• Title/Summary/Keyword: Subjective and Objective Refraction

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Study on the Night Myopia of Refraction (야간근시 굴절검사에 대한 연구)

  • Lee, Hark-Jun;Kim, Chang-Sik
    • Journal of Korean Ophthalmic Optics Society
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    • v.13 no.1
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    • pp.107-112
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    • 2008
  • urpose: This thesis is a study the Night myopia was surveyed by Subjective refraction and Objective refraction (Dark retinoscopy), and analyzed the relationship between them. It also looked at the relation between Night myopia and pupil size. Methods: 82 adult subjects (ages of 19 to 44, 44 males and 38 females) were examined by Subjective refraction and Objective refraction in the light place. Then Night myopia and pupil size were examined by Subjective refraction and Objective refraction in the dark again. The Statistics were analyzed by SPSS (Statistical Package for Social Science). Results: As the subjects became younger, the observed Night myopia was getting higher in both Subjective refraction, $x^2$=219.48 (p<0.01) and Objective refraction, $x^2$=241.98 (p<0.01). The relationship was statistically significant by showing large pupil size, $x^2$=151.74 (p<0.01). In Objective refraction, as pupil size became larger in the dark place, so did Night myopia, $x^2$=84.27 (p<0.01), reaching a statistically significant correlation, however, the correlation was low in Subjective refraction. In Subjective refraction, observed Night myopia was 73%, 64 examples of 88 examples, a standard of 0.96${\pm}$0.4584D in ${\pm}$0.25D, in male examples, and it was 64%, 49 examples of 76 examples, a standard of 1.01${\pm}$0.4509D in ${\pm}$0.25D, in female examples. In Objective refraction, it was 48%, 42 examples of 88 examples, in standard of 0.85${\pm}$0.4651D in ${\pm}$0.25D, in male examples. And it was 71%, 54 examples of 76 examples, in standard of 0.96${\pm}$0.4133D in ${\pm}$0.25D, in female examples. Conclusions: Night myopia which is measured by both methods, observed as $x^2$=265.35 (p<0.01) and showed a large relationship. The correlation between the two refractions suggests that observed night myopia diopter by Subjective refraction could be used as correction of night myopia.

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Diurnal fluctuations of vision in myopes (근시안의 일일 시럭변동에 관한 연구)

  • Park, Sang-Chul;Sung, A-Young;Kim, Tae-Hyun;Kim, Douk-Hoon
    • Journal of Korean Ophthalmic Optics Society
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    • v.10 no.1
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    • pp.35-40
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    • 2005
  • Subjective and objective visions were measured on young adults(mean 21 yrs, 126 eyes) who were free of any ocular diseases and laser surgery and none wore contact lenses. The aim of this study was to investigate the diurnal variation of vision through subjective and objective measurements. Subjective visual acuity were measured at 5 m three times a day, morning(8:00 AM-10:00 AM), noon(12:00 PM-2:00 PM) and afternoon(4:00 PM-6:00 PM). The instrument used for objective refraction right after visual acuity measurement was Nvision-K 5001(shin-nippon) which unique in being able to disregard subject's accommodation because of its unrestricted viewing conditions. Also, we measured that three times and then calculated the average values. The result showed that an average subjective visual acuity in the morning, noon, afternoon were 0.256(${\pm}0.263$), 0.266(${\pm}0.276$), 0.242(${\pm}0.249$) respectively. Average spherical equivalent power in objective refraction of right eyes showed -3.416 D(${\pm}2.907$), -3.359 D(${\pm}2.735$), -3.297 D(${\pm}2.709$) respectively and dioptric power was decreased from morning to afternoon. Vision changed throughout the day in both subjective and objective measurements nevertheless its variations were statistically insignificant(p<0.05). Therefore it does not seem to matter of time for either visual acuity test or refraction.

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Usefulness of Rotation for Toric Soft Lenses Using Objective Refraction (타각적 굴절검사를 이용한 토릭 소프트 렌즈 회전 평가의 유용성)

  • Yu, Dong-Sik;Moon, Byeong-Yeon;Son, Jeong-Sik
    • Journal of Korean Ophthalmic Optics Society
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    • v.16 no.3
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    • pp.265-272
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    • 2011
  • Purpose: The clinical usefulness of rotation evaluation using objective refraction in toric soft lenses fitting was investigated. Methods: Toric soft lenses were fitted for 32 subjects (64 eyes; mean age of 24.69 ${\pm}$ 1.65 years) with astigmatism and both eyes of each subject were fitted with toric soft lenses. Objective refraction-based lenses rotation was evaluated from refraction and over-refraction data by indirect calculating technique. These calculated data were compared with the measured data from slit lamp with direct measuring technique. Results: Orientation of toric soft lenses around zero position (within ${\pm}$ 5$^{\circ}$ vertical line) was investigated. The orientations to the direction of nose of measured and calculated values were 69.78% and 63.64%, respectively, which showed similar values between two techniques. Agreement frequency between measured and calculated values in the magnitude of lenses rotation 54.69% and 82.82% for 10$^{\circ}$ and 20$^{\circ}$ of vertical line, respectively. The 95% limits of agreement between calculation and measurement were from -10.08$^{\circ}$ to 12.65$^{\circ}$, and mean difference was 1.29$^{\circ}$ within ${\pm}$ 10$^{\circ}$. The result showed there was no significant difference (p = 0.1984) and high correlation (r = 0.56, p = 0.0004) between two techniques. But the 95% limits of agreement was widen in ${\pm}$ 20$^{\circ}$ of vertical line. The magnitude of lens rotation between two methods was 9.66 ${\pm}$ 6.16$^{\circ}$, 16.17 ${\pm}$ 12.38$^{\circ}$ and 10.58 ${\pm}$ 12.02$^{\circ}$ for normal, loose and tight fitted conditions. Conclusions: From the results with smaller difference between two techniques, it was found that higher availability of subjective over-refraction data can be used as a supplementary tool for subjective refraction. An application using objective refraction with direct measuring could be provide high success in prescription on toric soft lenses.

Comparison of Accuracy for Autorefraction according to Measuring methods (측정방식에 따른 자동굴절검사의 정확도 비교)

  • Jeong, Youn Hong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.8
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    • pp.353-359
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    • 2018
  • In this study, the performance between subjective refraction and open-field/closed view autorefraction was estimated. We measured the refractive error of early adults aged 18 to 20 years who did not have eye disease. The differences between measurements obtained by subjective refraction and open-field autorefraction for SE, J0, and J45 were $-0.13{\pm}0.53D$ (p=0.17), $+0.33{\pm}0.68D$ (p=0.01), and $+0.13{\pm}0.68D$ (p=0.26), respectively, with only J0 differing significantly. The differences between the measurements of subjective refraction and closed-view autorefraction for SE, J0, and J45 were $-0.30{\pm}0.42D$ (p=0.00), $+0.30{\pm}0.71D$ (p=0.02), and $-0.02{\pm}0.63D$ (p=0.88), respectively, with only SE and J0 differing significantly. The coefficient of accuracy for SE, J0, and J45 components of open-field and closed-view autorefraction were 1.04, 1.33, and 1.34 and 0.83, 1.40, and 1.24, respectively. It is possible to predict the refractive error, which is necessary when deciding on subjective refraction, by measuring the objective refraction of open-field/closed view autorefractors.

Refractive Power Changes after Removal of Contact Lenses (콘택트렌즈를 임시 제거한 상태에서의 착용 조건에 따른 굴절력 변화)

  • Cho, Yun-Kyung;Kim, Soo-Woon;Yu, Dong-Sik
    • Journal of Korean Ophthalmic Optics Society
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    • v.18 no.3
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    • pp.279-289
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    • 2013
  • Purpose: To evaluate the changes of refractive power when worn soft contact lenses were temporarily removed. Methods: 91 soft contact lens wearers (15 males and 76 females; total 182 eyes) from 17 to 39 years of age (average: $24{\pm}4.8$ years) were participated. Objective and subjective refraction, and corneal radius were measured at 0, 30, 60 and 90 min after lens removal. The changes in refractive power were evaluated between measurements over time. The other parameters such as types of lenses, fitting and wearing conditions were also assessed. Results: Objective refraction, subjective refraction and corneal radius were significantly changed according to measured time (p<0.0001). A moderate myopic shifts was observed at the beginning (30 min after lens removal) and a slight myopic shift at the late of measurement (60 min to 90 min after lens removal). There are no significant differences between lens types, fitting states, wearing time, wearing days and sleeping time in the previous day. However, there was significant interaction in changes for corneal radius between measuring time and lens type (p=0.017), fitting state (p=0.019), and sleeping time prior to the test (p=0.010). Conclusions: Time to reach refractive and corneal radius stability after contact lens removal revealed at least more than 60 min, regardless of types of lenses, fitting and wearing conditions. Therefore, refraction for correction should be performed after waiting for more than that time as possible.

Relationship between Uncorrected Visual Acuity and Refraction of the Children and Teenagers (소아, 청소년의 나안시력과 굴절이상의 상관성 분석)

  • Kim, Sang-Moon;Shim, Hyun-Seok;Shim, Jun-Beom
    • Journal of Korean Ophthalmic Optics Society
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    • v.18 no.2
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    • pp.173-178
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    • 2013
  • Purpose: This study is to predict refractive errors according to uncorrected visual acuity using uncorrected visual acuity of the first glasses wearers. Methods: For 886 children who visited an ophthalmic clinic, subjective refraction was carried out with maintain refraction (MR) and cycloplegic refraction (CR), and objective refraction was carried out using auto-refractometer. Uncorrected visual acuity and corrected visual acuity were tested using on a trial lens and a Han's visual acuity chart. Results: In correlation between with the uncorrected visual acuity and refractive the myopia was the highest (r=0.774) and followed by hyperopia (r=0.670), simple astigmatism (r=0.623), simple with-the-rule astigmatism (r=0.604)and simple against-the-rule astigmatism (r=0.508). Conclusions: There were differences in the predictions between uncorrected visual acuity and refractive error according to the types of refractive error and astigmatism.

Clinical Features of Retinal Correspondence according to Refractive Errors and Deviation Angles (굴절이상과 편위각에 따른 망막대응의 임상적 고찰)

  • Wi, Dae-Gwang;Joo, Seok-Hee;Lee, Koon-Ja;Leem, Hyun-Sung
    • Journal of Korean Ophthalmic Optics Society
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    • v.15 no.4
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    • pp.367-372
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    • 2010
  • Purpose: The purpose of this study was to provide useful information for evaluating the sensory function of patients with strabismus by identifying the distribution of anomalous retinal correspondence (ARC) and normal retinal correspondence (NRC) by the degree of refractive errors and deviation angles. Methods: Objective refraction (AR/K, Cannon RK-F1, Japan) and subjective refraction tests were performed on 56 subjects (male: 26, female: 30) by an examiner; objective deviation angle was measured using synoptophore (OCULUS Synoptophore, Germany) with subject' eyes fully corrected for distance, and then subjective deviation angle was measured. Results: In all groups with refractive errors, the number of ARC was larger than that of NRC(67%). Particularly, it was largest in groups with myopia (71%), and in all groups, the number of UARC was larger than that of HARC. In groups with anisometropia, although the numbers of NRC and ARC were same, the number of UARC was larger than that of HARC as in other groups. In the distribution of NRC and ARC by deviation angle, the number of NRC was larger than that of ARC (46%) only at microstrabismus (0 ~ ${\pm}10{\triangle}$). Conclusions: Normal retinal correspondence were the most emmetropia in the retinal response were much higher than in the more hyperopia than the retinal correspondence were more myopia. In addition, the smaller the angle of retinal correspondence Normal over many, but overall, respectively.

The Visual Acuity and Refraction on Students of Primary School Using Eyeglasses in Kyung-Nam Region (경남지역 안경 착용자 초등학생들의 시력과 굴절)

  • Kim, Douk-Hoon;Mun, Joung-Hak;Kim, Joung-Suk
    • Journal of Korean Ophthalmic Optics Society
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    • v.11 no.4
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    • pp.345-350
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    • 2006
  • The study of the visual acuity and refraction status was performed to the students of primary school using eyeglasses in Kyung Nam region, Korea. Two hundred sixty three subjects with various styles of ametropia were analyzed the visual acuity and refraction examination by the subjective and objective tools. The results of study were as follows; 1) According to the increase of age of subjects, the visual acuity of binocular in naked eyes was decrease. However ametropia was increase. 2) The high frequency of ametropia types in the binocular was simple myopia, and the next order of high frequency was mixed astigmatism, myopic compound astigmatism, simple hyperopia, and hyperopic compound, respectively. 3) On the power of spherical refractive error of ametropia, the high frequency was -1.00 diopter, and the next order of high frequency was -2.00 diopter, +2.00 diopter, -3.00 diopter, and so on, respectively. 4) According to the increase of subjects ages, the changes of dioptric power of myopic spheric power was increase. however the frequency of the boy and girl was similar results, also the dioptric values of refractive status in binocular was similar results. As the results of this study, we conclude that the relationship of the visual acuity and refractive error status in primary students using eyeglasses was improved.

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A Comparative Analysis of increased along with the age presbyopic additions in city and island villages (도시와 섬마을 노안의 연령에 따른 근용 가입도의 비교 관찰)

  • Kim, In-Suk;Ryu, Geun-Chang
    • Journal of Korean Ophthalmic Optics Society
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    • v.7 no.2
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    • pp.61-65
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    • 2002
  • This study examines how the average presbyopic additions and eye refraction state of old ages in city may be different to that island. There were 677 of the old who were 50 or over 90 in the sample. The visual acuity test was done by objective and subjective methods and used for near-chart program. The far-point refraction state and power of the additions lens results were as follows ; 1. Of far-point refraction state in city peoples; male: emmetropia 10%, myopia 17%, hyperopia 19%, mixed astigmatism 38%, etc. 16% female : emmetropia 20%, myopia 20%, hyperopia 20%, mixed astigmatism 27%, etc. 13% 2. Of far-point refraction state in island villages ; male : emmetropia 13%, myopia 17%, hyperopia 22%, mixed astigmatism 40%, etc. 8% female : emmetropia 7%, myopia 13%, hyperopia 26%, mixed astigmatism 44%, etc. 10% 3. Average presbyopic additions states has been presented no discrimination ; male: 50 to 60 : +1.25 or +1.50D, 61 to 65 : +1.75 or + 2.00D, 66 to 70 : +2.25 or +2.50D 71 to 75 : +2.75 or +3.00D, 76 to 80 : +3.25 or +3.50D, over81 : +3.75D female : 50 to 60 : +1.25 or + 1.50D, 61 to 65 : +1.75 or + 2.00D, 66 to 70 : +2.25 or +2.50D 71 to 75 : +2.25 or + 2.50D, 76 to 80 : +2.75 or +3.00D, over81 : +2.75 or +3.00D 4. Under the condition of wearing lens, the average working time was 1 or 2 hour but some people used over 5 hours. 5. Generally, it has been investigated the old ages peoples has ocular diseases and cataract was the most common.

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Classification of Rock Mass on Cutting Slopes in Muakjae, Seoul (서울 무악재 절취사면에서의 암판정 연구)

    • Tunnel and Underground Space
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    • v.9 no.2
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    • pp.158-167
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    • 1999
  • There are substantial difficulties in assessing the volume of soill/rock to be excavated and the cost thereof, which is attributable to the subjective and qualitative methods of rock mass classification prevailing at the moment. This paper intends to introduce more objective and quantitative rock mass classification method easily applicable to the excavation of granites in Muakjae, Seoul. As a result of such study it is proven that Schmidt hammer and point load strength tests are fairly reliable and easily applicable to estimate and quantify uniaxial compressive strength of granitic material in Seoul. In an efforts to confirm the granitic rock mass conditions in 12 meters underground, seismic refraction surveys were made on the top of vertical exposures from where underlying rock mass conditions could be directly inspected. Rock mass boundaries determined by seismic refraction methods were found to agree within a 1m variance with visible differences in rock mass conditions in the vertical exposure beneath the test site. Thus it can be concluded that detailed geotechnical mapping on cutting slopes is a most efficient, dependable and cost-effective technique in assessing likely excavation conditions of shallow granitic mass in Seoul.

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