• Title/Summary/Keyword: accommodative lag

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Effect of Visual Sensory Improvement by Amblyopia Treatment on Improvement of Ocular Functions (약시 치료에 의한 시감각 개선이 안기능 향상에 미치는 효과)

  • Kim, Jae-Do
    • Journal of Korean Ophthalmic Optics Society
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    • v.19 no.4
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    • pp.551-555
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    • 2014
  • Purpose: This study is to investigate if the improvement of visual sensory (VS) by amblyopia treatment affects the ocular functions in refractive errors, accommodative errors and phoria at distance and near. Methods: 10 subjects (17 eyes, mean age of $10.7{\pm}2.9$ years) who treated amblyopia completely, were participated for this study. Refractive errors, accommodative errors, and distance and near phoria were compared between before and after treatments of amblyopia. Refractive errors and accommodative errors at 40 cm were measured using openfield auto-refractor (NVision-5001, Shin Nippon, Japan) and using monocular estimated method (MEM) respectively. Phoria was determined at 3 m for distance and at 40 cm for near using Howell phoria card, cover test or Maddox rod. Results: Mean corrected visual acuity (CVA) significantly increased from $0.46{\pm}0.11$ (decimal notation) for before amblyopia treatment to a level of $1.03{\pm}0.13$ for after amblyopia treatment (p < 0.001). For spherical refractive error, hyperopia significantly decreased from $+2.29{\pm}0.86D$ to a level of $+1.1{\pm}2.38D$ (p < 0.05) but astigmatism did not significantly change; $-1.80{\pm}1.41D$ for before treatment and $-1.65{\pm}1.30D$D for after treatment (p > 0.05). Accommodative error significantly decreased from accommodative lag of $+1.1{\pm}0.75D$ to a level of $+0.5{\pm}0.59D$ (accommodative lag) (p < 0.05). Distance phoria significantly changed from eso $2.9{\pm}6.17PD$ (prism diopters) to a level of eso $0.2{\pm}3.49PD$ (p < 0.05), and near phoria also significantly changed from eso $0.4{\pm}2.32PD$ to level of exo $2{\pm}4.9PD$ (p < 0.05). There was a high correlation (r = 0.88, p < 0.001) between improvement of visual acuity and decrease of accommodative lag. Conclusions: Hyperopic refractive error decreased with improvement of CVA or VS by amblyopia treatment. And the improvement of VS by amblyopia treatment also improved accommodative error, and changed phoria coupled with accommodation.

The Study of Accommodation Assessment in Binocular Functional Test (양안시검사의 조절평가 연구)

  • Cho, Young-Rae;Park, Hyun-Ju
    • Journal of Korean Ophthalmic Optics Society
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    • v.12 no.1
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    • pp.61-67
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    • 2007
  • The binocular functional test was performed in test of both accommodation and convergence. The balance of accommodation and convergence was important. Objects were 100 adults in 18-36 years old ages. The used apparatus was vision tester(Shinnippon VT10)and visual chart(Shinnippon CT30). Accommodative lag test by fused cross cylinder were that in case of high 39.0%, in case of low 14.0%. Negative relative accommodation were that in case of high 23.0%, in case of low 38.0%. Positive relative accommodation were that in case of high 29.0%, in case of low 23.0%. In 18% were case of low accommodation.

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A Clinical Study on Relation among Accommodative Amplitude, Response, and Facility in young adults (청.장년층에서 조절력 및 조절반응과 조절용이의 상관관계에 관한 임상적 연구)

  • Shim, Hyun-Seog;Joo, Seok-Hee;Leem, Hyun Sung
    • Journal of Korean Ophthalmic Optics Society
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    • v.14 no.1
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    • pp.115-119
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    • 2009
  • Purpose: This study has been conducted to know the relation among accommodative amplitude, response, and facility. Methods: 61 subjects were students without any ocular diseases and presbyopia in a university, Korea. After far distance visual acuity was fully corrected, the amplitude was measured through Push-Up test, the response was measured through Jackson crossed cylinder ${\pm}$0.25D and the facility was measured through +2.00/ -2.00D flipper. Results: The relation among accommodative facility, response and amplitude had not indicate significant level in monocular and binocular. In binocular, 12 eyes (19.6%) had a difference in amplitude, 9 eyes (14.7%) had a difference in response, 2 eyes (3.2%) had a difference in facility from norm which would be expected from their age. 4 eyes (6.5%) had difference in both amplitude and response. 2 eye (3.2%) had difference in both amplitude and facility. In all three of the amplitude, response, facility had not difference. Conclusions: The evaluation of accommodative functions and a patients accommodative dysfunction is examined all facets of amplitude, response, and facility.

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Research on Visual Function Before and After Prescription of Vertical Prism (수직사위 교정 전·후 시기능 변화에 대한 연구)

  • Kim, So-ra;Lee, Gi-yung;Park, Hyun-ju
    • Journal of Korean Ophthalmic Optics Society
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    • v.20 no.2
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    • pp.229-235
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    • 2015
  • Purpose: This study was undertaken to study on visual function before and after prescription of vertical prism. Methods: 80 subjects (10-30ages) who had been precribed vertical prism and 1 year after they were represcribed vertical prism. Results: Phoria (p=0.000), supra vergence (p=0.000), NPC (p=0.003), NPA (right eye) (p=0.005), NPA(left eye) (p=0.000) showed a significant change. Conclusion: Vertical prism prescription was reduced during revisit. Supra vergence, NPC, NPA(right eye), NPA(left eye) showed a significant change. Binocular Accommodative lag was not associated with vertical prism prescription and binocular vision findings.

Analysis of changes in ocular function according to beats per minute (BPM) (분당비트수(BPM)에 따른 안기능 변화 분석)

  • Bong-Hwan Kim;Sun-Hee Han;Chan-heum Kang;Hyeon-seok Lee;Dong-uk Kwon;Chae-won Park;Hyung-Soo Kim
    • Journal of Korean Clinical Health Science
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    • v.11 no.1
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    • pp.1639-1643
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    • 2023
  • Purpose. We wanted to find out how the changes in brain function affected by the beats per minute (BPM) of music affected visual function. Methods. The subjects were 40 people in their 20s (30 men, 10 women) with no eye disease, strabismus, amblyopia and a corrected visual acuity of 1.0 or higher. Wearing headphones while excluding surrounding noise as much as possible, we played music while adjusting the beat rate at 40 BPM intervals from 80 to 200 BPM. Then, pupil size measurement, lag of accommodation test, and minus lens addition method maximum accommodation test were performed and analyzed. Results. As a result of analyzing changes in visual function according to beats per minute [BPM], it was found that although sound can be consciously affected, it does not directly affect visual function significantly in terms of accommodative lag and changes in pupil size. It was confirmed that the effect was limited to the maximum accommodation. Conclusions. In clinical practice, it is necessary to conduct a refraction test while keeping in mind that there are changes in visual function depending on the BPM of surrounding sounds.

Comparison of Binocular Function in Normal Subjects and Convergence Insufficiency (정상안과 폭주부족안의 양안시기능 검사값 비교)

  • Shim, Hyun-Seog;Shim, Moon-Sik;Kim, Sang-Hyun
    • Journal of Korean Ophthalmic Optics Society
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    • v.15 no.3
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    • pp.287-291
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    • 2010
  • Purpose: The aim of this study was to compare binocular functions such as near point of convergence (NPC), AC/A ratios, heterophoria, accommodation, accommodation lag, positive relative accommodation (PRA), negative relative accommodation (NRA), positive relative convergence (PRC), negative relative convergence (NRC) in normal subjects and convergence insufficiency. Methods: 86 subject (male n=45, female n=41, mean $age{\pm}SD=23.27{\pm}2.85$ years) without amblyopia, strabismus, and ocular pathology were studied. Forty three patients each group were classified as normal subjects and convergence insufficiency group based on AC/A ratio and far and near phoria. Binocular function of the two groups was measured using phoropter. r. Results: The values between normal subjects and convergence insufficiency were 5.71 cm and 7.07 cm for NPC, 5.28 and 2.81 for Heterophria AC/A, 0.92 exo/3.36 exo and 2.17 exo/10.84 exo for far and near phoria, 15.49/23.30/13.30 and 13.50/20.02/9.09 for PRC, respectively. However, there were no significant differences between normal subjects and convergence insufficiency for accommodative amplitude, accommodative lag, PRA, NRA, BI vergence test, BO vergence test, NRC. Conclusions: Both groups were a significant difference for cover test, NPC, Heterophria AC/A, far and near phoria, break point of PRC, and recovery point of PRC.

Comparison and Analysis of Keywords in the Korean Ophthalmic Optics Society Articles to MeSH Terms (한국안광학회지 게재 논문의 주제어와 MeSH 용어의 비교·분석)

  • Kim, Daeyoon;Lee, Min Hyung;Choi, Moonsung
    • Journal of Korean Ophthalmic Optics Society
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    • v.21 no.2
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    • pp.83-90
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    • 2016
  • Purpose: The purpose of this study is to compare and analyze keywords of articles in the Korean Ophthalmic Optics Society to MeSH (Medical Subject Headings) terms. The study hopes to enhance the understanding and usage of MeSH and give fundamental information to the Korean Ophthalmic Optics Society in advance. Methods: A total of 1952 keywords from 409 informative articles published from 2004, Vol 9(1) to 2016, Vol 21(1) were compared with MeSH terms according to the criteria of complete coincidence, incomplete coincidence and complete incoincidence. Results: 439 keywords (22.4%) were completely coincident with MeSH terms, 815 keywords (41.8%) were incompletely coincident with MeSH terms and 693 keywords (35.5%) were completely incoincident with MeSH terms. The most used keyword in MeSH terms is in the order of Myopia, Astigmatism and visual acuity. For the incompletely coincident keywords Refractive error, Soft contact lens, and Phoria were used the most. Finally, the most used keywords in the category of completely incoincident were Accommodative lag and Pseudomonas aeruginosa. Conclusions: It is highly recommended that MeSH terms are selected as controlled keywords to increase usage of searced Korean Ophthalmic Optics Society articles in MEDLINE.

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.

The study of binocular function of college students (대학생들의 시기능에 대한 연구)

  • Cho, Young-Rae;Park, Hyun-Ju;Seo, Ji-Keun;Seong, Jeong-Sub;Kim, Jae-Min
    • Journal of Korean Ophthalmic Optics Society
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    • v.10 no.2
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    • pp.103-110
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    • 2005
  • Binocular vision had a short history in Korea. As there were many near works in these days, the needs about comparative study have been increased. There was related to both refractive error and binocular anomalies, but it is difficult to applying for binocular vision expected findings in itself due to the fact that Korean differ from foreigner. Objects were 100 adults in 18-36 years old ages, The test was Von Gaefe method and used aparatus was phoropter(Shinnippon VT10)and visual chart(Shinnippon CT30). According to interview results was that symptom in near works were headaches 28.0%, blinking 27.3%, red eye 25.1%, eyepain 15.6%, watering 15.3%, itch 12.2%, photophobia 8.5% and eye strain 7.4%. A people who have above ${\pm}0.50$ D refractive error in total objectives (100-male 45/female 55) were classified into ametropia. There was a results such as emmetropia (12.0%), ametropia(88.0%), exophoria(32.0%), esophoria(12.0%). Far negative relative convergence were that in case of high 43.0%, in case of low 7.0%. Far positive relative convergence were that in case of high 15.0%, in case of low 38.0%. Near phoria was exophoria(32.0%), esophoria(12.0%). Near negative relative convergence were that in case of high 23.0%, in case of low 38.0%. Far positive relative convergence were that in case of high 29.0%, in case of low 23.0%. Near negative relative accommodation were that in case of high 10.0%, in case of low 14,0%, Far positive relative convergence were that in case of high 69.0%, in case of low 12.0%. Results were different from expected findings, and especially positive relative accommodation was very high, However, We suggest that the expected findings in Korea for several subjects must study in binocular function.

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