• Journal of Korean Ophthalmic Optics Society
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• v.12 no.1
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• pp.61-67
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• 2007

The binocular functional test was performed in test of both accommodation and convergence. The balance of accommodation and convergence was important. Objects were 100 adults in 18-36 years old ages. The used apparatus was vision tester(Shinnippon VT10)and visual chart(Shinnippon CT30). Accommodative lag test by fused cross cylinder were that in case of high 39.0%, in case of low 14.0%. Negative relative accommodation were that in case of high 23.0%, in case of low 38.0%. Positive relative accommodation were that in case of high 29.0%, in case of low 23.0%. In 18% were case of low accommodation.

• The Korean Journal of Vision Science
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• v.20 no.4
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• pp.453-459
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• 2018

Purpose : This study was to investigate the change of accommodative functions by different color density and color of colored lenses. Methods : Participant had a normal NPC and no dyschromatopsia, phoria and eye disease, also had no histories of eye surgery in 31 students of university. Their accommodative functions were measured according to 50%, 80% density of the gray, blue, brown lens and non-colored lenses. Tests of accommodative functions performed include amplitude of accommodation, accommodative facility, relative accommodation, and accommodative lag. Results : The amplitude of accommodation and accommodation lag were increased when wearing the colored lens. Negative relative accommodation was more increased when wearing the colored lens than achromatic. Positive relative accommodation increased when wearing the blue color lens density by 50%. Also, accommodation facility increased when wearing the colored lens, but, as the density of the color increased, the accommodation facility was decreased. Conclusion : As since the accommodation function changes according to density of the colored lenses, working distance and environment of the wearing colored lens should be considered when selecting density and color of colored lenses.

• Journal of Korean Ophthalmic Optics Society
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• v.15 no.1
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• pp.73-78
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• 2010

Purpose: The purpose of this study was to examine diurnal variation of accommodation on people whose age are between 35 and 50 years old with frequent alternation of accommodation at period 1 (8:00-10:00), period 2(13:00-15:00) and period 3 (18:00-20:00). Methods: All \04 subjects were separated to nonpresbyopia and incipient presbyopia. Tests were done for amplitude of accommodation, accommodative facility and relative amplitude of accommodation. Results: Both nonpresbyopia and incipient presbyopia had the highest amplitude of accommodation in oculus dexter, oculus sinister and oculus uterque at period 2. In addition, the incipient presbyopia showed the statistical significance of daily change. The nonpresbyopia had the most accommodative facility at period 3 and incipient presbyopia had the most accommodative facility at period 2. Their daily variations were statistically significant. Both nonpresbyopia and incipient presbyopia had the most negative relative accommodation of daily change at period I. Both of them had the most positive relative accommodation at period 2. Conclusions: The incipient presbyopia had the highest amplitude of accommodation, accommodative facility. and positive relative accommodation (except the negative relative accommodation) at period 2.

• Journal of Korean Ophthalmic Optics Society
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• v.16 no.1
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• pp.75-81
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• 2011

Purpose: The daily changes of accommodation at period 1 (08:00~10:00), period 2 (13:00~15:00) and period 3 (18:00~20:00) were surveyed with fifty two incipient presbyopia of from 38 to 49 years old. Methods: 52 incipient presbyopia subjects (30 men, 22 women) were classified into 4 groups (groupI: ${\geq}$ 7 hrs~group IV: < 3 hrs) according to near working amount. Their amplitude of accommodation, accommodative facility and relative amplitude of accommodation were inspected, respectively. Results: The amplitude of accommodation was measured to be the lowest for the groupI that near working time was the most during daily work, and the amplitude of accommodation of oculus dexter, oculus sinister and oculus uterque were the highest at period 2 in case of all the group I~IV. In the accommodative facility, it appeared that the oculus dexter, oculus sinister and oculus uterque of group I, oculus dexter and oculus sinister of group II, and oculus dexter, oculus sinister and oculus uterque of group III were the highest at period 2. The oculus uterque of group II and oculus dexter, oculus sinister and oculus uterque of group IV were the highest accommodative facility at period 3. It appeared that the negative relative accommodation was the highest at period 1 in case of all the group I~IV, and the positive relative accommodation was the highest at period 2 in case of the group I~III and was the highest at period 3 in case of the group IV. Conclusions: Because the difference of near working time affects the accommodation, it would become a help in solving the asthenopia symptom of the incipient presbyopia that opticians consider their near working time during daily work and take a checkup on their accommodation.

• 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.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.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.20 no.3
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• pp.341-347
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• 2015

Purpose : This study was to examine a correlation of response AC/A ratio by additional spherical powers with PD(Pupilary distance) and relative accommodation, and was to investigate correlation of CA/C ratio by prism powers. The mean differences between a reciprocal response AC/A ratio and a CA/C ratio were compared, and were suggested to be used as data in the refractive power and prism prescriptions in the clinical. Methods: The open field autorefractometer (Nvision-K 5001, Shin nippon) and Howell target at 40 cm fixation distance to 62 persons with average $22.62{\pm}2.84$ ages were used to measure the response AC/A ratio according to additional Spherical powers. The CA/C ratios were measured using the DOG card at 40cm according to prism powers. Results: When the response accommodation according to Additional Spherical power changes and the response accommodation according to prism power changes were compared, it was larger than the response accommodation according prism power change. These were significant differences statistically. The correlation of response AC/A ratio and PD is showed as r = -0.158, the CA / C ratio is shown as r = 0.093. The correlation of response AC/A ratio and relative accommodation showed as r = -0.253, the CA/C ratio showed as r = 0.566 that is predictable correlation. The correlation of response AC/A ratio and CA/C ratio showed as r = -0.355 that is low minus correlation (p = 0.000). The difference between a reciprocal response AC/A ratio and a CA/C ratio showed $0.12{\pm}0.06D/{\Delta}$ with a significant difference statistically (p=0.000). Conclusions: The correlation of relative accommodation and CA/C ratio showed that depend on the individual, The more a relative accommodation is, the higher a response accommodation of convergence by convergence stimulus is. The reciprocal response AC/A and CA/C ratio showed significant differences statistically. This can have higher CA/C ratio in patients with low AC/A ratio in clinical as an independent variable. Thus when the abnormal binocular vision was prescribed in the clinical, it is necessary to consider the accommodative response even if the AC/A ratio is a normal range.

• Journal of Korean Ophthalmic Optics Society
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• v.17 no.3
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• pp.285-291
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• 2012

Purpose: This study was conducted to research any effect on visual function related to accommodation by VDT work. Methods: The refraction power, accommodative lag, accommodative facility, relative accommodation, amplitude of accommodation and blink rate were measured before and after VDT work for 2 hours on 48 university students (16 males and 32 females), without abnormal accommodative function and systemic and ocular disease, who had never undergone corrective eye surgery. All examinations were performed with distant refraction, and a survey was conducted on the items related to subjective symptoms of VDT syndrome. Results: After 2 hours of VDT work, refractive power increased by 0.23 D, the amount of change in accommodative lag were $0.17{\pm}0.42D$ in the right eye and $0.23{\pm}0.47D$ in the left eye (t=2.26, p=0.03). There were statistically significant differences. Both the accommodative facility and relative accommodation and amplitude of accommodation were decreased after work. However, blink rate were increased. After VDT work, 33.4% of the subjects showed subjective symptoms of asthenopia and 33.3% of them showed shoulder pain. Conclusions: As a result, the accommodative lag increased in response to the two hours of VDT work, and overall accommodative functions were decreased. In addition, as symptoms of providing visual strain, asthenopia showed the most prominent subjective symptoms.