• Title/Summary/Keyword: Refractive astigmatism

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Refractive Error in Middle and High School Pupils (중고등학생의 안굴절 상태조사 및 연구)

  • Pyo, Kyoung-Min;Kim, Woong-Tea
    • Journal of Korean Ophthalmic Optics Society
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    • v.1 no.1
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    • pp.119-125
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    • 1996
  • From 1995. 3. 20 to 1995. 4. 10 refractive errors were surveyed on the 1,197 middle and high school pupils in Dong-Du-Cuon area. On the basis of the power of the old glasses or newly examined power, we surveyed the distribution of the refractive errors according to their types, ages, heights, weights and differences between both eyes. Among 2,394 eyes examined, 1,125eyes(47%) were emmetropia, 967 eyes(40.4%) were myopic, and 302eyes(12.6%) were hyperopic. As to the distribution of refractive errors, simple myopia(42.9%) was most common, and mixed astigmatism and compound hyperopic astigmatism were below 1%, Among the types of astigmatism, 62% were with the rule, 23% were against the rule and 15% were oblique, Differences between both eyes, the left eye showed more myopic than those of right eye. The distribution of myopia according to their ages, 27.7 at age 11, 38.5% at age 12, 35.5% at age 41.5% at age 14, 37.7% at age 15, 48.3% at age 16 and 46.8% at age 17., there was a significant increase in the prevalence of the myopia but that or hyperopia decreases with increases of age.

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A Study on the Reliability of Corrected Diopter according to Subjective refraction instrument (자각식굴절검사기기에 따른 교정굴절력의 신뢰도에 관한 연구)

  • Lee, Hark-Jun;Kim, Jung-Hee;Ryu, Kyung-Ho
    • Journal of Korean Ophthalmic Optics Society
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    • v.15 no.3
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    • pp.281-286
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    • 2010
  • Purpose: This research provided basic data for refraction by comparing the corrected diopter of trial lens and phoropter. Methods: We compared the corrected diopter of trial lens and phoropter, and analyzed statistical significance and relations of the spherical lens corrected diopter and cylindrical lens corrected diopter according to the types (trial lens and phoropter) of subjective refractive instruments. Also we analyzed statistical significance and relations between cylindrical lens corrected diopter at the astigmatism and the types (trial lens and phoropter) of subjective refractory instruments. Results: When we measured the corrected diopter of simple myopia, the mean value for corrected diopter was S-2.74D using the trial lens and S-2.65D using the phoropter. So the corrected diopter was 0.09D smaller when measured by phoropter. The degree of astigmatism was measured C-0.81D using the trial lens and C-0.77D using the phoropter which showed that the measured value was 0.04D smaller using the phoropter. On correlation analysis between the refractive instruments (trial lens and phoropter) and the corrected diopter, there was significant (p<0.01) strong correlation between refractory machine and corrected spherical diopter (r=0.996) and the correlation between refractory machine and corrected cylindrical diopter was r=0.986 and was also significant (p<0.01). Conclusions: The use of phoropter than trial lens was more desirable when performing refraction on high myopia (simple refractive error, high astigmatism), and when using trial lens, you should consider the vertex distance and the gap between overlapped lenses before prescription.

Refractive Error Induced by Combined Phacotrabeculectomy (섬유주절제술과 백내장 병합수술 후 굴절력 오차의 분석)

  • Lee, Jun Seok;Lee, Chong Eun;Park, Ji Hae;Seo, Sam;Lee, Kyoo Won
    • Journal of The Korean Ophthalmological Society
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    • v.59 no.12
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    • pp.1173-1180
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    • 2018
  • Purpose: We evaluated the postoperative accuracy of intraocular lens power prediction for patients undergoing phacotrabeculectomy and identified preoperative factors associated with refractive outcome in those with primary open-angle glaucoma (POAG). Methods: We retrospectively reviewed the medical records of 27 patients who underwent phacotrabeculectomy to treat POAG. We recorded all discrepancies between predicted and actual postoperative refractions. We compared the data to those of an age- and sex-matched control group that underwent uncomplicated cataract surgery during the same time period. Preoperative factors associated with the mean absolute error (MAE) were identified via multivariate regression analyses. Results: The mean refractive error of the 27 eyes that underwent phacotrabeculectomy was comparable to that of the 27 eyes treated via phacoemulsification (+0.02 vs. -0.01 D, p = 0.802). The phacotrabeculectomy group exhibited a significantly higher MAE (0.65 vs. 0.35 D, p = 0.035) and more postoperative astigmatism (-1.07 vs. -0.66 D, p = 0.020) than the phacoemulsification group. The preoperative anterior chamber depth (ACD) and the changes in the postoperative intraocular pressure (IOP) were significantly associated with a greater MAE after phacotrabeculectomy. Conclusions: POAG treatment via combined phacoemulsification/trabeculectomy was associated with greater error in terms of final refraction prediction, and more postoperative astigmatism. As both a shallow preoperative ACD and a greater postoperative change in IOP appear to increase the predictive error, these two factors should be considered when planning phacotrabeculectomy.

The Effects of Alcohol on Eye Refraction (알코올이 눈의 굴절에 미치는 영향)

  • Lee, Hak-Jun
    • Journal of Korean Ophthalmic Optics Society
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    • v.6 no.2
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    • pp.139-144
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    • 2001
  • This paper was investigated the change of naked visual acuity and the full corrective refractive powers of alcoholicity for 0, 0.05 and 0.1. We research the prescriptions for 9 males and females 9 aged 20 above years. The naked visual acuity was decreased with increasing alcoholicity. Most of tested patients, the spherical refractive powers was also decreased with increasing alcoholicity. The change of the cylinder refractive power was uniformity. For the astigmatism axis. there were many changes.

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Accuracy of Astigmatic Correction Using Toric Intraocular Lens by Position and Size of Corneal Incision (각막절개 위치와 크기에 따른 난시교정인공수정체의 난시교정의 정확성)

  • Park, Wookyung;Kim, Man Soo;Kim, Eun Chul
    • Journal of The Korean Ophthalmological Society
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    • v.60 no.2
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    • pp.126-134
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    • 2019
  • Purpose: To assess the accuracy of toric intraocular lens (IOL) implantation by the location and size of the corneal incision. Methods: We retrospectively reviewed the medical records of 98 patients (98 eyes) who underwent phacoemulsification with toric IOL implantation from January 2014 to March 2017. The patients were divided into two groups: group 1 got an incision of the superior side of the cornea (n = 54) and group 2 received an incision on the temporal side of the eye (n = 44). For both groups, incisions were made at their steep corneal astigmatism axises. Each group was further divided into subgroups for whom different sized blades were employed (2.75 vs. 2.2 mm widths). We measured the refractive index and autokeratometric parameters. We postoperatively assessed residual astigmatism and any reduction thereof. Results: In both groups, uncorrected and best-corrected visual acuity, refraction cylinder astigmatism, and autokeratometric astigmatism improved statistically. Between two groups, corneal astigmatism decrease was not significant. Residual astigmatism also showed no significant differences between the two. Patients in both groups treated using 2.75 mm wide blades exhibited greater increases in corneal astigmatism. Conclusions: During cataract surgery, precise correction of astigmatism via toric IOL implantation is possible when surgically induced astigmatism is minimized by careful choice of the location and size of the corneal incision.

Refractive Error Shift in Nuclear, Cortical, and Subcapsular Cataract (핵, 피질 그리고 낭 백내장의 굴절이상 전환)

  • Park, Sang-Chul;Lee, Soek-Ju;Sung, A-Young
    • Journal of Korean Ophthalmic Optics Society
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    • v.8 no.1
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    • pp.41-45
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    • 2003
  • The researchers have studied on the effect of three main morphological types(nuclear, cortical, and subcapsular cataract) of age related cataract on refractive error. We also identified that spherical and cylinderical shift in each type of morphological cataract accoding to their locations and effect of intraocular pressure before and after cataract surgery. Nuclear cataract showed myopic shift while cortical cataract showed hyperopic shift, and subcapsular cataract showed not significant changes on both direction. Age related cataract subjects(120 eyes) only were recruited from sun-cheon area. We use optic section of slit lamp biomicroscope to identify the anatomical location of cataract, and optimal refractive correction determined by objective(retinoscope) and subjective refraction then spherical changes were calculated from the spherical eqivalent value. Intra-ocular pressure were measured by auto-tonometer before and 7 days after cataract has been replaced by IOL. The change in cylindrical power, usually A-P diameter decreased according to increases of age, A-P diameter increased because intra-ocular pressure rises by progression of cataract and this convertion with the rule astigmatism to against the rule astigmatism and this increases more by intra-ocular pressure.

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A Study on the Ametropia of High School Students in Jeonbuk Province (전북 지역 고등학생 비정시에 관한 연구)

  • Doo, Ha-Young;Sim, Sang-Hyun;Choe, Oh-Mok;Gang, Myoung-Jin
    • Journal of Korean Ophthalmic Optics Society
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    • v.7 no.2
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    • pp.67-71
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    • 2002
  • To investigate the ametropia and refractive error of 364 ametropic eyes en the 182 high school students in Jeonbuk provicne, the visual acuity test was performed by the object and subject method. The results were as follows. 1. The eye types were 85.7% positive for myopia, 6.6% for emmetropia and 7.6% hyperopia, respectively. 2. The abnormal refraction eyes were 30.8% positive for simple myopia, 58.5% for myopia compound astigmatism, 7.5% for myopia simple astigmatism, and 1.8% for simple hyperopia, 1.3% for hyperopia compound astigmatism, 1.9% for hyperopia simple astigmatism, respectively. 3. The axes of astigmatism were 78.7% for astigmatism with-the-rule, 13.9% for astigmatism against-the-rule, 7.4% for astigmatism oblique, respectively. 4. As for the astigmatic power, the 0.50 < cylinder < 1.00dptr was 60.0%, the 1.00 < cylinder < 2.00dptr was 29.2%, and anything over the 2.00cylinder dptr was 10.8%. 5. As for the equivalent spheric power of myopic abnormal refraction eyes, the -0.50 < spheric equivalent < -2.00 diopter was 64.6%, the -2.00 < spheric equivalent < -6.00 dptr was 29.1% and anything over the -6.00 dptr was 6%. 6. The equivalent spheric power of hyperopic abnormal refraction eyes was 50% anything under 2.00diopter and 50% for anything over the 2.00diopter.

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A Study of Research on Uncorrected Refractive Error in Elementary School Children in Mokpo (목포지역 초등학생들의 미교정안 현황에 관한 연구)

  • Kim, In Suk;Jang, Jung Un
    • Journal of Korean Ophthalmic Optics Society
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    • v.16 no.3
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    • pp.313-317
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    • 2011
  • Purpose: This study was to assess prevalence of refractive errors and uncorrected refractive errors in elementary school children in Mokpo and uncorrected refractive errors were to be used as the basic data. Methods: Vision tests were conducted on 400 subjects of 1st~6th grades at 3 elementary schools in Mokpo city, and subjective, objective refraction test were also performed to survey uncorrected refractive errors. Results: The prevalence of myopia was 256, 64% of total subjects, Hyperopia was 21, 5.3%, astigmatism was 19, 4.8%. The prevalence of uncorrected refractive errors were increased as higher grade and more oculus dexter higher than oculus sinister. Conclusions: Vision impairment which need an accurate vision correction for elementary school students requires the regular examination and actively correction in order to protect the elementary school students for basic welfare.

Evaluation of Reliability for Combined Refractive Power of Lenses in an Automatic Phoropter (자동포롭터 내부렌즈의 합성굴절력에 대한 신뢰도 평가)

  • Lee, Hyung Kyun;Kim, So Ra;Park, Mijung
    • Journal of Korean Ophthalmic Optics Society
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    • v.20 no.4
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    • pp.501-509
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    • 2015
  • Purpose: To evaluate the reliability of refractive power by comparing the marked refractive power in an automatic phoropter and actually measured spherical/cylindrical refractive power. Methods: Actual refractive power of minus spherical lens and cylindrical lens in an automatic phoropter was measured by a manual lensmeter and compared with the accuracy of marked refractive power. Furthermore, combined refractive power and spherical equivalent refractive power of two overlapped lenses were compared and evaluated with the refractive power of trial lens. Results: An error of 0.125 D and more against the marked degree was observed in 70.6% of spherical refractive power of spherical lens which is built in phoropter, and the higher error was shown with increasing refractive power. Single cylindrical refractive power of cylindrical lens is almost equivalent to the marked degree. Combined spherical refractive power was equivalent to spherical refractive power of single lens when spherical lens and cylindrical lens were overlapped in a phoropter. Thus, there was no change in spherical refractive power by lens overlapping. However, there was a great difference, which suggest the effect induced by overlapping between cylindrical refractive power and the marked degree when spherical lens and cylindrical lens were overlapped. Spherical equivalent refractive power measured by using a phoropter was lower than that estimated by trial glasses frame and marked degree. The difference was bigger with higher refractive power. Conclusions: When assessment of visual acuity is made by using an automatic phoropter for high myopes or myopic astigmatism, some difference against the marked degree may be produced and they may be overcorrected which suggests that improvement is required.

The Study of Prevalence Rate of Refractive Error among the Primary Students in Jeollanamdo (전남지역 초등학생의 굴절이상 유병률에 관한 연구)

  • Jang, Jung Un;Park, Inn-Jee
    • Journal of Korean Ophthalmic Optics Society
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    • v.20 no.3
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    • pp.311-318
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    • 2015
  • Purpose: This study was designed to investigate the prevalence rate of refractive error with gender and age presenting visual acuity of primary student in Jeonnam. Methods: Subjective refraction, objective refraction and visual acuity test were examined on 735 primary school children who ages of 8~13 years lived in Jenman. Presenting visual acuity test was using Han's visual acuity chart and objective refraction was carried out using auto-refractometer. Results: The presenting visual acuity was 0.1 worse in the eye of 54(7.3%) students and 49(7.3%) of them wearing the glasses. The rate of the wearing glasses were 79.3% in 0.125~0.25 visual acuity, 64.2% in 0.3~0.5 visual acuity and 61.6% in 0.6~0.8 visual acuity. It was appeared that 269(36.6%) of them were emmetropia, 321(43.7%) of them were myopia and 56(7.6%) of them were hyperopia, and 89(12.1%) of them were astigmatism. The prevalence rate of myopia was the highest and followed by the prevalence rate of astigmatism. The low degree of myopia occupied the most and the medium degree of myopia showed the tendency of increase as the students get olds. The prevalence rate of the hyperopia showed the tendency of decrease as the students get olds. The prevalence rate of with the rule astigmatism were 50.6% students and against the rule astigmatism were 48.3% of students. Conclusions: The present study reveals the considerable prevalence rates, 466(63.4%) of included subjects, of refractive errors among primary students in Jeonnam province. The rate of the wearing glasses were 313(42.6%). The prevalence of myopia increases as the students get older. Therefore students of visual management is considered necessary through the visual acuity test and refractive examination.