한국안광학회지 (Journal of Korean Ophthalmic Optics Society)

한국안광학회 (The Korean Ophthalmic Optics Society)
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20대와 40대 초반 근시안의 최대조절력 비교

Comparative Study of the Maximum Accommodative Amplitude in 20's and 40's Myopia

  • Yun, Jae-Hong (Dept. of Optometry and Vision Science, Kyungwoon University) ;
  • Hwang, Hae-Young (Dept. of Optometry and Vision Science, Kyungwoon University) ;
  • Kim, Soo Woon (Dept. of Optometry and Vision Science, Kyungwoon University) ;
  • Kim, Hyun-Mok (Dept. of Ophthalmic Optics, Suseong College) ;
  • Son, Jeong-Sik (Dept. of Optometry and Vision Science, Kyungwoon University)
  • 투고 : 2012.04.30
  • 심사 : 2012.09.15
  • 발행 : 2012.09.30
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초록

목적: 20대와 40대 초반 근시안의 성별 및 근시도에 따른 최대조절력의 평균 크기를 비교 분석하여 세대간 조절력의 변화를 알아보고자 하였다. 방법: 20대 초반과 40대 초반의 근시안 각 100명을 대상으로 하여 푸쉬업법(pushup method)을 이용하여 최대조절력을 측정하였다. Hofstetter 공식을 이용하여 얻어진 최대조절력 기대값을 기준으로 기대최소치 미만군(under), 정상군(normal), 기대최대치 초과군(excess)으로 분류하여 비교하였다. 결과: 20대 초반의 평균 조절력은 9.77~11.64 D$(10.77{\pm}2.49D)$, 40대 초반의 평균 조절력은 4.67~6.21 D$(5.34{\pm}1.28D)$로 나타났고, 20대 초반에서 조절력의 기대최소치 미만군은 20%, 정상군 75%, 기대최대치 초과군 5%의 분포를 나타내었고, 40대 초반에서는 조절력의 기대최소치 미만군 18%, 정상군 82%를 나타내었고, 기대최대치 초과군은 나타나지 않았다. 결론: 두 연령층 모두에서 연령이 증가함에 따라 조절력의 감소를 나타내었는데, 근시도와 성별에 따른 유의성은 나타나지 않았다. 또한 각 연령대별로 최대조절력의 기대평균치와 최대조절력 평균의 차를 비교해 보았을 때 20대 초반에서 기대평균치보다 더 작은 것으로 나타나 상대적으로 근업 기회가 많은 20대의 조절력 저하가 훨씬 빨리 나타날 것으로 예상된다.

Purpose: Average of the maximum accommodation amplitude of myopia in different generation, early 20's and early 40's were compared according to gender, degree of myopia. Methods: Maximum amplitude of accommodation for each 100 patients of early 20's and 40's were measured with push-up method. Maximum amplitude of accommodation expectations based on Hofstetter formula were classified into three groups of under, normal and excess. Results: The average of amplitude of accommodation was 9.77~11.64 D $(10.77{\pm}2.49D)$ in early 20's and 4.67~6.21 D $(5.34{\pm}1.28D)$ in early 40's. In early 20's, minimum expectations of amplitude of accommodation for under, normal and excess groups were 20%, 75%, and 5%, repectively. In early 40's, excess and under groups were 5% and 18%, repectively, but there was no excess group. Conclusions: According to increasing age, amplitude of accommodation of both age groups showed decreased, and no significant difference was found in degree of myopia with gender. Difference between mean of expected accommodation amplitude and maximum of accommodation amplitude was compared, and it was found that maximum of accommodation amplitude of 20's was smaller than mean of expected accommodation. From the result, it was expected that people in early 20's who have more working times might have festinated accommodative insufficiency than 40's.

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