• Title/Summary/Keyword: anisometropia

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A Comparison of Refractive Components in Anisometropia and Isometropia (굴절부등안과 동등안의 양안 굴절요소 차이 비교)

  • Shim, Hyun-Seog;Shim, Jun-Beom;Kim, Eun-Suck
    • Journal of Korean Ophthalmic Optics Society
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    • v.16 no.2
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    • pp.187-193
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    • 2011
  • Purpose: This study was to compare differences between both eyes in corneal powers, axial lengths, anterior chamber depths in anisometropia and isometropia, and to investigate the relationship between anisometropia and refractive components. Methods: The subject was a total of 83 patients, anisometropia 45 patients (90 eyes) and isometropia 38 patients (76 eyes) from 2.7 to 15.3 years old, prescribed eyeglasses and contact lenses by refraction from July 2010 to August 2010 in Gwangju City B eye clinic. Axial length, anterior chamber depth, corneal curvature, and corneal refractive power were measured using IOL Master. Refractive error was measured using an Auto-refractometer. Results: Anisometropia was a statistically significant difference in axial length, binocular refractive components, refractive error, and axial length, Axial length/corneal radius (AL/CR) ratio showed a statistically significant difference in anisometropia and isometropia. The major cause of anisometropia all 45 subjects was the axial length. Among the refractive components axial length, AL/CR had a strong correlation, but corneal refractive power had no correlation. Anterior chamber depth had a weak correlation. Conclusions: This study found that refractive error was the most axial ametropia caused by the axial length. The main cause of anisometropia was the axial length, but refractive components had a weak correlation.

The Dioptric Differences between Both Eyes by Dioptric Power Matrix (굴절력 매트릭스에 의한 양안의 굴절력 차이)

  • Yu, Dong-Sik
    • Journal of Korean Ophthalmic Optics Society
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    • v.8 no.2
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    • pp.71-76
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    • 2003
  • This study was performed to survey dioptric differences between the refractive states of both eyes from 1,100 patients who were given their prescriptions in spectacles. The differences were obtained by using dioptric power matrix. The prevalence of anisometropia was 96.9% for isoanisometropia, 2.9% for simple anisometropia, 0.2% for antimetropia. Spherical anisometropia was 22.1%, cylindrical anisometropia was 10.9%, spherocylindrical anisometropia was 46.5%, and no anisometropia was 20.5%. Anisometropia was more in thirties and forties than in other groups. In distribution of only spherical diopter differences, 76.1% were less than 0.50D, 91.7% were under 1.00D, only 2.5% were over 2.00D. In cylindrical diopter differences alone, 93.3% had under 0.50D, 1.7% had more than 1.00D. In spherocylindrical anisometropia, 52.8% were less than 0.50D, 78.6% were under 1.00D, 5.1% were more than 2.00D. In axis differences, with-the-rule type was 29.9%, against-the-rule type was 29.8%, oblique type was 40.3%.

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A Clinical Study on Relation among Accommodative Amplitude, Response, and Facility in young adults (근시성 굴절부등에 대한 임상적 고찰)

  • Joo, Seok-Hee;Shim, Moon-Sik;Shim, Hyun-Seog
    • Journal of Korean Ophthalmic Optics Society
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    • v.14 no.1
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    • pp.121-125
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    • 2009
  • Purpose: This study has been conducted to know the prevalence of anisometropia and corneal refraction, accommodative response of myopic anisometropia. Methods: The study subject were 67 persons who myopic anisometropia of at least 1.00D, from among 808 total subject without ophthalmic diseases history from age 5 to 89 and the test were used to examine with both eyes open-view autorefractometer (NvisionK-5001). Results: The case which anisometropia were 85(10.5%) persons and myopic anisometropia were 67(78.8%) persons among the anisometropia. Difference between higher myopic eye and lower myopic eye were -1.22D${\pm}$0.94 in spherical equivalent, -0.25D${\pm}$0.72 in accommodative response, 0.04D${\pm}$0.68 in corneal refraction. In addition, the same case of both eyes accommodative response were 33(49.3%) persons, the great case of lower myopic eye accommodative response were 25(37.3%) persons and the great case of higher myopic eye accommodative response were 9(13.4%) persons. Conclusions: Myopic anisometropia was not affected by corneal refraction and both eyes difference of spherical equivalent was less as compared with both eyes difference of accommodative response.

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Changes of Stereoacuity with Correction in Induced Anisometropia (유발된 부동시의 교정에 따른 입체시 변화)

  • Choi, Jin Young;Kim, Jai-Min;Kim, Hyun Jung
    • Journal of Korean Ophthalmic Optics Society
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    • v.13 no.4
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    • pp.121-126
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    • 2008
  • Purpose: To study the minimum diopter of spherical lens with normal binocular function in induced anisometropia by over-correction or under-correction in single eye. Methods: Stereoacuity of subjects without ophthalmic disease history in their twenties was measured by using Titmus-fly stereotest at 40 cm after overcorrection or under-correction in non-dominant eye or dominant eye, respectively. Results: In induced anisometropia, the stereoacuity decreased with increase of the power of added spherical lens in either nondominant eye or dominant eye. And the first reduction of stereoacuity was more prominent with the addition of (+) spherical lens than (-) spherical lens. In addition, there was more strikingly decrement of stereoacuity with addition of spherical lens to dominant eye than non-dominant eye. Conclusions: In induced anisometropia, the most outstanding reduction of stereoacuity was obtained with increment of the power of added (+) spherical lens in case of non-dominant eye with full correction and dominant eye with addition of spherical lens.

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BIOMETRY OF MYOPIC ANISOMETROPIA AND ISOMETROPIA

  • Kim, Jaedo;Hellen Swarbrick;Jack Alexander
    • Proceedings of the Optical Society of Korea Conference
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    • 2002.07a
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    • pp.74-75
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    • 2002
  • This study investigated the relationship between refractive error and ocular elements in myopic anisometropia and isometropia. 15 visually normal myopic anisometropes (>1.00 D interocular difference), 14 emmetropes (${\pm}$ 0.50 D), 15 low myopes (<3.00 D) and 15 high myopes (>3.00 D) participated in the study. Refractive error was measured by non-cycloplegic subjective refraction. (omitted)

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Relationship between Dominant Eye and Refractive Error in Myopic Anisometropia (굴절부등근시환자에서의 우세안과 굴절이상의 관계)

  • Lee, Seung-Ki;Kim, Sungjin;Lyu, In Jeong
    • Journal of The Korean Ophthalmological Society
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    • v.60 no.5
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    • pp.470-473
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    • 2019
  • Purpose: To investigate the relationship between dominant eye and refractive error in patients with myopic anisometropia. Methods: This study population consisted of myopes less than 15 years old who were followed up for anisometropia defined as interocular difference of spherical equivalent (SE) ≥1.0 diopter (D). All patients underwent the hole-in-the-card test at far and near to determine ocular dominance. The data were analyzed for statistical significance using Fisher's exact test. Results: A total of 102 eyes in 51 patients were analyzed. The mean age of the patients was 10.4 ± 1.4 years and 54.9% were male. The mean SE was -2.97 ± 1.95 D in the right eye and -3.02 ± 1.92 D in the left eye. The right eye was the dominant eye in 43.1% and 37.3% at distance and near, respectively. The agreement of dominancy between distant and near was 82.4%. The near dominant eyes showed statistically significant accordance with more myopic eyes (p = 0.009). On the other hand, there was no statistically significant relationship between more myopic eyes and distant dominant eyes (p = 0.09). Conclusions: The near dominant eye was more myopic eye in patients with myopic anisometropia. This was considered to be related with the lag of accommodation in dominant eye with near distance.

The Comparative Assessment of the KVA and Dynamic Stereoacuity (동적시력(KVA)과 동적 입체시의 비교 평가)

  • Kim, Young-Cheong;Shim, Hyun-Suk;Kim, Sang-Hyun
    • Journal of Korean Ophthalmic Optics Society
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    • v.19 no.4
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    • pp.519-525
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    • 2014
  • Purpose: On this study, we investigated the relationship between the kinetic visual acuity (KVA) and the dynamic stereoacuity and the effects of anisometropia with measuring KVA and the dynamic stereoacuity. Methods: For 63 adults (male 30, female 33), KVA and the dynamic stereoacuity were measured by using the kinetic visual acuity tester (KOWA AS-4A) and the Howard-Dolman test (H-D test) at distance 2.5 m after conducted full correction of subjects' refractive error respectly. Results: The means of KVA were $0.49{\pm}0.25$ for total subjects, $0.58{\pm}0.26$ for male, $0.40{\pm}0.22$ for female, and LogMAD (Log minimum angle of displacement) dynamic stereoacuities were $1.27{\pm}0.44$($28.44{\pm}25.03sec$ of arc) for total subjects, $1.28{\pm}0.44$($28.23{\pm}23.34sec$ of arc) for male, $1.27{\pm}0.45$($28.63{\pm}26.83sec$ of arc) for female. KVA showed a statistically significant difference between male and female (p=0.00), but dynamic stereoacuity was no significant difference (p=0.97). No significant correlation was present between KVA and dynamic stereoacuity (r=0.03). Also there were no significant differences in the dynamic stereoacuity of the three group which were classified according to the low, middle, high range of KVA (p=0.99). The anisometropia were less than 1 D and over 1 D when divided into two groups, KVA and dynamic stereoacuity showed no significant difference between each (p=0.11, p=0.99). There was no significant correlation between anisometropia and KVA (r=0.33), dynamic stereoacuity (r=0.18) but the correlation between KVA and anisometropia revealed more higer than between dynamic stereoacuity and anisometropia. Conculsions: The KVA for adults showed a significant difference between male and female and male was higher than female for KVA. The dynamic stereoacuity due to the KVA, the KVA and dynamic stereoacuity due to anisometropia were not significant differences between each and also were not great correlations.

Comparison of Induced Aniseikonia with Influential Factors (영향인자에 따른 유발 부등상시도의 비교)

  • Jung, Su A;Kim, Hyun Jung
    • Journal of Korean Ophthalmic Optics Society
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    • v.18 no.1
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    • pp.45-51
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    • 2013
  • Purpose: This study was performed to provide indicator of expected aniseikonia by correcting refractive error and to investigate influential factors on aniseikonia. Methods: 20 college students (14 males, 6 females, a mean age of $22.50{\pm}2.72$ years) were selected as subjects whose refractive error with spherical equivalent were within ${\pm}0.50$ D, corrected visual acuity were more than 1.0, and aniseikonia values by AWAYA were less than 1%. After correcting refractive error with spectacles in anisometropia induced by wearing contact lens on their dominant eye or non-dominant eye, practical measured values of aniseikonia were compared with theoretical expected values of it by the formula of spectacle magnification. Results: Practical measured values were higher than theoretical expected values in induced aniseikonia over the whole range of diopter of wearing contact lens. And there was higher measured value of aniseikonia in case of higher diopter of wearing contact lens to induce anisometropia and correcting refractive error with spectacles of (+) diopter after wearing contact lens of (-) diopter to induced anisometropia in dominant eye of women. Conclusions: It is considered that dominant eye plays more important role for visual function in induced aniseikonia and factors such as the induced eye of aniseikonia, the diopter of wearing contact lens, and gender have influenced on aniseikonia.

The Examination of Refractive Correction and Heterophoria and Monocular Pupillary Distance on Myopic Elementary School Children Wearing Glasses in Gwangju City (광주지역 근시안경 착용 초등학생의 굴절상태와 사위 및 단안PD에 대한 조사)

  • Hwang, Kwang-Ha;Seong, Jeong-Sub
    • Journal of Korean Ophthalmic Optics Society
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    • v.14 no.4
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    • pp.71-75
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    • 2009
  • Purpose: This study was designed to investigate the condition of refractive correction and heterophoria and monocular pupillary distance on myopic elementary school children wearing glasses in Gwangju city. Methods: Subjective refraction and objective refraction were examined after investigating heterophoria and monocular pupillary distance on 145 (290eye) elementary school children wearing myopia-corrected glasses. Results: 1. Anisometropia > 2.00 D was present in 4 children (3%). 2. 9 anisometropia (47%) were present in 19 undercorrected visual acuity boy wearers. and 16 anisometropia (64%) were present in 25 undercorrected visual acuity girl wearers. 3. Among the 67 myopic glasses boy wearers, the distance between optical centers was coincided with the pupillary distance in 30% (Oculus Uterque), and discrepant in 70% (Oculus Uterque). Among the 78 myopic glasses girl wearers, the distance between optical centers was coincided with the pupillary distance in 23% (Oculus Uterque), and discrepant in 77% (Oculus Uterque). The mean optical center distance was longer than the pupillary distance on both boy and girl wearers 4. The result of measured heterophoria revealed 14% for orthophoria, 63% for exophoria, 23% for esophoria at far distance and 10% for orthophoria, 76% for exophoria, 14% for esophoria at near distance. Conclusions: Correct refractive test and monocular pupillary distance must be examined because incorrect refractive test and pupillary distance induce asthenopia and heterophoria.

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A Study on the Prescription of Size Lens for Myopic Aniseikonia (근시성 부등상시의 등상시 렌즈 처방에 관한 고찰)

  • Kwon, Young-Seok;Kim, Ki-Hong;Lee, Hyun-Mee;Chu, Byoung-Sun;Kwon, Yun-Kyung
    • Journal of Korean Ophthalmic Optics Society
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    • v.18 no.4
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    • pp.555-560
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    • 2013
  • Purpose: The aims of this study were to investigate the stereoacuity and subjective symptoms of aniseikonia with prescription of the size lens. Methods: Participants were myopic anisometropia patients with the binocular refraction difference between 1.75 D~3.50 D. Inclusion criteria of participants were no ocular pathology, no amblyopia, more than 1.0 of corrected visual acuity. With fully corrected spectacles and a correction with the size lens, Awaya aniseikonia test and Randot Stereo test were conducted respectively. In addition, subjective symptoms were also examined using questionnaire. Results: As the anisometropia increased, the aniseikonia increased. Under the anisometropia with same refractive correction was different for each individual. The prescription of size lens caused less aniseikonia than the general prescription of glasses. In addition, prescription of the size lens improved stereoacuity and relieved the symptoms of asthenopia. Conclusions: The prescription of size lens that can correct aniseikonia with prescription of glasses can improve stereoacuity and reduced asthenopia.