• Title/Summary/Keyword: Subjective and Objective Refraction

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The Need for Change of Korean Optician(optometrist) System (안경사제도의 변화 필요성에 대하여)

  • Seo, Jae-Myoung;Kim, Jae-Do;Kim, Heung-Soo;Shim, Hyun-Suk;Kim, Sang-Hyun
    • Journal of Korean Ophthalmic Optics Society
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    • v.20 no.4
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    • pp.527-536
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    • 2015
  • Purpose: In this paper, we have dealt with problems and improvement of korean optician system. Methods: Using the relevant material of korean optician system and international optometrist system, provides the theoretical basis of the need for regulatory changes optician. Results: The people with refractive errors are increasing, 67% of refractive error test is made from optical shop and korean optician are sufficient trained, many opticians are in charge of the refractive error test at the ophthalmic hospital. We have confirmed that current law does not reflect adequately the nature of optician's work. Conclusions: Since current capacity of the Korean opticians and education system ready to provide health services for people, therefore an korean optician must redefine the law to fit the reality.

Clinical Study on Tendency of Addition Power with Age (연령별 노안 가입도 경향에 관한 임상적 연구)

  • Kim, Mi-Yeon;Kim, Jae-Gwang;Kim, Tae-Hun;Sung, A-Young
    • Journal of Korean Ophthalmic Optics Society
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    • v.11 no.2
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    • pp.131-135
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    • 2006
  • The purposes of this study is examining a wearing tendency of a progressive multifocal lens. We measured refractive error values using subjective and objective refraction method with subjects in 40-65 ages. Also, we investigated and analyzed distribution of addition power and wearing tendency of progressive multifocal lens. Detected addition powers were ranged of +0.75D - +3.00D. In case of average addition, they were detected with +1.18D in 40's, +1.55D - +1.97D in 50's and +2.38D in above 61's age. The distributions of visual ability at a distant were measured that the hyperopia and hyperopic astigmatism 43%, the myopia and myopic astigmatism characteristic astigmatism 7% appeared highly with 36%. The male who uses the interior aspect multi focal lens with the short-range work were appeared the male 20%, the woman 19%.

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Survey on the Refractive Status of Primary School Children with Subnormal Visual Acuity in Seoul (서울지역 초등학동 비정시안의 굴절상태에 대한 조사)

  • Kim, Hye Dong
    • Journal of Korean Ophthalmic Optics Society
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    • v.6 no.1
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    • pp.65-69
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    • 2001
  • To investigate the visual acuity of the primary school children. This study was researched visual acuity test using objective and subjective methods. 1. The eye types were 90.3% positive for myopia, 3.1% for emmetropia, 4.9% hyperopia, 1.7% for mired astigmatism. 2. The abnormal refraction eyes were 58.6% positive for simple myopia, 29.9% for myopic compound astigmatism, 5.1% for my optic simple astigmatism and 1.9% for simple hyperopia, 1.9% for hyperopic compound astigmatism, 1.3% for hyperopic simple astigmatism, 1.3% for mixed astigmatism. 3. The axis of astigmatism were 85.7% for astigmatism with-the-rule, 9.3% for astigmatism against-the-rule, 5.0% for astigmatism oblique. 4. On total myopic spheric power. the -0.50

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Time-dependent Changes of Visual Acuity After Alcohol Ingestion (음주 후 시간경과에 따른 시력의 변화)

  • Kim, Sang-Yoeb;Lee, Sun Haeng;Moon, Byeong-Yeon;Yu, Dong-Sik;Cho, Hyun Gug
    • Journal of Korean Ophthalmic Optics Society
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    • v.13 no.2
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    • pp.59-62
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    • 2008
  • Purpose: This study was designed to investigate the time-dependent changes of visual acuity after alcohol ingestion. Methods: Both the subjective and objective refraction, distant contrast sensitivity, and three needle tests were carried out at 1 and 3 hours after alcohol ingestion. Results: It was found that the degree of myoptization increased as the blood alcohol level increased in the range of average -0.25D ~ -0.35D when tested 1 and 3 hours after alcohol ingestion. Under the same test conditions the increase in blood alcohol resulted in the reduction in the function of dynamic stereopsis. However, the variation in contrast sensitivity was found to be insignificant for all spatial frequencies. Conclusions: The optician has to be well aware of the fact that alcohol could affect the visual acuity and functional tests, therefore inquiring of the alcohol ingestion prior to visual test can be necessary.

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A Study of Research on Uncorrected Refractive Error in Elementary School Children in Mokpo (목포지역 초등학생들의 미교정안 현황에 관한 연구)

  • Kim, In Suk;Jang, Jung Un
    • Journal of Korean Ophthalmic Optics Society
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    • v.16 no.3
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    • pp.313-317
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    • 2011
  • Purpose: This study was to assess prevalence of refractive errors and uncorrected refractive errors in elementary school children in Mokpo and uncorrected refractive errors were to be used as the basic data. Methods: Vision tests were conducted on 400 subjects of 1st~6th grades at 3 elementary schools in Mokpo city, and subjective, objective refraction test were also performed to survey uncorrected refractive errors. Results: The prevalence of myopia was 256, 64% of total subjects, Hyperopia was 21, 5.3%, astigmatism was 19, 4.8%. The prevalence of uncorrected refractive errors were increased as higher grade and more oculus dexter higher than oculus sinister. Conclusions: Vision impairment which need an accurate vision correction for elementary school students requires the regular examination and actively correction in order to protect the elementary school students for basic welfare.

The Study of Prevalence Rate of Refractive Error among the Primary Students in Jeollanamdo (전남지역 초등학생의 굴절이상 유병률에 관한 연구)

  • Jang, Jung Un;Park, Inn-Jee
    • Journal of Korean Ophthalmic Optics Society
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    • v.20 no.3
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    • pp.311-318
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    • 2015
  • Purpose: This study was designed to investigate the prevalence rate of refractive error with gender and age presenting visual acuity of primary student in Jeonnam. Methods: Subjective refraction, objective refraction and visual acuity test were examined on 735 primary school children who ages of 8~13 years lived in Jenman. Presenting visual acuity test was using Han's visual acuity chart and objective refraction was carried out using auto-refractometer. Results: The presenting visual acuity was 0.1 worse in the eye of 54(7.3%) students and 49(7.3%) of them wearing the glasses. The rate of the wearing glasses were 79.3% in 0.125~0.25 visual acuity, 64.2% in 0.3~0.5 visual acuity and 61.6% in 0.6~0.8 visual acuity. It was appeared that 269(36.6%) of them were emmetropia, 321(43.7%) of them were myopia and 56(7.6%) of them were hyperopia, and 89(12.1%) of them were astigmatism. The prevalence rate of myopia was the highest and followed by the prevalence rate of astigmatism. The low degree of myopia occupied the most and the medium degree of myopia showed the tendency of increase as the students get olds. The prevalence rate of the hyperopia showed the tendency of decrease as the students get olds. The prevalence rate of with the rule astigmatism were 50.6% students and against the rule astigmatism were 48.3% of students. Conclusions: The present study reveals the considerable prevalence rates, 466(63.4%) of included subjects, of refractive errors among primary students in Jeonnam province. The rate of the wearing glasses were 313(42.6%). The prevalence of myopia increases as the students get older. Therefore students of visual management is considered necessary through the visual acuity test and refractive examination.

An Evaluation of Habitual Head Posture in Phoria (사위에서 습관적인 머리위치의 평가)

  • Ha, Eun-Mi;Son, Jeong-Sik;Yu, Dong-Sik
    • Journal of Korean Ophthalmic Optics Society
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    • v.18 no.3
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    • pp.341-346
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    • 2013
  • Purpose: The purpose of this study was to evaluate whether a relationship exists between head posture and phoria, and usefulness in examining habitual head posture. Methods: Twenty two subjects (20 males and 2 females, mean age $23.6{\pm}2.7$ years) with abnormal phoria from participants randomized were enrolled in this study. For all subjects, testing included case history, cover test, refraction, phoria and vergence test. Habitual head posture (head posture, head tilt and face turn) was measured by Impression IST, and observed by examiners. Results: The abnormal head posture was revealed in some subjects with abnormal phoria. Spearman' correlation ($\rho$=0.524, p=0.045) showed significant correction between face turn and phoria at distance in 15 subjects with prism prescription. No significant relationship between head posture and phoria was found in subjects with abnormal phoria. The objective measurement and subjective observation of head posture showed insignificant correction but there was a distinct difference. The former was detail and the latter was discriminate. Conclusions: Presence of abnormal head posture was found in phoric subjects. The results indicate the need to observe habitual head posture at all major positions of gaze in phoria.

Research About Students' Horizontal Heterophoria in Near Distance with Maddox Rod (Maddox Rod를 사용한 대학생의 근거리 수평사위에 대한 고찰)

  • Choi, Kyong-Seo
    • Journal of Korean Ophthalmic Optics Society
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    • v.14 no.3
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    • pp.59-63
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    • 2009
  • Purpose: To investigate the near horizontal heterophoria of the college students in their twenties on north Kyonggi Province. Methods: The all subjects had not experienced any ocular surgery and have no disease and their mean age is 22.9. As 122 subjects, they are 50 emmetropes and 72 ametropes. The ametropes are all myopia. After distance visual acuity correction with subjective and objective refraction test, evaluated their horizontal heterophoria with red maddox rod. Results: In maddox rod test, the subjects consist of orthophoria 4.9%, esophoria 9.8% and exophoria 85.3%. In the emmetropes orthophoria is 8%, esophoria is also 8% and exophoria is 84%. In the ametropes orthophoria is 2.8%, esophoria is 11.1% and exophoria is 86.1%. The mean size of horizontal heterophoria is esophoria 3.59PD (prism diopter), exophoria 7.04PD and in the emmetropes esophoria is 3.25PD, exophoria is 6.60PD. In the ametropes esophoria is 3.75PD and exophoria is 7.34PD. Conclusions: In the emmetropoes the orthophoria is more than in the ametropes and the esophoria and exophoria is more in the ametropes. But the differences between the heterophoria and emmetropia or ametropia were not significant (p>0.05). The mean size of heterophoria is higher in the ametropes than in the emmetropoes. The distribution range of heterophoria is wider in the male subjects than the female subjects.

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Effects of Induced Dioptric Blur on Visual Acuity and Contrast Sensitivity (유발된 광학적 흐림이 시력과 대비감도에 미치는 영향)

  • Kim, Chang-Jin;Choi, Eun Jung
    • Journal of Korean Ophthalmic Optics Society
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    • v.19 no.2
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    • pp.261-270
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    • 2014
  • Purpose: To study the effect of an artificially induced dioptric blur on acuity and contrast sensitivity using the $Optec^{(R)}$ 6500. Methods: Healthy 31 subjects aged $22.90{\pm}1.92$ (male 16, female 15) who were recruited from university students with 6/6 (20/20) or better corrected visual acuity and normal binocularity. They were measured objective and subjective refraction for full correction and dioptric blur using 0.00 ~ +3.00 D (+0.50 D steps) trial lenses and trial frame. They were measured binocularly visual acuity and contrast sensitivity with the $Optec^{(R)}$ 6500 (Stereo Optical Co., Inc., Chicago, Illinois, USA) under day conditions (photopic condition, $85cd/m^2$). Results: The higher dioptric blur, the less distance visual acuity and decrease rate of visual acuity. The higher dioptric blur, the less contrast sensitivity at all frequencies, and the peak of contrast sensitivity was shifted from middle frequency (6 cpd) to low frequency (1.5 cpd). When the visual acuity was best visual acuity to 0.77, there was the peak point at 6 cpd which was normal contrast sensitivity peak point. Conclusions: If the low refractive error is uncorrected or the refractive error is inappropriate, the contrast sensitivity is decreased and the peak point of contrast sensitivity frequency is shifted abnormally though small uncorrected refractive error. So it will be considered that regular eye test and decision of refractive error correction is important.

Comparison and Analysis for the Effects of Functional Progressive Addition Lenses on Binocular Vision of University Students (기능성 누진가입도렌즈가 대학생들의 양안시기능에 미치는 영향 비교 분석)

  • Kim, Chang Jin;Kim, Hyun Jung;Kim, Jai-Min
    • Journal of Korean Ophthalmic Optics Society
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    • v.15 no.1
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    • pp.105-116
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    • 2010
  • Purpose: To analyze and compare differences between single vision lenses and functional progressive addition lenses and improvement to binocular visual function wearing functional lenses for pre-presbyopes altered their single vision lenses to functional progressive addition lenses with low addition. Methods: Healthy 32 subjects aged 24.03${\pm}$1.87 (male 23, female 9) who were recruited from university students wore functional progressive addition lenses (EYE-T, Chemilens Co., Korea, ADD 0.750) for 2 months. Objective refraction, corrected visual acuity at distance and near, near point of convergence, near point of accommodation, accommodative facility, phoria at distance and near were measured. And subjective satisfaction was investigated by using a questionnaire designed to fatigue, comfort, discomfort, overall satisfaction and preference. Results: Functional progressive addition lenses were better than single vision lenses at near point of convergence and accommodation, accommodative facility. Exo phoria measured at distance with single vision and functional progressive addition lenses. Exo phoria measured at near with functional progressive addition lenses was higher than that with single vision lenses. As a survey, the satisfaction was increased in questions related near work. However, single vision lenses were preferred in distance test of overall satisfaction, easy 10 adapt, lime to adapt. A survey showed thai preference of functional progressive addition lenses were increased 75.00% to 81.26% for near work, 50.00% to 65.63% for visual fatigue, 47.75% to 50.00% for visual comfort and 31.25% to 46.88% for overall comfort. Conclusions: Comparing between single vision lenses and functional progressive addition lenses, binocular visual function related near work, subjective satisfaction and preference was improved after wearing functional progressive addition lenses. This study suggested that functional progressive addition lenses were useful for long time near work.