• Korean Journal of Optics and Photonics
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• v.19 no.6
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• pp.439-447
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• 2008

There is a need for a finite schematic presbyopic eye that models vision and image quality under various conditions such as cataract or refractive surgery, as well as near vision corrections with an ophthalmic lens or contact lens. Using recently measured biometric data of presbyopic eyes, new model eyes were designed that are optically and anatomically close to real eyes. The parameters changing significantly with age were incorporated into models for four different age groups. The new model eyes have alpha angle, decentered pupil, aspheric GRIN lens and aspheric retinal surface. It is likely that the new finite presbyopic model eyes will be useful for designing visual instruments such as low vision aids, PALs, IOL and contact lenses, and for the clinical prediction of the retinal image quality of a presbyopic patient.

• Journal of Korean Ophthalmic Optics Society
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• v.14 no.1
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• pp.103-108
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• 2009

Purpose: The objective of this study is to compare and analyze the wearing status of refractive error correction devices of elders who reside in a city or in a small town district. Methods: Each of opticians from a small town or a city was selected for the study of wearing status of presbyopia correction device for each residential district in units of percentage. with the analysis of the age and gender distributions of the elders, numbers of elderly members, and the kinds of presbyopia correction. Results: The wearing rate of progressive lens was reduced in reverse proportion to the increase of the age for the people of presbyopia in a twon. Pepople in 60s living in a town perferred to wearing bifocal lens, but people of 50~60s preferred to single vision lenses. However, none of people living in a city who is diagnosed as presbyopia had refractive error correction device, and no one used bifical lenses. The progressive lens was mostly used in the people of 40~50s and using rate of those lenses reduced with the age; and single vision lens had the highest rate of in the 40~50s but no one wore it in the 70s. Conclusions: Among the refractive error correction devices, the progressive lens was most widely worn by presbyopia group who is living in a town or a city. In particular, the refractive error correction devices were most preferred in 40~50s of early presbyopia. The highest preference for the progressive lens in the people with the early presbyopia indicates that the wearing rate of the progressive will be increased in future. Therefore, the opportunity of systematic education on the progressive lens should be increased.

• Journal of Korean Ophthalmic Optics Society
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• v.14 no.3
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• pp.65-73
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• 2009

Purpose: This study was conducted to investigate the changes in distance refractive power and reading addition that occur after wearing corrective glasses for prebyopia. Methods: The subjects aged 42 to 75 years who had no ophthalmologic diseases and did not undergo cataract or retina surgery, had a corrected visual acuity of 20/20 and did not have a previous history of wearing corrective glasses for presbyopia. These subjects were divided into 3 groups: the control, reading spectacles and multifocals wearing group and they were measured for distance refractive power and reading addition at their visit. The maximum follow-up period was 73 months. Results: As for distance refractive power, the power tends to shift to hyperopia depending on age (r=0.486, p<.001) and 50.0% of the subjects increased plus power during this study period. Plus power Increments per year in distance refractive power in the reading spectacle wearing group were significantly different with control and multifocals wearing group (p<.05). On the other hand, the multifocals wearing group's increments were not different with control. Increments in reading addition were also increased in the reading spectacles group than in the control and multifocals wearing groups (p<.05). Conclusions: The age related hyperopic shift could be occurred in the elderly people, routine refraction is mandatory. And reading spectacles could induce an age related hyperopic shift and the additional need for reading addition that the prescription of multifocals may reduce changes in distance refractive power and reading addition.

• Journal of Korean Ophthalmic Optics Society
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• v.16 no.2
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• pp.117-122
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• 2011

Purpose: This study analyzed the factors related to adaptation of people who wears progressive lenses glasses for the first time. Methods: 463 presbyopia (Aged 41~78) without any ocular diseases with the progressive lens glasses were prescribed from 2010 to 2011 at B clinic in the Gwangju city. Progressive lenses adaptation were analyzed according to gender, age, distance refractive state, presbyopic addition, progressive lens design, the old glasses, astigmatism type, and anisometropia etc. High, mid and low-adapted groups were categorized as the status of wearing progressive lenses glasses, re-wearing, occasionally wearing and failed to weraing, respectively. Results: Men showed significantly higher adaptation (p=0.02) than women. Presbyopic addition (p=0.05) and progressive lens design (p=0.02) were statistically significant. However, it was found that there was so statistical significance for the factors of age, distance refractive state, the old glasses, astigmatism type, and anisometropia. Conclusions: According to the results of this study, when progressive lenses were prescribed, we should consider for adaptation gender, presbyopic addition, and progressive lens design etc.

• Journal of Korean Ophthalmic Optics Society
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• v.18 no.2
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• pp.149-156
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• 2013

Purpose: The aim of this study was to determine a suitable type and size of Hangul fonts for printed materials in the presbyopic age. Methods: Based on the most common Hangul fonts used today, three types of fonts were used Hamchrombatang, Sinmoonmyungjo and Sinmyungjo at small font sizes in the range 9-11 point (pt). Subjects were 101 volunteers aged 41 through 85 years. Near visual acuity (VA) was corrected to read VA 0.5 at 40 cm after distance correction. The subjects were asked to read words containing 88 characters in 10 pt after a question about preference. Readability was assessed by reading rate that was calculated as the number of words read correctly in one minute (words per minute, wpm). Results: The most preferred font type was Simmyungjo at small font sizes. Although preferred font sizes were different in each font type, Sinmyungjo was generally preferred at 10 pt more than other fonts. Hamchrombatang and Sinmyungjo were read significantly faster than Sinmoonmyungjo. There was a weak negative relationship between readability and age in Sinmyungjo. In comparing between the top 10% and the bottom 10% group sorted by reading rate, the top group showed lower average age and addition than the bottom group, however there were no significant differences in reading rate among the fonts. Conclusions: Although increasing age tends to be low in readability for Sinmyungjo, in the light of preferred font and readability, it is recommended to use a 10 pt Sinmyungjo font in printed materials for the presbyopic age.

• Journal of Korean Ophthalmic Optics Society
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• v.12 no.3
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• pp.71-75
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• 2007

This research was conducted from 1 March 2005 to 28 February 2007. We collected data from optician stores around Kwang-Ju city, 208 people aged 40 to 80 years using the cross cylinder method to find out age and gender dependence of near addition. 1. Age dependence of Refractive error shows 5% of emmetropia 34% of myopia and 43% of hyperopia. These results reveal that rate of hyperopia is higher than emmetropia and myopia. Mixed Astigmatism rate was 18%. 2. Near addition required to correct Presbyopia is analyzed as functions of gender and ages. In case of man: 40-44 (+0.75D), 45-49(+1.25D), 50-54(+1.41D), 55-59(+1.92D), 60-64(+2.35D), 65-69(+1.97D), 70(+3.12D), In case of woman: 40-44 (+1.08D), 45-49 (+1.38D), 50-54 (+1.67D), 55-59(+2.05D), 60-64 (+2.50D), 65-69 (+2.57D), $70{\leq}(+3.18D)$. Result shows it's Adding power higher than man. 3. Age dependence of Axis of Astigmatism. In case of horizontal astigmatism 61.2%, vertical 2.8% and rest else for 36%. Setting point from Binocular vision tells that average adding power of 40-44 (+0.75D) or (+1.00D), 45-49 (+1.25D) or (+1.50D), 50-54 (+1.50D), 55-59 (+2.00D), 60-64 (+2.50D), 65-69 (+2.50D) or (+2.75D), over $70{\leq}(+3.00D)$ or (+3.25D) of average adding power.

• Journal of Korean Ophthalmic Optics Society
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• v.13 no.4
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• pp.115-119
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• 2008

Purpose: To compare the tentative and final addition, a combination chart of cross-grid and red green with the final addition prescribed in presbyopia were used in this study. Methods: The study subjects were 60 persons with presbyopia who were 41 to 60 years (mean: 51.7 years). Tentative addition were determined using red green chart (RG), cross-grid chart (CG) and the combination chart (red green cross-grid chart, RGCG) of the above two. And the final addition for a 40 cm working distance was determined for each subject by adjusting the tentative addition. Results: It was found that there were statistically significant differences of the final addition and the tentative addition between the each different test method. This result indicated that using the red-green cross-grid chart is the higher repeatability. Conclusions: This study shows that red green cross-grid chart (RGCG) seems to be get proper data for determining addition in presbyopes, and this method would be helpful in the diagnostic evaluation of addition in binocular vision testing.

• Journal of Korean Ophthalmic Optics Society
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• v.11 no.2
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• pp.131-135
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• 2006

The purposes of this study is examining a wearing tendency of a progressive multifocal lens. We measured refractive error values using subjective and objective refraction method with subjects in 40-65 ages. Also, we investigated and analyzed distribution of addition power and wearing tendency of progressive multifocal lens. Detected addition powers were ranged of +0.75D - +3.00D. In case of average addition, they were detected with +1.18D in 40's, +1.55D - +1.97D in 50's and +2.38D in above 61's age. The distributions of visual ability at a distant were measured that the hyperopia and hyperopic astigmatism 43%, the myopia and myopic astigmatism characteristic astigmatism 7% appeared highly with 36%. The male who uses the interior aspect multi focal lens with the short-range work were appeared the male 20%, the woman 19%.

• Journal of Korean Ophthalmic Optics Society
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• v.7 no.2
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• pp.41-45
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• 2002

To study the ametropia and the sort of glasses, especially progressive multifocal lens, for near purpose on Middle aged & Manhood. 500 adults were tested by the object and subject methods. Among the 500 adults, myopia is 22.4%, hyperopia is 61.4%, and emmetropia is 16.2%, respectively. In test of astigmatism, the amount of astigmatism for the age of forty one to under forty five with-the rule is 28%, the amount of astigmatism against-the rule is 43% and the amount of astigmatism with oblique is 11%, respectively. Whereas, the amount of astigmatism for the age of fifty six to under sixty with-the rule is 10%, the amount of astigmatism against-the rule is 71% and the amount of astigmatism with oblique is 19%, respectively. With-the-rule decreased with increasing age while against-the-rule increased with increasing age. The oblique astigmatism relationship to age could not be determined. The ratio of the progressive multifocal lens was 67.3% for male and 35% for female.

• Journal of Korean Ophthalmic Optics Society
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• v.7 no.1
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• pp.9-13
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• 2002

It is well known that the maximum amplitude of accommodation decreases with increasing age.(Presbyopia). With single vision lenses presbyopia can be corrected only for one viewing distance. With progressive power lenses presbyopia can be corrected for all viewing distances. But there are some other changes in the visual system with age which can not be corrected by spectacle lenses. Pupillary diameter decreases and the light transmission of the ocular media decreases. Therefore old people need more light, they need better illumination. Cone density in the retina decreases, this is only one example for changes in the sensory system. These changes in the visual system cause changes in visual functions. At the age of 80 visual acuity has decreased to half. Contrast sensitivity for gratings decreases mainly for high spatial frequencies very important is the increase of stray light in the ocular media and therefore the increase of glare. Veiling luminance increases by a multiple of approximately 4, Dark adaptation gets slower and light sensitivity is approximately 2 log units (factor 100) less when the eye is completely dark adapted. Also colour vision gets worse, especially at low luminances. Elderly people have problems with visual tasks which require divided attention between foveal and peripheral vision. An example is the measurement of the useful field of view. This useful field of view be expanded (improved) by visual training.