• Journal of the Optical Society of Korea
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• v.16 no.4
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• pp.418-424
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• 2012

The purpose of this study was to assess repeatability and reliability of a new phoria test as compared to established phoria tests and to assess the possibility of mobile or online testing using the auto-flashed presentation. Near dissociated phoria was measured using the von Graefe method, the Howell card test, the modified Thorington test, and a new dichromatic card test (Red-Blue Phoria card test; RBP card test) on 109 subjects. The inter-examiner difference and test-retest difference were calculated. With the auto-flashed presentation of the RBP card test, near dissociated phoria was measured and the intraclass correlation coefficient and test-retest repeatability was assessed on 26 subjects. The variation in inter-examiner repeatability was the smallest for the modified Thorington test (+3.1/-2.6). The RBP card test was +3.0/-3.1, the Howell card test was +3.5/-2.7, and the von Graefe test was +6.2/-6.0. The variation in test-retest repeatability was the smallest for the RBP card test (+0.4/-1.4). The modified Thorington test was +1.3/-1.3, the Howell card test was +1.27/-1.45, and the von Graefe test was +1.59/-2.20. The ICC was 0.919 for the auto-flashed presentation of the RBP card test. The RBP card test is considered a highly repeatable method clinically and can be made a useful application for testing in mobile or online.

• Journal of Korean Ophthalmic Optics Society
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• v.18 no.2
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• pp.117-123
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• 2013

Purpose: The aim of this study was to propose effective data for the clinical examinations of binocular vision by comparative analysis of measuring the near horizontal phoria according to accommodative stimulations. Methods: It carried out near horizontal phorias, targeting 104 college students (50 males and 54 females) aged between 19 and 24 ($20.27{\pm}1.31$). It made a comparative analysis of changes in near horizontal phoria according to accommodative stimulations by using the von Graefe, Maddox rod and the Howell phoria methods respectively. We have also investigated the AC/A ratio in all phoria groups. Results: As the additional lenses were changed to the negative (-) diopter, the near horizontal phoria changed to the esodeviation. At this time, the rate of change in the section signifies the AC/A ratio, and the values were not consistent based on the evaluating methods or on each section. The AC/A ratio of the esophoria group appeared the largest value in all groups. As a result of analyzing AC/A ratio at the exophoria group using the von Graefe method, the AC/A ratio was $1.568{\pm}1.937$ ${\Delta}/D$ on the additional lenses +2.00 D and $2.527{\pm}2.253$ ${\Delta}/D$ on the additional lenses -1.00 D and at the esophoria group using the Howell phoria method, the AC/A ratio was $5.521{\pm}1.337$ ${\Delta}/D$, $5.593{\pm}1.623$ ${\Delta}/D$ on the additional lenses +2.00 D, +1.00 D and $4.687{\pm}1.643$ ${\Delta}/D$ on the additional lenses -2.00 D. These were significant differences statistically. Conclusions: In the exophoria group, when the (-) lenses were added, the averages of the AC/A ratio were shown to be high but in the esophoria group, when the (+) lenses were added, the of AC/A ratio was high.

• Journal of Korean Ophthalmic Optics Society
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• v.19 no.4
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• pp.551-555
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• 2014

Purpose: This study is to investigate if the improvement of visual sensory (VS) by amblyopia treatment affects the ocular functions in refractive errors, accommodative errors and phoria at distance and near. Methods: 10 subjects (17 eyes, mean age of $10.7{\pm}2.9$ years) who treated amblyopia completely, were participated for this study. Refractive errors, accommodative errors, and distance and near phoria were compared between before and after treatments of amblyopia. Refractive errors and accommodative errors at 40 cm were measured using openfield auto-refractor (NVision-5001, Shin Nippon, Japan) and using monocular estimated method (MEM) respectively. Phoria was determined at 3 m for distance and at 40 cm for near using Howell phoria card, cover test or Maddox rod. Results: Mean corrected visual acuity (CVA) significantly increased from $0.46{\pm}0.11$ (decimal notation) for before amblyopia treatment to a level of $1.03{\pm}0.13$ for after amblyopia treatment (p < 0.001). For spherical refractive error, hyperopia significantly decreased from $+2.29{\pm}0.86D$ to a level of $+1.1{\pm}2.38D$ (p < 0.05) but astigmatism did not significantly change; $-1.80{\pm}1.41D$ for before treatment and $-1.65{\pm}1.30D$D for after treatment (p > 0.05). Accommodative error significantly decreased from accommodative lag of $+1.1{\pm}0.75D$ to a level of $+0.5{\pm}0.59D$ (accommodative lag) (p < 0.05). Distance phoria significantly changed from eso $2.9{\pm}6.17PD$ (prism diopters) to a level of eso $0.2{\pm}3.49PD$ (p < 0.05), and near phoria also significantly changed from eso $0.4{\pm}2.32PD$ to level of exo $2{\pm}4.9PD$ (p < 0.05). There was a high correlation (r = 0.88, p < 0.001) between improvement of visual acuity and decrease of accommodative lag. Conclusions: Hyperopic refractive error decreased with improvement of CVA or VS by amblyopia treatment. And the improvement of VS by amblyopia treatment also improved accommodative error, and changed phoria coupled with accommodation.