• Title/Summary/Keyword: Ophthalmic

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The study to develope of optical glass(LaF, KzFS1, LBO) (광학유리(LaF, KzFS1, LBO) 개발에 관한 연구)

  • Cha, Jung Won;Park, Moon Chan
    • Journal of Korean Ophthalmic Optics Society
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    • v.5 no.1
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    • pp.19-30
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    • 2000
  • LaF, KzFS1, LBO glass were manufactured successfully by using platinum crucible in LaF and using clay crucible in the KzFS1 and LBO. There was optically transparent and the refractive indexes were measured by minum deviation method of prism. LaF, KzFS1, LBO show that the refrective indexes are $n_d$ = 1.770 in LaF, $n_d$ = 1.603 in KzFS1, $n_d$ = 1.560 in LBO. The transmittance were obtained that LaF has 85%, and KzFS1 has 83% and LBO has 89% in visible range. These glasses have no any absorption spectrum under visible range. Therefore it has no any color.

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A Study of the Epidemiology of Refractive Error in Adult Korean (한국 성인의 굴절이상에 관한 역학조사)

  • Choi, Hae-Jung;Chen, Ko-Hsien;Cha, Jung-Won
    • Journal of Korean Ophthalmic Optics Society
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    • v.2 no.1
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    • pp.133-143
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    • 1997
  • A population-based study of people aged above 20 years showed that 32% had emmetropia and 68% had ammetropia(myopia 56.6%. hyperopia 11.4%) city in Korea. The percentage of ammetropia in population based study is higher than that of clinic(O.P.D.) based. A 83.3% of the ammetropia had myopia. which is higher than 76.3% of 1968 and 76.9% of 1975 years. A 16.7% of the ammetropia had hyperopia. which is lower than 19.4% of 1968 and 17.3% of 1975 years. In the kind of refractive error. 32.1% of 985 eyes examined had compound myopic astigmatism. 18.2% had simple myopic astigmatism. 14.2% had simple myopia. 6.8% had simple hyperopic astigmatism, 5.0% had mixed astigmatism, 4.7% had compound hyperopic astigmatism and 3.6% had simple hyperopia. In the difference of binocular refractive error, 29% had 0.50~2.00 Dptr difference and 3.6% had difference above 2.00 Dptr. In age related myopic refractive error, 76.7% of people aged 20~29 years and 74.0% of 30~39 years had myopia. It is due to overstudy for entrance into a university that the percentage of myopia is higher than that of abroad. In age related hyperopic refractive error, 2.9% of people aged 20~29 years, 0.6% of 30~39 years. 6.3% of 40~49 years, 16.0% of 50~59 years and 63.9% of 60~69 years had hyperopia. It shows that the age related hyperopic refractive error was significantly increased at aged 40~49 years. The right eye had more myopic refractive error than left eye.

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Effect of Accommodation Control by Applying Fogging Method in Subjective Refraction and Auto-Refraction in Ametropia (비정시안에서 운무적용에 따른 자각적 및 자동굴절검사의 조절제어효과)

  • Lee, Kang-Cheon;Kim, Sang-Yeob;Cho, Hyun Gug;Yu, Dong-Sik;Moon, Byeong-Yeon
    • Journal of Korean Ophthalmic Optics Society
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    • v.21 no.2
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    • pp.119-126
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    • 2016
  • Purpose: To analyze the effect of accommodative control and change values between subjective refraction (SR) and auto-refraction (AR) according to application of fogging after accommodative stimulation depending on ametropia type. Methods: Myopic ametropia 76 eyes and hyperopic ametropia 52 eyes participated for this study. SR and AR values measured by three test conditions (Before accommodative stimulation; Before AS, After accommodative stimulation; After AS, and After application of fogging; After AF) were compared, respectively. Results: In myopic eyes, (-)spherical power by SR and AR in After AS test was significantly increased as compared to Before AS test, (-)spherical power in After AF test was decreased to the level of Before AS test. The differences of spherical power between SR and AR were highly measured by SR in After AS test, and highly measured by AR in After AF test, respectively. In hyperopic eyes, (+)spherical power of SR significantly decreased in After AS test compared to Before AS test, more (+)spherical power was detected in After AF test compared to Before AS test. (+)spherical power of AR have no significant difference between Before AS and After AS test, but more (+)spherical power was detected in After AF test compared to Before AS test. The differences of (+)spherical power between SR and AR were significant in all test conditions. Among 52 eyes which were measured as hyperopic ametropia, 7 eyes were measured as myopia by SR in After AS test. In case of AR, 25 eyes among 52 eyes were mismeasured as myopia of ranges from -0.25 D to -1.25 D in Before AS test, 26 eyes in After AS test, and 19 eyes in After AF test were mismeasured as myopia of ranges from -0.25 D to -1.25 D. Conclusions: Regardless of ametropia type, accommodative control by After AF test was effective on both refraction process. However, in auto-refraction for hyperopic eyes, the misdetermined proportion of refractive error's type was high due to consistent accommodative intervention in all test condition. Therefore, in order to obtain an accurate value of refractive errors, full correction should be determined by subjective refraction process after fogging method.

Study of Masking Effect of Soft Contact Lenses on Cornea after Refractive Surgery (각막굴절교정 수술 안에 대한 소프트콘택트렌즈 착용 시 Masking 효과)

  • Moon, Ye-Rim;Park, Hyung-Min;Chu, Byoung-Sun
    • Journal of Korean Ophthalmic Optics Society
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    • v.21 no.2
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    • pp.91-98
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    • 2016
  • Purpose: This study investigated the masking effect of the hydrogel lens and silicone hydrogel lens on the cornea with refractive surgery and without surgery. Methods: 24 university students (means age: $23.48{\pm}2.89years$) without refractive surgery (12, control group) and with refractive surgery (LASIK: 8, LASEK: 4, experimental group) participated in the study. Mean refractive errors of right eyes were -2.73 D for control group and -0.24 D for experimental group. The differences in the refractive power and corneal topography map between pre- and post-wearing the -3.00 D lenses were compared, and 2 kinds of hydrogel contact lenses (0.89 Mpa, 0.49 Mpa) and 2 kinds of silicone hydrogel lenses (1.5 Mpa, 0.8 Mpa) were used for -3.00 D lenses. NVision-K5001 (Shin nippon, Japan) was used to measure the refractive power and Keratograph 5M (Oculus, Germany) to measure the corneal topography map change. Results: Variations in the refractive power increased to the plus direction in the experimental group after wearing soft contact lenses. The corneal topography map showed significant changes on the both groups after wearing soft contact lenses (p<0.05). However there were no significant differences in the refractive power and corneal topography map variations by lens materials. Conclusions: Wearing soft contact lenses showed corneal topography map changes. Especially wearing soft contact lenses on the flat cornea after corneal refractive surgery showed greater corneal power changes. Therefore, it should pay attention to refractive change in case of prescribing soft contact lenses to patients with corneal refractive surgery.

Comparison of Tear Distributions by the Corneal Eccentricity when Fitted with Spherical and Aspherical RGP Lenses (구면 및 비구면 RGP렌즈 피팅 시 각막 이심률별 눈물분포 비교)

  • Kim, Jihye;Kim, So Ra;Park, Mijung
    • Journal of Korean Ophthalmic Optics Society
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    • v.21 no.2
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    • pp.99-108
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    • 2016
  • Purpose: The present study was aimed to compare the tear volume and distribution by corneal eccentricity when fitted with spherical and aspherical RGP lenses. Methods: Spherical and aspherical RGP lenses were fitted in best alignment on a total of 77 subjects (136 eyes) in their twenties and thirties without any ocular disease or ocular surgery experience. The tear volume was analyzed by estimating the concentration of tear stained with fluorescein in the center of RGP lens as well as at the mid-peripheral and peripheral areas, and the difference of tear distributions was analyzed according to corneal eccentricity. Results: Tear distribution from the center to the peripheral area was not significantly different when spherical RGP lenses were fitted on the corneal eccentricities of e < 0.38 and $0.68{\leq}e$, indicating the relatively even tear distribution compared with other corneal eccentricity. In the case of aspherical RGP lenses, the difference of tear distribution between the central and peripheral areas was smaller than spherical RGP lenses. The significant difference of tear distribution according to RGP lens design was observed in the corneal eccentricity of 0.48 < e < 0.68. In other words, more even tear distribution was shown when aspherical RGP lenses were fitted on the cornea with eccentricity of $0.48{\leq}e<0.68$ and spherical RGP lenses were fitted on the cornea with eccentricity $0.68{\leq}e$. Furthermore, tear volume in the mid-peripheral area increased with higher corneal eccentricity. Conclusions: The results suggest that the appropriate selection of RGP lens design according to corneal eccentricity is necessary since tear volume and distribution by the regions of spherical and aspherical lenses are affected by corneal eccentricity.

Relationship between the Deposition of Tear Constituents on Soft Contact Lenses according to Material and Pigmentation and Adherence of Staphylococcus aureus (소프트콘택트렌즈 재질과 착색에 따른 눈물성분 침착과 포도상구균 흡착의 상관관계)

  • Park, So Hyun;Park, Ill-suk;Kim, So Ra;Park, Mijung
    • Journal of Korean Ophthalmic Optics Society
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    • v.21 no.2
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    • pp.109-117
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    • 2016
  • Purpose: The study was aimed to figure out the effect of materials and pigmentation of soft contact lens on the adherence of Staphylococcus aureus upon soft contact lenses deposited with tear components. Methods: The number of adherent S. aureus on clear and circle soft contact lenses made of etafilcon A, hilafilcon B, nelfilcon A was measured before and after incubation in artificial tear. Furthermore, the denaturalization level of tear protein with time after incubation in artificial tear was estimated by electrophoresis. Results: The adherence of S. aureus was significantly different according to the lens materials. The pattern of bacterial adherence on clear and circle contact lenses was different. That is, the adherent amount of S. aureus was somewhat larger on circle lens made of etafilcon A however, amount on circle lenses made of hilafilcon B and nelfilcon A was 89.3% and 71.3% of the number on clear lenses. When the tear protein was deposited on contact lenses, the number of adherent bacteria decreased and its degree was varied according to the lens material. The degree of decrease was the biggest in clear soft lens made of etafilcon A. Anti-bacterial effect of tear protein decreased with time after deposition of tear protein on soft contact lens and the amount of lysozyme also decreased. The reduction of anti-bacterial effect and quantity of lysozyme was different according to contact lens materials and pigmentation. Conclusions: It was revealed that the adherence of S. aureus depends on contact lens materials and pigmentation, and the specification of lens material affects more on adherence of S.aureus than pigmentation. It was further figured out the denaturalization level of anti-bacterial protein on soft contact lens varies according to lens materials and pigmentation, which produces an effect on the quantity of bacterial adherence.

The Functional Change of Accommodation and Convergence in the Mid-Forties by Using Smartphone (스마트폰 사용에 의한 40대 중년층의 조절 및 폭주기능 변화)

  • Kwon, Ki-il;Kim, Hyun Jin;Park, Mijung;Kim, So Ra
    • Journal of Korean Ophthalmic Optics Society
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    • v.21 no.2
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    • pp.127-135
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    • 2016
  • Purpose: The present study was aimed to investigate the effect of excessive near work by using a smartphone on subjective symptoms and accommodative and convergent function in their 40s. Methods: A total of 40 subjects(male, 10; female, 30; age, $43{\pm}7.2year$) in their 40s who have monocular and binocular visual acuities of 0.8 and 1.0, respectively, were divided into presbyopia group and non-presbyopia group. The subjects were asked to watch a movie on the screen of smartphone for 30 minutes. Their accommodative amplitude and facility, and relative accommodation were measured and compared before and after the use of smartphone. Changes in fusional vergence and near heterophoria by using smartphone were also evaluated. Furthermore, the change of subjective symptoms was surveyed using a questionnaire. Results: The presbyopia in mid-40s reported discomfort in an order of asthenopia, blur and dryness after the use of smartphone. Accommodative function and non-strabismic binocular function were generally decreased. Accommodative functions such as monocular accommodative amplitude, and relative accommodation were significantly decreased after smartphone use, and the change of phoria was observed as a result of decreased convergence and divergence. Negative fusional vergence was also significantly reduced. On the other hand, non-presbyopia in mid-40s reported discomfort in an order of asthenopia, dryness and blur, and only accommodative amplitude among the accommodative functions was significantly reduced. Significant reduction of negative fusional vergence was also observed. Conclusion: From the results, it was confirmed that the subjective discomfort of mid-40s after smarphone use might be related to whether presbyopia or not. It was due to not only the reduction of accommodative function but also the overall deterioration of visual function including heterophoria and fusional vergence. Therefore, it suggests that the accurate determination of the cause based on the overall visual functional tests such as heterophoria, fusional vergence as well as the decrease of accommodation due to the aging may be necessary when the mid-40s feels discomfortable symptoms by near work.

Study on the Correlation between Refractive error and Components of Eye's Optical system in Children and Teenagers in an Optometric Practice (안과 병원을 내원한 소아 청소년의 굴절이상과 안광학 성분간의 상관관계 연구)

  • Ha, Na-Ri;Kim, Hyun Jung
    • Journal of Korean Ophthalmic Optics Society
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    • v.17 no.1
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    • pp.67-74
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    • 2012
  • Purpose: The purpose of this study to evaluate visual acuity and refractive state and measure and analyze the components of eye's optical system in children and teenagers. Methods: With subjects of 124 (230 eyes) children and teenagers who had no eye diseases, correlation between the correlation between refractive errors and component's of eye's optical system was investigated. The spherical equivalent power of cycloplegic clinical refraction or manifest clinical refraction(SE), corneal power(CP), corneal radius(CR), axial length(AL), anterior chamber depth(ACD) and axial length to corneal radius (AL/CR) ratio were measured and analysed. Results: the SE was negatively correlated with the AL(r = -0.80, p = 0.00), the ACD(r = -0.35, p = 0.00) and the CR(r = -0.11, p=0.00) and positively correlated with the CP(r = +0.11, p=0.00). The AL was positively correlated with the AL/CR ratio (r = +0.84, p = 0.00), the ACD(r = +0.47, p=0.00) and the CR(r = +0.38, p = 0.00) and negatively correlated with the CP(r = -0.38, p=0.00). The CR was negatively correlated with CP(r = -1.00, p = 0.00), the AL/CR ratio(r = -0.19, p = 0.00) and the ACD(r = -0.06, p = 0.39). The CP was positively correlated with the AL/CR ratio(r = +0.19, p = 0.00) and the ACD(r = +0.06, p = 0.39). The ACD was positively correlated with the AL/CR ratio(r = 0.53, p = 0.00). Conclusions: the highest change of refractive errors was shown that the AL/CR ratio was a very important indicator for diagnosing the refractive errors of the children and teenagers.

The Comparison of Fluorescein Patterns between Spherical RGP Lens and Aspherical RGP Lens by Corneal Type and Astigmatic Degree (각막형상과 난시도에 따른 구면 RGP 렌즈와 비구면 RGP 렌즈의 플루레신 염색 패턴 비교)

  • Park, Eun Hye;Kim, So Ra;Park, Mijung
    • Journal of Korean Ophthalmic Optics Society
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    • v.17 no.1
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    • pp.37-45
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    • 2012
  • Purpose: The change of alignment between RGP lens and cornea according to the lens design was investigated by comparing the areas of fluorescein pattern in central and peripheral regions analyzed by astigmatic degree and corneal type when spherical and aspherical RGP lenses fitted in alignment. Methods: The fluorescein patterns of 90 eyes (19-30 years, $25.12{\pm}3.52$) having with-the-rule astigmatism were analyzed after spherical and aspherical RGP lenses fitted in alignment. Then, their fluorescent areas in central and peripheral regions were calculated and compared for the quantitative evaluation. Results: The case showing concordant base curve between spherical and aspherical RGP lenses in alignment fitting was 72% however, the possibility to have same base curves between spherical and aspherical RGP lenses in alignment fitting was to be less in the case of symmetric bowtietyped cornea and high astigmatism. The fluorescent area in peripheral region of aspherical RGP lens in alignment fitting was smaller than it of spherical RGP lens. Peripheral fluorescent areas in both RGP lenses decreased according to the increase of astigmatic degree and peripheral area in symmetric bowtie-typed corea was smaller than round-typed cornea's peripheral area. In the case of same astigmatic degree, peripheral fluorescent area of aspherical RGP lens was smaller in both corneal types. Conclusions: The results above suggest the changing degree in the alignment between RGP lens and cornea can be varied according to lens design, corneal astigmatism and corneal type. Thus, the results obtained from the quantitative analysis of the alignment between lens design and cornea may be used as the basic information about the establishment of guidelines for RGP lens fitting, the development of proper lens design, and different tear volume in partial regions.

Study on the Environmental Factors and Symptoms of VDT Syndrome (VDT 증후군의 환경적 요인과 증상에 대한 연구)

  • Jeong, Seunghui;Lee, Seon Young;Eu, Sun Mi;Kim, Douk-Hoon;Lee, Eun-Hee
    • Journal of Korean Ophthalmic Optics Society
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    • v.14 no.4
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    • pp.65-69
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    • 2009
  • Purpose: Recently incidence of VDT syndrome has gradually increased as extensive use of computers. VDT syndrome reported by VDT workers include musculoskeletal disorder, neuropsychiatric disoders and eye symptoms such as eye strain, tired eyes, irritation and blurred vision. The environmental factors of VDT syndrome include electromagnetic waves, size, brightness and lighting of computer screen, height of a monitor and a worktable, working hours, kind of task, distance between screen and workers, indoor humidity and temperature, indoor air contamination and ventilation. In this study, we investigated the environmental factors related to body symptoms and health effects included in VDT syndrome. Methods: Study subjects were total 120 persons (54 male, 66 female) with age from 19 to 28. We surveyed the body symptoms and physical discomfort when doing an activity in a short distance such as reading book or paper, computer work. The questionnaire included main body symptoms, self-consciousness symptoms of eye, satisfaction of working environment, pain of the wrist when using keyboard and mouse. Results: Most of people (70%) felt physical pain from long time work of computer, paper, electrical apparatus. They mainly complained pain of neck and low back (57.1%), eye (45.2%) and head (31%). With the environmental factors, 78.3% of the subjects complaint pain of eye from inappropriate illumination. Most of the symptoms included 'eye fatigue'(38.3%), 'dryness of eye'(31.9%) and 'blurred vision'(23.7%). Subjects in this study complained discomfort of their chairs and most of them experienced pain in the wrist when using keyboard or mouse. Conclusions: When people use electrical apparatus or work with paper, people would get their eye fatigue and feeling of physical fatigue because of not harmonizing various environmental factors such as light, space, posture, worktable with theirselves. Therefore, workers should develop preventive method such as self-control of adequate break time to avoid fatigue while VDT work. Work environment should be changed to ergonomic design for optimal visual environment to prevent musculoskeletal disorder through constant research.

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