• Journal of Korean Ophthalmic Optics Society
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• v.15 no.1
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• pp.67-71
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• 2010

Purpose: The effect of two different levels of illumination and the effect of three letter chart types on subjective refraction findings were investigated. Methods: This study involved thirty Malay university students aged between 19 to 23 years old (7 males, 23 females), with their spherical refractive error ranged between plano to -7.75D astigmatism ranged from plano to -1.75D, anisometropia less than 1D and with no history of ocular injury and pathology. Monocular subjective refraction was measured under two levels of illumination (with and without room light) and with three different letter charts (Snellen letter chart, wall mounted letter chart and projected letter chart). Subjective refraction finding was calculated in spherical equivalent in unit diopter (D). Results: There was no significant effect in the subjective refraction findings with Snellen letter chart (t-test=0.15, p-value=0.88), projected letter chart (t-test=-0.19, p-value=0.85) as well as wall mounted letter chart (t-test=0.12, p-value=0.94). One Way ANOVA also revealed when the subjective refractive measures were compared under two different level of room illumination (with and without room light), no significant effect of letter chart types on subjective refraction readings with room light ($F_{2.185}$=0.11, p-value=0.89) and without room light ($F_{2.185}$=0.02, p-value=0.98). Conclusions: Subjective refraction findings were not affected whether the room light was on or off. They were also not affected by the types of letter chart used.

• 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.

• Journal of Korean Ophthalmic Optics Society
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• v.11 no.1
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• pp.55-62
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• 2006

Clinical evaluation of the Closed-view autorefractor and Open-view autorefractor was performed to examine validity and repeatability compared with subjective refraction. Measurements of refractive error were performed on 126 eyes of 65 subjects (aged $26{\pm}7.5$ years) subjectively noncycloplegic. Intersession repeatability of the Closed-view and Open-view were also assessed on all 65 subjects together with Intersession repeatability on 7 to 14 days intervals. Spherical powers and spherical equivalent values of subjective refraction and autorefractions by Closed-view and Open-view were analyzed by paired T-test. The mean spherical powers of subjective refraction, Closed-view and Open-view were determined to be $-2.125{\pm}2.155D$, $-2.146{\pm}1.907D$, $-2.117{\pm}2.121D$, respectively. The mean spherical equivalent values of subjective refraction, Closed-view and Open-view were determined to be $-2.362{\pm}2.204D$, $-2.391{\pm}1.967D$, $-2.366{\pm}2.162D$, respectively. The results showed that the refractive errors as measured by the Closed-view and Open-view were found to be similar to the subjective refraction in all components.

• Journal of Korean Ophthalmic Optics Society
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• v.13 no.2
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• pp.29-36
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• 2008

Purpose: We have evaluated both the reliability and accuracy of refractive measurement from autorefractor by comparing with subjective refraction data. Methods: Measurements of refractive error were performed on 198 eyes of 99 subjects in noncycloplegic condition. Also we analyzed refraction results and evaluated repeatability and accuracy of subjective refraction and autorefraction. Furthermore we analyzed accuracy of autorefractor by Fourier analysis. Results: Reliability coefficient of the autorefraction for the right eye were determined to by 0.993, 0.974 and 0.925 respectively, in the spherical, cylinderical component and cylinderical Axis. Also, the reliability coefficient of the autorefraction for the left eye were found to be 0.991, 0.948 and 0.886, respectively, in the spherical, cylinderical component and cylinderical Axis. From the Fourier analysis no statistically significant differences in $J_{0}$ component were found between the auto and subjective refraction measurements (p>0.05) whereas difference of refractive power of $J_{45}$ component when compared with the subjective refraction were -0.019, -0.164. Conclusions: We conclude that autorefractormeter can be effectively used to measure the refractive power within the error limits.

• Journal of Korean Ophthalmic Optics Society
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• v.11 no.1
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• pp.63-69
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• 2006

Clinical evaluation by Astigmatic Components of autorefractors was performed to examine validity and accuracy compared with subjective refraction. The mean cylindrical powers of Astigmatic Components of Subjective Refraction, Closed-view and Open-view were found to be $-0.689{\pm}0.516D$, $-0.691{\pm}0.530D$, $-0.470{\pm}0.507D$, respectively. The Difference of cylindrical Components between Subjective Refraction and Closed, Open-view were found to be $0.002{\pm}0.191D$, $0.015{\pm}0.137D$, respectively. Approximately 85% of Closed-view and Open-view autorefractor measurements were within ${\pm}20^{\circ}$ range of the difference of cylindrical axis with subjective refraction. The mean $J_0$ Components of Astigmatic Components of subjective refraction, Closed-view and Open-view were found to be $-0.155{\pm}0.332D$, $-0.004{\pm}0.178D$, $-0.001{\pm}0.156D$, respectively. The mean $J_{45}$ Components of Astigmatic Components, Closed-view and Open-view were found to be $-0.023{\pm}0.227D$, $-0.026{\pm}0.172D$, $-0.014{\pm}0.182D$, respectively. Both of the Closed-view and Open-view refractor showed available accuracy in measuring astigmatic components.

• Journal of Korean Ophthalmic Optics Society
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• v.15 no.2
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• pp.123-130
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• 2010

Purpose: The study was conducted to compare the values of auto-refraction, manifest refraction and cycloplegic refraction in school-aged children. Methods: One hundred five myopic school children ranged from 6 to 14 years old (210 eyes, $10.28{\pm}1.59$ years old) were recruited and noncycloplegic auto-refraction (AR) and manifest refraction (MR) were conducted and then underwent cycloplegia and refractive status (CR) again with the auto-refractometer. Results: Refractive powers measured by AR, MR, and CR were highly correlated. However, spherical and cylindrical powers of the subjects measured by AR were measured higher negative power than in CR (p<0.001). From 210 eyes, the discrepancy rate in the spherical and cylindrical powers were 40 eyes (19%) and 19 eyes (9%) of the total subjects, respectively and the differences between noncycloplegic and cycloplegic refractions were higher with the spherical and cylindrical powers increasing. Conclusions: The use of the autorefractometer in children with negative spherical power without cycloplegia may overestimate the actual myopia that subjective refraction is the most important in prescription for the eyeglasses and regression equations would be used to prognose the cycloplegic refraction from the auto-refraction as the basic data for the subjective refraction.

• Journal of Korean Ophthalmic Optics Society
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• v.21 no.2
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• pp.119-126
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• 2016

Purpose: To analyze the effect of accommodative control and change values between subjective refraction (SR) and auto-refraction (AR) according to application of fogging after accommodative stimulation depending on ametropia type. Methods: Myopic ametropia 76 eyes and hyperopic ametropia 52 eyes participated for this study. SR and AR values measured by three test conditions (Before accommodative stimulation; Before AS, After accommodative stimulation; After AS, and After application of fogging; After AF) were compared, respectively. Results: In myopic eyes, (-)spherical power by SR and AR in After AS test was significantly increased as compared to Before AS test, (-)spherical power in After AF test was decreased to the level of Before AS test. The differences of spherical power between SR and AR were highly measured by SR in After AS test, and highly measured by AR in After AF test, respectively. In hyperopic eyes, (+)spherical power of SR significantly decreased in After AS test compared to Before AS test, more (+)spherical power was detected in After AF test compared to Before AS test. (+)spherical power of AR have no significant difference between Before AS and After AS test, but more (+)spherical power was detected in After AF test compared to Before AS test. The differences of (+)spherical power between SR and AR were significant in all test conditions. Among 52 eyes which were measured as hyperopic ametropia, 7 eyes were measured as myopia by SR in After AS test. In case of AR, 25 eyes among 52 eyes were mismeasured as myopia of ranges from -0.25 D to -1.25 D in Before AS test, 26 eyes in After AS test, and 19 eyes in After AF test were mismeasured as myopia of ranges from -0.25 D to -1.25 D. Conclusions: Regardless of ametropia type, accommodative control by After AF test was effective on both refraction process. However, in auto-refraction for hyperopic eyes, the misdetermined proportion of refractive error's type was high due to consistent accommodative intervention in all test condition. Therefore, in order to obtain an accurate value of refractive errors, full correction should be determined by subjective refraction process after fogging method.

• 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.

• Journal of radiological science and technology
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• v.41 no.5
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• pp.421-426
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• 2018

Unlike the traditional Radiological examinations, Magnetic Resonance Imaging (MRI) does not cause any harm and high levels of Radiation to the human body. Furthermore, MRI is widely used owing to its ability to adapt to different situations. However, the MRI equipment creates noises from its mechanical parts, and its magnetic bore structure can cause anxiety and claustrophobia in patients. To relieve claustrophobia, commercial refraction glasses were provided to the participants in this study, and the changes in anxiety and claustrophobia were measured. The participants were 30 volunteers with claustrophobia. To measure anxiety, the participants were asked to answer a Visual Analogue Scale (VAS) questionnaire. The physical markers of discomfort included perspiration on the forehead or hands (46.7%), mild frowning (30.3%), and leg shaking (40.1%). The subjective markers of discomfort included dizziness (2.85% in the men and 1.75% in the women). Although fear and anxiety levels were observed to be higher in the men, the difference was not significant. Hence, it was determined that both men and women felt discomfort (p >0.5). The fear coefficient was observed to decrease from 7.67 prior to wearing refraction glasses to 2.42 after wearing refraction glasses (p<0.000). In addition, use of refraction glass decreased MRI aversion from 1.97 to 1.03 (p<0.000). It can be inferred that refraction glasses are beneficial to patients undergoing MRI.

• 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.