• Journal of Korean Clinical Health Science
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• v.11 no.1
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• pp.1639-1643
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• 2023

Purpose. We wanted to find out how the changes in brain function affected by the beats per minute (BPM) of music affected visual function. Methods. The subjects were 40 people in their 20s (30 men, 10 women) with no eye disease, strabismus, amblyopia and a corrected visual acuity of 1.0 or higher. Wearing headphones while excluding surrounding noise as much as possible, we played music while adjusting the beat rate at 40 BPM intervals from 80 to 200 BPM. Then, pupil size measurement, lag of accommodation test, and minus lens addition method maximum accommodation test were performed and analyzed. Results. As a result of analyzing changes in visual function according to beats per minute [BPM], it was found that although sound can be consciously affected, it does not directly affect visual function significantly in terms of accommodative lag and changes in pupil size. It was confirmed that the effect was limited to the maximum accommodation. Conclusions. In clinical practice, it is necessary to conduct a refraction test while keeping in mind that there are changes in visual function depending on the BPM of surrounding sounds.

• Journal of The Korean Ophthalmological Society
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• v.59 no.11
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• pp.1030-1038
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• 2018

Purpose: To evaluate whether early visual acuity response at 4 weeks after the first intravitreal anti-vascular endothelial growth factor (VEGF) injection or 4 weeks after the third injection in neovascular age-related macular degeneration (nAMD) is associated with 12-month follow-up outcome. Methods: Thirty treatment-naive patients (30 eyes) with nAMD, treated with intravitreal anti-VEGF, were retrospectively included. Initially, all patients were injected at least three times for three consecutive months and followed up with a pro re nata regimen for at least 12 months. The relationship between 4 weeks after the first and third anti-VEGF injections in visual acuity response was explored, including the mean change from baseline in best-corrected visual acuity (BCVA). The mean change in BCVA was classified into three groups according to visual improvement: <1, 1-<3, or ${\geq}3$ logMAR line(s) in BCVA. The associations among baseline characteristics (gender, age, duration of symptoms, initial BCVA, central macular thickness, and intraocular pressure) and visual acuity responses 4 weeks after the first and third anti-VEGF injections were also assessed. Results: The proportions of eyes with <1, 1-<3, and ${\geq}3-line(s)$ improvement at 4 weeks after the first injection were 6 eyes (20%), 7 eyes (23.3%), and 17 eyes (56.6%), respectively. The proportions of eyes with <1, 1-<3, and ${\geq}3-line(s)$ improvement at 4 weeks after the third injection were 9 eyes (30%), 9 eyes (30%), and 12 eyes (40%), respectively. A BCVA response ${\geq}3-lines$ improvement at 4 weeks after the third injection showed significant associations with ${\geq}3-line(s)$ improvement and BCVA response at 12 months in multiple logistic and linear regression analyses (p = 0.04). Conclusions: In this study, BCVA response ${\geq}3-lines$ improvement at 4 weeks after the third injection showed a significant association with ${\geq}3-line(s)$ improvement and BCVA response at 12 months.

• Journal of Korean Ophthalmic Optics Society
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• v.11 no.4
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• pp.329-335
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• 2006

The aim of this study was to evaluate the relation between Asthenopia of near lateral phoria and fusional reserve and also to provide fundamental clinical data. A total of 97 subjects, aged between 17 and 35 years old, who had no strabismus, an eye trouble or whole body disease, were examined nacked visual acuity, corrected visual acuity, corrected diopter, phoria, fusional reserve tests from October of 2005 to July of 2006. We excluded 8 subjects for the following reasons: if they had an amblyopia affecting binocular vision or inaccurate data. After these exclusions, 87 subjects remained. The results were as follow. According to interview results was that in near works, exophoria and esophoria with asthenopia was 59.6%, 64.7%, and 52.6% respectively. The subjects who have exophoria of $0-6{\Delta}$ in the range of normal state was 19.1%. The subjects who have exophoria of $7{\Delta}$ over in the range of abnormal state was 80.9%. The fusional reserve was in inverse proportion to phoria. The fusional reserve was twice over of phoria were 30.3%, and twice under were 69.7%. The asthenopia complain persons were 33.9% with the twice over fusional reserve of phoria. The asthenopia no complain persons were 66.1% with the twice under fusional reserve of phoria. In conclusion, our research has shown conclusively that there is a link between asthenopia of lateral phoria and fusional reserve and we also find that fusional reserve must be examined when we prescribe for a patient who has phoria.

• Journal of The Korean Ophthalmological Society
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• v.59 no.11
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• pp.1082-1086
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• 2018

Purpose: To report a case of a 60-year-old female with rhegmatogenous retinal detachment, presenting with suprachoroidal hemorrhage after vitrectomy. Case summary: A 60-year-old woman visited our clinic complaining of floaters, flashing, and blurred vision. Best-corrected visual acuity was 0.1 in her left eye, and fundus examination of her left eye revealed macula-involved retinal detachment with a retinal break at the superotemporal quadrant. She underwent cataract surgery, 23-gauge transconjunctival sutureless vitrectomy, and 14% C3F8 gas tamponade under general anesthesia. One hour after anesthesia recovery, she suddenly complained of severe pain in her left eye. The intraocular pressure measured after removal of the pressure patch from her left eye was as high as 58 mmHg. Her ocular pain improved spontaneously within 10 minutes, and the intraocular pressure decreased to 8 mmHg. Fundus examination of her left eye revealed a reddish-brown raised lesion, suggesting suprachoroidal hemorrhage. She was placed in a prone position with a pressure patch over her left eye. Bleeding through the sclerotomy site was observed 1 day after surgery. Subsequently, hemorrhagic choroidal detachment of her left eye continued to decrease without deterioration. Three weeks after surgery, the patient received an intravitreal injection of 100% C3F8 gas into her left eye. At 3 months after surgery, best-corrected visual acuity had improved to 0.8 in her left eye, and the retina was stable. Conclusions: Suprachoroidal hemorrhage may be suspected in a patient complaining of severe ocular pain after vitrectomy.

• Journal of Korean Ophthalmic Optics Society
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• v.12 no.2
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• pp.1-12
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• 2007

Object of this research is to estimate the effect of myopia correction and safety on reverse geometry contact lens fitting in school children. This research include 53(106eyes) schoolchildren among 7 to 18 years who has low to moderate myopia(-1.00D~-5.00D) and prescribed reverse geometry contact lens for purpose on orthokeratology between January to July 2004 and had 3months full follow up examination. They were tested for slit lamp examinations, BUT(Break up time), direct ophthalmoscopy, retinoscopy, uncorrected visual acuity, best corrected visual acuity, autorefraction, autokeratometry and corneal topography in each examination(1day, 1week, 2weeks, 1, 2, and 3months) of before-and-after lens wearing to find out the effect of myopic correction and side effect. The results came out as follow. The average of uncorrected visual acuity was $0.0938{\pm}0.378$ before lens wear and $0.3136{\pm}0.283$ after 1day lens wear, and there was fast improvement after 1week($0.7925{\pm}0.301$) and little improvement after 2weeks period but still they shows better uncorrected visual acuity(p<0.01). The result of this study, the reverse geometry lens is very useful to correct refractive error and control the progression of myopia temporally among low to moderate myopic patient. The side effects were relatively rare but further study should be necessary with long term lens wear effect on eye health. For the lens prescription, the clinical fitting process had higher rate of success with consideration of eccentricity and corneal topography.

• Journal of The Korean Ophthalmological Society
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• v.60 no.2
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• pp.144-151
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• 2019

Purpose: Intravitreal aflibercept, ranibizumab, bevacizumab, and dexamethasone are the most widely used drugs in the treatment of diabetic macular edema (DME). The aim of this study was to compare the efficacy and safety of anti-vascular endothelial growth factors and dexamethasone for the treatment of DME. Methods: There were nine previous systematic reviews on this topic; we updated these high-quality reviews. Seven studies were added to two studies following a literature search. Efficacy outcomes were 1) average improvement in visual acuity, 2) proportion of patients who experienced an improvement in vision (an increase in best-corrected visual acuity (BCVA) of ${\geq}15$ in the Early Treatment Diabetic Retinopathy Study [ETDRS]), and 3) proportion of patients who experienced worsening vision (a decrease in BCVA of ${\geq}15$ in the ETDRS). Safety outcomes included systemic adverse events and ocular-related adverse events. Results: The mean difference in the BCVA for ranibizumab versus bevacizumab treatment was 0.16 (95% confidence interval [CI]: -0.02, 0.34), and that for ranibizumab versus aflibercept was -0.08 (95% CI: -0.26, 0.10). The mean difference in the change of BCVA for aflibercept versus ranibizumab was -0.20 (95% CI: -0.40, -0.01), and that for aflibercept versus bevacizumab was -0.34 (95% CI: -0.53, -0.14). Other efficacy outcomes showed similar trends, and there was no significant difference between treatments. There was also no significant difference in both systemic and ocular adverse events rates between the treatments. Conclusions: In DME patients, the efficacy of aflibercept was found to be higher with respect to BCVA changes compared with ranibizumab or bevacizumab. However, there were no significant difference in terms of visual acuity improvement or visual acuity of more than 15 letters, nor in terms of anti-vascular endothelial growth factors (as a safety outcome).

• Journal of Korean Ophthalmic Optics Society
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• v.15 no.2
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• pp.145-150
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• 2010

Purpose: In this study we investigated the correlation between the effect of myopia correction and the change of corneal eccentricity using reverse geometry lens. Methods: The 23 students (46 eyes) continuously wearing reverse geometry lens during 3 months were divided into Group I and Group II by different parameter fitting methods of wearing Reverse Geometry Lens. We measured a corneal eccentricity for Group I and Group II at $10^{\circ}$, $20^{\circ}$, and $30^{\circ}$ positions from corneal apex before wearing reverse geometry lens, 1 week, 1 month, and 3 months after wearing reverse geometry lens. We also measured an uncorrected visual acuity, a spherical equivalent, and a corneal radius and analyzed the correlation between them and the change of corneal eccentricity using statistical significance test. Results: There were the statistical significances of a change of corneal eccentricity (p=0.03, t=-2.29) for Group I and Group II at 10 position from corneal apex in a week after wearing reverse geometry lens, but were not those (p>0.05) in 1 month, and 3 months after wearing reverse geometry lens. There were the statistical significances of correlation between the change of corneal eccentricity and a corrected visual acuity, and a corneal radius, respectively. Particularly, the high correlation between the change of corneal eccentricity and a corrected visual acuity (r=-0.36, p=0.00, t=6.5), and a spherical equivalent (r=-0.72, p=0.00, t=-70.5) for Group II in a week after wearing reverse geometry lens showed. Conclusions: We knew from these results that the high correlation between the effect of myopia correction and the change of corneal eccentricity in a week after wearing reverse geometry lens represented.

• Journal of Korean Ophthalmic Optics Society
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• v.9 no.2
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• pp.391-396
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• 2004

For the prevention of amblyopia, early discover and treatment is very important. Therefore we evaluated the type and the degree of refractive errors of 39 children with anisometropic and refractive amblyopia aged 3 to 12 years, and studied the relationship of astigmatism and amblyopia. Astigmatism was found in 35 of 39 eyes. Of these 35 eyes, with the rule astigmatism was found in 30 eyes. The cylinderical power was distributed mostly from 0.50D to 6.50D and astigmatism did not appear to influence on the initial and final corrected visual acuity.

• Journal of Korean Ophthalmic Optics Society
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• v.13 no.2
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• pp.63-67
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• 2008

Purpose: To study the route of information on eye-health and the practical rate for college students. Methods: 292 college students' data were examined by SAS of questionnaire. Results: College students mainly gained the information on eye-health from the optician's shop (45.21%), mass communication (27.74%), and ophthalmic clinic (14.38%). The rate of satisfaction of informations from those routes was high. Especially, the satisfaction of the information from the optician's shop was very high (85.60%). Visual acuity corrected students mainly gained the information from the optician's shop (55.50%), and non-corrected students gained mainly from mass communication (43.56%). The practical rate of the information was high (70.21%). The practical rate of the information gained from the optician's shop was very high (76.52%). Conclusions: Many College students gained the information on eye-health from the optician's shop. The rate of satisfaction and the practical rate in optician's shop was higher than the other routes.

• Journal of Korean Ophthalmic Optics Society
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• v.18 no.4
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• pp.465-471
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• 2013

Purpose: This study was conducted to research effects of influence factors on stereopsis of induced aniseikonia in emmetropia. Methods: 20 college students (a mean age of $22.50{\pm}2.72$ years, 14 males, 6 females) were selected as subjects and all of them had no ocular disease or systemic disease, the refractive correction of spherical equivalent within ${\pm}0.50$ D, the corrected visual acuity of 1.0 or better and the aniseikonia values less than 1% by AWAYA. Subject's dominant eye was checked by Hole in card method and contact lenses of -7.00 ~ +7.00D were fitted to cause anisometropia in dominant eye or non-dominant eye, respectively. And then aniseikonia was induced with spectacles to correct refractive error by contact lenses. Stereopsis was measured by Random Dot Stereo Acuity Test with LEA symbols$^{(R)}$ (Vision Assessment Corporation$^{TM}$, USA). Results: Stereopsis was remarkably reduced by inducing aniseikonia, with induced aniseikonia in dominant eye, with higher diopter of wearing contact lenses to induce anisometropia, with spectacles lenses correction of minus power after fitting contact lenses with plus power and in case of men. Conclusions: It should be considered to correct anisometropia that aniseikonia could cause reduction of stereopsis.