• Journal of Korean Medical Science
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• v.33 no.44
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• pp.275.1-275.15
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• 2018

Background: We compared the efficacy between trifocal and bifocal diffractive intraocular lens (IOL) implantation. Methods: Through PubMed, MEDLINE, EMBASE, and CENTRAL, we searched potentially relevant articles published from 1990 to 2018. Defocus curves, visual acuities (VAs) were measured as primary outcomes. Spectacle dependence, postoperative refraction, contrast sensitivity (CS), glare, and higher-order aberrations (HOAs) were measured as secondary outcomes. Effects were pooled using random-effects method. Results: We included 11 clinical trials, with a total of 787 eyes (395 subjects). The trifocal IOL group showed better binocular distance VA corrected with defocus levels of -0.5, -1.0, -1.5, and -2.5 diopter than the bifocal IOL group (All $P{\leq}0.004$). The trifocal IOL group showed better monocular uncorrected distance and intermediate VAs (mean difference [MD], -0.04 logarithm of the minimum angle of resolution [logMAR]; 95% confidence interval [CI], -0.07, -0.01; P = 0.006 and MD, -0.07 logMAR; 95% CI, -0.13, -0.01; P = 0.03, respectively). Postoperative refraction, glare, CS, and HOAs were not significantly different from each other. Conclusion: The overall findings indicate that trifocal diffractive IOL implantation is better than the bifocal diffractive IOL in intermediate VA, and provides similar or better in distance and near VAs without any major deterioration in the visual quality.

• Proceedings of the Optical Society of Korea Conference
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• 2001.08a
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• pp.82-83
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• 2001

• Korean Journal of Optics and Photonics
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• v.26 no.3
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• pp.147-154
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• 2015

We propose a method for simultaneously measuring the front and back surface profiles of transparent optical components. The proposed method combines dual-wavelength transmission deflectometry with liquids to record distorted phases at different wavelengths, and then numerically reconstructs the three-dimensional phase information to image the front and back surfaces of the lens. We propose a theoretical model to determine the surface information, and a bifocal lens is experimentally investigated. Unlike conventional transmission deflectometry, our proposed method supports direct observation of the front and back surface profiles of the optical elements.

• Journal of Korean Ophthalmic Optics Society
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• v.14 no.1
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• pp.103-108
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• 2009

Purpose: The objective of this study is to compare and analyze the wearing status of refractive error correction devices of elders who reside in a city or in a small town district. Methods: Each of opticians from a small town or a city was selected for the study of wearing status of presbyopia correction device for each residential district in units of percentage. with the analysis of the age and gender distributions of the elders, numbers of elderly members, and the kinds of presbyopia correction. Results: The wearing rate of progressive lens was reduced in reverse proportion to the increase of the age for the people of presbyopia in a twon. Pepople in 60s living in a town perferred to wearing bifocal lens, but people of 50~60s preferred to single vision lenses. However, none of people living in a city who is diagnosed as presbyopia had refractive error correction device, and no one used bifical lenses. The progressive lens was mostly used in the people of 40~50s and using rate of those lenses reduced with the age; and single vision lens had the highest rate of in the 40~50s but no one wore it in the 70s. Conclusions: Among the refractive error correction devices, the progressive lens was most widely worn by presbyopia group who is living in a town or a city. In particular, the refractive error correction devices were most preferred in 40~50s of early presbyopia. The highest preference for the progressive lens in the people with the early presbyopia indicates that the wearing rate of the progressive will be increased in future. Therefore, the opportunity of systematic education on the progressive lens should be increased.

• Journal of Korean Clinical Health Science
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• v.8 no.1
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• pp.1386-1397
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• 2020

Purpose: To examine the effectiveness of various treatments; bifocal spectacles, orthokeratology, atropine, and time spent in outdoors; in slowing down the myopia progression for Asian adolescents (6-18age). Methods: The research focused on examining the most effective treatment in controlling myopia based on the literature sources that have been published. Through meta-analysis of various research papers that already has been done in this field, a lot of data was collected. For each treatment, the difference in axial length and spherical equivalent over time was measured and recorded. To quantitatively record the difference, both axial length and spherical equivalent was determined by value of control group value of treatment group. The paper compared the effectiveness of each treatment based on the data that was measured. Results: Adolescents who chose to spend time outdoors in order to slow down myopia progression had axial length difference of 0.03 mm and spherical equivalent difference of 0.17 D. Adolescents that used atropine had axial length difference of 0.36 mm and spherical equivalent difference of 0.92 D. Bifocal spectacle resulted in axial length difference of 0.21 mm and spherical equivalent difference of 0.59 D, and for orthokeratology 0.23 mm and 0.04 D, respectively. Axial length wise, myopia was most controlled by the atropine since there was a greatest difference between the group that got the treatment and the group that did not have the treatment. According to the spherical equivalent difference data, myopia was most controlled by atropine. Conclusion: Atropine showed the most effective result in controlling myopia among the four treatment. Again, compared to other three treatment, using atropine appeared to have greatest ability in slowing down myopia progression since adolescents who were treated with atropine had greatest difference from adolescents in the control group that had the same condition but didn't get the treatment. However, every treatment was only used for 2 or 3 years which is quite short time period to measure the long term effect of the four treatments. Also, since atropine is a pharmaceutical method to control myopia, it may harm adolescents' eyes compared to optical or environmental treatment.