• Title/Summary/Keyword: cycloplegic refraction

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Difference between Manifest Refraction (MR) and Cycloplegic Refraction (CR) with Age and Myopic Value (연령과 근시도에 따른 현성굴절검사와 조절마비굴절검사의 비교)

  • Jeong, Woo-Jae;Kang, Ji-Hun;Jeon, In-Chul
    • Journal of Korean Ophthalmic Optics Society
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    • v.18 no.1
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    • pp.85-91
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    • 2013
  • Purpose: The purpose of this study is to investigate difference between manifest refraction (MR) and cycloplegic refraction (CR) with age and myopic value. Methods: Manifest and cycloplegic refractions were carried out on the patients of 229 myopic patients ($25.3{\pm}11.9$ years old). Results: The average results from a pre- and a postcycloplegic refraction showed a reduction of 0.19 D in myopia, 0.02 D in astigmatism and $1.85^{\circ}$ in astigmatism direction. Change of myopic value was higher in 30~40 age. Total 73 eyes of 229 patients who showed 0.50 diopter (D) in spherical, and a high degree of myopia group showed a higher discrepancy rate. Conclusions: The results found in the comparison of the value of the manifest refraction and cycloplegic refractions showed changes of myopic value was not significant with age of patient, but the group of high degree of myopia showed higher discrepancy rate.

Comparison between Manifest Refraction and Cycloplegic Refractin for the First-time Spectacle Wearers (최초 안경착용자의 현성굴절검사(MR)와 조절마비굴절검사(CR)의 비교)

  • Kim, Hye-Ran;Choi, Sun-Mi
    • Journal of Korean Ophthalmic Optics Society
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    • v.13 no.4
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    • pp.145-149
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    • 2008
  • Purpose: To study the difference between refractive errors obtained from manifest refraction (MR) and cycloplegic refraction (CR) in first-time spectacle wearers. To study the difference between manifest refractive errors and cycloplegic refractive errors in first-time spectacle wearers. Methods: From January 2002 to December 2002, manifest and cycloplegic refractions were carried out on the patients who visited an ophthalmology clinic for a spectacle prescription for the first-time. The patients were 509 male and 499 female patients aged between from 3 to 15 years old. Results: The cycloplegic refraction showed a less myopia and a more hyperopia compared with the non-cycloplegic refraction. The differences were more in female patients. The CR showed a less myopic and a more hyperopic refractive errors than the MR. The differences were more in female patients. The average results from a pre- and a post-cycloplegic refraction showed a reduction of -0.22D in male, and -0.20D in female for the myopic group. For the myopic group, the myopic refractive errors by MR were -0.22D in male and -0.20D in female higher than the refractive errors by CR. Hyperopic group showed an increase of +0.37D in male, and +0.56D in female. For hyperopic group the hypropic refractive errors by CR were +0.37D in male and +0.56D in female higher than the refractive errors by CR. This difference between the results of a preand a post-cycloplegic refraction was more if the patients were younger. This difference between refractive errors by MR and by CR showed the younger the more and the proportions of pseudo-myopia and or latent hyperopia were also higher with younger patents age. The amounts of with-the-rule astigmatism and the oblique astigmatism were increased for the post-cycloplegic refraction in the CR refraction. Simple astigmatism reduced, but there was no difference found in the amount of astigmatism. The prevalence of simple astigmatism reduced, but there was no difference in the amount of astigmatism. Conclusions: The difference between manifest refraction and cycloplegic refraction was more in younger group. The difference of refrative error between by MR and CR increases with ageing decrease. Pseudo-myopia and latent hyperopia was also found in the younger group. Simple astigmatism reduced after cycloplegic refraction, there was no difference found in the amount of astigmatism. The prevalence of simple astigmatism reduced, but there was no difference in the amount of astigmatism.

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A Study on Usefulness of Static Retinoscopy in Eyes Opened for Hyperopic School-aged Children (양안개방상태에서 학령기 원시안 아동의 정적 검영법의 유용성 고찰)

  • Chun, Young-Yun;Park, Seong-Jong;Song, Woo-Jin;Lee, Seok-Ju
    • Journal of Korean Ophthalmic Optics Society
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    • v.17 no.3
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    • pp.293-298
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    • 2012
  • Purpose: We compared static retinoscopy in eyes opened with cycloplegic refraction depending on the hyperopia for school-aged children. Methods: There were 59 eyes (30 patients) who were divided into 3 groups - the mild hyperopia (+0.25 D ~ +1.00 D), moderate hyperopia (+1.25 D ~ +2.00 D) and high hyperopia (+2.25 D or more). They all had 0.8 visual acuity or more. Autorefraction and retinoscopy were performed prior to cycloplegic refraction, and then copmared with manifest refraction and cycloplegic refraction. Results: Hyperopia measured with static retinoscopy tends to be measured higher than manifest refraction for school-aged children. Changes of spherical power was statistically significant (p < 0.001). Changes of astigmatism was not statistically significant (p > 0.05). Conclusions: The difference between cycloplegic refraction and static retinoscopy was not significant for hyperopic school-aged children. The use of retinoscopy was limited for opticians because of legal constraints. The usage of static retinoscopy in eyes opened for optician should be generalized under the conditions not using the cycloplegic.

Comparison of Noncycloplegic Autorefraction, Manifest Refraction and Cycloplegic Autorefraction in School-aged Children (학령기 근시아동에서 비조절마비 자동굴절검사, 검영법, 조절마비 자동굴절검사에 의한 굴절검사값의 비교)

  • Kim, Dae-Young;Lee, Koon-Ja;Baarg, Saang-Bai;Kim, Hyojin
    • Journal of Korean Ophthalmic Optics Society
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    • v.15 no.2
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    • pp.123-130
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    • 2010
  • Purpose: The study was conducted to compare the values of auto-refraction, manifest refraction and cycloplegic refraction in school-aged children. Methods: One hundred five myopic school children ranged from 6 to 14 years old (210 eyes, $10.28{\pm}1.59$ years old) were recruited and noncycloplegic auto-refraction (AR) and manifest refraction (MR) were conducted and then underwent cycloplegia and refractive status (CR) again with the auto-refractometer. Results: Refractive powers measured by AR, MR, and CR were highly correlated. However, spherical and cylindrical powers of the subjects measured by AR were measured higher negative power than in CR (p<0.001). From 210 eyes, the discrepancy rate in the spherical and cylindrical powers were 40 eyes (19%) and 19 eyes (9%) of the total subjects, respectively and the differences between noncycloplegic and cycloplegic refractions were higher with the spherical and cylindrical powers increasing. Conclusions: The use of the autorefractometer in children with negative spherical power without cycloplegia may overestimate the actual myopia that subjective refraction is the most important in prescription for the eyeglasses and regression equations would be used to prognose the cycloplegic refraction from the auto-refraction as the basic data for the subjective refraction.

Effect on Myopia Progression Wearing Eye-glasses for School Children (학령기 아동의 안경착용이 근시진행에 미치는 영향)

  • Lee, Seok-Ju;Park, Seong-Jong;Chun, Young-Yun
    • Journal of Korean Ophthalmic Optics Society
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    • v.16 no.2
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    • pp.195-200
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    • 2011
  • Purpose: We analyzed the influence of myopic's eye-glasses wearing on myopia progress after cycloplegic refraction. Methods: The 33 people (66 eyes) were school children from 8 years to 12 years having no experience eye-glasses wearing, they were taken cycloplegic refraction at the 100th, the 200th and 300th days in order to evaluate myopia progression. We investigated the eye-glasses wearing group (experimental group, 32 eyes) and the non-eye-glasses wearing group (control group, 34 eyes). The eye-glasses power of the experimental group were -0.50 D, -0.75 D, -1.00 D, -1.25 D and -1.50 D. We compared experimental group with control group for myopia progress according to period, age, and refraction error and investigated the myopia progress according to the eye-glasses power of experimental group. Results: At the 300th day from the first cycloplegic refaction, spherical equivalent for the experimental group increased as -1.03${\pm}$0.43 D (t=13.36, p<0.001) and for the control group increase as -0.61${\pm}$0.35 D (t=10.05, p<0.001) and two groups were statistical difference. Myopia power for experimental group increased 60.75%, for control group increased 56.66% at the 300 days. According to eye-glasses power increased 41.19${\pm}$15.25% at -1.50 D, 36.74${\pm}$19.29% at -1.25 D, 56.57${\pm}$20.21% at -1.00 D, 87.26${\pm}$49.38% at -0.75 D and 106.69${\pm}$59.60% at -0.50 D. Conclusions: The myopia power for the eye-glasses wearing group was 0.46 D faster than the non-eye-glasses wearing group at the 300th day from the first cycloplegic refraction. We will consider the effect of non-eye-glasses wearing to protect the progressing myopia and prescribe the under correction for school children having no experience eye-glasses wearing.

BIOMETRY OF MYOPIC ANISOMETROPIA AND ISOMETROPIA

  • Kim, Jaedo;Hellen Swarbrick;Jack Alexander
    • Proceedings of the Optical Society of Korea Conference
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    • 2002.07a
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    • pp.74-75
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    • 2002
  • This study investigated the relationship between refractive error and ocular elements in myopic anisometropia and isometropia. 15 visually normal myopic anisometropes (>1.00 D interocular difference), 14 emmetropes (${\pm}$ 0.50 D), 15 low myopes (<3.00 D) and 15 high myopes (>3.00 D) participated in the study. Refractive error was measured by non-cycloplegic subjective refraction. (omitted)

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A rare case report of pseudomyopia after impacted teeth extraction under general anesthesia

  • Kim, Ji Hong;Paik, Hyesun;Ku, Jeong-Kui;Chang, Na-Hee
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.48 no.5
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    • pp.309-314
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    • 2022
  • Ophthalmic complications after tooth extraction are rare but discomforting events. This paper reports the rare complications of a 20-year-old male patient who presented with transient blurring of vision after surgical extraction of several teeth under general anesthesia. Additional diagnostic tests were performed to discern the reason for the pseudomyopia. A literature review was carried out by searching for articles published from 1936 to 2019 using the keywords "dental," "ophthalmic," "complication," "blurring of vision," and "accommodation disturbance" in PubMed. Only six patients with detailed ophthalmic symptoms similar to those of our patient have been reported. If blurred vision or a myopic shift in refraction is present, pseudomyopia should be suspected, and cycloplegic refraction is essential for diagnosis. The condition improves spontaneously

Relationship between Uncorrected Visual Acuity and Refraction of the Children and Teenagers (소아, 청소년의 나안시력과 굴절이상의 상관성 분석)

  • Kim, Sang-Moon;Shim, Hyun-Seok;Shim, Jun-Beom
    • Journal of Korean Ophthalmic Optics Society
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    • v.18 no.2
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    • pp.173-178
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    • 2013
  • Purpose: This study is to predict refractive errors according to uncorrected visual acuity using uncorrected visual acuity of the first glasses wearers. Methods: For 886 children who visited an ophthalmic clinic, subjective refraction was carried out with maintain refraction (MR) and cycloplegic refraction (CR), and objective refraction was carried out using auto-refractometer. Uncorrected visual acuity and corrected visual acuity were tested using on a trial lens and a Han's visual acuity chart. Results: In correlation between with the uncorrected visual acuity and refractive the myopia was the highest (r=0.774) and followed by hyperopia (r=0.670), simple astigmatism (r=0.623), simple with-the-rule astigmatism (r=0.604)and simple against-the-rule astigmatism (r=0.508). Conclusions: There were differences in the predictions between uncorrected visual acuity and refractive error according to the types of refractive error and astigmatism.

The Effect of cycloplegia in Emmetropia with Use of Cycloplegia (조절마비제로 정시안이 된 눈의 조절마비 효과)

  • Shim, Hyun-Seog;Shim, Moon-Sik;Jang, Seong-Ju
    • Journal of Korean Ophthalmic Optics Society
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    • v.11 no.3
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    • pp.201-206
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    • 2006
  • The purpose of this study is observed effect of cycloplegia in emmetropia with use of cycloplegia. We examined the naked visual acuity, mainfest refraction, 105eyes with emmetropia(under SE ${\pm}0.50D$, Cyl ${\pm}1.00D$) after the use of cycloplegia. We used Nidek ARK-700 autorefractometer. Sexual difference of mainfest refraction error showed in male -0.67D, female -0.92D and difference of the CR and the MR male 0.5D, female 0.81D the total mean 0.69D. The naked visual acuity were in male 0.82, female 0.74, total mean 0.77. Age comparison, difference CR and MR were total mean 0.69D and 13 years group 1.1D were the highest. The naked visual acuity were in the highest 10 years group 0.86. Effect of cycloplegia was $0.69D{\pm}0.79$ in emmetropia and visual acuity was $0.77{\pm}0.21$. The optician, it will not be able to use cycloplegia, must pay attention spectacle prescription unnecessary and over correction in condition below -0.75D MR, above 0.77 visual acuity.

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Corneal Asphericity for Myopia in Korea (한국인 근시안의 각막 비구면성)

  • Kim, Hyo-Jin;Lee, Dong-Hee
    • Journal of Korean Ophthalmic Optics Society
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    • v.11 no.2
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    • pp.109-114
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    • 2006
  • We evaluated the contour using corneal asphericity of the myopic cornea in Korea and investigated the relationship between refractive error and other ocular dimensions in Korean myopia, including anterior chamber depth and asphericity. The monoocular asphericity value of 50 myopes with $-4.83{\pm}2.38$ D between early 20 age and early 30 age in adult was included. Cycloplegic refraction, corneal asphericity and anterior chamber depth using corneal topography were examined. The mean asphericity values were$-0.27{\pm}0.13$ and the corneas of 96.0% were prolate ellipse. Refractive error was related to asphericity and anterior chamber depth among myopes. However, asphericity only were significant difference in high and low myopia group. Corneal configuration on the contact lens fits are discussed. We think that the longitudinal study for myopia and asphericity was required.

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