• Journal of Korean Ophthalmic Optics Society
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• v.19 no.1
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• pp.93-98
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• 2014

Purpose: We were aim to investigate individual difference of visual acuity (VA) decrease and the change of contrast threshold (CT) according to the level of optically induced retinal defocus. Methods: A total of 69 eyes were examined using consist of ten-graded decimal vision chart (Landolt's ring). After conducted full correction of subject's refractive error, a monocular VA and CT were measured according to sequential increase by 0.25 D each time. Results: VA gradually decreased according to the increase of retinal defocus level. Individual difference of VA decrease was range from 1.2 to 0.6 in retinal defocus induced by +0.25 D. When retinal defocus was induced as much as +0.50 D and +0.75 D, it was in the range of 1.0 to 0.3 and 0.9 to 0.1 respectively. With +1.00 D, some participants didn't even recognize the 0.1 in the chart. With +1.75 D, whole participant did not recognize the 0.1. Also, CT was gradually decreased with increase of the retinal defocus level. Conclusions: Examiners should consider individual difference in the decrease of VA according to the level of residual refractive error when determining final prescription of a patient.

• Journal of Korean Ophthalmic Optics Society
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• v.9 no.2
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• pp.439-446
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• 2004

Many studies have reported that retinal defocus cause and increase refractive error specially myopia. Uncorrected astigmatism may be one factor of retinal defocus factors. To understand the relationship between myopia and astigmatism 62 college students were participated in this study. Spherical refractive error and astigmatism were measured using N-vision 5001 autorefractor (Shinnippon). Co-relations between spherical refractive error and astigmatism were high both in the with-the-rule astigmatism group(r=0.53; ANOVA F=32.40, N=87, P<0.05) and oblique astigmatism group (r=0.53ANOVA F=5.14, N=15, P<0.001). However it was very low (r=0.09; ANOVA F=0.18, N=22, P<0.001)in the against-the-rule stigmatism group. In the total group co-relation was also high (r=0.56: ANOVA F=77.80, N=173, P<0.001). Uncorrected astigmatism may cause and increase spherical refractive error.