• Title/Summary/Keyword: 굴절력 처방값

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Research of Difference between the Refractive Powers by Autorefractometer and the Prescription using Phoropter (자동 굴절력계의 굴절력값과 포롭터를 이용한 처방값의 차이에 관한 연구)

  • Lee, Ju-Whan;Lee, Koo-Seok;Hong, Hyung-Ki
    • Journal of Korean Ophthalmic Optics Society
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    • v.19 no.2
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    • pp.231-237
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    • 2014
  • Purpose: This study is research of the conditions which causes difference between the refractive power of the measurement of autorefractometer and the prescription using phoropter. Methods: Autorefractometer (SR-7000) and phoroptor (AV-9000) were used to measure 60 eyes of 30 participants who had no eye diseases and wore the corrective lens due to Ametropia. To prevent the dependence of the prescription value of the refractive power on the testers, two testers measured the refractive power of the eyes of the participants at the same measuring conditions. Results: Statistically, the prescribed values of the refractive power by two testers were not significantly different. Most of the prescribed values of the refractive power were smaller than the refractive power by autorefractometer In case of myopic eyes, the difference between refractive powers by the measurement of autorefractometer and the prescription using phoropter showed the trend of increase as the spherical refractive power became larger. The result was analyzed by the range of the different cylindrical refractive power for the myopic astigmatic eyes. In this case, the difference between refractive powers showed the trend of decrease as the cylindrical refractive power became larger. Conclusions: No difference between the prescribed value by two testers was observed. In case of myopic or myopic astigmatic eyes, the difference between refractive powers by autorefractometer and the prescription were measured to be approximately proportional to the refractive powers of ametropic eyes. As the this difference become larger for the participant who needs the lens of larger refractive power, additional caution is needed in the prescription of the refractive power of the corrective lens.

Predicting Powers of Spherical Rigid Gas-permeable Lenses Prescription (구면 RGP 렌즈의 처방 굴절력 예측)

  • Yu, Dong-Sik;Yoo, Jong-Sook
    • Journal of Korean Ophthalmic Optics Society
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    • v.15 no.3
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    • pp.219-225
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    • 2010
  • Purpose: Usefulness in predicting the power of spherical rigid gas-pearmeable (RGP) lenses prescription using dioptric power matrices and arithmetic calculations was evaluated in this study. Noncycloplegic refractive errors and over-refractions were performed on 110 eyes of 55 subjects (36 males and 19 females, aged $24.60{\pm}1.55$years) in twenties objectively with an auto-refractometer (with keratometer) and subjectively. Tear lenses were calculated from keratometric readings and base curves of RGP lenses, and the power of RGP lenses were computed by a dioptric power matrix and an arithmetic calculation from the manifest refraction and the tear lens, and were compared with those by over-refractions in terms of spherical (Sph), spherical quivalent (SE) and astigmatic power. Results: The mean difference (MD) and 95% limits of agreement (LOA=$MD{\pm}1.96SD$) were better for SE (0.26D, $0.26{\pm}0.70D$) than for Sph (0.61D, $0.61{\pm}0.86D$). The mean difference and agreement of the cylindrical power between matrix and arithmetic calculation (-0.13D, $-0.13{\pm}0.53D$) were better than between the others (-0.24D, $0.24{\pm}0.84D$ between matrix and over-refraction; -0.12D, $0.12{\pm}1.00D$ between arithmetic calculation and over-refraction). The fitness of spherical RGP lenses were 54.5% for matrix, 66.4% for arithmetic calculation and 91.8% for over-refraction. Arithmetic calculation was close to the over-refraction. Conclusions: In predicting indications and powers of spherical RGP lens fitting, although there are the differences of axis between total (spectacle) astigmatism and corneal astigmatism, Spherical equivalent using an arithmetic calculation provides a more useful application than using a dioptric power matrix.

Analysis of Axial Mis-alignment After Wearing of Toric Soft Contact Lenses (토릭소프트콘택트렌즈의 착용 후 축 정렬 상태의 변화 분석)

  • Kim, Sang-Yoeb;Lee, Dong Yeol;Lee, Sun-Haeng;Kim, Kun-Kyu;Song, Sop;Cho, Hyun Gug
    • Journal of Korean Ophthalmic Optics Society
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    • v.15 no.3
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    • pp.213-217
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    • 2010
  • Purpose: To emphasize the necessity of post-fitting by follow-up test, the mis-alignment was analyzed after initial wearing of toric soft contact lenses (TSCL). Methods: After trial contact lenses were worn to 87 eyes with myopic astigmatism for 1 week, we observed the alignment of axis mark on trial contact lenses using slit lamp and corrected the rotated axis by method of LARS. After final fitting, rotation ratio, rotation degree and rotation position were analyzed compared to initial prescription divided to amount of cylinderical and spherical powers. Results: Rotation ratio of TSCL's axis was increased as increment of both cylinderical powers and (-)spherical powers. An average of rotation degree was $10^{\circ}{\sim}13^{\circ}$ which was not related to amount of their powers. Rotation position of TSCL's axis was more to temporal than to nasal. Conclusions: Because mis-alignment of axis after TSCL wearing induce the poor sight, adjustment of axial alignment as a result of follow-up must be performed.

The Effect of cycloplegia in Emmetropia with Use of Cycloplegia (조절마비제로 정시안이 된 눈의 조절마비 효과)

  • Shim, Hyun-Seog;Shim, Moon-Sik;Jang, Seong-Ju
    • Journal of Korean Ophthalmic Optics Society
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    • v.11 no.3
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    • pp.201-206
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    • 2006
  • The purpose of this study is observed effect of cycloplegia in emmetropia with use of cycloplegia. We examined the naked visual acuity, mainfest refraction, 105eyes with emmetropia(under SE ${\pm}0.50D$, Cyl ${\pm}1.00D$) after the use of cycloplegia. We used Nidek ARK-700 autorefractometer. Sexual difference of mainfest refraction error showed in male -0.67D, female -0.92D and difference of the CR and the MR male 0.5D, female 0.81D the total mean 0.69D. The naked visual acuity were in male 0.82, female 0.74, total mean 0.77. Age comparison, difference CR and MR were total mean 0.69D and 13 years group 1.1D were the highest. The naked visual acuity were in the highest 10 years group 0.86. Effect of cycloplegia was $0.69D{\pm}0.79$ in emmetropia and visual acuity was $0.77{\pm}0.21$. The optician, it will not be able to use cycloplegia, must pay attention spectacle prescription unnecessary and over correction in condition below -0.75D MR, above 0.77 visual acuity.

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The Optical Tolerances' Decision of the Ophthalmic Dispensing for Korean Models (한국형 안경조제의 광학적 허용오차 설정)

  • Kim, YongGeun
    • Journal of Korean Ophthalmic Optics Society
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    • v.3 no.1
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    • pp.189-199
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    • 1998
  • The system for optical tolerances of completion spectacles was made to sum of the accumulated error - the circumstances on composing prescription, the visual-distance, the tilting angle, the losing of a temple, the vertex distance, the axis of toric lens and the sloping of lens etc. It was given by the relation of allowed values size(T) and power(D), $T=T_0e^{-aD}$. Here, $T_0$ is the size of allowed values of plane-lens with power is 0 and ${\alpha}$ is the factor of allowed values. In case of being adopted to new form s tolerance corresponding to RAL 915, for the tolerance is large direction, the factor of allowed values ${\alpha}$ is $0.166(T_0=5.90)$ and for the tolerance is small direction, the factor of allowed values ${\alpha}$ is $0.166(T_0=2.95)$.

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Effect on Myopia Progression Wearing Eye-glasses for School Children (학령기 아동의 안경착용이 근시진행에 미치는 영향)

  • Lee, Seok-Ju;Park, Seong-Jong;Chun, Young-Yun
    • Journal of Korean Ophthalmic Optics Society
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    • v.16 no.2
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    • pp.195-200
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    • 2011
  • Purpose: We analyzed the influence of myopic's eye-glasses wearing on myopia progress after cycloplegic refraction. Methods: The 33 people (66 eyes) were school children from 8 years to 12 years having no experience eye-glasses wearing, they were taken cycloplegic refraction at the 100th, the 200th and 300th days in order to evaluate myopia progression. We investigated the eye-glasses wearing group (experimental group, 32 eyes) and the non-eye-glasses wearing group (control group, 34 eyes). The eye-glasses power of the experimental group were -0.50 D, -0.75 D, -1.00 D, -1.25 D and -1.50 D. We compared experimental group with control group for myopia progress according to period, age, and refraction error and investigated the myopia progress according to the eye-glasses power of experimental group. Results: At the 300th day from the first cycloplegic refaction, spherical equivalent for the experimental group increased as -1.03${\pm}$0.43 D (t=13.36, p<0.001) and for the control group increase as -0.61${\pm}$0.35 D (t=10.05, p<0.001) and two groups were statistical difference. Myopia power for experimental group increased 60.75%, for control group increased 56.66% at the 300 days. According to eye-glasses power increased 41.19${\pm}$15.25% at -1.50 D, 36.74${\pm}$19.29% at -1.25 D, 56.57${\pm}$20.21% at -1.00 D, 87.26${\pm}$49.38% at -0.75 D and 106.69${\pm}$59.60% at -0.50 D. Conclusions: The myopia power for the eye-glasses wearing group was 0.46 D faster than the non-eye-glasses wearing group at the 300th day from the first cycloplegic refraction. We will consider the effect of non-eye-glasses wearing to protect the progressing myopia and prescribe the under correction for school children having no experience eye-glasses wearing.

Graphic Method of Visual Analysis and Norms Determination for the Far Distance Phoria (원거리사위별 그래프 분석과 표준값 결정)

  • Joo, Seok-Hee;Park, Seong-Jong;Sim, Hyun-Seog
    • Journal of Korean Ophthalmic Optics Society
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    • v.11 no.3
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    • pp.193-200
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    • 2006
  • We investigated the visual analysis of the far distance phoria for 83 subjects who have emmetropia or myopia eyes, using the graphic method, and determined new norms. We got the following results from these experiments. 1. The measured norm of far distance phoria is $1.12{\Delta}$, exophoria, the that of near distance phoria is $0.50{\Delta}$, exophoria, the that of negative relative convergence at far distance(N.R.C.) is ${\times}$/11/5, the that of positive relative convergence at far distance(P.R.C.) is 10/20/8, the that negative relative convergence at near distance(N.R.C.) is 11/21/5, the that of positive relative convergence at near(P.R.C.) is 10/20/8, the that of negative relative accommodation(N.R.A.) is +2.54D, and the that of positive relative accommodation(P.R.A.) is -2.60D, respectively. We know from theses results that the measured norms of far distancet phoria is higher than Morgan's norms, while those of near distance phoria are lower than Morgan's norms. 2. We also know from these experiments that Morgan's norms are closely related to A, B, and C groups and Morgan's criterion can more usefully apply to the visual analysis. 3. In Sheard's criterion and Percival's criterion, the prism prescription is occurred when the exophoria of the far-point phoria is over $7{\sim}9{\Delta}$, and the esophoria of that is over $4{\sim}6{\Delta}$.

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