• Journal of Korean Ophthalmic Optics Society
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• v.14 no.4
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• pp.71-75
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• 2009

Purpose: This study was designed to investigate the condition of refractive correction and heterophoria and monocular pupillary distance on myopic elementary school children wearing glasses in Gwangju city. Methods: Subjective refraction and objective refraction were examined after investigating heterophoria and monocular pupillary distance on 145 (290eye) elementary school children wearing myopia-corrected glasses. Results: 1. Anisometropia > 2.00 D was present in 4 children (3%). 2. 9 anisometropia (47%) were present in 19 undercorrected visual acuity boy wearers. and 16 anisometropia (64%) were present in 25 undercorrected visual acuity girl wearers. 3. Among the 67 myopic glasses boy wearers, the distance between optical centers was coincided with the pupillary distance in 30% (Oculus Uterque), and discrepant in 70% (Oculus Uterque). Among the 78 myopic glasses girl wearers, the distance between optical centers was coincided with the pupillary distance in 23% (Oculus Uterque), and discrepant in 77% (Oculus Uterque). The mean optical center distance was longer than the pupillary distance on both boy and girl wearers 4. The result of measured heterophoria revealed 14% for orthophoria, 63% for exophoria, 23% for esophoria at far distance and 10% for orthophoria, 76% for exophoria, 14% for esophoria at near distance. Conclusions: Correct refractive test and monocular pupillary distance must be examined because incorrect refractive test and pupillary distance induce asthenopia and heterophoria.

• Journal of the Korea Society of Computer and Information
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• v.26 no.9
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• pp.155-166
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• 2021

Recently, digital health care technology is spreading and developing in various fields. Therefore, in this paper, we realized that the field to which digital healthcare technology is not applied is the field of optometry, and implemented a digital healthcare optometry system for precise lens manufacturing. A device called Phoroptor is used to manufacture the lens, and this device sets the lens by measuring the visual acuity of the person who requested the glasses. And when the person to be measured wears glasses, a device called a PD meter is used to align the pupil center and lens focus. However, there is a limit to the convenience of precise lens production and optometry due to the absence of a database and program that can accumulate and analyze the PD measurement error, inconvenience and error due to manual control of the Phoroptor, and optometric information. Therefore, in this paper, PD meter design for more accurate PD measurement, Phoroptor design and Phoroptor control application design for automatic Phoroptor control, and a database and analysis program that automatically set lenses using optometry information for each subject had been designed. Based on this, ultimately, a digital healthcare optometry system using an optometry database has been implemented.

• Journal of Korean Ophthalmic Optics Society
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• v.20 no.3
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• pp.385-390
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• 2015

Purpose: This study evaluated the static stereoacuity by Distance Randot Stereotest (STEREO OPTICAL. Co., Inc. USA) and the dynamic stereoacuity by three-rods test (iNT, Korea). Criterion and correlation of stereoacuity between both tests and usefulness of two stereotest methods were also evaluated. Methods: For normal adults of 109 (male 61, female 48), mean age of 20.88 (19-32 years) years old, static stereoacuity by using Distance Randot Stereotest at 3 m distance, dynamic stereoacuity by using three-rods test at 2.5 m distance were measured. Results: The mean of distance static stereoacuity was $155.77{\pm}133.11sec$ of arc and the mean of error distance dynamic stereoacuity $11.13{\pm}9.69mm$. With equivalent-conversion stereoacuity of $23.44{\pm}20.96sec$ of arc, there was statistically significant differences (p=0.00) between two dynamic stereoacuity, but correlation was relatively low (${\rho}=0.226$). In the case of dynamic stereoacuity, separated to normal range by criterion of the error distance 20 mm, it showed the error distance of less than 20 mm in 97 subjects(89%) whose average of error distance and conversion mean dynamic stereoacuity were $8.43{\pm}5.10mm$ and $17.68{\pm}10.67sec$ of arc. repectively. The error distance of was equivalent-conversion dynamic stereoacuity 40.99 sec of arc (PD 62 mm basis) was 20 mm. Conclusions: The results of lower correlation between static and dynamic stereoacuity suggest that seterotest should be applied separately to different functions. The results of this study also suggest that Distance Randot Stereotest can be applied to static stereoacuity excluding monocular cues. Three-rods test can be applied to dynamic stereoacuity containing the response of the eye-hand coordination in the daily life of natural vision condition, including the monocular cues. These different approaches canprovide a criterion of the two stereoacuity and parallel use of the two tests would be useful. For dynamic stereoacuity by three-rods test, error distance 20 mm in a normal range of adults can be used as a criteria to get statistical meaning of the results.

• 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.

• Journal of Korean Ophthalmic Optics Society
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• v.17 no.3
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• pp.311-319
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• 2012

Purpose: One of the critical aspects on dispensing glasses is to match the center of pupils to the optical center of lenses as the mismatched glasses are able to induce uncomfortable effects called prism which has been known to induce phoria, a main cause for asthenopia in many cases. Therefore, we investigated the induced prism occurred by mismatching centers between the center of pupils and the optical center of lenses. Methods: In this study, total 103 subjects were examined whether the center of pupils and the optical center of lenses are matched in horizontal and vertical directions, and then, the data was categorized into 4 groups based on the structural components of glasses. Total amount of prism was compared to show the effect of the glasses frame on the prism induction, and the value of measured prism was compared with the German RAL-RG 915 regulations. Results: The results in respect to the horizontal component showed that the induced prism was not found in 10.7% of total subjects. 73.8% of total subjects were influenced by induced prism, the range of prism was in a tolerance level. However, the 15.5% of total subjects seemed to be influenced by prism which is out of the criterion of tolerance. In case of vertical component, 23.3% of total subjects showed no effects of prism while early adopting glasses, 54.4% of total subjects showed a little prism effect within the criterion of tolerance, and 22.3% of total subjects showed the prism effect out of the tolerance range. This data indicates that group A and B that are less likely adjustable by fitting induce more prism than group C and D in horizontal and vertical components. Conclusions: In higher refractive error condition, it was found that aligning the optical center of lenses with the center of pupils by pre-fitting of glasses frame minimized prism induction in horizontal and vertical components, which ameliorates ocular fatigue. Therefore, appropriate optometric dispensing through fitting by opticians and precise design about monocular PD and monocular Oh are necessary to improve visual perception.