with near P.D(-B) and distance P.D. The person who has plus near correction power is compared to degree of asthenopia by wearing of dispensed reading glasses with near P.D-B, distance P.D, near P.D-A. The "Near-P.D-A" means reduced optical centre distance of reading glasses of positive correction value at which the same effect of prism B.O through near visual point in distance glasses exist at near visual point in reading glasses. Results: When near correction value is (-), dispensed reading glasses with distance P.D have caused less asthenopia than dispensed glasses with near P.D-B. When the near correction value is (+), we cannot confirm that which P.D is more useful for reading glasses. As a result of this study, dispensed reading glasses with near P.D-A have caused less asthenopia than another criterion of P.D. Conclusion: The effect of prism B.I through a near visual point in distance glasses ((-) correction value) reduce convergence demand. Therefore (-) correction value-reading glasses support convergence in near vision, because the effect of prism B.I of reading glasses is smaller than that of distance glasses. When the near correction value is (+), centration points can be determined by one of near P.D-A, near P.D-B, distance P.D.
Purpose: The purpose of this study is to compare and analyze the survey results of clinical performance and visual problem, and the survey were carried out before and after of VDT working for 4 hours by wearing functional lens designed for improving VDT syndrome and single-vision lens. Methods: We tested near & far visual acuity, change of spherical equivalent, near point of accommodation, near point of convergence, AC/A ratio, accommodative facility and survey of subjective symptoms to visual problem of before and after VDT working for 4 hours after wearing single-vision lens and functional lens subjected on 30 males and females in the age of 20 to 45. Results: When wearing functional lens comparing to single-vision lens, near visual acuity, near point of accommodation, near point of convergence, and accommodative facility are significantly improved. It is investigated that average scores of 10 items to visual problem after VDT working for 4 hours are 3.63${\pm}$0.75 at single-vision lens and 4.69 ${\pm}$ 0.83 at functional lens, and therefore functional lens is significantly improved. Conclusions: It is thought that functional lens is an excellent lens which helps to improve accommodative function and visual problem after VDT working for 4 hours than single-vision lens.
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.
Park, Kyung-Joo;Lee, Wook-Jin;Lee, Na-Geum;Lee, Jeong-Young;Son, Jeong-Sik;Yu, Dong-Sik
Journal of Korean Ophthalmic Optics Society
/
v.17
no.2
/
pp.171-176
/
2012
Purpose: This study was to compare changes in near lateral phoria and near point of convergence after viewing smartphones and monitors during short periods. Methods: 50 subjects with healthy eyes from 20s to 30s (mean age, $21.84{\pm}5.13$ years) were examined. Viewing time was set at 5 min to 20 min, and recovery time was 10 min. Near lateral phoria and near point of convergence (NPC) were examined before and after watching smartphones and monitors, and subjectively symptoms for visual fatigue were surveyed using a questionnaire before and after viewing image. Results: The tendency of phoria in viewing smartpones found more exophoric results than in viewing monitors, and both exophoric shifts were recovered after 10 min. The receded NPC in the smartphones was more remote than in the monitors. The smartpones induced more visual fatigue than the monitors. Conclusions: Sustained smartphone works induced changes in phoria and NPC, and this type of stress could cause visual fatigue. Therefore, an appropriate rest breaks can be helpful in relieving visual fatigue.
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