• Journal of Korean Ophthalmic Optics Society
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• v.17 no.3
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• pp.293-298
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• 2012

Purpose: We compared static retinoscopy in eyes opened with cycloplegic refraction depending on the hyperopia for school-aged children. Methods: There were 59 eyes (30 patients) who were divided into 3 groups - the mild hyperopia (+0.25 D ~ +1.00 D), moderate hyperopia (+1.25 D ~ +2.00 D) and high hyperopia (+2.25 D or more). They all had 0.8 visual acuity or more. Autorefraction and retinoscopy were performed prior to cycloplegic refraction, and then copmared with manifest refraction and cycloplegic refraction. Results: Hyperopia measured with static retinoscopy tends to be measured higher than manifest refraction for school-aged children. Changes of spherical power was statistically significant (p < 0.001). Changes of astigmatism was not statistically significant (p > 0.05). Conclusions: The difference between cycloplegic refraction and static retinoscopy was not significant for hyperopic school-aged children. The use of retinoscopy was limited for opticians because of legal constraints. The usage of static retinoscopy in eyes opened for optician should be generalized under the conditions not using the cycloplegic.

• The Korean Journal of Vision Science
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• v.20 no.4
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• pp.443-451
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• 2018

Purpose : To find out the reliability of autorefractometer after laser refractive surgery Methods : We measured and compared spherical and cylinder powers of those undergone LASEK surgery with 1.0 of naked vision after at least 3 months of the surgery with an autorefractometer(CANON Full Auto Ref-Keratometer RK-F1, Japan) and a retinoscope(Streak Retinoscope 18200, WelchAllyn, USA), and also applied spherical equivalent powers. The refractive status before surgery was divided into high, medium, and low myopia according to the results measured using an autorefractometer, and then analyzed again the reliability of the autorefractometer after surgery according to the preoperative refractive status. The agreement of two methods was identified using Bland-Altman(Bland-Altman limits of agreement(LoA)). Results : After the surgery, when comparing spherical, cylinder and equivalent powers in the whole data measured by autorefractometry and retinoscopy significant differences were found(p<0.01). According to the degree of refractive errors, all sort of refractive errors was shown significantly different(p<0.01) except for cylinder power of the medium myopia. In general, the refractive errors especially spherical and spherical equivalent powers by autorefractometry were shown a myopic trend from -0.38 D to -0.53 D. On the other hand, it was shown a hyperopic trend of approximately +0.30 D using retinoscopy. In comparison of two objective refractions, it was shown a myopic trend as $-0.51{\pm}0.45D$(LoA +0.36 D ~ -1.39 D) and compatible. Conclusion : Even though it would be positive in terms of compatibility of the methods, it is necessary that the glasses should be prescribed by subjective refraction since autorefractometry is shown myopic in those undergone the surgery and suffering from myopic regression.

• Journal of Korean Ophthalmic Optics Society
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• v.11 no.3
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• pp.275-280
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• 2006

For this study, we analysed the difference of values between noncycloplegic and cycloplegic autorefraction in primary school children. We classified the elementary school one, two, three grade (8~10age) 79children(158eyes) who did not have strabismus or amblyopia. They were examined by using the Autorefractor in domestic market before and after cycloplegic. Discrepancies beyond 0.50D in spherical and cylindrical power and 20 degree in cylindrical axis were regarded as significant. The percentages of discrepancy were greater in spherical power between noncydoplegic and cycloplegic autorefraction(p<0.05). The percentages of discrepancy were not greater in cylindrical power between noncycloplegic and cycloplegic autorefraction. The percentages of discrepancy were greater in cylindrical axis between noncydoplegic and cycloplegic autorefraction(p<0.05). In conclusion, for the primary school children who did not wear glasses, the prediction table of this study will be helpful to reduce the test error in visual acuity and refractive error tests.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.11 no.9
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• pp.3406-3411
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• 2010

Assessment of the accommodative response is an essential part of the optometric examination. This study measured objectively the accommodation responses those were measured by Autorefractor, MEM retinoscopy and Nott dynamic retinoscopy, and investigate the correlation and difference the results. Twenty-seven college students with normal visual acuity aged 19 to 29 years (mean $22.7{\pm}2.43$ years) participated in this study. Their accommodative responses to accommodative demand of 4D (25cm) were measured with Shin-Nippon NVision-K 5001 Autorefractor, MEM retinoscopy and Nott dynamic retinoscopy. The accommodative responses to accommodative demand of 4D were $3.70{\pm}0.25D$ by Shin-Nippon NVision-K 5001 Autorefractor, $3.58{\pm}0.30D$ by MEM retinoscopy and $3.77{\pm}0.29D$ by Nott dynamic retinoscopy, respectively. There were high correlations among the three techniques (p<0.05). MEM retinoscopy was measured $0.19{\pm}0.13D$ lower than Nott dynamic retinoscopy (p<0.05) and it was measured $0.12{\pm}0.24D$ lower than Shin-Nippon NVision-K 5001 Autorefractor (p<0.05). There was no significant difference between Nott dynamic retinoscopy and Shin-Nippon NVision-K 5001 Autorefractor (p>0.05). MEM retinoscopy showed lesser accommodative responses than Nott dynamic retinoscopy and Shin-Nippon NVision-K 5001 Autorefractor. Author suggest that Nott dynamic retinoscopy may use Shin-Nippon NVision-K 5001 Autorefractor interchangeably to evaluate accommodative responses expect MEM retinoscopy.

• Proceedings of the Korean Information Science Society Conference
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• 2002.10d
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• pp.517-519
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• 2002

본 논문은 자동 시각 굴절력 곡률계의 전자 부문에 연동될 곡률 측정 알고리즘을 소개한다. 만약 자동화된 시스템이 광학계로부터 나오는 영상을 이용하여 내부 처리를 거친 후 정확 시각 측정치를 검사자에게 알려줄 수 있다면 잘못 측정되는 측정 횟수를 크게 줄일 수 있을 것이다. 본 연구는 형태학적 필터링(morphological filtering)과 그레이-레벨의 신호 강조(signal enhance) 기술들을 이용하여 자동시각 굴절력 곡률계에 연동될 각막 곡률 측정 알고리즘을 개발하였다. 알고리즘에서는 광학계로부터 도출된 링 모양 광원의 화상을 처리하기 위해서 새로운 방법을 사용하는 대신에 굴절력 측정을 위해서 6개의 점으로 구성된 화상을 처리하는 방식으로 변형 적용시킨다. 이 때 링의 띠를 6개의 덩어리점으로 변형하는 과정만을 제외하면 굴절력 화상을 처리하는 방식과 같게 된다. 이는 알고리즘의 간결화와 측정 시간을 줄이는 효과를 얻게 된다. 그리하여 본 각막 곡률 측정 알고리즘은 정한 측정 값 도출이 어려운 시각 영상에 적용되어 효과적으로 오차를 줄임으로써 보다 효율적인 시각 측정을 가능하게 하였다.

• Journal of Korean Ophthalmic Optics Society
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• v.19 no.1
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• pp.17-22
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• 2014

Purpose: We aimed to evaluate reliability of eye exam for visual acuity as a function of distance. Methods: There were 39 patients (78 eyes) who had visual acuity 1.0 or more at 5 meters. We measured refractive power of patients at each distances, 5 meters, 4 meters and 3 meters. Automatic chart (LCD-700, Hyeseong Optic. Co., Korea) used for visual acuity, skiascope (Beta 200, Heine, Germany) and auto refractometer (RK-5, Canon, Japan) used as for objective refraction. Accommodation was examined by minus lens addition methods, and Accommodative lag was examined by grid chart for reading distance. Results: Being compared to 3 meter test, Amount of corrected spherical refractive power decreased by $0.10{\pm}0.38$ D, astigmatism decreased by $0.05{\pm}0.10$ D, and axis of astigmatism rotated toward to temporal by $2.64{\pm}18.75$ degrees for right eyes, by $11.43{\pm}48.55$ degrees for left eyes in case of 5 meter test. Changes of corrected refraction and astigmatism were slightly correlated (r=-0.31, r=-0.29). Conclusions: Because corrected refraction power and amount of astigmatism decreased and axis of astigmatism tends to turn the temporal direction according to exam distance, examination distance of visual acuity should improved as to 5 meters.

• Journal of Korean Ophthalmic Optics Society
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• v.20 no.2
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• pp.187-193
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• 2015

Purpose: This study was aimed to investigate effects of increased breath alcohol concentration (BrAC) which is the standard measurement of alcohol consumption in sobriety test under current laws on visual acuity and values of objective refraction. Methods: For twenty three males in 20s (average age $21.17{\pm}2.19$ years, body mass index (BMI) $22.09{\pm}2.16$) were selected. Distance and near visual test was performed at BrAC of 0%, 0.05% and 0.08%, and objective refraction with open-field auto-refractometer was also performed at different BrAC. Results: As breath alcohol concentration is increased, distance visual acuity was decreased, which was statistically significant, but near visual acuity was not changed. Also, values of objective refraction tended to be increased towards minus as breath alcohol concentration is increased. Conclusions: As breath alcohol concentration is increased, corrected visual acuity is decreased and refractive power is towards minus, it is necessary that visual acuity test and refraction measurement should be conducted under sober condition.

• Proceedings of the Korea Information Processing Society Conference
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• 2002.11a
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• pp.695-698
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• 2002

최근 시각 관련 측정기 개발에 대한 관심이 높아지고 있다. 이에 본 연구는 자동 시각 굴절력 곡률계의 전자 부문에 연동될 굴절력 측정 알고리즘을 개발하였다. 만약 자동화된 시스템이 광학계로부터 나오는 영상을 이용하여 내부 처리를 거친 후 정확한 시각 측정치를 검사자에게 알려줄 수 있다면 잘못 측정되는 측정 횟수를 크게 줄일 수 있을 것이다. 본 연구는 형태학적 필터링(morphological filtering)과 그레이-레벨의 신호 강조(signal enhance) 기술들을 이용하여 자동 시각 굴절력 측정 시스템에 연동될 측정 알고리즘을 개발하였다. 알고리즘에서는 광학계로부터, 도출된 영상으로부터 첫째로 형태학적 필터링 처리를 행하여 처리가 어려운 원 영상을 좀 더 다루기 쉬운 상태로 바꿔준 후 영상에 가해주는 그레이 수준 한계 기법을 통해 신호를 강조함으로써 영상의 그레이 값 분포가 다양함으로 인해서 발생되는 오차를 줄이게 된다. 그리하여 본 전자 부문 소프트웨어는 정확한 측정값 도출이 어려운 시각 영상에 적용되어 효과적으로 오차를 줄임으로써 보다 효율적인 시각 측정을 가능하게 하였다.

• Journal of Korean Ophthalmic Optics Society
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• v.9 no.2
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• pp.323-332
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• 2004

This study researched the visual acuity test object and Auto-refractormeter, visual of near power. The object were composed of middle aged, the old men and women who in habit Daegu. The results were as follows : 1. The subjects consisted of 537 people, 29.98% men, 70.02% women. 2. The emmetropia was 1.12% for myopia, 2.79% for hyperopia, 96.09% for astigmatism. 3. The abnormal refraction was composition for myopic compound astigmatism(16.57%), hyperopia compound astigmatism(45.62%), Mixed astigmatism(33.89%). 4. On the Myopic Spherical Equivalent(S.E) power, the range of -0.50D ${\leq}$ M.S.E < -1.00D was 21.67%, -1.00D ${\leq}$ M.S.E < -2.00D was 48.89%, -2.00D ${\leq}$ M.S.E < -6.00D was 29.44%. 5. On the Hyperopic Spherical Equivalent(S.E) power, the range of +0.50D ${\leq}$ H.S.E < +1.00D was 28.57%, +1.00D ${\leq}$ H.S.E < +2.00D was 49.30%, +2.00D ${\leq}$ H.S.E < +6.00D was 23.13%. 6. The addition power was 1.00D(8.01%), 1.50D(8.57%), 2.00D(13.78%), 2.50D(16.57%), 3.00D(16.95%), 3.50D(17.88%), 4.00D(18.25%).

• Journal of Korean Ophthalmic Optics Society
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• v.15 no.1
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• pp.39-46
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• 2010

Purpose: To assess the reliability for measuring the back vertex power of soft contact lenses by dry blotting and wet cell method using an auto-lensmeter. Methods: The soft contact lenses used for measurement were 5 types that were distributed in Korea, and 4 back vertex powers (-1.50D, -3.00D, -6.00D, -9.00D) were used. and repeatability and reproducibility were evaluated by measuring them with an auto-lensmeter by two examiners. Results: Measured powers by dry blotting method were ranged in mean differences from 0.03D to 0.18D for overall lenses, 0.10D to 0.18D for silicone hydrogel lenses, 0.03D to 0.08D for hydrogel lenses. The mean differences between two examiners were less than 0.10D, and the inter-examiner reproducibility was good for dry blotting method. The mean difference between powers determined by wet cell method were 0.09D to 0.69D, the mean differences between two examiners were 0.02D to 0.59D. The reliability of measurements and inter-examiner reproducibility were less than dry blotting method. Conclusions: The reliability of measurements for all materials was better in dry blotting than wet cell method, the re liability of measurements for silicone hydrogel lenses was low in both methods. In clinical practical which requires quick checking of back vertex power using an auto-lensmeter. dry blotting method is thought to be more efficient than wet cell one.