• Title/Summary/Keyword: Refractive astigmatism

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The Evaluation of Reliability for Exam Distance of Visual Acuity (시력검사거리에 따른 원거리 시력검사 신뢰성 평가)

  • Chun, Young-Yun;Choi, Hyun-Soo;Park, Seong-Jong;Lee, Seok-Ju
    • Journal of Korean Ophthalmic Optics Society
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    • v.19 no.1
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    • pp.17-22
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    • 2014
  • Purpose: We aimed to evaluate reliability of eye exam for visual acuity as a function of distance. Methods: There were 39 patients (78 eyes) who had visual acuity 1.0 or more at 5 meters. We measured refractive power of patients at each distances, 5 meters, 4 meters and 3 meters. Automatic chart (LCD-700, Hyeseong Optic. Co., Korea) used for visual acuity, skiascope (Beta 200, Heine, Germany) and auto refractometer (RK-5, Canon, Japan) used as for objective refraction. Accommodation was examined by minus lens addition methods, and Accommodative lag was examined by grid chart for reading distance. Results: Being compared to 3 meter test, Amount of corrected spherical refractive power decreased by $0.10{\pm}0.38$ D, astigmatism decreased by $0.05{\pm}0.10$ D, and axis of astigmatism rotated toward to temporal by $2.64{\pm}18.75$ degrees for right eyes, by $11.43{\pm}48.55$ degrees for left eyes in case of 5 meter test. Changes of corrected refraction and astigmatism were slightly correlated (r=-0.31, r=-0.29). Conclusions: Because corrected refraction power and amount of astigmatism decreased and axis of astigmatism tends to turn the temporal direction according to exam distance, examination distance of visual acuity should improved as to 5 meters.

Analysis of Addition Power for New Wearer of Progressive Addition Lenses (누진렌즈 안경 처음 착용자의 가입도 분석)

  • Joo, Seok-Hee;Shim, Hyun-Suk;Shim, Jun-Beom
    • Journal of Korean Ophthalmic Optics Society
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    • v.18 no.3
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    • pp.247-251
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    • 2013
  • Purpose: To analyse the addition power of new wearer of progressive addition lenses. Methods: Data of 636 subjects who have been prescribed progressive addition lenses as the first time were used for analyse. The range of age for was between 41~78 years old and they visited the optical practice in Gwangju metropolitan city from 2001 to 2013Date of refractive state, gender and age were analysed. Results: The difference of addition by gender was 1.71 D in male and 1.67 D in women. The difference of addition by refractive error was 1.67 D in emmetropic patients and 1.74 D in myopic patients, 1.90 D in hyperopic patients. The difference of addition by age was1.26 D in 41~44 years old sge group, 1.48 D in 45~49 years old age group,1.72 D in 50~54 years old age group 1.84 D in 55~59 years old age group, 2.10 D in 60~64 years old age group and 2.43 D in over 65 years old age group. The difference of addition by diopter in myopic patients was 1.58 D in low myopic patients and 1.48 D in middle myopic patients, 1.67 D in high myopic patients. The difference of addition by axis of astigmatism was 1.80 D in with-the-rule astigmatism, 1.64 D in against-the-rule astigmatism and 1.65 D in oblique astigmatism. Conclusions: The Addition power of progressive lenses were different according to the types of refractive error, astigmatism axis and age.

The Study for Refractive Error of the Westerner in 20s: North America Region (20대 서양인의 굴절이상에 대한 연구: 북미지역)

  • Lee, Young-Il;Hong, Jin Seok
    • Journal of Korean Ophthalmic Optics Society
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    • v.14 no.1
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    • pp.97-101
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    • 2009
  • Purpose: To assess the refractive state of the westerners (male: 44, female: 62) in twenties who visited the A optical shop at Seoul. Methods: The visual acuity test was performed by the objective and subjective method. Results: The emmetropia and myoptia were 35 and 177 eyes (83.49%), respectively. About 26.76% of tested males was ametropia. Myopia compound and myopia simple astigmatism were found in 60.56% and 12.68% of tested males, respectively. However, about 43.40% of tested females was ametropia. Myopia compound and myopia simple astigmatism were 49.06% and 7.55% were found in tested females, respectively. As for the equivalent spheric power of myopic abnormal refractive eyes, the -0.5D < spheric equivalent ${\leq}$ -2.00D was 35.02% of tested westerners, the -2.00D < spheric equivalent ${\leq}$ -6.00D was 60.45% and anything over the -6.00D was 4.53%. The percentages of with-the-rule, against-the-rule and oblique astigmatism among people with astigmatism were 59.82%, 26.78% and 13.40%, respectively. The average of pupillary distance in male (63.5${\pm}$2.4 mm) was greater than that in female (59.7${\pm}$2.3 mm). Conclusions: Korean opticians were provided some useful information about making up a prescription for the westerners in twenties by this research.

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A Study of the Epidemiology of Refractive Error in Adult Korean (한국 성인의 굴절이상에 관한 역학조사)

  • Choi, Hae-Jung;Chen, Ko-Hsien;Cha, Jung-Won
    • Journal of Korean Ophthalmic Optics Society
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    • v.2 no.1
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    • pp.133-143
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    • 1997
  • A population-based study of people aged above 20 years showed that 32% had emmetropia and 68% had ammetropia(myopia 56.6%. hyperopia 11.4%) city in Korea. The percentage of ammetropia in population based study is higher than that of clinic(O.P.D.) based. A 83.3% of the ammetropia had myopia. which is higher than 76.3% of 1968 and 76.9% of 1975 years. A 16.7% of the ammetropia had hyperopia. which is lower than 19.4% of 1968 and 17.3% of 1975 years. In the kind of refractive error. 32.1% of 985 eyes examined had compound myopic astigmatism. 18.2% had simple myopic astigmatism. 14.2% had simple myopia. 6.8% had simple hyperopic astigmatism, 5.0% had mixed astigmatism, 4.7% had compound hyperopic astigmatism and 3.6% had simple hyperopia. In the difference of binocular refractive error, 29% had 0.50~2.00 Dptr difference and 3.6% had difference above 2.00 Dptr. In age related myopic refractive error, 76.7% of people aged 20~29 years and 74.0% of 30~39 years had myopia. It is due to overstudy for entrance into a university that the percentage of myopia is higher than that of abroad. In age related hyperopic refractive error, 2.9% of people aged 20~29 years, 0.6% of 30~39 years. 6.3% of 40~49 years, 16.0% of 50~59 years and 63.9% of 60~69 years had hyperopia. It shows that the age related hyperopic refractive error was significantly increased at aged 40~49 years. The right eye had more myopic refractive error than left eye.

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Optical Design of a High-numerical-aperture Objective with a Reflective Focal Reducer (반사형 Focal Reducer를 가지는 높은 개구수의 대물렌즈 설계)

  • Jong Ung Lee
    • Korean Journal of Optics and Photonics
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    • v.34 no.6
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    • pp.248-260
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    • 2023
  • A 0.5-numerical-aperture (NA) refractive-reflective objective, composed of a low-NA refractive and a reflective focal reducer, is designed. A 0.25-NA Lister objective is used for the refractive. A two-spherical-mirror system, corrected for spherical aberration, coma, and astigmatism is used for the reflective focal reducer. In spite of high NA, the refractive-reflective objective has an 18-mm working distance and improved imaging performance, compared to the 0.25-NA Lister objective.

A MECHANICAL INVESTIGATION OF CORNEAL REFRACTIVE SURGERIES AND PROPOSITION OF NEW TECHNIQUES (각막굴절수술의 역학적 고찰 및 새로운 기법의 시도)

  • Shin, J.W.;Han, G.J.;Whang, M.C.;Nam, S.H.
    • Proceedings of the KOSOMBE Conference
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    • v.1995 no.05
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    • pp.95-100
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    • 1995
  • This study investigated the effects of mechanical factors involved in several corneal refractive surgeries on the surgical outcomes. Then we proposed possible new techniques from the mechanical point of a view utilizing finite element method. The models studied are: circumferential keratetomy, combination of excimer laser photorefractive keratectomy and circumferential keratotomy for myopia treatment, arcuate keratotomy for astigmatism treatment. The cornea was assumed to be nonlinear elastic and almost incompressible material as the most soft tissue in the human body. In the circumferential keratotomy the effect of the incision location was investigated. The angle and location of the incision were varied to predict the surgical outcomes in the arcuate keratotomy. The finite element analysis results showed that the location of incision was a critical factor affecting the surgical outcomes in the circumferential keratotomy. In the combination of the excimer laser photorefractive keratectomy and circumferential keratotomy, it was predicted that the circumferential can increase or decrease the refractive power depending on the incision location or it can be used to adjust the overcorrection of undercorrection. In the arcuate keratotomy for astigmatism, the most diopter changes were predicted when the location and the angle of the incision were 3.0mm from the apex and $90^{\circ}$, respectively. In the arcuate keratotomy, the effects of an incision were studied within the incision area as well as outside the incision area. Also, the arcuate keratotomy with two incisions located on the opposite area of the cornea was also studied. As a conclusion, the finite element method is a useful technique in the area of corneal refractive surgeries to develop new techinques.

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Effect of Spectacles Correction on the Improvement of Visual Acuity in Hyperopic Amblyopia (원시성 약시에서 안경교정에 의한 시력개선 효과)

  • Park, Hyun-Ju
    • Journal of Korean Ophthalmic Optics Society
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    • v.12 no.2
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    • pp.95-106
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    • 2007
  • The purpose of this study was to investigate effect of spectacle correction therapy instead of occlusion therapy for refractive amblyopia treatment. Spectacle correction were prescribed to give the same effect as a occlusion therapy by under correction for normal eye and there was no additional treatment but only spectacle correction for hyperopic amblyopia. The results can be summarized as follows: 1. In hyperopic amblyopia after correction, initial visual acuity($Mean{\pm}SD$) was $0.36{\pm}0.13$ and final visual acuity($Mean{\pm}SD$) was $0.82{\pm}0.23$. 2. Regardless with age, there was significant differences between initial acuity and final acuity, it shows improvement in visual acuity after spectacle correction treatment. 3. Initial correction age did not influence the length of treatment and success rate of treatment, so that ambyopia correction effect not related with age. 4. Compared with initial visual acuity with final visual acuity, initial visual acuity was in proportion to final visual acuity. 5. Incidence was higher in hyperopia and hyperopic astigmatism than myopia and myopic astigmatism in refractive amblyopia group and the therapy was more effective for hyperopia and hyperopic astigmatism than myopia and myopic astigmatism. 6. Treatment was effective even for children who is older than 8 years.

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The Study of Relationship Between Hyperopic Amblyopia, Anisometropic Power and Astigmatism (원시성약시와 굴절부등, 난시와의 관계 연구)

  • Park, Hyun-Ju
    • Journal of Korean Ophthalmic Optics Society
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    • v.12 no.3
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    • pp.137-142
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    • 2007
  • The purpose of this study was to investigate sole effect of therapy of spectacles correction on the refractive amblyopia. Spectacles were prescribed to give the same effect as the occlusion therapy undercorrecting in the case of hyperopia, and effectiveness of the therapy was compared with occlusion therapy without additional prescription. The results can be summarized as follows: 1. The higher anisometropic power was the lower initial visual acuity was. 2. Anisometropic power did not influence final visual acuity. 3. The latter beginning time of therapy was the higher astigmatism was. 4. Therapy of spectacles correction on the hyperopic amblyopia was quite effective.

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A Study on the Ametropia in Asian Population (아시아 동양인들의 비정시에 관한 연구)

  • Lee, Young-Il;Hong, Jin Seok
    • Journal of Korean Ophthalmic Optics Society
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    • v.13 no.1
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    • pp.77-81
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    • 2008
  • Purpose: This study was to investigate the refractive state of an asian population (male: 39, female: 53) from 21 to 30 years old who visited the A optical shop at jongnogu in seoul. Methods: The visual acuity test was performed by the object and subject method. Results: Among the 184 eyes, myopia is 83.16% and emmetropia is 16.84%, respectively. As for the equivalent spheric power of myopic abnormal refractive eyes, the -m0.5Dt < spheric equivalent ${\leq}$ -2.00Dt was 40.53%, the -2.00Dt < spheric equivalent ${\leq}$ -6.00Dt was 51.63% and anything over the -6.00Dt was 7.85%. The percentages of with-the-rule, against-the-rule and oblique astigmatism among people with astigmatism were 46.67%, 35.56% and 7.77%, respectively. The average of pupillary distance in male (64.5${\pm}$2.9 mm) was greater than that in female (61.9${\pm}$2.3 mm). Conclusions: Korean opticians were provided some useful information about making up a prescription by this research.

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Changes in KVA Resulting from Correction Condition of Refractive Error (굴절이상 교정상태에 따른 동적시력 변화)

  • Shim, Hyun-Suk;Kim, Sang-Hyun;Kang, Hye-Sook
    • Journal of Korean Ophthalmic Optics Society
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    • v.18 no.2
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    • pp.165-171
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    • 2013
  • Purpose: This study are to analyze and to compare between pupillary size, reaction time, refractive error, corrected vision, dominant eye, static visual angle (SVA) and kinetic visual acuity (KVA) of male and female college students, to measure KVA of them in full correction and to identify changes of KVA by +0.50 D and -0.50 D spherical power addition respectively in full correction condition. Methods: KVA, SVA, pupillary size, reaction time, refractive error, corrected vision and dominant eye of 40 male and 40 female optical science students were measured by utilizing KOWA AS-4A, reaction time measurement program, subjective refractometer, and objective refractometer, and KVAs were measured when +0.50 D/-0.50 D were added in both eyes respectively. Results: Binocular KVA of whole subjects was $0.45{\pm}0.22$, and in monocular KVAs were $0.36{\pm}0.19$ for right eye and $0.34{\pm}0.19$ for left eye, and binocular KVA was significantly higher than monocular KVA. It appeared that the better SVA was, the better KVA was in significant way, and in terms of refractive error the less myopia amount was, the better KVA was, but it was not significant statistically. The lower astigmatism was, the slightly and significantly higher KVA was when dividing between equal or less than -1.00 D astigmatism group and over -1.00 D astigmatism group. In resulting from correction condition of refractive error KVAs were $0.45{\pm}0.22$ for full correction, $0.26{\pm}0.15$ for +0.50 D addition, $0.48{\pm}0.22$ for -0.50 D addition which indicates that KVA in over myopia correction was significantly the highest and followed by full correction and under correction. Similar findings were revealed in both male and female, and KVA of male was better than female in comparing between male and female. There was no significantly different KVA between dominant eye and non-dominant eye. Conclusions: Accordingly, it is concluded that KVA is related with far distance SVA, astigmatism amount, and refractive error amount except a dominant eye. Through this research, it was found that prescription for enhancing KVA is to make full correction or to overcorrect slightly myopia.