DOI QR코드

DOI QR Code

초기 노안의 조절훈련에 의한 가입도 변화

Changes of Addition by Accommodative Training on Early Presbyopia

  • 황해영 (대구가톨릭대학교 보건학과) ;
  • 조현국 (강원대학교 안경광학과)
  • 투고 : 2010.03.30
  • 심사 : 2010.06.18
  • 발행 : 2010.06.30

초록

본 연구는 1.00 D 미만의 가입도를 갖는 40대 초기 노안을 대상으로 푸쉬업 혹은 플리퍼 방법에 의한 조절 훈련이 근용가입도를 감소시킬 수 있는지 알아보기 위해, 12주간 매일 가정에서 시력훈련을 실시하였다. 훈련기간 중일주일 간격으로 조절력, 조절지체, 조절용이성 및 가입도 검사를 실시하였다. 푸쉬업 훈련과 플리퍼 훈련으로 노안가입도는 0.125D~0.375D 유의하게 감소되었고, 푸쉬업 훈련이 플리퍼 훈련보다 가입도 감소효과가 큰 것으로 나타났다. 푸쉬업 훈련과 플리퍼 훈련은 조절력을 향상시켜 초기 노안의 근용가입도를 감소시키는데 유용한 것으로 나타났다.

In order to examine whether the accommodative trainings with push-up or flipper methods induce the decrement of near addition on early presbyopia aged in 40s having less than 1.00 D addition, daily home vision training was performed for 12 weeks. We evaluated accommodative amplitude, accommodative facility, relative accommodation, and presbyopic addition at every one week. Two accommodative trainings significantly decreased the presbyopic addition as a degree from 0.125 D to 0.375 D, and push-up training was more effective than that of flipper training. Both push-up and flipper trainings are an useful methods to decrease the near addition of early presbyopia as an improvement of the accommodative amplitude.

키워드

참고문헌

  1. K. J. Ciuffreda, "Accommodation, pupil, and presbyopia. In: Benjamin J, Borish IM, editors. Clinical Refraction: Principles and Practice", Philadelphia, PA., Saunders, pp. 77-120, 1998.
  2. M. Dubbelman, G. L. Van der Heijde, H. A. Weeber, "Change in shape of the aging human crystalline lens with accommodation", Vis. Res., Vol. 45, pp. 117-132, 2005. https://doi.org/10.1016/j.visres.2004.07.032
  3. H. W. Hofstetter, "A longitudinal study of amplitude changes in presbyopia", Am. J. Arch. Am. Acad. Optom., Vol. 42, pp. 3-8, 1965. https://doi.org/10.1097/00006324-196501000-00002
  4. W. N. Charman, "The path to presbyopia: straight or crooked?", Ophthalmic Physiol. Opt., Vol. 9, pp. 424-430, 1989. https://doi.org/10.1111/j.1475-1313.1989.tb00946.x
  5. C. Ramsdale, W. N. Charman, "A longitudinal study of the changes in static accommodation response", Ophthalmic Physiol. Opt., Vol. 9, pp. 255-263, 1989. https://doi.org/10.1111/j.1475-1313.1989.tb00903.x
  6. J. F. Koretz, P. L. Kaufman, M. W. Neider, P. A. Goeckner, "Accommodation and presbyopia in the human eye-ageing of the anterior segment", Vis. Res., Vol. 29, pp. 1685-1692, 1989. https://doi.org/10.1016/0042-6989(89)90150-8
  7. S. A. Strenk, L. M. Strenk, J. F. Koretz, "The machanism of presbyopia", Prog. Retin. Eye Res., Vol. 24, pp. 379-393, 2005. https://doi.org/10.1016/j.preteyeres.2004.11.001
  8. B. Antona, F. Barra, A. Barrio, A. Gutierrez, E. Piedrahita, Y. Martin, "Comparing methods of determining addition in presbyopes", Clin. Exp. Optom., Vol. 91, pp. 313-318, 2008. https://doi.org/10.1111/j.1444-0938.2007.00159.x
  9. M. Scheiman, B. Wick, "Clinical Management of Binocular Vision: Accommodative techniques", Philadelphia, PA., Lippicott-Williams & Wilkins, pp. 199-210, 2002.
  10. N. B. Carlson, D. Kurtz, "Clinical procedure for ocular examination", 3rd ed., McGraw-Hill, pp. 189-203, 2004.
  11. M. L. Mazow, T. D. France, S. Finkleman, J. Frank, P. Jenkins, "Acute accommodative and convergence insufficiency", Tr. Am. Ophthalmol. Soc., Vol. 87, pp. 158-168, 1989.
  12. P. Harris, "Learning related visual problems in Baltimore City: a long-term program", J. Optom. Vis. Dev., Vol. 33, pp. 75-115, 2002.
  13. B. Sterner, M. Abrahamsson, A Sjostrom, "The effects of accommodative facility training on a group of children with impaired relative accommodation: A comparison between dioptric treatment and sham treatment", Ophthal. Physiol. Opt., Vol. 21, pp. 470-476, 2001. https://doi.org/10.1046/j.1475-1313.2001.00615.x
  14. B. Sterner, M. Gellerstedt, A Sjöström, "Accommodative facility training with a long term follow up in a sample of school aged children showing accommodative dysfunction", Doc. Ophthalmol., Vol. 99, pp. 93-101, 1999. https://doi.org/10.1023/A:1002623107251
  15. R. H. Duckman, "Accommodation in cerebral palsy: Function and remediation", J. Am. Optom. Assoc., Vol. 55, pp. 281-283, 1984.
  16. K. M. Daum, "Accommodative dysfunction", Doc. Ophthalmol., Vol. 55, pp. 177-198, 1983. https://doi.org/10.1007/BF00140808
  17. B. Wick, "Vision training for presbyopic nonstrabismic patients", Am. J. Optom. Physiol. Opt., Vol. 54, No. 4, pp. 244-247, 1977. https://doi.org/10.1097/00006324-197704000-00009
  18. K. M. Daum, "Accommodative insuffi- ciency", Am. J. Optom. Physiol. Opt., Vol. 60, No. 5, pp. 352-359, 1983. https://doi.org/10.1097/00006324-198305000-00002
  19. J. S. Liu, M. Lee, J. Jang, "Objective assessment of accommodation orthoptics; 1. Dynamic Insufficiency", Am. J. Optom. Physiol. Opt., Vol. 56, pp. 285-294, 1979. https://doi.org/10.1097/00006324-197905000-00002

피인용 문헌

  1. The Purchasing Trends of Purchase of Functional Progressive Addtions Lenses and Correlation Analysis of Binocular Function Value vol.20, pp.2, 2015, https://doi.org/10.14479/jkoos.2015.20.2.255