• Journal of Korean Ophthalmic Optics Society
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• v.12 no.3
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• pp.125-130
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• 2007

The aim of this work was to study the relationship between subjective symptoms and binocular function during near work in forty one(12-17yr) schoolchildren. CISS symptom survey, amplitude of accommodation, accommodative facility, neagative relative accommodation(NRA)/positive relative accommodation(PRA) near point of convergence(NPC), heterophoria, AC/A ratios were measured. The results of measurement were compared with normal expected value of each test and classified into normal and abnormal group. Accommodative insufficiency was more general than convergence insufficiency and esophoria was greater than exophoria. NRA/PRA showed very high and AC/A ratios were very low compare with normal expected value. The results of CISS was as follows; most frequent symptom was tired, mean score was $16.63{\pm}7.49$, mean number of symptoms were $10.07{\pm}3.04$, and mean number of serious symptoms were $1.98{\pm}2.13$. After classified into 4 groups according to score of symptoms, number of symptoms, and degree of symptoms and then analyze the correlation compare with binocular vision test results. NRA was most correlated with group comparison, accommodative facility was most correlated with score of symptoms, NRA was most correlated with number of symptoms, and near horizontal phorias were most correlated with serious symptoms. NRA showed most correlative relation with near symptoms.

• Journal of Korean Ophthalmic Optics Society
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• v.16 no.2
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• pp.179-186
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• 2011

Purpose: This study aimed to compare and assess changes of visual functions in viewing an anaglyph 3D image. Methods: Visual functions were examined before and after viewing a 2D image and an anaglyph 3D image with red-green glasses on seventy college students (mean age = 22.29${\pm}$2.19 years). Visual function tests were carried out for von Graefe phoria test, accommodative amplitude test by (-) lens addition, negative relative accommodation (NRA) and positive relative accommodation (PRA) test, negative relative convergence (NRC) and positive relative convergence (PRC) test, accommodative facility, and vergence facility test. Results: Assessment of the visual functions indicated that near exophoria and accommodative amplitude were reduced after viewing a 3D image, and although there were small changes in relation to these findings, NRC and PRC showed tendencies to increase and decrease at near, respectively. There were no significant changes with NRA and PRA, and accommodative and vergence facility were shown to have improved. Conclusions: Changes of visual functions were more in the 3D image than the 2D image, especially at near than distance. Particularly, the improvement of accommodative and vergence facility could be related to an effect of subsequent accommodation and vergence shift to have stereopsis in the 3D image. These results indicate that an anaglyph 3D image may, to some extent, be the effect of vision training such as anaglyphs.

• Journal of Korean Ophthalmic Optics Society
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• v.10 no.3
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• pp.205-213
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• 2005

To evaluate the reliability of binocular vision measurements by phorometry. 90 students volunteered to participate in this study. 25 subjects were males, and 65 were females, they ranged in ages from 21 to 30 years. All subjects had normal ocular and systematic health, and all of them had at least 1.0 visual acuity with their best correction. At negative relative convergence(NRC) measurement in distance, the percentage of subjects is included in expected value(blur point/break point/recovery point) was 78%/61%/67%, divergence excess(DE) was 9%/31%/33%, and divergence insufficience(DI) was 13%/8%/9%, respectively. And positive relative convergence(PRC) measurement, includes expected value was 20%/46%/39%, convergence excess(CE) was 22%/14%/16%, and convergence insufficience(CI) was 35%/40%/45%. AC/A ratios of 42 subjects were normal. 38 were low, and the rest of them high. A low AC/A ratio is usually the result of a small vergence response in relation to accommodation. Negative relative convergence(NRC) at near, includes expected value was 26%/29%/44%, divergence excess(DE) was 61%/33%/24%, and divergence insufficience(DI) was 3%/38%/32%. And PRC at near, includes expected value was 33%/40%/31%, convergence excess(CE) was 61%/23%/42%, and convergence insufficience(CI) was 6%/37%/27%. For the near point of convergence(NPC) test, 58% of their subjects had a break of ${\leq}8cm$ with the accommodative target. In case of NRA(PRA) measurement, the expected value was 41%(33%). Accommodative insufficiency (AI) was 33%(43%), and accommodative excess(AE) was 26%(24%), respectively. AE was related to respectively low values of NRA. AI and CE are associated with high value of NRA, and the dysfunction of convergence excess combined with AE was related to a normal-high values of NRA. PRA in AI was related to a low value, wheres the dysfunction are associated with high values of PRA.

• 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.14 no.4
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• pp.59-63
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• 2009

Purpose: This study was designed to compare the relative accommodation, the accommodative facility, and the addition whose 40's initial presbyopia divided into five occupations (driver, official worker, housewife, field worker, teacher). Methods: We measured the values of near point convergence (NPC), positive relative accommodation (PRA), negative relative accommodation (NRA), accommodative facility, and addition. Results: Official worker group had lower PRA, higher NRA, and lower accommodative facility compared with them of the other groups. The average of addition was as follows: official worker > driver > field worker > housewife > teacher. Conclusions: Because the difference of working environment based on occupation affects the accommodative functions and addition, it is important to consider the patient's occupation when opticians measure the addition for near vision of initial presbyopia.

• Journal of Korean Ophthalmic Optics Society
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• v.18 no.2
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• pp.157-163
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• 2013

Purpose: This study was investigated weather watching 2D and 3D images effecting on accommodative function (AF), and differences between changes of AF by 2D and 3D. Methods: 50 subjects (male 30, female 20) aged 20's to 40's years old ($22.9{\pm}3.93$ years) who are available to watching 3D images were participated for this study. Accommodative amplitude (AA) by near point of accommodation (NPA), accommodative response (AR), positive and negative relative accommodation (PRA, NRA), accommodative facility (AF) were measured before, after watching 2D and 3D images at 1 m distance for 30 minutes respectively. Results: Accommodative amplitude after both watching 2D and 3D images decreased comparing to before watching images, and AA after watching 3D images was significantly lower than after watching 2D images. AR after both watching 2D and 3D images increased comparing to before watching images, but there was no difference between 2D and 3D. PRA and NRA were not significantly different between before, after watching 2D and 3D images. Accommodation speed by AF was increased for before watching ($13.52{\pm}3.32$ cpm) following by for after watching 2D images ($14.28{\pm}3.21$ cpm) and for watching 3D images ($14.90{\pm}3.27$ cpm). Conclusions: Watching images at close distance is effect to accommodation functions, and sequence of AA decrease of before watching images following by after watching 2D images and after watching 3D images may effect to asthenopia with same sequence as AA decrease. The results of increase of AF after watching images, specially 3D images show a possibility of vision therapy and further detail VT studies using 3D images are required in the future.

• Journal of Korean Ophthalmic Optics Society
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• v.15 no.3
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• pp.287-291
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• 2010

Purpose: The aim of this study was to compare binocular functions such as near point of convergence (NPC), AC/A ratios, heterophoria, accommodation, accommodation lag, positive relative accommodation (PRA), negative relative accommodation (NRA), positive relative convergence (PRC), negative relative convergence (NRC) in normal subjects and convergence insufficiency. Methods: 86 subject (male n=45, female n=41, mean $age{\pm}SD=23.27{\pm}2.85$ years) without amblyopia, strabismus, and ocular pathology were studied. Forty three patients each group were classified as normal subjects and convergence insufficiency group based on AC/A ratio and far and near phoria. Binocular function of the two groups was measured using phoropter. r. Results: The values between normal subjects and convergence insufficiency were 5.71 cm and 7.07 cm for NPC, 5.28 and 2.81 for Heterophria AC/A, 0.92 exo/3.36 exo and 2.17 exo/10.84 exo for far and near phoria, 15.49/23.30/13.30 and 13.50/20.02/9.09 for PRC, respectively. However, there were no significant differences between normal subjects and convergence insufficiency for accommodative amplitude, accommodative lag, PRA, NRA, BI vergence test, BO vergence test, NRC. Conclusions: Both groups were a significant difference for cover test, NPC, Heterophria AC/A, far and near phoria, break point of PRC, and recovery point of PRC.

• Journal of Korean Ophthalmic Optics Society
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• v.20 no.2
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• pp.117-124
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• 2015

Purpose: The purpose of this study was to compare the accommodative function of young adult in their 20s wearing monovision, modified monovision, and aspheric multifocal contact lenses at near task. Methods: Thirty young adults ($23.53{\pm}2.37years$) were fitted with monovision, modified monovision (the application of single vision contact lenses and center-near low addition aspheric multifocal contact lenses), and aspheric center-near multifocal contact lenses. After wearing these modalities during a week for adaption, and after watching visual display at computer for inducing accommodative pressure for 1 hour. The following assessments of accommodative function were made: contrast visual acuity (VA) at distance and near; accommodative response; near accommodative facility; and negative relative accommodation (NRA)/positive relative accommodation (PRA). All measurements were carried out binocularly. Results: In binocular distance VA with contrast of 10%, monovision was the worst among the four modalities (p=0.005). In accommodative response at 1 m (1.00 D), monovision was the lowest (p<0.05) and accommodative response at 40 cm (2.50 D) with monovision was lower than that of modified monovision and multifocal contact lens (p<0.05). We also found that there were no significant differences in accommodative facility and NRA/PRA among the four modalities. Conclusions: In young adult (20s), monovision with low add reduced the accommodative response at near task, however, modified monovision and multifocal lens with center-near type did not affect accommodative relaxation.