• Journal of Korean Ophthalmic Optics Society
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• v.5 no.1
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• pp.117-123
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• 2000

In this study, total astigmatism and corneal astigmatism were studied 328 eyes of healthy Korean for astigmatism. Total astigmatism was measured by fogging-and-dial technique, and corneal astigmatism was measured with Topcon OM-4 keratometer. Residual astigmatism was determined by a discrepancy between total and corneal astigmatism. The results were as follows: As they aged, there were a statistically significant changes in total and corneal astigmatism but not in residual astigmatism. And the amount of with-the-rule total and corneal astigmatism had a tendency to decrease, but residual astigmatism had no changes. From 30 years, total astigmatism showed a tendency to become against the rule. The average diopteric value was +0.342D in total astigmatism. +0.920D in corneal astigmatism and -0.579D in residual astigmatism.

• Journal of Korean Ophthalmic Optics Society
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• v.13 no.4
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• pp.151-154
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• 2008

Purpose: Javals' rule is a commonly used formula for estimating total astigmatism from corneal astigmatism. Many researchers suggested a modication of Javals' rule. Therefore, we estimated the total astigmatism on the basis of measurements of corneal astigmatism and assessed the accuracy of Javals' rule. Methods: We estimated the total astigmatism on the basis of measurements of corneal astigmatism on 108 eyes of 54 subjects of koreans in their twenties. Results: The regression of the total astigmatism from corneal astigmatism is less than 1.25 of Javals' rule, but it was equivalent to Auger's modified Javals' rule. Conclusions: The regression equation for this study was as follows: Total Astigmatism=0.79 (Corneal Astigmatism)-0.49D${\times}$90.

• Journal of Korean Ophthalmic Optics Society
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• v.19 no.3
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• pp.377-382
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• 2014

Purpose: To investigate the effect of anterior, posterior corneal astigmatism and total corneal astigmatism on posterior corneal astigmatism by analyzing correlation. Methods: Participants were 31 patients (31 eyes) without corneal disease at the age range of 22 to 28 who had visited hospital to receive corneal refractive surgery. The total corneal astigmatism and anterior and posterior corneal astigmatism were measured using a rotating scheimpflug camera before surgery. The magnitude of astigmatism was calculated with the difference between the meridian of the steep refractive power and the flat, and With-The-Rule and inverse astigmatism were divided according to the direction of the meridian that was the steepest. Results: The averages of total corneal astigmatism and anterior and posterior astigmatism were found to be $1.13{\pm}0.76D$, $1.51{\pm}0.84D$, and $-0.59{\pm}0.17D$. The magnitude of posterior corneal astigmatism was distributed between -1.0 D and -0.25 D in all the subjects, and when the magnitude of total corneal astigmatism was set as 100, the magnitude of anterior corneal astigmatism was $142.9{\pm}29.9%$. Total corneal astigmatism indicated the highest correlation with the magnitude of anterior astigmatism (y = 0.871x-0.184, $R^2=0.982$) and high negative correlation with posterior astigmatism (y = -2.974x-0.184, $R^2=0.698$). All the subjects' anterior and posterior corneal astigmatism was classified into With-The-Rule. Conclusions: Anterior and posterior corneal astigmatism in the subjects in their 20's showed the magnitude of -3.8 D in 0.2 D and -0.25 D in -1.0 D separately, and both anterior and posterior astigmatism indicated a high percentage of With-The-Rule.

• Journal of Korean Ophthalmic Optics Society
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• v.12 no.2
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• pp.25-36
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• 2007

We researched the change of astigmatism power when the fixation point moved from far distance to near distance. Astigmatism power was measured by using both eyes open-view auto-refractometer. We divided the ages between 5 and 67 years old into 12 groups with 1,598 healthy eyes(male-698 eyes and female-900 eyes) without eyes problems and experiences of eyes operations. The mean power in far astigmatism showed that with-the-rule of the total astigmatism: -0.79D, with-the-rule of the corneal astigmatism: -1.07D and against-the-rule of the residual astigmatism : -0.79D were found most respectively. The correlation between cornea astigmatism and total astigmatism was y=0.7493 x + 0.5661 r=0.6510, residual astigmatism and total astigmatism was y=0.248 x - 0.5926 r=0.2598 and corneal astigmatism and residual astigmatism was y=-0.4439 x - 0.1813 r=-0.5551 in the far distance. The mean power in near astigmatism showed that with-the-rule of total astigmatism : -0.92D, with-the-rule of corneal astigmatism : -1.12D, against-the-rule of residual astigmatism : -0.87D were found most respectively. In the near distance, The correlation between corneal astigmatism and total astigmatism was y=0.6872 x + 0.5934 r=0.6204, residual astigmatism and total astigmatism was y=0.303 x - 0.6066 r=0.3165, corneal astigmatism and residual astigmatism was y=-0.46 x - 0.0626 r=-0.5322. When the fixation point moved far distance to near distance, the differences of power according to the type of astigmatism were total astigmatism: $-0.07D{\pm}0.44D$, corneal astigmatism: $-0.04D{\pm}0.54D$ residual astigmatism:$0.01D{\pm}0.53D$. Most of astigmatism refractive power was increased except for oblique-the -astigmatism. When the fixation point moved far distance to near distance, the change of astigmatism refractive power showed total astigmatism: 540 eyes(33.7%), corneal astigmatism: 638 eyes(39.9%), residual: 841 eyes(52.6%).

• Journal of Korean Ophthalmic Optics Society
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• v.5 no.1
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• pp.125-129
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• 2000

To fine understand the visual acuity of female old age. This study was researched the visual acuity test by the object and subject methods. The major findings was as follows: 1. The eye types were 80.94% positive for hyperopia. 13.86% for myopia and 5.19% for emmetropia respectively. 2. The anbormal refraction eye was positive for mixed astigmatism for 78.27%, myoptic com pound astigmatism (10.99%), simple presbyopia(4.97%), myopic simple astigmatism(2.88%), presbyopia compound astigmatism (1.57%), simple myopia(0.78%) and presbyopia simple astigmatism(0.52%). 3. The axis of astigmatism was 60.23% for against regular astigmatism. 22.73% for oblique astigmatism and 17.05% for regular astigmatism respectively. 4. On the total myopic spheric power, the -0.50 spheric equivalent ${\leq}-2.00$ was 90.2%, the -2.00${\leq}-6.00$ was 9.8%. 5. On the total presbyopic spheric power, the -0.50${\leq}-2.00$ was 80.252%, the -2.00${\leq}-6.00$ was 16.99% and 2.56% for anything over the 6.00 diopter. 6. On the astigmatic power, the $0.50{\geq}$ cylinder power${\geq}1.00$ was 69.35%,the 1.00> cylinder power ${\geq}2.00$ was 27.38%, and anything over the 2.00 cylinder diopter was 3.27%.

• Journal of Korean Ophthalmic Optics Society
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• v.12 no.2
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• pp.47-59
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• 2007

When the fixation point moved far distance to near distance, the change of astigmatism type in total astigmatism showed no-changed eyes: 1,020 eyes (63.8%), changed eyes: 578 eyes(36.1 %). The change of with-the-rule into oblique-astigmatism, oblique-astigmatism into with-the-rule, against-the-rule into oblique-astigmatism of change was plenty the most respectively. In corneal astigmatism was no-changed eyes: 1,164 eyes (72.8%), changed eyes: 434 eyes(27.1%). The change of with-the-rule into oblique-astigmatism, oblique-astigmatism into with-the-rule, against-the-rule into with-the-rule astigmatism was plenty the most respectively. In residual astigmatism is no-changed eyes: 935 eyes(58.5%), changed eyes: 663 eyes(41.4%). The change of with-the-rule into oblique-astigmatism, oblique-astigmatism into against-the-rule, against-the-rule into oblique-astigmatism was plenty the most respectively. When the fixation point moved far distance to near distance, the change of astigmatism axis in total astigmatism was no-changed eyes: 761 eyes(48.5%), cyclotorsioned eyes the above 10 degrees: 837 eyes(52.3%). In corneal astigmatism was no-changed eyes: 846 eyes(52.9%), cyclotorsioned eyes the above 10 degrees : 752 eyes(47%). In residual astigmatism was no-changed eyes: 614 eyes(38.4%), cyclotorsioned eyes the above 10 degrees : 984 eyes(62.5%). The magnitude of cyclotorsion of astigmatism axis in total astigmatism was Counter clockwise rotation: 31 degrees, clockwise rotation: 20 degrees. In coneal astigmatism was Counter clockwise rotation: 25 degrees, clockwise rotation: 27 degrees. In residual astigmatism was Counter clockwise rotation: 33 degrees, clockwise rotation: 35 degrees.

• Journal of Korean Ophthalmic Optics Society
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• v.6 no.1
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• pp.65-69
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• 2001

To investigate the visual acuity of the primary school children. This study was researched visual acuity test using objective and subjective methods. 1. The eye types were 90.3% positive for myopia, 3.1% for emmetropia, 4.9% hyperopia, 1.7% for mired astigmatism. 2. The abnormal refraction eyes were 58.6% positive for simple myopia, 29.9% for myopic compound astigmatism, 5.1% for my optic simple astigmatism and 1.9% for simple hyperopia, 1.9% for hyperopic compound astigmatism, 1.3% for hyperopic simple astigmatism, 1.3% for mixed astigmatism. 3. The axis of astigmatism were 85.7% for astigmatism with-the-rule, 9.3% for astigmatism against-the-rule, 5.0% for astigmatism oblique. 4. On total myopic spheric power. the -0.50

• 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.16 no.2
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• pp.123-133
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• 2011

Purpose: The present study was conducted to analyze any difference in the movement of aspheric RGP lens by the amounts of keratometiric astigmatisms using keratometer and corneal topography. Methods: Corneal curvatures in thirty six eyes of males and females of with-the-rule keratometric astigmatisms in their twenties were measured by a keratometer and worn aspheric RGP lenses. Then, lens rotations, vertical and horizontal movements of lens by blinking were measured to compare with lens movements when aspheric RGP lenses were fitted by total keratometric astigmatisms using corneal topography. Results: The case having higher amount of central keratometric astigmatism was 61.1% of subjects, however, 36.1% of subjects showed higher total keratometric astigmatism indicating that central keratometric astigmatism was not always bigger than total keratometric astigmatism. Since over 0.25 diopter difference between total and central keratometric astigmatisms was shown in 19 eyes (52.8% of subjects), the prescription for lens fitting could be changed. Significant difference in horizontal movement was detected with increase of astigmatism when it compared based on the amount of keratometric astigmatism measured by a keratometer. However, there was no significant difference in lens rotation, horizontal and vertical movements by comparison with the amount of total keratometric astigmatism using a corneal topography. When central keratometric astigmatism measured by keratometer was bigger than total keratometric astigmatism estimated by corneal topography, bigger lens rotation was shown compared with opposite case. Also, the tendency of bigger lens rotation was measured with the increase of keratomatric astigmatism in the case of same prescription having same base curves with same amount of keratometric astigmatism but different curvatures. Conclusions: From the present study, we concluded that lens movements on cornea were not totally different when aspheric RGP lens fitted on with-the-rule astigmatism by keratometer and corneal topography. However, there was some difference in certain lens movements. Therefore, we concluded that further study on the relationship between the prescriptions for lens fitting should be conducted for improving the rate of successful lens fitting by keratometer or for the proper application of corneal topography for lens fitting.

• Journal of Korean Ophthalmic Optics Society
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• v.8 no.2
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• pp.85-89
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• 2003

A tear lens formed by between back surface of spherical rigid gas permeable(RGP) contact lens and front surface of cornea shows an excellent correction effect of astigmatism. To study an effects of tear lens power using spherical RGP lens and therefore to utilize them in clinical procedures, we analyze a change of the total astigmatism, the cornea astigmatism, and the residual astigmatism, we derive the following conclusion. 1. Almost all refractive astigmatism below than 2.00D present fully corrected. Thereby resulting good visual acuity. Refractive astigmatism higher than 2.50D show under-corrected and apparent decrease of visual acuity if it is higher than 3.00D. 2. Amount of corneal astigmatism below than 2.50D show acceptable under-corrected while higher than 3.000 present unacceptable visual acuity. 3. An estimated residual astigmatism is not revealed as it is : but it is reduced when it incorporate to refractive astigmatism.