• Title/Summary/Keyword: Monocular Vision

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The Direction and Level of Dominant Eye According to the Tests (검사방법에 따른 우세안의 방향 및 강도의 비교)

  • Shim, Jun-Beom;Joo, Seok-Hee;Shim, Hyun-Suk
    • Journal of Korean Ophthalmic Optics Society
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    • v.20 no.3
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    • pp.363-368
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    • 2015
  • Purpose: In this study, dominant eye is monitoring and level of dominant was measured in subjective and objective test. Methods: The average age of 21.08 years old of 129 adult (69 male, 60 female) who was no underlying ocular disease were participated in this study. dominant eye was determined by monocular instrument in subjecttive test and using a thin ring ($3.8cm{\times}3.8cm$) in objective test and level of dominant was measured direction of movement of the thin rim. Results: In the subjective test, there are 100 (77.52%) subjects whose dominant eye was right eye, and 29 (22.48%) subjects whose dominant eye was left eye. In the objective test, 90 (69.77%) subjects had right eye d and 33 (25.58%) subjects had left eye, as dominant eye, and 6 (4.65%) subjects had no dominant eye. Comparison of subjective test and objective test by dominant eye were equal in the 104 (80.62%) subjects, unequal in the 19 (14.73%) and center 6 (4.65%) subjects. The level of dominant eye in objective dominant eye test, there were middle 52 (57.78%) subjects, high 38 (42.22%) subjects in the right eye, and middle 25 (75.76%) subjects, high 8 (24.24%) subjects in the left eye. Conclusions: In this study O - Ring Test hasadvantage of direction and level of dominant eye, and middle or center dominant eye was shown in unequal. From this results, testing of dominant eye should be relationship equal and unequal, also required to be study in dominant eye level in binocular vision.

Effect of Visual Sensory Improvement by Amblyopia Treatment on Improvement of Ocular Functions (약시 치료에 의한 시감각 개선이 안기능 향상에 미치는 효과)

  • Kim, Jae-Do
    • 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.

Corneal Asphericity and Optical Performance after Myopic Laser Refractive Surgery (굴절교정수술을 받은 근시안의 각막 비구면도와 광학적 특성 평가)

  • Kim, Jeong-Mee;Lee, A-Young;Lee, Koon-Ja
    • Journal of Korean Ophthalmic Optics Society
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    • v.18 no.2
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    • pp.179-186
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    • 2013
  • Purpose: To compare corneal asphericity, visual acuity (VA), and ocular and corneal higher-order aberrations (HOAs) between myopic refractive surgery and emmetropia groups. Methods: Twenty three subjects ($23.0{\pm}2.5$ years) who underwent myopic refractive surgery and twenty emmetropia ($21.0{\pm}206$ years) were enrolled. The subjects'criteria were best unaided monocular VA of 20/20 or better in both two groups. High and low contrast log MAR visual acuities were measured under photopic and mesopic conditions. Corneal and ocular HOAs were measured using Wavefront Analyzer (KR-1W, Topcon) for 4 mm and 6 mm pupils. Corneal asphericity was taken by topography in KR-1W. Results: There was no significant difference in VA between two groups under either photopic or mesopic conditions. In ocular aberrations, there were significant differences in total HOAs, fourthorder and spherical aberration (SA) for a 6 mm between two groups (p=0.045, p<0.001, and p<0.001, respectively). In corneal aberrations, there was a significant difference in SA for 4 mm (p=0.001) and 6 mm (p<0.001) pupils between two groups and there were statistically significant differences in total HOAs (p<0.001) and fourth-order aberrations (p<0.001) between two groups for a 6 mm pupil. There was a significant correlation in emmetropia between Q-value and SA in ocular aberrations for 4 mm and 6 mm pupils (r=0.442, p=0.004, and r=0.519, p<0.001) and in corneal aberrations for 4 mm and 6 mm pupils (r=0.358, p=0.023, and r=0.646, p<0.001). No significant correlations were found between Q-value and SA in refractive surgery group. Conclusions: VA in myopic refractive surgery is better than or similar to emmetropia. Nevertheless, the more increasing pupil size is, the more increasing aberrations are. Thus, it could have an influence on the quality of vision at night.