Comparison of Subjective Refraction Findings in Two Different Levels of Room Illumination Using Three Different Types of Letter Charts

  • Chen, Ai-Hong (Department of Optometry, Faculty of Health Sciences, Kampw lalan Othman, Universiti Teknologi MARA) ;
  • Norazman, Fatin Nur Najwa (Department of Optometry, Faculty of Health Sciences, Kampw lalan Othman, Universiti Teknologi MARA) ;
  • Buari, Noor Halilah (Department of Optometry, Faculty of Health Sciences, Kampw lalan Othman, Universiti Teknologi MARA) ;
  • Ahmad, Azmir (Department of Optometry, Faculty of Health Sciences, Kampw lalan Othman, Universiti Teknologi MARA) ;
  • Omar, Wan Elhami Wan (Department of Optometry, Faculty of Health Sciences, Kampw lalan Othman, Universiti Teknologi MARA)
  • 투고 : 2009.11.01
  • 심사 : 2010.03.19
  • 발행 : 2010.03.31

초록

Purpose: The effect of two different levels of illumination and the effect of three letter chart types on subjective refraction findings were investigated. Methods: This study involved thirty Malay university students aged between 19 to 23 years old (7 males, 23 females), with their spherical refractive error ranged between plano to -7.75D astigmatism ranged from plano to -1.75D, anisometropia less than 1D and with no history of ocular injury and pathology. Monocular subjective refraction was measured under two levels of illumination (with and without room light) and with three different letter charts (Snellen letter chart, wall mounted letter chart and projected letter chart). Subjective refraction finding was calculated in spherical equivalent in unit diopter (D). Results: There was no significant effect in the subjective refraction findings with Snellen letter chart (t-test=0.15, p-value=0.88), projected letter chart (t-test=-0.19, p-value=0.85) as well as wall mounted letter chart (t-test=0.12, p-value=0.94). One Way ANOVA also revealed when the subjective refractive measures were compared under two different level of room illumination (with and without room light), no significant effect of letter chart types on subjective refraction readings with room light ($F_{2.185}$=0.11, p-value=0.89) and without room light ($F_{2.185}$=0.02, p-value=0.98). Conclusions: Subjective refraction findings were not affected whether the room light was on or off. They were also not affected by the types of letter chart used.

키워드

참고문헌

  1. Bennett A. G. and Rabbetts R. B., "Clinical visual optics", Butterworth, London, UK, pp. 291-321(1984).
  2. Tunnacliffe A. H., "Introduction to visual optics", ABDO College of Education, US, pp. 330-397(1993).
  3. Wiseman K., "The level of illumination during subjective refraction", Clin. Exp. Optom., 39(12):558-559(1956). https://doi.org/10.1111/j.1444-0938.1956.tb03991.x
  4. Bennett A. G. and Rabbetts R. B., "Clinical visual optics", Butterworth, London, UK, pp. 60-77(1984).
  5. Bennett A. G. and Rabbetts R. B., "Clinical visual optics", Butterworth, London, UK, pp. 2157(1984}.
  6. Kniestedt C. and Stamper R. L., "Visual acuity and its measurement", Ophthalmic. Clin. North. Am., 16(2):155-170(2003). https://doi.org/10.1016/S0896-1549(03)00013-0
  7. Cho P. and Woo G. C., "Repeatability of the Waterloo Fourcontrast LogMAR visual acuity chart and near vision test card on a group of normal young adults", Ophthalmic. Physiol. Opt., 24(5):427-435(2004). https://doi.org/10.1111/j.1475-1313.2004.00216.x
  8. Whatham A. R., Mermoud C., Deruaz A., Goldschmidt M., Zesiger P. and Safran A. B., "Computerbaed measurement of letter and word acuity", Ophthalmic. Physiol. Opt., 26(2):156-168(2006). https://doi.org/10.1111/j.1475-1313.2006.00345.x
  9. Ehrmann K., Fedtke C. and Radic A., "Assessment of computer generated vision charts", Cont. Lens Anterior Eye, 32(3):133-140(2009). https://doi.org/10.1016/j.clae.2008.09.005
  10. Young D. A., McKee M. C., Coffey B., Cool S., Roth N. and Yolton R. L., "Comparison of Snellen letter and Vistech grating charts as refraction targets", J. Am. Optom. Assoc., 59(5):364-371(1988).
  11. Jekel J. F., Katz D. L. and Elmore J. G., "Epidemiology, biostatistics and preventive medicine", 2nd Ed., Saunders, US, pp. 172-193(2001).
  12. Schwartz S. H., "Visual perception", Appleton & Lange, New York, US, pp. 25-63(1999).