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누진렌즈안경 착용자의 가입도와 굴절이상 변화에 대한 연구

The Study on Change of Refractive error and Addition in Progressive Eyeglasses Lens Wearers

  • 주석희 (세한대학교 안경광학과) ;
  • 심문식 (광주보건대학교 안경광학과) ;
  • 심준범 (세한대학교 안경광학과)
  • Joo, Seok-Hee (Dept. of Optometry and Vision Science, Sehan University) ;
  • Shim, Moon-Sik (Dept. of Ophthalmic Optics, Gwangju Health University) ;
  • Shim, Jun-Beom (Dept. of Optometry and Vision Science, Sehan University)
  • 투고 : 2013.10.31
  • 심사 : 2013.12.14
  • 발행 : 2013.12.31

초록

목적: 본 연구에서는 누진렌즈 안경 착용자의 굴절이상 변화를 연구하였다. 방법: 2003년부터 2013년까지 광주광역시 소재의 안경원을 방문한 43~69세의 노안인 사람 중에 안질환이 없고, 누진렌즈 안경을 처방받은 244명을 대상으로 원거리 굴절상태와 연령대에 따른 원용굴절력과 가입도의 굴절이상 변화를 각각 분석하였다. 결과: 굴절이상에 따른 원용굴절력의 변화는 정시안 +0.10 D, 근시안 +0.07 D, 원시안 +0.23 D로 나타났고(p=0.000), 가입도의 변화는 정시안 +0.22 D, 근시안 +0.29 D, 원시안 +0.17 D로 나타났다(p=0.003). 연령대에 따른 굴절력 변화는 43~49세의 경우 원용굴절력 +0.08 D, 가입도 +0.30 D로 나타났고, 50~59세의 경우 원용굴절력, +0.17 D, 가입도 +0.20 D로 나타났으며, 60~69세의 경우는 원용굴절력 +0.15 D, 가입도 +0.14 D로 나타났다(p=0.046, p=0.006). 결론: 누진안경 착용자의 원용굴절력과 가입도의 변화는 모든 굴절상태와 연령대에서 점점 (+)방향으로 증가됨을 나타내었다.

Purpose: This study was to analyse the changes of refractive error and addition in progressive eyeglasses lens wearers. Methods: Data of 244 subjects who have been prescribed progressive eyeglasses lenses were used for analysis. The range of age was between 43~69 old years and they visited the optical shop in Gwangju metropolitan city from 2003 to 2013. According to the refractive state and age, The changes of refractive error and addition was analysed respectively. Results: The changes of distance refractive power by refractive error was showed +0.10 D in emmetropia, +0.07 D in myopia, +0.23 D in hyperopia (p=0.000). The change of addition was showed +0.22 D in emmetropia, +0.29 D in myopia, +0.17 D in hyperopia (p=0.000). The changes of distance power and addition by age was +0.08 D distance refractive power, +0.30 D addition in the group of 40~49 old years, +0.17 D distance refractive power, +0.20 D addition in the group of 50~59 old years and +0.15 D distance refractive power, +0.14 D addition in the group of 60~69 old years (p=0.046, p=0.006). Conclusions: The changes of refractive error and addition of progressive eyeglasses lens wearers in all refractive state and age were gradual increase in the direction (+) diopter.

키워드

참고문헌

  1. Kim HJ, Kim JM, Won CH, Kim YM, Bae HJ, Mah KC. Clinical performance of progressive addition lenses for visual display unit work. Korean J Vis Sci. 2007;9(1):53- 64.
  2. Pascal J. Scope and significance of the accommodative unit. Am J Optom Arch Am Acad Optom. 1952;29(3): 113-128. https://doi.org/10.1097/00006324-195203000-00001
  3. Lee KJ, Kim JH, Mun MY, Leem HS. Effects of wearing corrective glasses for presbyopia on age-related hyperoptic shifts and reading addition. J Korean Oph Opt Soc. 2009;14(3):65-73.
  4. Ku HY, Kim DY. Comparative study of korean letters legibility of progressive lens wearers and single focus lens wearers under the vdt circumstance. J Korean Oph Opt Soc. 2012;17(2):195-202.
  5. Kim CJ, Kim HJ, Kim JM. Comparison and analysis for the effects of functional progressive addition lenses on binocular vision of university students. J Korean Oph Opt Soc. 2010;15(1):105-116.
  6. Yoon KH. A study on near addition of presbyopia. J Korean Oph Opt Soc. 2006;11(1):1-5.
  7. Lee YI, Lee YD. A study of abnormal refraction eye and progressive multifocal lens on middle aged & manhood. J Korean Oph Opt Soc. 2002;7(2):41-45
  8. Shim JB, Shim HS. Analysis of adaptation for the firsttime progressive lenses glasses wearers. J Korean Oph Opt Soc. 2011;16(2):117-122.
  9. Joo SH, Shim HS, Shim JB. Analysis of addition power for new wearer of progressive addition lenses. J Korean Oph Opt Soc. 2013;18(3):247-251.
  10. Kim JK, Kim TH, Sung AY. Study on the presbyopia addition and the wear tendency of progressive addition Lens. Korean J Vis Sci. 2007;9(4):441-449.
  11. Hong JS, Mah KC, Kim HJ, Doo HY. A study on the quality of life by the refractive states in progressive addition lens user. Korean J Vis Sci. 2007;9(2):153-171.
  12. Wang Q, Klein BE, klein R, Moss SE. Refractive status in the beaver dam eye study. Invest Ophthalmol Vis Sci. 1994;35(13):4344-4347.
  13. Attebo K, Ivers RQ, Mitchell P. Refractive errors in an older population: the blue mountains eye study. Ophthalmology. 1999;106(6):1066-1072. https://doi.org/10.1016/S0161-6420(99)90251-8
  14. Guzowski M, Wang JJ, Rochtchina E, Rose KA, Mitchill P. Five-year refractive changes in an older population: the blue mountains eye study. Ophthalmology. 2003;110(7):1364- 1370. https://doi.org/10.1016/S0161-6420(03)00465-2
  15. Blystone PA. Relationship between age and presbyopic addition using a sample of 3645 examinations from a single private practice. J Am Optom Assoc. 1999; 70(8):505- 508.
  16. Linton KL, Klein BE, Klein R. The validity of self-reported and surrogate-reported cataract and age-related macular degeneration in the beaver dam eye study. Am J Epidemiology. 1991;134(12):1438-1446.
  17. Gudmundsdottir E, Arnarsson A, Jonasson F. Five-year refractive changes in an adult population: Reykjavik eye study. Ophthalmology. 2005;112(4):672-677. https://doi.org/10.1016/j.ophtha.2004.11.039
  18. Duke-Elder S. Textbook of ophthalmology. Br med J. 1950; 1(4654):650-651.
  19. McGarry MB, Manning TM. The effects of wearing corrective lenses for presbyopia on distance vision. Ophthalmic Physiol Opt. 2003;23(1):13-20. https://doi.org/10.1046/j.1475-1313.2003.00083.x
  20. KPierscionek B. What we know and understand about presbyopia. Clin. Exper.Optom. 1993;76(3):83-90. https://doi.org/10.1111/j.1444-0938.1993.tb05095.x
  21. Kim IS, Oh YS, Jang JU. The study of near addition for presbyopia in accordance with the distance, near phoria. Korean J Vis Sci. 2012;14(3):197-203.
  22. Kim HJ, Ham JH, Kim HA, Jeon IC, Mah KC. The effects of progressive addition lenses of myopia regression in children. Korean J Vis Sci. 2013;15(1):9-17.
  23. Kim CJ, Kim HJ, Kim JM. Comparison of contrast sensitivity at near between functional progressive addition lenses and sigle vision lenses. J Korean Oph Opt Soc. 2010;15(4):381-388.

피인용 문헌

  1. Changes of Visual Acuity and Visual Function in the Elderly Generation and their Subjective Satisfaction by the Use of Tinted Ophthalmic Lenses vol.21, pp.1, 2016, https://doi.org/10.14479/jkoos.2016.21.1.1