• Journal of Korean Clinical Health Science
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• v.3 no.3
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• pp.427-434
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• 2015

Purpose: This study was to investigate the relationship between the palpebral fissure and the exophthalmos in an elder women population in Korea subjects with normal eye status. Methods. From November 2014 to July 2015, The author analyzed the morphological values in 81 Korean elder women population. The clinical test was performed using the Hertel exophthalometer and verner califer. Analysis of data were described using the spss 20 and Pearson's test. Results. The mean age of the 81 subjects (162 eyes) was (73.938+/8.585)mm. The mean value of palpebral fissure was (5.673+/-2.065)mm in width and (24.179+/-4.409)mm in height. The mean value of exophthalmos was (5.537+/-2.151)mm. There were a significant relationship(P>0.01) in the mean size between the width and height in palpebral fissure. Also, there were a significant relationship(P>0.01) in the mean size between the palpebral fissure width and exophthalmos. Also, there were a significant relationship(P>0.01) in the mean size between the palpebral height width and exophthalmos. However, there were not significant relationship(P>0.01) in the mean size between the palpebral fissure width and exophthalmos in right eye. On the other hand, The relationship between right eye and left eye of the palpebral fissure and exophthalmos was similar results. Conclusions. In this study, these results suggested that the palpebral fissure and exophthalmos was a significant relationship in the mean value of morphologic characters in Korean elder women population.

• Journal of Korean Clinical Health Science
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• v.2 no.1
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• pp.17-23
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• 2014

Purpose. This study was to investigate the relationship between the palpebral fissure size and the exophthalmos in a population of Korean adult women subjects with normal eye status. Methods. From November 2012 to September 2013, The authors analyzed the morphological values in 73 Korean adults population. The test was performed using the Hertel exophthalmometer and verner califer. Analysis of subjects data were recorded using the spss version 20.0 a statistical program (IBM Co, Armonk, NY USA). Results. The average age of the 73 subjects (146 eyes) was (21.219+/-0.261)mm. the average value of palpebral fissure was (25.110+/-1.646)mm in width and (8.096+/-1.464)mm in height. The average value of exophthalmos was (15.002+/-1.922)mm. There was a significant relationship(P>0.05) in the average size between the width and height in palpebral fissure. Also, there was a significant relationship(P>0.05) in the average size between the palpebral fissure width and exophthalmos. On the other hand, there was a significant relationship(P>0.01) in the average size of palpebral fissure height and exophthalmos. Conclusions: In this study, these results suggested that the palpebral fissure and exophthalmos had a significant relationship in the average value of size in Korean adult women population.

• Archives of Plastic Surgery
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• v.35 no.2
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• pp.187-192
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• 2008

Purpose: Generally speaking, most of Korean have smaller eyes than those of Caucasian and they have epicanthus with narrow palpebral fissure. It makes external appearance looking dull because the length of the palpebral fissure is short and there is a epicanthus. In case the function of the levator muscle is weak, their eyes look much smaller. Epicanthus and weak levator muscle function make the eyes look dull. The above mentioned, authors want to introduce double eyelid operation, epicanthoplasty, levator plication to extend and lengthen the palpebral fissure. Methods: From August 2001 to August 2004, there were 138 cases that had double eyelid operation with epicanthoplasty or levator plication. the 69 cases of them had double eyelid operation and epicanthoplasty, the 33 cases of them had double eyelid operation and levator plication and the 36 cases of them had double eyelid operation and epicanthoplasty and levator plication. Results: After the operation, the length and height of the eyelid are improved remarkably, and most of the patients were satisfied. The length of the eyelid is improved 3 to 5mm($3.4{\pm}0.5mm$) in case of the epicanthoplasty, the width of the eyelid is improved 3 to 4mm($3.1{\pm}0.3mm$) by the levator plication. The length of the eyelid is improved 3 to 5($3.4{\pm}0.4mm$) and the width is improved 2 to 4mm($2.9{\pm}0.5mm$) by the epicanthoplasty used levator plication. Conclusion: The improvement of the eyelid length is almost the same as epicanthoplasty and levator plication are done simultaneously. But the improvement of the eyelid width is less shorter when epicanthoplasty and levator plication are done simultaneously than the case of levator plication alone. This is because there is a tension influencing on the limitation of widening palpebral fissure to fix the epicanthal tendon. This method is recommendable for the patients who want to have much bigger eyes.

• Journal of Korean Ophthalmic Optics Society
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• v.2 no.1
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• pp.25-30
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• 1997

The palpebral fissures of 1529 healthy Koreans ranging in age from one month to 92 years were examined. The length and width of palpebral fissure, distance of folded upper lid(FUL), inter outer canthal distance(IOCD) and appearance of double upper lid (DUL) were studied. The most commonly occuring length of the normal palpebral fissure was 30 mm(13.7%) followed by 28 mm(9.8%) and 27 mm(8.8%), and almost four fifths(79.1%) of the palpebral fissures measured less than 30mm in length. Of the ages 11~60 examined over 70 % averaged palpebral fissures measuring bet ween 27 mm and 32 mm. The commonest width of 1443 normal palpebral fissure was 8 mm(28.2%) followed by 9mm(16.3%) and 7mm(15.0%), and average widths according to 5 major age groups were 5~8mm, 6~10mm, 7~11mm, 7~11mm and 5~9mm, and there is some tendency to a decrease with age. The average of FUL without frontalis action was 8~11 mm. The distances between exocanthions, IOCD, according to age groups were estimated to be 77~82mm for one to 10, 94~101mm for 11 to 60 and 89~95mm for over-60 age group, respectively. The DUL was appeared in 44 % of sample, and DUL in female was more than in male.

• Journal of Korean Ophthalmic Optics Society
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• v.19 no.3
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• pp.285-293
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• 2014

Purpose: In order to find suitable size of soft contact lens for different ages group of elementary student to adults, visible iris diameter(horizontal, vertical) and palpebral aperture size were measured. Methods: Visible iris diameter (horizontal, vertical) and palpebral aperture size were measured in different age groups of total 514 subjects (1028 eyes) who have no eye disease and none history of surgery included cosmetic purpose. Results: No significant difference was found in iris diameter of both horizontal and vertical direction for different groups of age and sex but horizontal direction of palpebral aperture size in middle school students and university students groups and vertical direction of palpebral aperture size in high school student group shows significant difference (p<0.05) by sex. Horizontal visible iris diameter, vertical visible iris diameter, horizontal palpebral aperture size and vertical palpebral aperture size shows significant difference in difference age and sex. Conclusions: Visible iris diameter and palpebral aperture size are affective factor for soft contact lens diameter decision, especially it should considered more intensive for removing uncomfortable feeling of lens wearer.

• Journal of Sasang Constitutional Medicine
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• v.10 no.2
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• pp.221-270
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• 1998

Objective This research is a study about constitutional diagnosis through the external appearances as a basic principle, and it is for finding shape differences of the ear, eye, nose, mouth according to the Sasang constitution Method We have collected 209 cases of patients of the Sasang Constitutional Department, including employees of the Kyung-Hee Medical Center and took pictures of the frontal view, lateral view, oblique view of face and measured heights, deapth, breadths of ear, eye, nose, mouth with 'The Measurement of R. Martin'. We analyzed shape differences of the face according to the Sasang constitution with certain results Results We got the morphologic characteristics of ear, eye, nose and mouth according to the Sasang constitution as Table 3. -Table 10. Conclusion : 1. The morphologic characteristics of Ear according to the Sasang constitution (1) Morphologic ear length, Physiognomic ear length, Ear lobule length is longer in Taeumin than Soeumin. (2) Physiognomic ear breadth is wider in Taeumin than Soeumin. (3) Physiognomic ear length, lobule length ratio is higher in Taeumin than Soyangin. 2. The morphologic characteristics of Eye according to the Sasang constitution. (1) Inner Palpebral fissure width, 5th Palpebral fissure length, Bizygomatic breadth-Outercanthal distance is the longest in Taeumin (2) Palpebral fissure inclination is widest in Soeumin. (3) Palpebral fissure length is longer in Taeumin than Soeumin. (4) Pupillary diameter ratio is the lowest in Taeumin (5) Palpebral fissure length, width ratio is higher in Soeumin than Taeumin. (6)zygomatic breadth, Bizygomatic breadth-Outercanthal distance ratio is the higher in Taeumin than Soeumin. 3. The morphologic characteristics of Nose according to the Sasang constitution. (1) Nasion depth is deepest in Soyangin. (2) Nasion to pupillary depth is deeper Soyangin than Taeumin. (3) Nasal tip depth, Nostril to Nasalalar depth is deeper Soyangin than Taeumin. (4) Subnasale to Nasalalar depth is the shallowest in Taeumin (5) Nasalalar height is lowest in Soeumin. (6) Nasalalar to Nostril distance is deeper Taeumin than Soeumin. (7) Nasal tip depth, Nasal depth ratio is the highest in Taeumin (8) Nasal depth Nasalalar heightratio is lowest in Soeumin. (9) Midfaceheight, Nasal tip depth ratio is higher Soyangin than Taeumin. 4. The morphologic characteristics of mouth according to the Sasang constitution. (1) Lower mid lip height, Lower philtrum height, Lower quarter lip height, Total middle lip height, Total philtrum height, Total quarter lip height is the shottest in Soyangin. (2) Upper mid lip height, Upper philtrum height is longer in Taeumin than Soyangin (3) Lip inclination is higher in Soeumin than Soyangin. (4) Intercheilion breadth, total height ratio is lowest in Soyangin. (5) Total lip height, Upper philtrum height ratio is higher in Soyangin than Soeumin. (6) Lower lip height Lower quarter lip height ratio is higher in Soyangin than Taeumin. (8) Total lip area is wider in Taeumin than Soyangin.

• Archives of Plastic Surgery
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• v.34 no.1
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• pp.37-43
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• 2007

Purpose: Photogrammetry has been introduced as an alternative to direct measurement to obtain facial distances for a variety of anthropometric applications. The aim of this study is to establish morphological and functional value of an eye in Korean youths using specially designed computer software with digital photographic images. Methods: Authors measured anthropometry of an eye in Korean youths 1,449 individuals(622 males, 827 females) and analyzed stastically them. Results: The mean measurements are as follows. The diameter of cornea was $11.6{\pm}0.9mm$ in males and $11.3{\pm}0.9mm$ in females. The vertical dimension of palpebral fissure was $7.4{\pm}1.7mm$ in males and $8.2{\pm}1.6mm$ in females. The intercanthal width was $35.8{\pm}3.2mm$ in males and $34.4{\pm}2.9mm$ in females. The biocular width was $90.4{\pm}5.7mm$ in males and $87.4{\pm}5.3mm$ in females. The endocantion-superior margin of palpebral fissure distance was $12.7{\pm}1.4mm$ in males and $11.6{\pm}1.4mm$ in females. The horizontal dimension of palpebral fissure was $28.5{\pm}2.2mm$ in males and $27.4{\pm}1.9mm$ in females. The slant of palpebral fissure was $10.7{\pm}2.6^{\circ}$ in males and $11.3{\pm}3.0^{\circ}$ in females. The height of upper eyelid was $10.6{\pm}2.3mm$ in males and $10.7{\pm}2.3mm$ in females. The width of double fold was $2.0{\pm}0.7mm$ in males and $1.9{\pm}0.6mm$ in females. A double fold was seen in 21.9% of males and 44.9% of females. The most frequent shape of the double fold was type IV. The most common type of epicanthal fold was type III in both males and females. Conclusion: Photogrammetic measurement of large population using specially designed software could offer reliable data and these data could be useful reference for preoperative consultation, surgical planning and anthropometic study of eye.

• Journal of Korean Ophthalmic Optics Society
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• v.3 no.1
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• pp.137-143
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• 1998

The measurement of the inter outer canthal distance(IOCD), inter inner canthal distance(IICD), width palpebral fissure (WPF) and distribution of cataract, corneal abnormality and palpebral abnormality-were followed in III Korean in leprosy patient. The average dimension of IOCD was in male 89.9 mm and in female 88.4 mm, IICD were in male 36.9 mm and female 35.8 mm, and LPF was in male 52.9 mm, female 52.6 mm. The IOCD and LPF were decreased but IICD was not 29.7%, palpebral abnormality was 19.4% and corneal abnormality was 37.8%. These data were not changed by sex but increased by age. So the causes of visual impairment int the disease were corneal abnormalities that were the most common complications.

• Archives of Plastic Surgery
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• v.43 no.4
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• pp.321-327
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• 2016

There are many women who want larger and brighter eyes that will give a favorable impression. Surgical methods that make the eye larger and brighter include double eyelidplasty, epicanthoplasty, as well as lateral canthoplasty. Double eyelidplasty produces changes in the vertical dimension of the eyes, whereas epicanthoplasty and lateral canthoplasty create changes in the horizontal dimension of the eyes. Epicanthoplasty, a surgical procedure which enlarges the eye horizontally, is performed at the inner corner of the eye, whereas lateral canthoplasty enlarges the outer edge of the eye. In particular, if the slant of the palpebral fissure is raised and the horizontal dimension of the palpebral fissure is short, adjusting the slant of the palpebral fissure through lateral canthoplasty can achieve an enlargement of eye width and smoother features. Depending on the patient's condition, even better results can be achieved if this procedure is performed in conjunction with other procedures, such as double eyelid-plasty, epicanthoplasty, eye roll formation surgery, fat graft, and facial bone contouring surgery. In this paper, the authors will introduce in detail their surgical method for a cosmetic lateral canthoplasty that lengthens the lateral canthal angle and corrects the outer tail of the eyes, in order to ease the unfavorable impression.

• Journal of Korean Ophthalmic Optics Society
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• v.4 no.1
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• pp.83-88
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• 1999

This study was an attempt to investigate the external ocular morphology on the Korean female adult. The following results were obtained: 1. The optimum length of the distance of the innercanthus was 35-36mm. But the subjects between the ages of 18-19 had a wider range than those between the ages of 20-25 ages. 2. The optimum length of palpebral fissure was 30-31 mm. where as the right and left eye produced similar results. 3. The optimum width of the palpebral fissure was 8mm, and the right and left eye produced similar results. 4. At near distance, almost all the subjects PD was 28-31mm(76.7%), and the right and left eyes produced similar results. 5. At far distance, almost all the subjects PD was 30-33 mm(75.8%), but in the subjects aged 18-21 ages, the length of the right eye was longer than the left eye.