• 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.

• Journal of Korean Ophthalmic Optics Society
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• v.19 no.2
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• pp.189-198
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• 2014

Purpose: The present has analyzed the correlation between the direction of lens and the amount of rotation upon soft toric contact lens fitting after classifying the corneal astigmatism. Methods: Soft toric contact lens was fitted on 114 with-the-rule astigmatic eyes with total astigmatism of at least -0.75 D in their 20s and 30s according to the fitting guideline of the manufacturer and the correlation between the astigmatic degree and the rotational direction/amount of rotation was analyzed by when keeping the eyes on the front and by changing the direction of gaze. As for re-orientation movement. The speed of lens re-orientation and total amount of lens rotation was compared and analyzed by corneal astigmatism after mis-location of lens of $45^{\circ}$ to temporal and nasal direction, respectively. Results: The positive correlations were shown between corneal astigmatism and the direction of lens rotation and between corneal astigmatism and the amount of lens rotation. Meanwhile, the amount of lens rotation was different by the direction of gaze however, there was no correlation with corneal astigmatism. The speed of lens re-orientation was fastest in the group of high astigmatic degree when the lens was mis-located to both temporal and nasal directions. Conclusions: For optimal axis stabilization of toric soft lens, it is proposed that the adjustment of fitting guideline considering corneal astigmatism is necessary since the current fitting guideline is only based on total astigmatism.

• Journal of Korean Ophthalmic Optics Society
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• v.19 no.2
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• pp.231-237
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• 2014

Purpose: This study is research of the conditions which causes difference between the refractive power of the measurement of autorefractometer and the prescription using phoropter. Methods: Autorefractometer (SR-7000) and phoroptor (AV-9000) were used to measure 60 eyes of 30 participants who had no eye diseases and wore the corrective lens due to Ametropia. To prevent the dependence of the prescription value of the refractive power on the testers, two testers measured the refractive power of the eyes of the participants at the same measuring conditions. Results: Statistically, the prescribed values of the refractive power by two testers were not significantly different. Most of the prescribed values of the refractive power were smaller than the refractive power by autorefractometer In case of myopic eyes, the difference between refractive powers by the measurement of autorefractometer and the prescription using phoropter showed the trend of increase as the spherical refractive power became larger. The result was analyzed by the range of the different cylindrical refractive power for the myopic astigmatic eyes. In this case, the difference between refractive powers showed the trend of decrease as the cylindrical refractive power became larger. Conclusions: No difference between the prescribed value by two testers was observed. In case of myopic or myopic astigmatic eyes, the difference between refractive powers by autorefractometer and the prescription were measured to be approximately proportional to the refractive powers of ametropic eyes. As the this difference become larger for the participant who needs the lens of larger refractive power, additional caution is needed in the prescription of the refractive power of the corrective lens.

• Journal of Korean Ophthalmic Optics Society
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• v.19 no.2
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• pp.239-246
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• 2014

Purpose: This study was performed to investigate the effect of induced ametropia on static posture for body balance. Methods: Twenty subjects (10 males, 10 females) of average age $23.4{pm}2.70$ years were participated and ametropia(binocular myopia; BM, simple myopic anisometropia; SMA, binocular hyperopia; BH, and simple hyperopic anisometropia; SHA) were induced with ${pm}0.50D$, ${\pm}1.00D$, ${\pm}1.50D$, ${\pm}2.00D$, ${\pm}3.00D$, ${\pm}4.00D$, ${\pm}5.00D$, respectively. General stability (ST), weight distribution index (WDI), and fall risk index (FI) were measured using TETRAX the biofeedback systems. Each index of the body balance was evaluated for 32 seconds in each ametropic condition and those value was compared with the value in fully corrected condition. Results: The ST showed significant increase from +0.50 D under condition of BM, from +1.00 D under condition of SMA, from -1.00 D under condition of BH, and from -1.50 D under condition of SHA compared with under condition of fully corrected condition, respectively. The FI showed significant increases from +4.00 D under condition of BM, from -1.00 D under condition of BH, and from -1.50 D under condition of SHA. The WDI show no change in all ametropia condition. Conclusions: Whatever ametropia is, uncorrected refractive error could reduce the general stability of body balance and increase the falling risk.

• Journal of Korean Ophthalmic Optics Society
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• v.21 no.1
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• pp.35-45
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• 2016

Purpose: The present study was aimed to investigate the effect of corneal eccentricity on the axial rotation when wearing toric soft contact lenses were worn for certain time and changing the gaze directions. Methods: Toric soft contact lenses with double thin zone design applied on 85 of with-the-rule astigmatic eyes. Then, rotational direction and amount of contact lenses were measured after 15 minutes and 6 hours of lens wear. The difference was further compared and analyzed according to corneal eccentricity. Results: The rotation of toric lens showed a tendency to rotate to temporal direction in all gaze directions except temporal-upper direction in all groups of corneal eccentricity. The amount of lens rotation in the frontal gaze direction exhibited a negative correlation since the amount was decreased with increasing corneal eccentricity after both 15 minutes and 6 hours of lens wearing. In many cases, the cornea with small eccentricity also showed the lens rotation larger than $10^{\circ}$. The difference in rotational amount after 15 minutes of toric lens wear was small according to the corneal eccentricity however, the change of rotational amount of contact lens according to corneal eccentricity was shown after 6 hours of lens wear. Conclusions: The present study revealed that the amount of axial rotation was largely varied according to the wearer's corneal eccentricity when wearing toric lens and the rotational amount after certain time of lens was also affected by corneal eccentricity. Thus, it is suggested that the selection of toric soft contact lenses based on corneal eccentricity is necessary.

• Journal of Korean Ophthalmic Optics Society
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• v.17 no.2
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• pp.209-213
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• 2012

Purpose: To assess the repeatability of the monocular spherical endpoints, a test was performed with four methods which are the retinoscopy, the MPMVA (maximum plus maximum visual acuity) method, the R/G duochrome method, and the crossed cylinder method. Methods: The monocular spherical endpoints was measured by four kinds of method (Retinoscopy, MPMVA method, R/G duochrome method, Crossed cylinder method) on 20 subjects (40 eyes) of average age 23.0 year-old men and women. After a week, retest was performed by same procedure and the test-retest repeatability was assessed by using the Bland-Altman plot analysis. Results: The test-retest mean difference of retinoscopy was the smallest diopters of -0.03 and that of R/G duochrome method was the largest diopters of -0.19. The upper/lower 95% limits of agreement for repeatability was the narrowest in retinoscopy and was the widest in crossed cylinder method. When compared the spherical endpoints of each eye between by retinoscopy and by other three methods, the error rate of ${\pm}0.25D$ in total eyes was 85% in MPMVA method, 80% in R/G duochrome method, and 24% in crossed cylinder method. Conclusions: Test-retest repeatability is the highest in the retinoscopy, and the retinoscopy, the MPMVA method, and R/G duochrome method are suitable for monocular spherical endpoints test.

• Journal of Korean Ophthalmic Optics Society
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• v.16 no.1
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• pp.51-60
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• 2011

Purpose: This study was to investigate visual performance and subjective satisfaction with multifocal soft contact lenses at near works in university students. Methods: In a cross-over study design, 26 students (6 male, 20 female) who did not have any ocular disorder with at least 20/20(1.0) binocular vision were fitted with singlevision lenses (SofLens$^{TM}59$, Bausch + Lomb Co. USA) or multifocal lenses (SofLens Multifocal, Bausch + Lomb Co. USA). After 2 weeks, visual performance assessments included visual acuity, stereoacuity and contrast sensitivity function at distance and near. Near point of accommodation, accommodative facility, near point of convergence, vergence facility and near range of clear vision at near were examined. Students' satisfaction and preference were measured using survey questionaries. Results: Subjects maintained at least 20/20 binocular vision with multifocal and single-vision lenses at distance and near. There was no difference between multifocal and single-vision lenses in stereoacuity, contrast sensitivity function and vergence facility at far and near. The near point of accommodation, accommodative facility, near point of convergence and the near range of clear vision with multifocal lenses were better than single-vision lenses. On the survey questionaries, subjects reported that they preferred and satisfied with multifocal lenses with near works, and single-vision lenses with distance works. Conclusions: The majority of university students preferred multifocal to single vision lenses because multifocal lenses provided better visual performance at near works. This study suggests that multifocal lens is helpful for young adult in prolonged near works.

• Journal of Korean Ophthalmic Optics Society
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• v.16 no.2
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• pp.171-177
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• 2011

Purpose: The purpose of this study was to investigate the relationships between reading ability and binocular functions, based on self tests through surveys. The possibility of the reading ability tests used in this study as a tool on the determination about vision efficiency was also evaluated. Methods: Through reading ability tests about 138 university students, 72 students (52.2%) of them were first selected. Through self tests about dyslexia and light sensitivity, 38 students (52.7%) of the first selected students were secondly selected, whose extents are more than 3. Binocular tests were carried out about three groups (high, middle, low) of these secondly selected students. Tests about NPCs, distance and near phoria, amplitude of accommodation, fusional vergence, AC/A ratio, accommodative facility, and vergence facility were performed as binocular tests. Results: NPCs were closest to eyes at high groups. Fusional vergence, AC/A ratio, accommodative facility, and vergence facility of high group showed higher than other groups. The phoria at middle group showed higher than other groups. Conclusions: We found that reading ability and some of binocular functions were closely related. Therefore, vision training, associated with insufficiencies of binocular functions, is expected to improve reading ability.

• Journal of Korean Ophthalmic Optics Society
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• v.15 no.1
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• pp.47-53
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• 2010

Purpose: This study was performed to achieve an acceptable piggyback fit utilizing each subject's own GP lenses, in subjects with regular low myopic astigmatism. Methods: A randomized, prospective study of 15 subjects with the diagnosis of low myopic astigmatism was conducted. Nine subjects were female and 6 were male, and mean age was: 23.73${\pm}$1.68 years. Subjects were evaluated before participate on this study and then also evaluated with period of at two hours and two weeks after obtaining their lenses. All subjects were submitted to the following tests: measurement of comfort level by means of the analogical visual scale, best corrected visual acuity and over-refraction at distance. contrast sensitivity and stereo acuity. After evaluating the fit of plano soft lens, we applied each subject's own GP lens on top. Results: Vision, visual performance and satisfaction of piggyback contact lens system were stable, if not improved, for the 15 subjects when the data was compared to the patients' wear of rigid gas permeable contact lenses. Fit with a piggyback system had the same or improved comfort, visual acuity and contrast sensitivity compared to previous GP lens wear alone. The visual acuity, contrast sensitivity and stereo acuity did not show differences in relation to the studied lens type. Conclusions: These results suggest that it is possible to achieve a successful piggyback lens fitting utilizing a patient's own GP lens. The piggyback lens system satisfied the visual performance and visual requirements of this subject with GP lens alone for the correction of low myopic astigmatism.

• Journal of Korean Ophthalmic Optics Society
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• v.15 no.1
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• pp.79-85
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• 2010

Purpose: We studied the relationship between subjective and objective deviating angle. Methods: Those who were diagnosed with strabismus among the patients who had no systemic diseases that fifty-one subjects (Male; 21, Female; 30) were measured between seven to sixty three years, evaluated to alternate cover test after AR/K (Canon RK-FI, Japan) and retinoscope measured refractive errors. Objective deviating angle was measured using prism bar; and subjective and objective deviating angles were measured and compared using the synoptophore. Results: For the correlation between subjective and objective deviating angles. The differences were $2.6{\pm}2.5{\Delta}$, between subjective deviating angle measured using synoptophore and objective deviating angles measured using synoptophore were $0.7{\pm}1.4{\Delta}$, the average with each other were $1.7{\pm}1.8{\Delta}$, with all the differences highly significant. Conclusions: We thought not only reduced angle of deviating errors and identified the significance in the correlation between subjective and objective deviating angles but also considered to be useful in determining deviating angle of patient with strabismus.