한국안광학회지 (Journal of Korean Ophthalmic Optics Society)

한국안광학회 (The Korean Ophthalmic Optics Society)
권호 표지
DOI QR코드

DOI QR Code

조도변화가 시기능 성분에 미치는 영향

Effects of Variation of Illumination on Visual Function Factors

  • 김다영 (강원대학교 안경광학과) ;
  • 김상엽 (강원대학교 안경광학과) ;
  • 조현국 (강원대학교 안경광학과) ;
  • 문병연 (강원대학교 안경광학과)
  • 투고 : 2015.05.01
  • 심사 : 2015.05.31
  • 발행 : 2015.06.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

목적: 조도변화가 시기능에 미치는 영향을 알아보고자 하였다. 방법: 평균나이 $23.93{\pm}1.59$세 40명(남 21, 여 19)을 대상으로 시표면 조도를 5, 50, 200, 500 및 800 lx로 조정하여 각 조도 상태에서 조절력, 폭주근점, 원거리 및 근거리 사위, 원거리 및 근거리 융합버전스, 상대조절력, 조절래그를 측정하였다. 결과: 시표면의 조도가 감소함에 따라 조절력은 유의하게 감소하였고(p<0.05), 조절래그는 감소하였고, 폭주근점은 멀어졌으며, 수평사위는 내편위의 경향을 보였다. 음성융합버전스는 조도가 감소함에 따라 분리점과 회복점이 감소하는 경향을 보인 반면 양성융합버전스는 분리점이 증가하는 경향을 보였다. 음성 및 양성상대조절력의 경우 조도가 감소함에 따라 유의한(p<0.05) 감소를 보였다. 결론: 임상현장에서 시기능 검사는 환자의 생활환경 및 직업 등을 고려한 적절한 조도 수준에서 수행되어야 할 것으로 사료된다.

Purpose: This study was performed in order to figure out the influence of illumination on visual function. Methods: 40 adults (male 21, female 19) of average age $23.93{\pm}1.59$ years were participated in this study. The test chart surface illumination was adjusted to 5, 50, 200, 500 and 800 lx, and then amplitude of accommodation, near point of convergence, far and near distance phoria, far and near distance fusional vergence, relative accommodation, and accommodation lag were measured at each illumination condition. Results: As illumination intensity of test chart was reduced, amplitude of accommodation was significantly decreased (p<0.05), accommodation lag was also decreased, near point of convergence was receded, and horizontal phoria showed a tendency of esodeviation. In the case of negative fusional vergence, with reduction of illumination intensity, the break point and the recovery point were decreased but in the case of positive fusional vergence, the break point was increased. The negative and positive relative accommodation were significantly decreased (p<0.05) with reduction of illumination intensity. Conclusions: In clinical practice, visual functional test should be performed under condition of adequate illumination level through patient's living environment and job.

키워드

참고문헌

  1. Han SH, Kim BH, Yoon JH, Lee SE, Park SM, Jeong JH et al. Change in the eyes' refractive power and pupil's size following intensity of illumination using Auto Ref-Keratometer. Kor J Vis Sci. 2013;15(1):1-7.
  2. Lee DU, Na YS, Lee GM, Lee JB. Effect of difference of binocular retinal illuminance on stereopsis. J Korean Ophthalmol Soc. 2003;44(8):1828-1832.
  3. Lee CH, Choi DG. Effect of illunmination on stereoacuity. J Korean Ophthalmol Soc. 2002;43(10):1963-1967.
  4. Kim DI, Choi O. Comparison of visual acuity according to different visual acuity charts and various intensities of illumination. J Korean Ophthalmol Soc. 1983;24(4):687-693.
  5. Kim CS, Kim HK. Effect of illumination on contrast sensitivity. J Korean Ophthalmol Soc. 1987;28(4):729-731.
  6. Shin DS, Jung SW, Ahn SK, Koo BS. Effect of the illumination and the types of the lenses on near visual acuity in low vision patients. J Korean Ophthalmol Soc. 1997;38(9):1677-1681.
  7. Kim SY, Cho HG. Minimal illumination to identify the chart in each visual acuity and deviation of identification capability according to illumination and chart contrast. J Korean Ophthalmic Opt Soc. 2013;18(4):549-554. https://doi.org/10.14479/jkoos.2013.18.4.549
  8. Noh YS, Kim SY, Cho HG. Changes of refractive errors caused by corneal shape and pupil size. J Korean Ophthalmic Opt Soc. 2014;19(3):383-387. https://doi.org/10.14479/jkoos.2014.19.3.383
  9. Scheiman M, Wick B. Clinical management of binocular vision, 2nd Ed. Philadelphia: Lippincott Williams & Wilkins, 2002;73-81.
  10. Kim DH, Gwon OJ, Kim SM, Kim JM, Kim CS, Sung AY et al. Ocular Physiology, 4th Ed. Seoul: Hyunmoonsa, 2009;128.
  11. Jin GH, Choi HJ. Clinical Procedures for Clinical Examination, 3rd Ed. Seoul: aihakseolim, 2008;203-240.
  12. Lin CJ, Feng WY, Chao CJ, Tseng FY. Effects of VDT workstation lighting conditions on operator visual workload. Ind Health. 2008;46(2):105-111. https://doi.org/10.2486/indhealth.46.105
  13. Joo BH. The change of visual functions by light intensities and color tones of ophthalmic lenses. MA Thesis. Seoul National University of Science and Technology, Seoul. 2012;87.
  14. Jeon IC. A study on the changes of visual function by visual stimuli and clinical evaluation of accommodation release apparatus. PhD Thesis. Eulji University, Daejeon. 2012;53-58:88-89.
  15. Owens DA, Leibowitz HW. The fixation point as a stimulus for accommodation. Vision Res. 1975;15:1161-1163. https://doi.org/10.1016/0042-6989(75)90016-4
  16. Owens DA, Leibowitz HW. Oculomotor adjustments in darkness and the specific distance tendency. Perception & Psychophysics. 1976;20(1):2-9. https://doi.org/10.3758/BF03198694
  17. Somer D, Demirci S, Cinar FG, Duman S. Accommodative ability in exotropia:predictive value of surgical success. J AAPOS. 2007;11(5):460-464. https://doi.org/10.1016/j.jaapos.2007.01.123
  18. Bakaraju, RC, Yeotikar NS, Srinivas RV. Accommodative lag versus different stimuli. J Mod Optic. 2007;54(9):1299-1305. https://doi.org/10.1080/09500340600855296
  19. Jiang BC, Gish KW, Leibowitz HW. Effect of luminance on the relation between accommodation and convergence. Optom Vis Sci. 1991;68(3):220-225. https://doi.org/10.1097/00006324-199103000-00010
  20. Shin JA. Visual acuity refraction, 2nd Ed. Seoul: Hanmi Medical publishing Co, 2008;54.
  21. Ivanoff A, Bourdy C. Le comportement de la convergence nocturne. Ann Optique Oculaire. 1954;3:70-75.
  22. Saito, K, Hosokawa T. Basic study of the VRT (visual reaction test): the effects of illumination and luminance. Int J Hum Comput Interaction. 1991;3(3):311-316. https://doi.org/10.1080/10447319109526015
  23. Lantz MW. Evaluation of heterophoria after sustained near work under varying illuminances. PhD Thesis. Ferris State University, Ferris. 2008.
  24. Lee CW, Kim SY, Song WJ, Ryu GC, Jeong KI, Jeong KS et al. Research on the influence of the accommodative power and the phoria from correlated color temperature and illuminance of LED Lighting. Kor J Vis Sci. 2012;14(4):363-371.
  25. Howarth PA, Heron G. Repeated measures of horizontal heterophoria. Optom Vis Sci. 2000;77(11):616-619. https://doi.org/10.1097/00006324-200011000-00013
  26. Scheiman M, Wick B. Clinical management of binocular vision, 2nd Ed. USA: Lippincott Williams&Wilkins, 2002;35(92):454-466.
  27. Sung PJ. Optometry, 6th Ed. Seoul: Daihakseolim, 2009;202:237-263.
  28. Kim SC. The influence on binocular vision about changes of the refraction correction power. MA Thesis. Dongshin University, Gwangju. 2009;2.
  29. Heron G, Charman WN, Schor C. Dynamics of the accommodation response to abrupt changes in target vergence as a function of age. Vision Res. 2001;41(4):507-519. https://doi.org/10.1016/S0042-6989(00)00282-0

피인용 문헌

  1. Temporary Changes of Refractive Errors and Optical Components in Eyes after Alcohol Ingestion vol.23, pp.2, 2018, https://doi.org/10.14479/jkoos.2018.23.2.169