• Journal of Korean Clinical Health Science
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• v.2 no.4
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• pp.223-230
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• 2014

Purpose. Scheduled calibration of refractive error's have various refractive surgery, and a side effect of post refractive surgery for refractive errors's before refractive surgery, by analyzing the eye condition of the refractive error's good state, it tries to increase the satisfaction of refractive error's refractive surgery. Methods. In response to 60 people preoperative data 20-30 generations of age, were analyzed for eye conditions. Results. IOP, thickness of the cornea, liquid leakage amount inspection, the corneal endothelium inspection, the size of the pupil, have been conducted auto refraction test and showed a numerical value in most normal range. Conclusion. Surgery can be of individual differences of patients, it is difficult to define the full normal range, to the surgery based on the case of this study, the side effects of patients after surgery is expected to be prevention.

• Journal of Korean Ophthalmic Optics Society
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• v.11 no.4
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• pp.337-344
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• 2006

Purpose: To evaluate the vision-specific Quality of Life according to modes of refractive error correction in myopia. Method: This study included subjects from two different universities in Korea during March 2005 to June 2005. The following subjects (470) were university students, university faculty members, and their immediate families; all of whom were over the age of 19 and all who had refractive error of some sort. The four focus groups consisted of 171 spectacle wearers, 154 contact lens wearers, 123 refractive surgery patients, and 22 post-refractive surgery patients who returned to wearing glasses. The study of Vision-Specific Quality of Life used QIRC - The Quality of Life Impact of refractive Correction Questionnaire, which was translated by our group from English into Korean. Using analysis of co-variance (ANCOVA) and adjusting for age, sex, job, economic status, and education level, we examined and compared the QOL mean scores of the three groups (glass & contact lenses wears, refractive surgery patients, and post-refractive surgery patients who returned to wearing glasses). Results: After adjusting for major compounding variance, the research results showed the highest QOL mean score of 43.2 for the group who had received refractive surgery, 37.1 for the glasses & contact lenses group, and 33.4 for patients who had returned to wearing glasses after refractive surgery. There were significant differences between the three groups (p=0.001). Conclusion: Refractive surgery has shown a significant contribution to improve the QOL in myopia patients. However, upon our investigation, patients who underwent refractive surgery and returned to wearing glasses had a lower QOL compared to non-refractive surgery patients who wore glasses/contact lenses. Upon concluding our studies that shows that refractive surgery does not always conclusively bring higher QOL, we would like patients to carefully consider their options before undergoing refractive surgery in the future.

• International Journal of Advanced Culture Technology
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• v.6 no.4
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• pp.71-79
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• 2018

For 299 patients who had undergone cataract surgeries we investigated the difference in visual acuity and refractive power before and after cataract surgery and the clinical change of the visual acuity and the refractive power according to age, gender, hospital visit time and specific medical history. We found the factors affecting preoperative and postoperative outcomes of the cataract patients in metropolitan hospitals by input, process, and outcome and analyzed medical characteristics and patient characteristics as the input variables. T-test and ANOVA have been performed for statistical analysis of functional status, and general status and the technical characteristic as the process variable and the outcome variable of diagnosis. Visual acuity improved significantly in patients who had undergone cataract surgery. However, the change in refractive power did not show a statistically significant difference but only a slight difference. The improvement of male patients was greater than that of female patients. The difference in age was more effective in patients under 50 years old and the effect of cataract surgery was relatively high in patients without the presence of specific medical history. Cataract surgery did not seem to help all of the patients, but it is more effective in improving visual acuity and refractive power. We conclude that simultaneous cataract surgery in both eyes is reasonable in order to have at least the better effect.

• The Korean Journal of Health Service Management
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• v.6 no.4
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• pp.279-294
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• 2012

The study compared refractive surgery patients' hospital selection factors and satisfaction, through this to see the factors influencing patients' satisfaction, aiming at 235 patients visiting two Eye hospitals. The research results are followed. First, target group's hospital selection factors appeared facilities and environment factor, reliability factor, personal service factor, and accessibility factor in the order. Second, patients' satisfaction appeared reliability factor, facilities and environment factor, and personal factor in the order. Fourth, in the result comparing patients' expectation on hospital selection and satisfaction score, all factors of facilities and environment, personal service, and reliability had high satisfaction score than expectation. Third, in the result of factors influencing refractive surgery patients' satisfaction, in surgery determination period, surgery expenditure, and hospital selection factors among characteristics relating to refractive surgery, facilities and environment, personal service, and reliability appeared as satisfaction influencing factors. In conclusion, the study found that hospital selection factors and satisfaction influencing factors by refractive surgery patients' surgery type are considered to be able to be used to establish marketing strategy in the fields excluded from insurance application, the researches to improve patients' satisfaction in patient-oriented medical market should be continuously proceeded.

• Journal of Korean Ophthalmic Optics Society
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• v.21 no.1
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• pp.23-34
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• 2016

Purpose: In the present study, the effect of circle contact lenses wear on contrast sensitivity and glare sensitivity in a refractive surgery group was investigated. Methods: The contrast sensitivity and glare sensitivity were evaluated using by CGT-1000 for a non-refractive surgery group as control group(40 eyes) and a refractive surgery group(30 eyes) applied plano circle contact lenses, and pupil size was also measured. The correlation between contrast/glare sensitivity and the pupil size was analyzed. Results: In the refractive surgery group, contrast sensitivity in the range of high spatial frequency decreased with wearing circle contact lenses, and amount of decrease for the refractive surgery group was larger than for the control group. The correlation between pupil size and the change of contrast sensitivity was decreased by wearing circle contact lenses, and the correlation was lower in the refractive surgery group than the control group. Furthermore, the wear of circle contact lenses affected on glare sensitivity. In analyzing the change of glare sensitivity by pupil size, the glare was larger in the refractive surgery group than control group. Circle contact lenses in refractive surgery group were not fitted on the center of cornea. Conclusions: In the present study, it is suggested that the sufficient understanding and consideration about the decrease of contrast sensitivity and the increase of glare by wearing circle contact lenses after the refractive surgery is necessary.

• Journal of Korean Ophthalmic Optics Society
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• v.20 no.3
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• pp.277-284
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• 2015

Purpose: The study aimed to evaluate the effect of circle contact lens wearing on visual quality of the eyes after a refractive surgery. Methods: The objective visual quality was evaluated for 40 eyes who did not get refractive surgery and 30 eyes who got a refractive surgery after applying plano circle contact lenses on their eyes, respectively. Modulation transfer function (MTF), objective scatter index (OSI) and the focusing ratio on retina (Strehl ratio) were measured by using optical quality analysis system (OQAS) and the correlation between pupil size and objective visual quality was analyzed by measuring the pupil size. Results: When wearing circle contact lens on the eyes after refractive surgery, MTF and Strehl ratio were reduced and OSI was increased compared with the eyes without refractive surgery. The eyes after a refractive surgery showed more significant difference changes in MTF, OSI and Strehl ratio according to the pupil size compared with those without refractive surgery. Conclusions: The results showed that wearing of circle contact lens after the refractive surgery has deteriorated the objective visual quality based on the quality of focused image on the retina. Therefore, we suggest that sufficient understanding and consideration about the deterioration of visual quality is necessary in the case of circle contact lens wearing after refractive surgery.

• The Korean Journal of Vision Science
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• v.20 no.4
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• pp.543-551
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• 2018

Purpose : The purposes of this study were to evaluate the changes of intraocular pressure according to corneal ablation amount after corneal refractive surgery and the changes of intraocular pressure according to refractive errors before corneal refractive surgery. Methods : The mean age of adults who underwent LASIK corneal refractive surgery were $37.34{\pm}7.42years$, and 108 adults(48 males, 60 females) were participated in this study. Refractive errors, intraocular pressure, and corneal ablation amount were measured using an autorefractor, a noncontact tonometer, and an excimer laser. All test values were considered statistically significant when p<0.05. Results : The mean intraocular pressure before corneal refractive surgery was $15.08{\pm}2.60mmHg$ in males and $14.16{\pm}2.67mmHg$ in females. The decrease of intraocular pressure after corneal refractive surgery were 4.22mmHg in males and 3.61mmHg in females. Spherical equivalent power were $-3.89{\pm}2.17D$ in males and $-4.45{\pm}2.92D$ in females before corneal refractive surgery, and $-0.10{\pm}0.46D$ in males and $-0.04{\pm}0.46D$ in females after corneal refractive surgery. The corneal ablation amount after corneal refractive surgery were statistically significant, with $53.95{\mu}m$ in males and $61.26{\mu}m$ in females. There was significant correlation between corneal ablation amount and decrease of intaocluar pressure(r=0.2299, p<0.001). As the growth of corneal ablation amount in males, the decrease of intraocular pressure was significantly increased. As the growth of refractive error, the amount of decrease in intraocular pressure was also significant. The decrease of intraocualr pressure were $3.04{\pm}2.18mmHg$ in low refractive error, $4.10{\pm}2.16mmHg$ in middle refractive error, and $4.65{\pm}3.29mmHg$ in high refractive error. Conclusion : We found that intraocular pressure decreased after corneal refractive surgery by noncontact tonometer and the change of intraocular pressure which is an important index for glaucoma diagnosis, may affect the judgment of eye disease. We think that a preliminary questionnaire whether corneal refractive surgery is necessary for the measurement of intraocular pressure.

• Korean Journal of Ophthalmology
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• v.32 no.6
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• pp.497-505
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• 2018

Purpose: To evaluate and compare published methods of calculating intraocular lens (IOL) power following myopic laser refractive surgery. Methods: We performed a retrospective review of the medical records of 69 patients (69 eyes) who had undergone myopic laser refractive surgery previously and subsequently underwent cataract surgery at Samsung Medical Center in Seoul, South Korea from January 2010 to June 2016. None of the patients had pre-refractive surgery biometric data available. The Haigis-L, Shammas, Barrett True-K (no history), Wang-Koch-Maloney, Scheimpflug total corneal refractive power (TCRP) 3 and 4 mm (SRK-T and Haigis), Scheimpflug true net power, and Scheimpflug true refractive power (TRP) 3 mm, 4 mm, and 5 mm (SRK-T and Haigis) methods were employed. IOL power required for target refraction was back-calculated using stable post-cataract surgery manifest refraction, and implanted IOL power and formula accuracy were subsequently compared among calculation methods. Results: Haigis-L, Shammas, Barrett True-K (no history), Wang-Koch-Maloney, Scheimpflug TCRP 4 mm (Haigis), Scheimpflug true net power 4 mm (Haigis), and Scheimpflug TRP 4 mm (Haigis) formulae showed high predictability, with mean arithmetic prediction errors and standard deviations of $-0.25{\pm}0.59$, $-0.05{\pm}1.19$, $0.00{\pm}0.88$, $-0.26{\pm}1.17$, $0.00{\pm}1.09$, $-0.71{\pm}1.20$, and $0.03{\pm}1.25$ diopters, respectively. Conclusions: Visual outcomes within 1.0 diopter of target refraction were achieved in 85% of eyes using the calculation methods listed above. Haigis-L, Barrett True-K (no history), and Scheimpflug TCRP 4 mm (Haigis) and TRP 4 mm (Haigis) methods showed comparably low prediction errors, despite the absence of historical patient information.

• Current Optics and Photonics
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• v.3 no.1
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• pp.72-77
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• 2019

This study was performed to analyze the optical aberrations of the cornea induced by myopic refractive surgery. Corneal total higher-order aberrations, spherical aberration and coma for 4-mm and 6-mm pupils were measured using a wave-front analyzer. The amount of aberrations of the oblate corneal optics by the achieved correction was found to be larger than for the prolate corneal shape with complete eye, in an emmetropia control group. The change in corneal shape acts as an optical factor that degrades the quality of the retinal image; it seems to be one of the important factors related to quality of vision.

• Journal of the Korea Convergence Society
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• v.9 no.8
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• pp.117-125
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• 2018

Aims of this study was to investigate on the actual condition of contact lens wearing after corneal refractive surgery, base curves and diameters of lenses on sale, and to confirm movement of lens and wear patterns when wearing of lenses in the modified cornea. After surgery, 16.5% of the respondents had experience wearing contact lenses. Also, the mostly distributed contact lenses had B.C. 8.6mm and DIA.14.0mm. The corneas of 24 eye after corneal refractive surgery were flat, the lenses moved towards inferior and temporal when wearing the lens. After corneal refractive surgery, contact lens wear may feel uncomfortable may require the detailed description and sophisticated fitting due to the limited type of contact lens. It is thought that convergence will be necessary in the industry and clinical study of contact lenses.