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정상군과 폭주부족군에서 조절반응 변화량의 비교

Comparison on Accommodative Response Changes in the Normal Group and Convergence Insufficiency

  • 곽호원 (경운대학교 안경광학과) ;
  • 이세희 (경운대학교 안경광학과) ;
  • 곽형빈 (경운대학교 안경광학과)
  • Kwak, Ho-Weon (Dept. of Optometry and Vision Science, Kyungwoon University) ;
  • Lee, Se-Hee (Dept. of Optometry and Vision Science, Kyungwoon University) ;
  • Kwak, Hyung-Bin (Dept. of Optometry and Vision Science, Kyungwoon University)
  • 투고 : 2013.10.15
  • 심사 : 2014.03.15
  • 발행 : 2014.03.31

초록

목적: 정상군과 폭주부족군을 대상으로 양안개방형 자동굴절검사기(Nvision-K5001, shin-nippon, Japan)를 이용하여 시교정 상태에 따른 조절 반응량을 측정하여 조절의 변화량을 조사하였다. 방법: 피검자는 등가구면 굴절력 평균이 우안은 $-2.28{\pm}2.03$ D이고, 좌안은 $-2.18{\pm}2.01$ D인 19~29세(평균연령 $21.59{\pm}2.53$세)의 대학생 74명(남 54명, 여 20명)을 타각적자각적 굴절검사를 실시하여 완전교정과 플러스 렌즈를 임의적으로 +0.25 D, +0.50 D, +0.75 D로 부가한 저교정 상태에서 조절 반응량을 측정하여 그 변화를 비교 분석하였다. 결과: 정상군과 폭주부족군 모두에서 주시거리가 짧을수록 조절래그가 커지는 경향을 보였다. 폭주부족군은 정상군보다 조절 반응량의 값이 낮게 나타났으나 조절폭은 조금 크게 나타났다. 정상군에서는 저교정(+0.50 D) 상태와 폭주부족군의 완전교정의 조절 반응량이 비슷한 값을 보였다. 시교정 상태에 따른 주시거리와 조절 반응량의 상관관계는 저교정 정도가 클수록 상관계수가 작아지는 것으로 분석 되었다. 결론: 근시와 정시안인 경우 장시간 근거리 작업 시 +0.50 D 정도의 저교정은 조절기능에 영향을 주어 안정피로 증상을 해소하는데 도움이 된다.

Purpose: This study investigated accommodative changes by measuring accommodative response, appearing on the normal and convergence insufficiency Group, by using both eyes open-view auto-refractometer (Nvision-K5001, shin-nippon, Japan). Methods: It carried out objective and subjective refractions, targeting 74 college students (54 males and 20 females) aged between 19 and 29 ($21.59{\pm}2.53$), spherical equivalent OD $-2.28{\pm}2.03$ D, OS $-2.18{\pm}2.01$ D, by measuring accommodative responses at full correction and under correction with plus lens +0.25, +0.50, +0.75 arbitrarily added. Results: In the group of normal and convergence insufficiency, the shorter fixation distances were, the greater accommodative lags showed. The group of convergence insufficiency showed the lesser changes of accommodative response than those of normal. But we found that the convergence insufficiency group had a little larger accommodative amplitude in the total fixation distances. The full correction of convergence insufficiency group and the under correction (+0.50 D) of normal were alike in the accommodative responses. We have also investigated that the correlation between accommodative responses and fixation distances was decreased steeply at the excessive low vision correction. Conclusions: Under correction (+0.50 D) in a near distance is expected to avoid unnecessary accommodative responses, make eyes relaxed and comfortable.

키워드

참고문헌

  1. Lee JY, Yu DS, Son JS, Cho HG, Moon BY. The diurnal change of accommodative functions by near work. J Korean Oph Opt Soc. 2011;16(1):75-81.
  2. Chauhan K, Charman WN. Single figure indices for the steady-state accommodative response. Ophthal Physiol Opt. 1995;15(3):217-221. https://doi.org/10.1046/j.1475-1313.1995.9590573k.x
  3. Shin JA, Lee OJ. Relationship between subjective symptoms with near work and binocular function. J Korean Oph Opt Soc. 2007;12(3):125-130.
  4. Sterner B, Gellerstedt M, Sjostrom A. Accommodation and the relationship to subjective symptoms with near work for young school children. Ophthal Physiol Opt. 2006;26(2):148-155. https://doi.org/10.1111/j.1475-1313.2006.00364.x
  5. Yoo JS, Yoon JW, Kim JH. Influence of VDT work on accommodative function. Korean Ophth Soc. 1992;33(7):693-697.
  6. Scheiman M, Wick B. Clinical management of binocular vision, 2nd Ed. Philadelphia: Lippincott Williams & Wilkins, 2002;435-445.
  7. Cooper J. Accommodative dysfunction, In: Amos JF. Diagnosis and management in Vision care, 1st Ed. Boston; Butterworth-Heineman, 1987;431-454.
  8. Bergquist U, Knave B. Eye discomforts and work with visual display terminals. Scand J Work Environ Health. 1994;20(1):27-33. https://doi.org/10.5271/sjweh.1432
  9. Kim JD. Clinical optometry and features more than prescribed, 2nd Ed. Seoul: Shinkwang, 2007;109, 122-128, 228-229.
  10. Thompson HS. The pupil, In: Hart WM. Adler's physiology of the eye, 9th Ed. St. Louis: Mosby-Year Book, 1992;412-441.
  11. Sung PJ. Optometry, 5th Ed. Seoul: Daehakseorim, 2005;168, 175-178, 287-288, 294-295, 545-550.
  12. Rouse MW, Hutter RF, Shiftlett R. A normative study of the accommodative lag in elementary school children. Optom Vis Sci. 1984;61(11):693-697. https://doi.org/10.1097/00006324-198411000-00008
  13. Rosenfield M, Ciuffreda KJ, Rosen J. Accommodative response during distance optometric test procedures. J Am Optom Assoc. 1992;63(9):614-618.
  14. Kim DY. Binocular vision, 1st Ed. Seoul: Shinkwang, 2010;163-167.
  15. Shin JA. Ocular examination, 2nd Ed. Seoul: Hanmibook, 2007;163-182, 260-261.
  16. Park HJ. Analysis of correlation of visual function findings. J Korean Oph Opt Soc. 2005;10(4):381-389.
  17. Benjamin WJ. Borish's clinical refraction, 2nd ed. St. Louis: Butterworth heinemann, 2006;1017-1018.
  18. Bae SH, Comparison between accommodative change on the full vision correction and low vision correction. J Korean Oph Opt Soc. 2012;17(1):75-81.

피인용 문헌

  1. Short Term Effect of Monocular Wearable Device on Accommodation vol.19, pp.1, 2014, https://doi.org/10.17337/jmbi.2017.19.1.61
  2. Methods of Determining Near Addition in Presbyopia Using the Accommodative Response vol.25, pp.4, 2014, https://doi.org/10.14479/jkoos.2020.25.4.379