• Title/Summary/Keyword: Presbyopia

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Characteristics of Crashes with Early and Late Elderly Drivers by Injury Severity (부상 심각도에 의한 초기 및 후기 고령 운전자 사고 특성 분석)

  • Kim, Sangsu;Choi, Borim;Chung, Younshik
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.43 no.4
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    • pp.477-484
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    • 2023
  • The number and age of elderly drivers are continuously increasing according to the extension of the human lifespan. Therefore, in transportation, efforts are being made to differentiate and manage elderly drivers by age group. This study aims to identify the factors affecting the crash severity of early and late elderly drivers, compared to middle-aged drivers, and to identify the characteristics between these groups. Crash data that occurred on nationwide roads for the past 5 years (2017-2021) was applied. Unlike previous studies, this study only targeted drivers in their 40s and older, when presbyopia begins: middle-aged driver (40-64), early elderly driver (65-74), and late elderly driver (75+). As a result of logistic regression analysis, a total of 18 variables were found to affect serious injuries including fatalities in early and late elderly drivers. Most of these variables appeared to lead to severity more sensitively in the late elderly group. The results of this study are expected to be useful as basic information for establishing traffic safety policies for elderly drivers in the future.

A study on Monovision of Fitting soft contact lenses for College students (대학생에게 유도된 소프트 콘택트렌즈 모노비전에 관한 연구)

  • Kim, Jai-Min
    • Journal of Korean Ophthalmic Optics Society
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    • v.9 no.1
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    • pp.181-188
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    • 2004
  • Monovision is defined as correcting one eye for distance vision and the other eye for near vision. Single-vision contact lenses are used for each eye. The patient selectively suppresses one eye while using the other eye. This study was performed to measure binocular function and patient satisfaction with monovision induced by adding +3.00D to spectacle prescription for distance vision in nonpresbyopic students. This study comprised 144 nonpresbyopic students with monovision induced by adding +3.00D to spectacle prescription. Monovision was induced by undercorrecting the nondominant eye by adding 3.00 diopters for near vision and correcting the dominant eye with emmetropia for distance vision. For research of the binocular function on Monovision. This study was tested the obstacle course, water pouring test, catching and throwing, bead classification including the stereopsis test. These tests were comparative to the normal binocular state. As a results, the stereopsis have a significant reductions in Monovision. There was no significantly difference between monovision group and control group in monovision exercise (obstacle course, water pouring test, catching and throwing, and bead sorting) at near and distance. This study indicates that monovision is an effective and reasonable therapeutic modality for correcting presbyopia. By the application of above methods, this study could be used the student for the practical practice and understand on the Monovison.

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The Study on Change of Refractive error and Addition in Progressive Eyeglasses Lens Wearers (누진렌즈안경 착용자의 가입도와 굴절이상 변화에 대한 연구)

  • Joo, Seok-Hee;Shim, Moon-Sik;Shim, Jun-Beom
    • Journal of Korean Ophthalmic Optics Society
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    • v.18 no.4
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    • pp.399-404
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    • 2013
  • Purpose: This study was to analyse the changes of refractive error and addition in progressive eyeglasses lens wearers. Methods: Data of 244 subjects who have been prescribed progressive eyeglasses lenses were used for analysis. The range of age was between 43~69 old years and they visited the optical shop in Gwangju metropolitan city from 2003 to 2013. According to the refractive state and age, The changes of refractive error and addition was analysed respectively. Results: The changes of distance refractive power by refractive error was showed +0.10 D in emmetropia, +0.07 D in myopia, +0.23 D in hyperopia (p=0.000). The change of addition was showed +0.22 D in emmetropia, +0.29 D in myopia, +0.17 D in hyperopia (p=0.000). The changes of distance power and addition by age was +0.08 D distance refractive power, +0.30 D addition in the group of 40~49 old years, +0.17 D distance refractive power, +0.20 D addition in the group of 50~59 old years and +0.15 D distance refractive power, +0.14 D addition in the group of 60~69 old years (p=0.046, p=0.006). Conclusions: The changes of refractive error and addition of progressive eyeglasses lens wearers in all refractive state and age were gradual increase in the direction (+) diopter.

Development of An Optometric Questionnaire for the Elderly Suitable for Optical Shops in Korea (한국 안경원 실정에 맞는 노안용 문진표의 개발)

  • Noh, Young-Jin;Kim, Dal-Young
    • Journal of Korean Ophthalmic Optics Society
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    • v.15 no.2
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    • pp.161-167
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    • 2010
  • Purpose: The aim of this study was to help the rapid and effective eye-tests of old patients by developing an optometric questionnaire for the elderly suitable for optical shops in Korea. Methods: We surveyed several previous studies about the age-related changes of the eye, and deduced 10 items which were appropriate for optometric eye-tests. Excluding the items that could be easily found in a routine eye-test and that was just physiological changes, we principally chose anomaly items which could be catched by simple oral questions. The questionnaire was mainly composed of clinically important items that were frequently observed. Results: To diagnose optometric symptoms related to eye-aging, we listed 15 questions on the questionnaire for the elderly. Each of the 15 questions was respectively about the decline in the amplitude of accommodation (no.1), anisometropia (no.2), xerophthalmia (no.3), muscae volitantes (no.4-5), dark adaptation (no.6) light and dark adaptation (no.7), contrast sensitivity (no.8), contrast sensitivity and anisometropia (no.9), contrast sensitivity and colour vision (no.10), the field of view (no.11), stereoscopic vision (no.12), colour vision (no.13), cataract (no.14), and presbyopia (no.15). Each question was easy to understand and related to the generally observed symptoms. Conclusions: Our optometric questionnaire for the elderly, which was developed by the procedure mentioned above, was expected to be a help for examining the aging eye and offer the basis of eye-tests of older patients in Korean optical shops.

Comparative Study of the Maximum Accommodative Amplitude in 20's and 40's Myopia (20대와 40대 초반 근시안의 최대조절력 비교)

  • Yun, Jae-Hong;Hwang, Hae-Young;Kim, Soo Woon;Kim, Hyun-Mok;Son, Jeong-Sik
    • Journal of Korean Ophthalmic Optics Society
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    • v.17 no.3
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    • pp.273-278
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    • 2012
  • Purpose: Average of the maximum accommodation amplitude of myopia in different generation, early 20's and early 40's were compared according to gender, degree of myopia. Methods: Maximum amplitude of accommodation for each 100 patients of early 20's and 40's were measured with push-up method. Maximum amplitude of accommodation expectations based on Hofstetter formula were classified into three groups of under, normal and excess. Results: The average of amplitude of accommodation was 9.77~11.64 D $(10.77{\pm}2.49D)$ in early 20's and 4.67~6.21 D $(5.34{\pm}1.28D)$ in early 40's. In early 20's, minimum expectations of amplitude of accommodation for under, normal and excess groups were 20%, 75%, and 5%, repectively. In early 40's, excess and under groups were 5% and 18%, repectively, but there was no excess group. Conclusions: According to increasing age, amplitude of accommodation of both age groups showed decreased, and no significant difference was found in degree of myopia with gender. Difference between mean of expected accommodation amplitude and maximum of accommodation amplitude was compared, and it was found that maximum of accommodation amplitude of 20's was smaller than mean of expected accommodation. From the result, it was expected that people in early 20's who have more working times might have festinated accommodative insufficiency than 40's.

Analysis of Addition Power for New Wearer of Progressive Addition Lenses (누진렌즈 안경 처음 착용자의 가입도 분석)

  • Joo, Seok-Hee;Shim, Hyun-Suk;Shim, Jun-Beom
    • Journal of Korean Ophthalmic Optics Society
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    • v.18 no.3
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    • pp.247-251
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    • 2013
  • Purpose: To analyse the addition power of new wearer of progressive addition lenses. Methods: Data of 636 subjects who have been prescribed progressive addition lenses as the first time were used for analyse. The range of age for was between 41~78 years old and they visited the optical practice in Gwangju metropolitan city from 2001 to 2013Date of refractive state, gender and age were analysed. Results: The difference of addition by gender was 1.71 D in male and 1.67 D in women. The difference of addition by refractive error was 1.67 D in emmetropic patients and 1.74 D in myopic patients, 1.90 D in hyperopic patients. The difference of addition by age was1.26 D in 41~44 years old sge group, 1.48 D in 45~49 years old age group,1.72 D in 50~54 years old age group 1.84 D in 55~59 years old age group, 2.10 D in 60~64 years old age group and 2.43 D in over 65 years old age group. The difference of addition by diopter in myopic patients was 1.58 D in low myopic patients and 1.48 D in middle myopic patients, 1.67 D in high myopic patients. The difference of addition by axis of astigmatism was 1.80 D in with-the-rule astigmatism, 1.64 D in against-the-rule astigmatism and 1.65 D in oblique astigmatism. Conclusions: The Addition power of progressive lenses were different according to the types of refractive error, astigmatism axis and age.

A Clinical Study on Relation among Accommodative Amplitude, Response, and Facility in young adults (청.장년층에서 조절력 및 조절반응과 조절용이의 상관관계에 관한 임상적 연구)

  • Shim, Hyun-Seog;Joo, Seok-Hee;Leem, Hyun Sung
    • Journal of Korean Ophthalmic Optics Society
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    • v.14 no.1
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    • pp.115-119
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    • 2009
  • Purpose: This study has been conducted to know the relation among accommodative amplitude, response, and facility. Methods: 61 subjects were students without any ocular diseases and presbyopia in a university, Korea. After far distance visual acuity was fully corrected, the amplitude was measured through Push-Up test, the response was measured through Jackson crossed cylinder ${\pm}$0.25D and the facility was measured through +2.00/ -2.00D flipper. Results: The relation among accommodative facility, response and amplitude had not indicate significant level in monocular and binocular. In binocular, 12 eyes (19.6%) had a difference in amplitude, 9 eyes (14.7%) had a difference in response, 2 eyes (3.2%) had a difference in facility from norm which would be expected from their age. 4 eyes (6.5%) had difference in both amplitude and response. 2 eye (3.2%) had difference in both amplitude and facility. In all three of the amplitude, response, facility had not difference. Conclusions: The evaluation of accommodative functions and a patients accommodative dysfunction is examined all facets of amplitude, response, and facility.

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Presbyopic Addition of Using Method of Cross Cylinder (크로스실린더 검사법을 이용한 노안의 근용 가입도)

  • Ryu, Geun-Chang
    • Journal of Korean Ophthalmic Optics Society
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    • v.12 no.3
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    • pp.71-75
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    • 2007
  • This research was conducted from 1 March 2005 to 28 February 2007. We collected data from optician stores around Kwang-Ju city, 208 people aged 40 to 80 years using the cross cylinder method to find out age and gender dependence of near addition. 1. Age dependence of Refractive error shows 5% of emmetropia 34% of myopia and 43% of hyperopia. These results reveal that rate of hyperopia is higher than emmetropia and myopia. Mixed Astigmatism rate was 18%. 2. Near addition required to correct Presbyopia is analyzed as functions of gender and ages. In case of man: 40-44 (+0.75D), 45-49(+1.25D), 50-54(+1.41D), 55-59(+1.92D), 60-64(+2.35D), 65-69(+1.97D), 70(+3.12D), In case of woman: 40-44 (+1.08D), 45-49 (+1.38D), 50-54 (+1.67D), 55-59(+2.05D), 60-64 (+2.50D), 65-69 (+2.57D), $70{\leq}(+3.18D)$. Result shows it's Adding power higher than man. 3. Age dependence of Axis of Astigmatism. In case of horizontal astigmatism 61.2%, vertical 2.8% and rest else for 36%. Setting point from Binocular vision tells that average adding power of 40-44 (+0.75D) or (+1.00D), 45-49 (+1.25D) or (+1.50D), 50-54 (+1.50D), 55-59 (+2.00D), 60-64 (+2.50D), 65-69 (+2.50D) or (+2.75D), over $70{\leq}(+3.00D)$ or (+3.25D) of average adding power.

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Comparison of Dynamic Stereoacuity According to Dominant Eye and Degree of Dominant Eye (우세안의 방향과 강도에 따른 동적 입체시 비교)

  • Shim, Moon-Sik;Shim, Hyun-Suk;Kim, Young-Cheong
    • Journal of Korean Ophthalmic Optics Society
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    • v.21 no.3
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    • pp.227-233
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    • 2016
  • Purpose: On this study, we compared the relationship of dynamic stereoacuity according to the dominant eye, degree of dominant eye, and dominant agreement eye and hand. Methods: For 130 adults (male 70, female 60), mean age of $21.06{\pm}2.21years$ old, dominant eye, degree of dominant eye were measured by objective examination by using the diameter $3.8cm{\times}3.8cm$ thin ring, the dynamic stereoacuity were measured by three-rods test (iNT, Korea). Results: Dynamic stereoacuity according to the dominant eye was center dominant eye without dominance was $14.97{\pm}13.80sec$ of arc, right eye $22.10{\pm}20.01sec$ of arc, left eye $22.31{\pm}20.39sec$ of arc. Dynamic stereoacuity was better when there was no dominance, but the correlation of the dominant eye with dynamic stereoacuity was very low. When Dynamic stereoacuity was separated by in the Center, Mild, Strong, dynamic stereoacuity was $14.97{\pm}13.80sec$ of arc, $20.76{\pm}15.73sec$ of arc and $24.45{\pm}25.60sec$ of arc respectively. The dynamic stereoacuity results were worse when dominance was stonger. However dynamic stereoacuity was better than Center when the degree of dominant eye was rather strong in the dominant left eye. Dynamic stereoacuity according to the dominant eye and hand showed that right eye and hand was $22.63{\pm}20.54sec$ of arc, left eye and hand was $17.36{\pm}10.13sec$ of arc, right eye and left hand was $14.79{\pm}7.05sec$ of arc, left eye and right hand was $22.97{\pm}21.42sec$ of arc so dynamic stereoacuity was comparatively good when the dominant hand was left. Conculsions: Correlation between the dynamic stereoacuity according to the dominant eye, degree of dominant eye was low, however when degree of dominant eye was Center 14.97 sec of arc, Strong 24.45 sec of arc, the dynamic stereoacuity tended to worse when degree of dominant eye was strong. As a result, dominant eye, degree of dominant eye would have to be considered in a more comfortable binocular balance between prescribed for the wearer in binocular vision correction in binocular function such stereoacuity, sports vision training, presbyopia correction and mono vision.

The Purchasing Trends of Purchase of Functional Progressive Addtions Lenses and Correlation Analysis of Binocular Function Value (기능성누진렌즈 구매고객의 구매동향 및 양안시기능값 상관성 분석)

  • Kim, Dong-min;Lee, Gi-yung;Park, Hyun-ju
    • Journal of Korean Ophthalmic Optics Society
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    • v.20 no.2
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    • pp.255-261
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    • 2015
  • Purpose: purchasing status and understanding trends of Functional progressive addtions lenses buyers', Correlation analysis of the Binocular Function value to determine ADD then can be apply sales and prescriptions. Methods: Years 2011 to 2014, 298 patients who were prescribed functional progressive lenses were analysed based on the prescription data and SPSS (Ver. 20.0) was treated using the statistics. Results: Results: The average age of our customers are $27.66{\pm}11.55$ years, average addition power is $+0.73{\pm}0.36D$, customers are using take a prescription of ADD $+0.75{\pm}0.28D$ was the highest 44.33% to 132 people. Near point of convergence of 276 people (92.62%) was mostly less than 10 cm, and near point of accommodation of 134 people (44.97%) was also below 10 cm, within 11~15 cm were 122 people (40.94%). Most of people were within normal range in terms of Near point of convergence and near point of accommodation, near point of accommodation tend to be longer than Near point of convergence. As you can see this result shows most of customers need extra help in their near point of accommodation instead of they are leak at it. FCC (Fused cross cylinder) check Value and ADD (addition power) tests showed that the value of a strong correlation (p=0.00), NPC and NPA were also p=0.001, the correlation of the NPC and ADD is p=0.003, In addition, NPA and ADD also showed a significant correlations (p=0.005). Near Point of Accommodation, negative relative accommodation, and positive relative accommodation are all significantly correlated (p=0.00). The short distance-related variables of the ADD which are NPC, NPA, Age, also appeared to side correlate significantly with each other. Conclusion: Binocular function values of the subjects were highly correlated with each other so precise examination is required. when Age young people are working at short distance, low ADD values was prescribed for solving discomfort. So, in the case of early presbyopia, accommodative insufficiency, or people feel fatigue when they often working at near although their accommodation function is normal, when functional progressive lenses are prescribed, expectation of this should be exactly notified.