• Journal of Korean Ophthalmic Optics Society
• /
• v.3 no.1
• /
• pp.75-86
• /
• 1998

The purpose of this study is to evaluate the effects of continuing work on VDT(video display terminal), therefore this study examined visual fatigue, unaided visual acuity, refractive error, accommodation and horizontal phoria of 152 subjects who did two hour long VDT work. For the ocular symptoms, the greatest number was tired eyes accounting for 45.71%. In the visual symptoms, blurred vision was the hightest rate of 80.39% and in case of systemic symptoms shoulder pain was 33.33% marked top ranking. The average of near visual acuity decresed almost 10% from 0.47 to 0.42, but refractive error increased about 0.10D to the direction of myopic shift. The amplitude of accommodation decreased approximately 0.72D from 7.46D to 6.74D. Accommodation facility was delayed from 2.27 second to 2.50 second, the amplitude of positive relative accommodation was decreased from 4.76D to 4.16D and the amplitude of negative relative accommodation was decreased from 2.46D to 2.33D. The horizontal phoria shifted to the direction of esophoria from $1.82{\Delta}$ to $3.24{\Delta}$.

• Journal of Korean Ophthalmic Optics Society
• /
• v.15 no.3
• /
• pp.287-291
• /
• 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.

• Journal of Korean Ophthalmic Optics Society
• /
• v.20 no.2
• /
• pp.219-228
• /
• 2015

Purpose: The current study was performed to compare the difference in binocular visual function depending on variable background colors at near work. Method: Fifty four adults (18 males, 34 females) who consented to the present study and had no ocular disease, ocular surgery history, strabismus and amblyopia with normal binocular vision were participated into this study. The subjects were asked to read the novels with black letter printed on white, red, green and blue background for 15 min. Then, their heterophoria, AC/A ratio, near point of convergence, accommodation facility, relative accommodation and vergence were measured before and after reading. The difference of measurements were compared. Result: Overall heterophoria was tended to decrease with regardless of background color. AC/A ratio showed a tendency of increase after reading the novels with all backgrounds except white background. Near point of convergence was significantly increased compared to before reading at all background color. Accommodative facility of dominant and non-dominant eyes were also significantly increased after reading however, binocular accommodative facility showed a tendency of decrease. Negative relative accommodation also decreased at all background colors however, the change of positive relative accommodation was not significantly different. In case of vergence, there was significant difference in break point of far BO and recovery point of far BI by the wavelength of background color. Conclusions: From the results, it was known there is convergence change depending on the wavelength of light even though same amount of accommodation and convergence is required when doing near work for certain period. Thus, it can be suggested that the adjustment of the near working environment which perception of various color was required, should be conducted according to the main wavelength.

• Journal of Korean Ophthalmic Optics Society
• /
• v.20 no.2
• /
• pp.255-261
• /
• 2015

Purpose: purchasing status and understanding trends of Functional progressive addtions lenses buyers', Correlation analysis of the Binocular Function value to determine ADD then can be apply sales and prescriptions. Methods: Years 2011 to 2014, 298 patients who were prescribed functional progressive lenses were analysed based on the prescription data and SPSS (Ver. 20.0) was treated using the statistics. Results: Results: The average age of our customers are $27.66{\pm}11.55$ years, average addition power is $+0.73{\pm}0.36D$, customers are using take a prescription of ADD $+0.75{\pm}0.28D$ was the highest 44.33% to 132 people. Near point of convergence of 276 people (92.62%) was mostly less than 10 cm, and near point of accommodation of 134 people (44.97%) was also below 10 cm, within 11~15 cm were 122 people (40.94%). Most of people were within normal range in terms of Near point of convergence and near point of accommodation, near point of accommodation tend to be longer than Near point of convergence. As you can see this result shows most of customers need extra help in their near point of accommodation instead of they are leak at it. FCC (Fused cross cylinder) check Value and ADD (addition power) tests showed that the value of a strong correlation (p=0.00), NPC and NPA were also p=0.001, the correlation of the NPC and ADD is p=0.003, In addition, NPA and ADD also showed a significant correlations (p=0.005). Near Point of Accommodation, negative relative accommodation, and positive relative accommodation are all significantly correlated (p=0.00). The short distance-related variables of the ADD which are NPC, NPA, Age, also appeared to side correlate significantly with each other. Conclusion: Binocular function values of the subjects were highly correlated with each other so precise examination is required. when Age young people are working at short distance, low ADD values was prescribed for solving discomfort. So, in the case of early presbyopia, accommodative insufficiency, or people feel fatigue when they often working at near although their accommodation function is normal, when functional progressive lenses are prescribed, expectation of this should be exactly notified.

• Journal of Korean Ophthalmic Optics Society
• /
• v.10 no.2
• /
• pp.103-110
• /
• 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.

• Journal of Korean Ophthalmic Optics Society
• /
• v.11 no.3
• /
• pp.193-200
• /
• 2006

We investigated the visual analysis of the far distance phoria for 83 subjects who have emmetropia or myopia eyes, using the graphic method, and determined new norms. We got the following results from these experiments. 1. The measured norm of far distance phoria is $1.12{\Delta}$, exophoria, the that of near distance phoria is $0.50{\Delta}$, exophoria, the that of negative relative convergence at far distance(N.R.C.) is ${\times}$/11/5, the that of positive relative convergence at far distance(P.R.C.) is 10/20/8, the that negative relative convergence at near distance(N.R.C.) is 11/21/5, the that of positive relative convergence at near(P.R.C.) is 10/20/8, the that of negative relative accommodation(N.R.A.) is +2.54D, and the that of positive relative accommodation(P.R.A.) is -2.60D, respectively. We know from theses results that the measured norms of far distancet phoria is higher than Morgan's norms, while those of near distance phoria are lower than Morgan's norms. 2. We also know from these experiments that Morgan's norms are closely related to A, B, and C groups and Morgan's criterion can more usefully apply to the visual analysis. 3. In Sheard's criterion and Percival's criterion, the prism prescription is occurred when the exophoria of the far-point phoria is over $7{\sim}9{\Delta}$, and the esophoria of that is over $4{\sim}6{\Delta}$.

• Journal of Korean Ophthalmic Optics Society
• /
• v.13 no.4
• /
• pp.127-134
• /
• 2008

Purpose: The purpose of this study was to determine the expected values of accommodation and vergence system for analysis of binocular vision. Methods: Seventy three healty subjects without past history of eye disease were selected for this study, Patients showing clinical binocular anomalies including manifest squint and intermittent heterotropia were excluded and data was collected on 54 patients(mean age, 25.3${\pm}$2.7 year). Near point of convergence, distance and near phoiras were measured based on objective deviation angle. And then AC/ A ratio, relative accommodation were measured and all of the data were compared with the Morgan's expected values. Results: The values of distance and near heterophoria were 1.24${\pm}$2.72${\Delta}$ and 2.70${\pm}$4.91${\Delta}$ respectively and the gradient AC/A ratio was 3.92${\pm}$2.17${\Delta}$/D which were all about the same compared with the Morgan's expected values. The values of distance negative fusional convergence was same, however, distance positive fusional convergence was 7${\Delta}$ greater than the Morgan's one. There were no significant differences in the range values of both near vergences while the range of distance vergence was relatively larger than the Morgan's one. Positive relative accommodation was +0.37D greater and negative relative accommodation was -0.63D greater than the Morgan's values. Conclusions: The findings in this study appear that the Morgan's expected values have a possibilities of including considerable proximal convergence value. In comparison with Morgan's values, Korean's normal expected values have much different values of especially BO limit, so if the Morgan's values are directly applied to binocular vision analysis for Korean people, it may lead to an inaccurate binocular vision diagnosis. This results can be used to diagnose the accommodation and vergence system of Korean normal young adults.

• Journal of Korean Ophthalmic Optics Society
• /
• v.19 no.2
• /
• pp.253-260
• /
• 2014

Purpose: The present study was conducted to investigate whether near work with smartphone could induce the change of accommodative function. Methods: Total 63 subjects(26 male and 37 female) in their 20s were firstly examined their visual functions related to accommodation and uncorrected spherical equivalent power as the control. After that, the subjects were asked to read a book for 30 min and sequentially watch a movie on smartphone for the same time after 30 min-break under the indoor light or as it was in the reverse order to avoid time-ordered effect. Their accommodative functions, 1) accommodative amplitude, 2) accommodative facility, 3) relative positive/negative accommodation, and 4) accommodative lag and their uncorrected spherical equivalent power were examined again following each task and compared with the control values. Results: The monocular accommodative amplitude was significantly decreased after smartphone watching compared with it after reading. The monocular and binocular accommodative facilities were tended to reduce after smartphone watching and book reading but were not significantly different. Neither significant change in positive relative accommodation was determined after smartphone watching nor book reading. Negative relative accommodation after smartphone watching was almost unchanged unlike reading a book. The accommodative lag after smartphone work was significantly higher than after book reading. Conclusions: The near work with a smartphone for 30 min induced the change of some accommodative functions, which was significantly greater than when reading under the same working environment.

• Journal of Korean Academy of Nursing
• /
• v.27 no.1
• /
• pp.169-177
• /
• 1997

This study aims at empirically clarifying the relationship between power and the interpersonal conflict, including nurses' understanding of their relative power, the causes of interpersonal conflicts with the nurses, and strategies to resolve conflicts, in order to understand how nurses' relative power affect their conflicts. For the empirical survey, the population was defined as all the nurses working at a medical organization in Seoul, Korea. 1083 nurses were selected as the sample for the questionnaire survey and statistical analyses. For the sampling, 32 medical organizations were selected by a stratified random method and sub-samples were arbitrarily drawn from each organization to obtain the final sample of 1083 nurses who responded to the questionnaire designed by the reseacher. According to the result of the study, most nurses experience conflict more than once a month, and 70.4% of the respondents answered that interpersonal conflicts were directly or indirectly caused by power relations. which indicates that they perceive power relations as the main cause of interpersonal conflicts. Nurses experienced the most conflicts with interns and residents(29.7%), then patients and their families(24.3%), higher-positioned nurses(12.3%), nurse colleagues(7.7%), lower-positioned nurses(6.5%), and staff doctors(5.1%). If we classify these into three groups. the frequency of the conflicts, from most frequent to least. is in the order of doctors. nurses, and patients. In terms of relative power, nurses perceive that they have greater power than patients and their families, lower-positioned nurses, and nurse colleagues. In contrast, nurses perceive that they have less power than interns and residents, higher-positioned nurses. and staff doctors. Among these groups. nurses perceive that they have the most power over patients and the least over staff doctors. These results indicate that nurses tend to experience more conflicts with members of groups that are stronger than themselves in terms of relative power, Nurses use positive strategies such as the compromise strategy(32.3%) or the collaboration strategy (20.3%) to manage conflicts, more than other strategies. However, they use avoidance or competition strategy more at the earlier stage, compromise strategy more in the mid stage, and collaboration strategy more at the later stage of the interpersonal conflict. In relation to power, nurses use the collaboration strategy or the compromise strategy more when their perceived power is greater than or equal to their counterpart's, and they use the avoidance strategy or the accommodation strategy if their power is less. In terms of source of power, nurses' perceived relative power is greater in the order of referent power. expert power, reward power, legitimate power. and coercive power. where referent power is perceived as having the greatest power and coercive power is least. Most nurses(69.3%) used their power to resolve a conflict. with positive outcomes. Expert power was used most frequently. Overall. this study strongly indicates that the enhancement of power of nurses to have equal power relations with doctors would heighten the success of conflict resolution, since power is the main cause of conflicts. Specifcally. nurses experience most conflicts with doctors against whom they perceive the greatest gap in power. and the choice of a conflict management strategy depend upon their power relations.

• Journal of Korean Ophthalmic Optics Society
• /
• v.10 no.3
• /
• pp.205-213
• /
• 2005

To evaluate the reliability of binocular vision measurements by phorometry. 90 students volunteered to participate in this study. 25 subjects were males, and 65 were females, they ranged in ages from 21 to 30 years. All subjects had normal ocular and systematic health, and all of them had at least 1.0 visual acuity with their best correction. At negative relative convergence(NRC) measurement in distance, the percentage of subjects is included in expected value(blur point/break point/recovery point) was 78%/61%/67%, divergence excess(DE) was 9%/31%/33%, and divergence insufficience(DI) was 13%/8%/9%, respectively. And positive relative convergence(PRC) measurement, includes expected value was 20%/46%/39%, convergence excess(CE) was 22%/14%/16%, and convergence insufficience(CI) was 35%/40%/45%. AC/A ratios of 42 subjects were normal. 38 were low, and the rest of them high. A low AC/A ratio is usually the result of a small vergence response in relation to accommodation. Negative relative convergence(NRC) at near, includes expected value was 26%/29%/44%, divergence excess(DE) was 61%/33%/24%, and divergence insufficience(DI) was 3%/38%/32%. And PRC at near, includes expected value was 33%/40%/31%, convergence excess(CE) was 61%/23%/42%, and convergence insufficience(CI) was 6%/37%/27%. For the near point of convergence(NPC) test, 58% of their subjects had a break of ${\leq}8cm$ with the accommodative target. In case of NRA(PRA) measurement, the expected value was 41%(33%). Accommodative insufficiency (AI) was 33%(43%), and accommodative excess(AE) was 26%(24%), respectively. AE was related to respectively low values of NRA. AI and CE are associated with high value of NRA, and the dysfunction of convergence excess combined with AE was related to a normal-high values of NRA. PRA in AI was related to a low value, wheres the dysfunction are associated with high values of PRA.