• 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.

• 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.10 no.4
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• pp.323-328
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• 2005

The purpose of this research was to measurement real Accommodative response amount using both eyes open-view autorefractometer. Compared each Accommodative response amount to distinction of sex, age, kind of ametropia, amount of astigmatism and kind of astigmatism. The subjects were 153 healthy men and women between the age of 20~80 years. Age comparison, 20 years 1.15D, 30 years 1.23D and above 40 years 0.60D. It was no difference between 20 to 30 years old. But, is decrescent remarkably above 40 years old. Ametropia examined by hypermetropia 1.78D, emmetropia 1.51D, low myopia 1.08D, middle myopia 0.72D, high myopia 0.643D. Myopia increased, Accommodative response amount was expose that decrease. Astigmatism examined by non astigmatism 1.13D, low astigmatism 1.12D, middle astigmatism 0.85D, high astigmatism 0.83D. Astigmatism increased, Accommodative response amount was expose that decrease. The sex and astigmatism type difference appeared with the fact that the result is not a difference.

• Journal of Korean Ophthalmic Optics Society
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• v.5 no.1
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• pp.147-154
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• 2000

To describe the prevalence of binocular anomalies in adult Koreans. Patients included were 19 to 40 years of age, 41 males and 60 females and living in Kwang-Ju Korea. Refractive correction was estimated objectively with an autorefractometer and subjectively refined without cycloplegia. Myopia was defined as a refractive error less than -0.50 diopters hyperopia was defined as a refractive error greater than +0.50 diopters. 101 no strabismic patients who had a refractive error and a near lateral phoria(46%) and an AC/A(accommodative convergence/accommodation) anomaly(50.4%). The prevalence of a near vergence anomaly(52.5%) was higher than a near divergence anomaly(55.5%). The prevalence of a positive relative accommodation(PRA) anomaly(61.4%) was higher than a negative relative accommodation(NRA) anomaly(54.5%). According to Morgan's analysis method, patients with vergence anomaly(21.7%) were seen slightly less frequently than those with accommodative interaction anomaly(29.7%). 34.6% of patients had both vergence anomaly and accommodative interaction anomaly. These results indicate that full prescription for a refractive corrections should be considered as these can improve binocular visual function for ametropia.

• 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.

• Journal of Korean Ophthalmic Optics Society
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• v.15 no.2
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• pp.123-130
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• 2010

Purpose: The study was conducted to compare the values of auto-refraction, manifest refraction and cycloplegic refraction in school-aged children. Methods: One hundred five myopic school children ranged from 6 to 14 years old (210 eyes, $10.28{\pm}1.59$ years old) were recruited and noncycloplegic auto-refraction (AR) and manifest refraction (MR) were conducted and then underwent cycloplegia and refractive status (CR) again with the auto-refractometer. Results: Refractive powers measured by AR, MR, and CR were highly correlated. However, spherical and cylindrical powers of the subjects measured by AR were measured higher negative power than in CR (p<0.001). From 210 eyes, the discrepancy rate in the spherical and cylindrical powers were 40 eyes (19%) and 19 eyes (9%) of the total subjects, respectively and the differences between noncycloplegic and cycloplegic refractions were higher with the spherical and cylindrical powers increasing. Conclusions: The use of the autorefractometer in children with negative spherical power without cycloplegia may overestimate the actual myopia that subjective refraction is the most important in prescription for the eyeglasses and regression equations would be used to prognose the cycloplegic refraction from the auto-refraction as the basic data for the subjective refraction.

• Journal of Korean Ophthalmic Optics Society
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• v.14 no.1
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• pp.121-125
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• 2009

Purpose: This study has been conducted to know the prevalence of anisometropia and corneal refraction, accommodative response of myopic anisometropia. Methods: The study subject were 67 persons who myopic anisometropia of at least 1.00D, from among 808 total subject without ophthalmic diseases history from age 5 to 89 and the test were used to examine with both eyes open-view autorefractometer (NvisionK-5001). Results: The case which anisometropia were 85(10.5%) persons and myopic anisometropia were 67(78.8%) persons among the anisometropia. Difference between higher myopic eye and lower myopic eye were -1.22D${\pm}$0.94 in spherical equivalent, -0.25D${\pm}$0.72 in accommodative response, 0.04D${\pm}$0.68 in corneal refraction. In addition, the same case of both eyes accommodative response were 33(49.3%) persons, the great case of lower myopic eye accommodative response were 25(37.3%) persons and the great case of higher myopic eye accommodative response were 9(13.4%) persons. Conclusions: Myopic anisometropia was not affected by corneal refraction and both eyes difference of spherical equivalent was less as compared with both eyes difference of accommodative response.

• Journal of Korean Ophthalmic Optics Society
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• v.19 no.3
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• pp.345-351
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• 2014

Purpose: The accommodative response and the near horizontal phoria were examined with additional spherical power to analyze the stimulus and response AC/A ratios that suggest reference data for the binocular vision. Methods: The open-field autorefractometer (Nvision-K 5001, Shin nippon) and modified thorington method (MIM card; Muscle Imbalance Measure card, Bernell) at 40 cm were utilized to measure the accommodative response and the near horizontal phoria for 81 persons ($20.89{\pm}1.92$ years old) with additional spherical power. The stimulus and the response AC/A ratios were calculated by gradient AC/A method. Results: The exophoria group showed the highest accommodative response ($1.92{\pm}0.26D$) at 40 cm, followed by orthophoria group and esophoria group($1.72{\pm}0.26D$ and $1.62{\pm}0.42D$, respectively) Meanwhile, the esophoria group showed the biggest ocular deviation for the near ($23.24{\Delta}$) followed by the orthophoria group and exophoria group ($19.76{\Delta}$ and $15.14{\Delta}$, respectively). The biggest difference of the stimulus and the response AC/A ratios was $1.72{\Delta}$ for the exophoria group with -2.00 D, while the one was $3.43{\Delta}$ for the esophoria group with +1.00 D. There was a significant difference between AC/A ratios for the exophoria group with -2.00 D, -1.00 D and the esophoria group with +3.00 D, +2.00D, +1.00D and -1.00D. Conclusions: The difference between stimulus and response AC/A was greater when increased minus spherical power for the exophoria group, while it was greater when increased plus spherical power for the esophoria group. Furthermore, the difference for the esophoria group was a greater than the one for the exophoria group.

• Journal of Korean Ophthalmic Optics Society
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• v.20 no.3
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• pp.341-347
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• 2015

Purpose : This study was to examine a correlation of response AC/A ratio by additional spherical powers with PD(Pupilary distance) and relative accommodation, and was to investigate correlation of CA/C ratio by prism powers. The mean differences between a reciprocal response AC/A ratio and a CA/C ratio were compared, and were suggested to be used as data in the refractive power and prism prescriptions in the clinical. Methods: The open field autorefractometer (Nvision-K 5001, Shin nippon) and Howell target at 40 cm fixation distance to 62 persons with average $22.62{\pm}2.84$ ages were used to measure the response AC/A ratio according to additional Spherical powers. The CA/C ratios were measured using the DOG card at 40cm according to prism powers. Results: When the response accommodation according to Additional Spherical power changes and the response accommodation according to prism power changes were compared, it was larger than the response accommodation according prism power change. These were significant differences statistically. The correlation of response AC/A ratio and PD is showed as r = -0.158, the CA / C ratio is shown as r = 0.093. The correlation of response AC/A ratio and relative accommodation showed as r = -0.253, the CA/C ratio showed as r = 0.566 that is predictable correlation. The correlation of response AC/A ratio and CA/C ratio showed as r = -0.355 that is low minus correlation (p = 0.000). The difference between a reciprocal response AC/A ratio and a CA/C ratio showed $0.12{\pm}0.06D/{\Delta}$ with a significant difference statistically (p=0.000). Conclusions: The correlation of relative accommodation and CA/C ratio showed that depend on the individual, The more a relative accommodation is, the higher a response accommodation of convergence by convergence stimulus is. The reciprocal response AC/A and CA/C ratio showed significant differences statistically. This can have higher CA/C ratio in patients with low AC/A ratio in clinical as an independent variable. Thus when the abnormal binocular vision was prescribed in the clinical, it is necessary to consider the accommodative response even if the AC/A ratio is a normal range.