• Title/Summary/Keyword: Optometry clinic

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A Longitudinal Study for 3 Years on Myopic Refractive Error Changes of Myopic Children Among Patients of a Korean Optometry Clinic (국내 한 안경원을 방문한 근시 어린이의 3년간 근시도 변화의 추적 연구)

  • Kim, Jin-Suk;Kim, Jae-Do
    • Journal of Korean Ophthalmic Optics Society
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    • v.17 no.3
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    • pp.249-254
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    • 2012
  • Purpose: To investigate amount of myopic progression with increase of age for children myopes among patients of a Korean optometry clinic. Methods: It has followed up 99 children subjects (male 55, female 44) who had no ocular disease and have visited a Korean optometric clinic for mean $33{\pm}8$ months (13 to 54 months) since June of 2001. Mean age of subjects at first visit was $118{\pm}23$months. Non-cycloplegic refractive error were measured 6 times using Canon RK-3(Japan) every mean 6 months. Results: For all subjects mean of refractive errors increased -0.78 D per year from $-2.02{\pm}1.05D$ at first visit to $-4.18{\pm}1.30D$ at final visit with longitudinal study, but -0.19 D per year with cross-section study, which showed a big difference between two methods. Mean of astigmatic refractive error increased -0.15 D per year. As progression of refractive error according to ages at first visit, refractive errors increased -1.04 D per year for 6 years old, -0.9 D for 7 years old, -0.89 D for 8 years old, -0.89 D for 9 years old, -0.74 D for 10 years old, -0.74 D for 11 years old and -0.72 D for 12 years old. And it showed a tendency that the younger age was the higher progression of myopia. However it was not significantly different between each groups. Conclusions: Follow-up results for myopic children among patients of a Korean optometry clinic showed increase of -0.78 D for myopic refractive error and -0.14 D for astigmatic refractive error per year.

A Study on Ocular Disease by Ages in Ulsan (울산지역의 연령별 안질환에 관한 연구)

  • Han, Sun-Hee;Kim, Bong-Hwan;Kim, Hak-Jun;Park, Jo-Eun;Baek, Jin-Hee;Seo, Jin-Yun;Chu, Sun-Jin;Park, Jun-Sung
    • Journal of Korean Ophthalmic Optics Society
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    • v.19 no.3
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    • pp.403-406
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    • 2014
  • Purpose: In this study, we studied ocular disease by age in Ulsan. Methods: We checked medical record of 300 patients who visited eye clinic in Ulsan. Results: The main ocular disease on the age of 10 was keratitis, that of 20 was dry eye syndrome & keratitis, that of 30 was chalazion & conjunctivitis, that of 40~50 was conjunctivitis, that of 60 was conjunctivitis & cataract. Conclusions: The main cause of ocular disease of 10~20's are unsuitable wear of contact lenses & long-time use of smart phone as well as computer. That of 30~50's are allergic conjunctivitis and chemical material reaction as well as other several factors. Especially, attack rate of conjunctivitis of 30~50's is higher than city because of industrial area (Ulsan). The main cause of ocular disease in 50~60's is a kind of senility. Therefore, based on the results of this study, it could be used the basic data of education on ocular disease prevention in Ulsan.

Medical Accessibility Analysis by Optical Store and Ophthalmic Clinic Distribution (Centering on Special and Metropolitan Cities) (안경원과 안과의원 분포에 따른 의료접근도 분석 (특별시와 광역시 중심으로))

  • Ye, Ki-Hun;Lee, Wan-Seok
    • Journal of Korean Ophthalmic Optics Society
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    • v.21 no.3
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    • pp.159-171
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    • 2016
  • Purpose: This study investigated medical accessibility on optical stores and ophthalmic clinics of Seoul Special City and six other metropolitan cities. Methods: By using a number of households, population, optician stores, ophthalmic hospitals, and real estate (apartments) standard market price of Seoul Special City and six other metropolitan cities provided by the Commercial District Information System (2016.6) of Small Enterprise & Market Authority, we analyzed the level of healthcare accessibility and business area zones, Statistical analyses were performed with SPSS 18.0. Results: Inchon (household 2,227/population 5,723) had the highest household and population rate per optical store, and Gwangju (1,146/2,979) had the lowest. Gwangju (24,612/63,987) had the highest household and population rate per optical store, and Seoul (10,021/24,432) had the lowest. From the consumer and patient's point of view, lower household rate per optical store is a city with good accessibility to healthcare, but from an optical store and ophthalmic clinic's view, it will have great difficulty due to issues of competition. Conclusions: Consumers and patients should be the center of healthcare. A healthcare system that can provide smooth service anywhere anytime should be constructed. However, most metropolitan cities, including Seoul, have optical stores and ophthalmic clinics densely populated where profitability and liquidity are ensured and causing unbalanced distribution of healthcare. To solve such problems, we need proper distribution of optician stores according to the population proportion and industrial-educational research to find balance point of local healthcare.

Trends and Refractive Status of Cataract Surgery - An Optometry Clinic-Based Survey in Chungbuk (백내장 수술 경향과 굴절상태 - 충북 지역의 안경원 중심으로 조사)

  • Kim, Hyeong-Su;Son, Jeong-Sik;Yu, Dong-Sik
    • Journal of Korean Ophthalmic Optics Society
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    • v.18 no.2
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    • pp.143-148
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    • 2013
  • Purpose: The aim of this study was to investigate the distribution of age and gender, types of intraocular lens (IOL), and refractive errors in subjects who had cataract surgery. Methods: 2,217 subjects who had cataract surgery were surveyed at an optometry clinic in Chungbuk from 2010 to 2012. Information about IOL was obtained from case history, reflective and retroillumination images IOL by auto refracto-keratometer. Refractive errors were determined by objective and subjective refraction. Results: The mean age of the subjects was $71.74{\pm}10.62$ years. The number of cataract surgeries increased from 524 persons in 2010 to 888 persons in 2012. Of the subjects surveyed, 52 persons (2.3%) were under the 40 years of age, 144 persons (6.5%) were in 50s, 404 persons (18.2%) were in 60s, 1,132 persons (51.1%) were in 70s, 485 persons (21.9%) were in above 80s. Cataract surgery was significantly prevalent in more female (1,338 persons, 60.4%) than in male (879 persons, 39.6%). Types of IOL were 2,141 persons (96.6%) for monofocal lens, special IOLs such as multifocal, accommodative and toric lens were 76 persons (3.4%). The distribution of refractive errors after cataract operation were 1,588 eyes (38.5%) for simple myopic astigmatism, 327 eyes (7.9%) for simple hyperopic astigmatism, 601 eyes (14.6%) for mixed astigmatism, 1,240 eyes (30.0%) for myopia, 136 eyes (3.3%) for hyperopia, and 234 eyes (5.7%) for emmetropia. The uncorrected and best corrected visual acuity of the subjects were $0.55{\pm}0.25$ and $0.80{\pm}0.23$, respectively. Conclusions: The prevalence of cataract surgery increased with age until 70s years of age, it was more prevalent in men than women over 60s, and frequency of special types of IOL were low. Most cataract surgeries left residual refractive errors. Therefore even after cataract surgery it may need spectacles for better vision at either distance or near.

Analysis of Employment Tendencies According to the Satisfaction of Field (Clinical) Practice among Students of the Department of Optics (안경광학과 학생들의 현장(임상)실습 만족도에 따른 취업 성향 분석)

  • Choi, Gye-Hun
    • Journal of Korean Clinical Health Science
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    • v.4 no.4
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    • pp.671-679
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    • 2016
  • Purpose. This research study is to understand the effects of field (clinical) Practice on employment choice and decision. Method. The research study conducts a questionnaire survey of trainees who received field (clinical) Training during the period of 2016 summer vacation to analyze the data, utilizing Likert 5 rating scales and conduct a statistical analysis with the tool of SPSS 18.0. Results.. As for the satisfaction of the participation of Practice, girl students account for the high rate (75.1%) compared with boy students (61.7%). Regarding the satisfaction of each Practice spot, ophthalmic clinic reaches the high rate (77.8%) compared with optical shop (65.7%). Practice about practice courses (53.2%) of regular subjects have somewhat close correlations compared with theory courses (46.8%). 75.2% of respondents in the group that shows the high satisfaction of the participation of Practice replied that they would decide employment as an academic major after Practice. And the figure is proved to assume a high ratio. Conclusion. The analytic research outcome indicates that those trainees who received Practice in an ophthalmic clinic have higher satisfaction than those who received Practice in an optical shop. There is the high accomplishment of employment in relation to academic major area instead of other area, after Practice.

Analysis of Induced Heterophoria Variations by Repeated Binocular Vision Examinations (반복된 양안시 검사로 유발된 사위도 변화 분석)

  • Leem, Hyun-Sung;Lee, Eun-Hee;Song, Yun-Young;Jung, Mi-A
    • Journal of the Korea Convergence Society
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    • v.9 no.12
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    • pp.281-286
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    • 2018
  • The purpose of this study was to evaluate the degree of heterophoria variations according to visual fatigue induced by increasing number of examinations while repeating binocular vision examinations. Twenty - one adults in their twenties who had no heterotropia other eye disease or systemic disease underwent binocular vision examinations. As the examinations progressed, the degree of heterophoria increased in both orthophoria and heterophoria. When the distance examinations was repeated 5 times, orthophoria increased degree of $1.56{\Delta}$ heterophoria. and heterophoria increased degree of $1.63{\Delta}$ heterophoria. When the near examinations was repeated 5 times, orthophoria increased degree of $1.78{\Delta}$ heterophoria. and heterophoria increased degree of $2{\Delta}$ heterophoria.. As the number of examinations increased, the result gradually deviated from the normal range as visual fatigue increased. The degree of the variation is judged to be enough to make the wrong prescription in the clinic. In conclusion, it was found that the binocular vision examinations should be conducted more accurately and promptly.

A Clinical Study of Ocular Dimention and Visual Acuity Before and After Cataract Surgery Over Ninety Years Old (90세 이상 초고령 환자들의 백내장 수술전.후 안수치와 시력에 관한 임상연구)

  • Lee, Jung-Mi;Kim, In-Suk;Shin, Jin-Ah
    • Journal of Korean Ophthalmic Optics Society
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    • v.15 no.3
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    • pp.275-280
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    • 2010
  • Propose: Due to the rapid growth of medical technologies and the increasing population of older people, we investigated clinical status of ocular dimensions and visual acuity for pre and post cataract surgeries of people over age 90. Methods: From March 2007 to February 2009, we investigated eighty-two eyes of forty-eight patients who had undergone cataract surgeries at an ophthalmic clinic (Ansung, Kyungi-do), investigated maximum corrected vision, axial length, anterior chamber depth and accompanied ocular diseases before and after the surgeries based on the collected data. Results: As patients aged, axial length unchanged but anterior chamber depth decreased over all due to the increase of intraocular lens thickness, and men tended to have a higher degree than women. Seventy-one (86.6%) of eighty-two eyes showed improved corrected vision than before surgeries and forty-three (52.4%) eyes could see more than visual acuity of 0.5. Conclusions: Patients with the systemic disease and accompanied ocular disease showed low vision less than 0.5 after cataract surgery compared to same healthy age peoples. But the others improved correction visual acuity more than 0.5, so the cataract surgery was surely necessary for people over 90 years old and also the presence of ocular disease could have a great influence on correction visual acuity.

Ten-year Refractive Error and Astigmatism Changes in Korean Subjects (한국인의 10년간 굴절이상과 난시 축 변화)

  • Ha, Na-Ri;You, Jung-Kone;Kim, Jai-Min
    • Journal of Korean Ophthalmic Optics Society
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    • v.15 no.4
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    • pp.389-397
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    • 2010
  • Purpose: This study was to investigate the changes of refractive error and astigmatism associated with age in Korean subjects between the ages of 6 and 80 years during 10-year period. Methods: 220 normal subjects (345 eyes) who visited ophthalmic clinic was recruited and followed for 10 years between 1999 and 2009, cycloplegic manifest refraction being performed annually. Visual acuity was tested on a Han's chart. Results: The mean 10-year change in the spherical equivalent refraction (SER) of age 6 to 10 years old and 10 to 20 years was -3.649D and -2.165D respectively. There was no change of refractive error in age 21 to 40 years. The myopic shift decreased with age from 41 up to 69 years but increased slightly in patients 70 years and older; the hyperopic shift showed the opposite trend. The distribution of refractive error over the 10 years in aged 6 to 10 and 11 to 20 years was shifted myopic. The incidence of medium (> -3.01D) to high myopia at age 6 to 10 years was 4.8% and after 10 years was 62.5%. The 10-year change of astigmatism axis was in "with the rule" direction for younger age group and in a "against the rule" direction for older subjects. Conclusions: This study has documented refractive error changes in Korean subjects and confirmed reported trends of myopic shift from age 6-20 years and hyperopic shift before age 70 years and a myopic shift thereafter. The axis of astigmatism turns to "against the rule" after 40's.

A Study on Prescription of RGP Contact Lens in Korean Optometrist (안경사의 RGP콘택트렌즈 처방 실태조사)

  • Kim, Young-Hoon;Baarg, Saangbai;Kim, Kwang-Bae;Kim, Dae-Hyoun;Lim, Byung-Kwan;Sun, Kyoung-Ho
    • Journal of Korean Ophthalmic Optics Society
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    • v.12 no.3
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    • pp.7-17
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    • 2007
  • There has been an increase in rigid gas permeable contact lens prescription by the optometrists in Korea since 1995. Therefore, the aim of our study was to find out which equipment is needed for adequate RGP contact lens prescription and the level of the clinical knowledge that they have and the level of education for the patient, to seize about the extended lens education programmes for the Korean optometrist. Also, we tried to figure out the problem that they had in the RGP contact lens prescription, to develope the educational programs for students and to improve legal uncertainties, through this research. The result came out with the following through questionnaires of 400 male and female opticians who is in clinical field. The distributions of respondents are 270 male (67.5%), 130 female (32.5%), and 356 optometry major (89%). We found out the optometry-majored people had faster clinical lens prescriptions (p=0.000), 72.5% of opticians prescribe the RGP-Lenses, and 27.5% do not because of laking in experience (P=0.000). They responded that they need slit-lamp, button lamp, fluorescein dry paper, and etc,for prescription or fitting test. In regular-check-up (Follow-up), the result came out very low by 83% of respondents who are not getting it regularly. And 83.5% (334 people) of them wanted to have those Extended Educational Programs and also the Clinical Education Programs.

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The Change in Binocular Function and Sensory Anomaly After vision Training on Intermittent Exotropia and Recurrent Intermittent Exotropia Patients After Surgical Correction (간헐성 외사시 및 외사시 재발환자에 대한 시기능 훈련 후 양안시 기능 및 감각이상 변화)

  • Lee, Chang-Seon;Kim, Jong-Ki;Shin, Jeong-Hoon;Kim, Dae-Nyoun;Lee, Hyun Mee;Kim, Ki-Hong
    • Journal of Korean Ophthalmic Optics Society
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    • v.16 no.3
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    • pp.345-350
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    • 2011
  • Purpose: This was a study of the effects of the vision training on binocular function and sensory anomaly for intermittent exotropia and recurrent intermittent exotropia patients. Mehtods: The change was examined weekly at the clinic during the 8 week vision training. The sample group of 17 patients, intermittent exotropia and recurrent intermittent exotropia patients without amblyopia, were chosen from the patients with the short and the long-distance deviation angle p=0.558 and p=0.338, and also greater than 10${\Delta}$, respectively. Results: The longdistance deviation angle was reduced by 67.9(${\pm}$32.7)%, and the short-distance deviation angle by 75.4(${\pm}$32.9)% after the vision training. There is an improvement on the binocular function and sensory anomaly according to the fusion reverse and Worth 4 dot tests. Conclusions: This study shows that the vision training is effective for phoria, function and sensory anomalyon of the intermittent extropia and recurrent intermittent exotropia patients.