• Title/Summary/Keyword: Asthenopia

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Case Study of Vision Therapy (양안시이상 교정의 일상사례)

  • Park, Hyun-Ju
    • Journal of Korean Ophthalmic Optics Society
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    • v.12 no.2
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    • pp.87-93
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    • 2007
  • Eye examination was performed for diagnosis accommodative and binocular dysfunction. The prevalence rates were similar to other studies, therefore patients required not just the correction of the refractive error but a specific treatment for each diagnosed problems. Two symptomatic(diplopia, asthenopia, and intermittent blur) patients diagnosed as a convergence insufficiency was given full correction with visual training for 4weeks. They had a one or mixed binocular problems included accommodative insufficiency. Following 4 weeks later, visual training was effective to Improve convergence and suggest that continuous observation is necessary.

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A Study on the Changes of Accommodative Function in Respect to the Viewing Angle (주시각도에 따른 조절기능의 변화)

  • Lee, Hark-Jun;Kim, Jung-Hee
    • Journal of Korean Ophthalmic Optics Society
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    • v.14 no.2
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    • pp.9-14
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    • 2009
  • Purpose: The purpose of this study was to examine the relationship between the accommodative facility, blink rate and accommodative lag according to the change of angles of main viewpoint of near distance worker and study an appropriate viewing angle that mitigates asthenopia, such as headaches or eye fatigue accompanied when reading and staring at the computer or TV for a long time. Methods: Total of 27 people including 12 male university students and 15 female university students in the age of 20 to 36 with frequent near distance works, such as computers, were selected to study the accommodative facility, the blink rate and the accommodative lag in accordance with the change of viewing angles of the near distance workers. The refraction error was corrected completely and the phoropter was shifted to near distance mode to locate the near distance indication at 40 cm. The accommodative facility and the blink rate were measured for one minute at each viewing direction of $40^{\circ}$ downward, $20^{\circ}$ downward, horizontal, and $20^{\circ}$ upward directions based on the horizontal line and the accommodative lag was measured in dynamic retinoscopy using retinoscope. Results: As a result, when the main viewpoint was moved on upper direction from the $40^{\circ}$ below, the accommodative facility was reduced and the blink rate and the accommodative lag were increased so their eyes became dry and the accommodation response was reduced. Conclusions: In near distance works, the eye fatigue level can be minimized by locating a book or a computer screen $40^{\circ}$ below than the horizontal direction.

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Changes in Accommodative Function after VDT Work (VDT 작업 후의 조절기능 변화)

  • Seo, Eun-Sun
    • Journal of Korean Ophthalmic Optics Society
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    • v.17 no.3
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    • pp.285-291
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    • 2012
  • Purpose: This study was conducted to research any effect on visual function related to accommodation by VDT work. Methods: The refraction power, accommodative lag, accommodative facility, relative accommodation, amplitude of accommodation and blink rate were measured before and after VDT work for 2 hours on 48 university students (16 males and 32 females), without abnormal accommodative function and systemic and ocular disease, who had never undergone corrective eye surgery. All examinations were performed with distant refraction, and a survey was conducted on the items related to subjective symptoms of VDT syndrome. Results: After 2 hours of VDT work, refractive power increased by 0.23 D, the amount of change in accommodative lag were $0.17{\pm}0.42D$ in the right eye and $0.23{\pm}0.47D$ in the left eye (t=2.26, p=0.03). There were statistically significant differences. Both the accommodative facility and relative accommodation and amplitude of accommodation were decreased after work. However, blink rate were increased. After VDT work, 33.4% of the subjects showed subjective symptoms of asthenopia and 33.3% of them showed shoulder pain. Conclusions: As a result, the accommodative lag increased in response to the two hours of VDT work, and overall accommodative functions were decreased. In addition, as symptoms of providing visual strain, asthenopia showed the most prominent subjective symptoms.

A Study on the Detection of Axis-Rotation in Contact Lenses (콘택트렌즈 회전량 검출에 대한 연구)

  • Lee, Dong-Hee;Kim, Jung-Hee;Cha, Jung-Won
    • Journal of Korean Ophthalmic Optics Society
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    • v.10 no.4
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    • pp.255-259
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    • 2005
  • When we wear contact lenses for correcting astigmatism, we often experience the axis-rotation of contact lenses that is happened in case we could not fit the axis of lens exactly or by the eyelid used to blink. In this case, because the exact correcting state becomes in the wrongly correcting state, the asthenopia is led, and the decline of eyesight can be led. For this reason, we need to know axis-rotating degrees of contact lenses. If a contact lens rotated, a residual astigmatism may be detected in the refraction examination after wearing. Using this, we developed a program that calculates the axis-rotating amount of contact lenses.

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Effect of 2Dimesion and 3Dimension Images on Human Factors

  • Kim, Jung-Ho;Kwon, Soon Chul;Son, Kwang Chul;Sohn, Chae Bong;Lee, Seung Hyun
    • International Journal of Internet, Broadcasting and Communication
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    • v.6 no.2
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    • pp.13-16
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    • 2014
  • This study aims to examine the effects of watching 2D and 3D images on the blink rate. Regarding the image watch, their blink rate for 2D and 3D images was separately checked for 1 minute in the 1m distance, before the watch, after 15 minutes of watch, and after 30 minutes of watch. About the change of their blink rate in the 2D image watch, it tended to become higher than that before watching the image; however, there was no statistical significance (paired t-test, p=0.106, p=0.062). And in the 2D image watch, it tended to increase in comparison between after 15 minutes and after 30 minutes, but there was no statistical significance (paired t-test, p=0.623). Meanwhile, about the change of their blink rate in the 3D image watch, it tended to decrease statistically significantly both after 15 minutes and after 30 minutes when compared with that before watching the image (paired t-test, p=0.000, p=0.000). In the 3D image watch, it tended to increase in comparison between after 15 minutes and after 30 minutes; however, there was no statistical significance (paired t-test, p=0.867).

Binocular Dysfunction-Case Study of Vision Therapy in Convergence Excess (양안시이상-폭주과다 교정의 임상사례)

  • Park, Hyun-Ju
    • Journal of Korean Ophthalmic Optics Society
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    • v.12 no.4
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    • pp.101-106
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    • 2007
  • This study was performed to investigate whether vision therapy (vision training) was an effective way to influence fusional vergence and asthenopic symptoms in case of convergence excess. Patients who had esophoria at far and near had history and symptoms (horizontal diplopia, eye strain, asthenopia and blur). Among them for one chosen patient who had convergence excess, vision therapy and added plus lens were prescribed and trained for 7 weeks. 7 weeks later vision therapy was quite effective, that is, it was an effective means of reducing symptoms, improving fusional vergence and decompensating esophoria in patient with convergence excess. Therefore continuous research of vision therapy in binocular dysfunction was necessary.

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The Change in Far Distance and Near Distance of Exophoria Patients (외사위 환자의 원거리와 근거리 때의 변화)

  • Seong, Jeong-Sub;Hong, Soo-Hak
    • Journal of Korean Ophthalmic Optics Society
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    • v.7 no.2
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    • pp.143-147
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    • 2002
  • A36 patients of a total of 60 persons show $2{\Delta}$ and less, and the rest of 24 patients show $6{\Delta}$ and less. The patient, who increase more in near distance than far distance in exophoria amount are 27 persons. The unchanging patients are 13 persons, and the patients who phoria amount decreasing are 20 persons. Like this, the patients who phoria amount unchange and decrease show more than the half. That is why convergence increases in near distance. The expected value of horizontal phoria in near distance is $3exo{\pm}3$. Only 13 patients get rid of its value, 47 satisfy its value. In AC/A value, 35 persons show under 3(1ow), 21 persons show 3~5(normal), and 4 persons show more than 5(high). By Percival's theory, 36 patients don't feel a slight asthenopia without correcting phoria. Finally, in near point of convergence 27 patients show 10cm and less, 24 patients show 11~15cm, 3 patients show 15~20cm, and 6 patients show 21~25cm. Most of them show high accommodation.

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The Relationship Fixation Disparity between Associated Phoria (주시시차와 각비정시의 관계)

  • Kim, Hyun-Il
    • Journal of Korean Ophthalmic Optics Society
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    • v.9 no.1
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    • pp.93-104
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    • 2004
  • In order to have a comfortable vision without any asthenopia in work place, it is very necessary to make a complete binocular correction in addition to the perfect correction of refractive deficits. For this, At first, the exact understanding of the required corrective value of the existing angular ametropia(associated phoria) is needed. The fact likely seems fact that a correction of refractive deficits could not to be reached with single optotype, the corrections of angular ametropia(associated phoria) with single optotype is impossible. The reason is that a most ametropia(associated phoria) is accompanied with the fixation disparity. To make a perfect measurement of ametropia(associated phoria), at least, 3 kinds of optotype is essential. This fact could be explained by stating the fusional stimulus in the binocular refraction tests on each eye. If these types of three tests have not practical practice. The most of many cases may result in undercorrection.

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The Retrospective Study of 463 Patients who had Funduscopy Examination at Korean Medicine Ophthalmology (한방 안과에 내원하여 안저 검사를 시행한 환자 463명에 대한 후향적 연구 보고)

  • Lee, Ma-Eum;Jeong, Mi-Rae;Kim, Chul-Yun;Kwon, Kang;Seo, Hyung-Sik
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.33 no.2
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    • pp.1-11
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    • 2020
  • Objectives : The purpose of this study was to analyze and report status of Korean Medicine Ophthalmology patients who did funduscopy examination. Through this, we hope that the development of our diagnosis and treatment. Methods : From June 1, 2010 to May 31, 2019, Based on the electronic medical records of patients who had funduscopy examination at Korean Medicine Ophthalmology, Busan University Korean Medicine Hospital, the gender, age, visiting motives and paths, diagnosis, examination number of years, other eye examinations and treatments method were summarized and analyzed. Results : 463 patients were able to check the electronic medical records. They were 283 females and 180 males. The mean age of the patients was 51.5 years and elderly patients who 50s and 60s were 49.3% of whole patients. The most common motives for Korean Medicine Ophthalmology visitation was 'combination treatment with other department in Korean Medicine Hospital'. Outer eye diseases were 283 cases, inner eye diseases were 198 cases. Dry eye syndrome, asthenopia, visual discomfort, conjunctivitis, and eye discomfort were most common in the outer eye diseases. Cataracts, Vitreous floater, Macular Degeneration, Glaucoma and Ocular Pain were most common in the inner eye disease. The most common parts of outer eye diseases were Conjunctival, lacrimal gland, paralytic, corneal, eyelid and front uveal, scleral disease and then in inner eye diseases parts, Retinal, lens, vitreous, glaucoma, optic nerve, behind uveal, choroid disease were most common. The number of funduscopy examination was ups and downs. Herbal medicine was the most common used. Conclusions : The funduscopy examination is essential for diagnosis and treatment of eye disease. We hope that the use of fundus examination and other ophthalmologic examination will be expanded soon in Korean Medicine Ophthalmology.

EFFECTS OF ANTHOCYANOSIDE OLIGOMER ON MESOPIC CONTRAST SENSITIVITY IN MILD TO MODERATE MYOPIA

  • Seong Gong Je
    • Proceedings of the Korean Society of Food Science and Nutrition Conference
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    • 2001.12a
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    • pp.52-60
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    • 2001
  • Purpose: We performed a randomized, double-blind, placebo-controlled trial in mild to moderate myopia patients to evaluate the benefit of taking a nutrient supplement containing anthocyanoside oligomers for improving nocturnal visiual function and/or clinical symptoms. Methods: The subjects included have refractive error between -lD(Diopters) $\~$-8D in both eyes, symptoms of decreased night vision and asthenopia based on the scoring result of a pre-structured questionnaire, and abnormal results of mesopic contrast sensitivity(MCS) screening test showing abnormal curve of contrast sensitivity in the middle and high frequency level, between 6.0 and 30.0 CPD(Cycles per degree) at mesopic condition(-2$\~$0 log cd/$m^2$). Total 60 people who qualified the criteria above were enrolled and the subjects were instructed to take the investigational product (anthocyanoside or placebo) twice daily for a 4 week period. The enrolled subjects were investigated for nocturnal vision performance by MCS and clinical symptoms at their first visit and re-evaluated at post-intervention (4 weeks later). MCS was measured and improvement of contrast threshold level according to each CPD was calculated by subtracting initial values from final values. Age, refractive error, and MCS were compared between the placebo and anthocyanoside. Results: After 4 weeks of drug administration 22 of the anthocyanoside group showed symptom improvement compared to 1 of the placebo group (p=0.000). Contrast sensitivity levels according to each CPD before and after drug treatment showed significant improvement in the anthocyanoside group but not in the placebo group. Mean MCS change of anthocyanoside group is 2.41$\pm$1.91 which showed significant improvement compared to -0.40$\pm$2.47 of the placebo group(p=0.000). MCS changes of anthocyanoside group showed significant improvement compared to placebo group in all levels of CPD(p<0.05). During our investigation none of the subjects complained of specific side effects related to anthocyanoside use. Conclusion: Our results show that under careful selection of people with significant symptoms and definite MCS abnormalities, anthocyanoside oligomers may improve the subjective symptoms and objective MCS results.

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