• Title/Summary/Keyword: myopic

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Effect of Accommodation Control by Applying Fogging Method in Subjective Refraction and Auto-Refraction in Ametropia (비정시안에서 운무적용에 따른 자각적 및 자동굴절검사의 조절제어효과)

  • Lee, Kang-Cheon;Kim, Sang-Yeob;Cho, Hyun Gug;Yu, Dong-Sik;Moon, Byeong-Yeon
    • 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.

Comparison of Clinical Results of Excimer Laser Correction of Myopia and Compound Myopic Astigmatism Using VISX 20/20B $VisionKey^{TM}$ (VISX 20/20B $VisionKey^{TM}$ 엑시머레이저의 version 4.01 software를 이용한 근시교정술 및 근시성난시교정술의 임상성적 비교)

  • Lee, Sang-Bumm;Bae, Sang-Bok
    • Journal of Yeungnam Medical Science
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    • v.17 no.1
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    • pp.55-65
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    • 2000
  • Purpose: To compare the efficacy, predictability, stability and safety of excimer laser photorefracive keratectomy(PRK) for myopia and photoastigmatic refractive keratectomy(PARK) for compound myopic astigmatism. Methods: Two-hundred and three eyes(l18 eyes < -7D spherical equivalent, 85 eyes ${\geq}$ -7D spherical equivalent) received excimer laser correction for compound myopic astigmatism and 152 eyes(116 eyes < -7D, 36 eyes ${\geq}$ -7D) for simple myopia. A VISX 20/20B $VisionKey^{TM}$ excimer laser was used to perform either PARK or PRK. Visual acuity with and without correction, refraction, IOP, corneal haze, and topography were evaluated at 1, 3, 6, and 12 months postoperatively. All patients were followed up for more than 12 months. Results: Postoperative refraction were generally stable after 3 months without significant early overcorrection. At 12 months, 110(94.8%) eyes that underwent PRK and 104(88.1%) eyes that underwent PARK achieved UCVA of 20/30 or better in the group who had lower than -7D correction. For eyes treated with -7D or more, these figures were 31(86.1%) eyes after PRK and 57(67.1%) eyes after PARK. The incidences of within 1D of plano refraction at 1 year follow-up were 97.4% after PRK and 93.2% after PARK in the group who had lower than -7D correction. For eyes treated with -7D or more, these figures were 80.6% after PRK and 70.6% after PARK. Conclusions Myopia with or without astigmatism was successfully treated in most of the eyes using PRK or PARK with VISX 20/20B $VisionKey^{TM}$ excimer laser. The predictability and stability of the postoperative refraction during the first 12 months seem to be quite reliable. Further improvement of excimer laser system and software should increase the clinical outcomes and safety of refractive procedures.

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The factors influencing the quantity of Phoria: I. A study of effects to the quantity of Phoria by the refractive error and the conformity to the optical center and the pupillary center (사위량에 영향을 미치는 요인: I. 굴절이상, 동공중심과 광학중심의 일치에 따른 연구)

  • Kim, Jung-Hee
    • Journal of Korean Ophthalmic Optics Society
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    • v.9 no.2
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    • pp.361-370
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    • 2004
  • The purpose of this study was to evaluate the outcome and Factors that influence the quantity of Phoria in the low correction and perfect correction. Also the coincidence with the opticenter and the pupillary distance was a principal factor that influence the quantity of Phoria. Thereupon, this study is attributed to promote the perfect Phoria test. The subjects for this study were 120 persons(240 eye) in myopic refractive errors. ISP/WIN program was used for the data analysis. The collected data was analyzed by descriptive statistics and Spearman's correlation coefficient. The results of this study were as follows: 1. The prism pattern was difference between low correction and perfect correction in the Phoria test. The proportion of orthophoria was changed from 10.0% to 12.5%, exophoria was changed from 67.5% to 62.5%, and esophoria was changed from 22.0% to 32.5%, respectively. 2. The average of optical center distance and pupillary distance were 31.70mm and 31.49 mm, respectively. 3. Among the 120 myopic glasses wearers, the distance between optical centers was coincided with the pupillary distance in 37.5%, and discrepant in 62.5%. 4. For the patients who were coincided with the pupillary distance, the proportion of exophoria decreased 53.33%, esophoria increased 20.0%. 5. For the changing of the quantity of Phoria in the low correction, the degree of exophoria decreased 1.11 prism diopters in the perfect correction, esophoria increased 0.39 prism diopters.

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A study of refraction state of middle aged & manhood in Daegu (대구지역 중·장년층의 굴절상태 연구)

  • Choi, Gei-Hun
    • Journal of Korean Ophthalmic Optics Society
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    • v.9 no.2
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    • pp.323-332
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    • 2004
  • This study researched the visual acuity test object and Auto-refractormeter, visual of near power. The object were composed of middle aged, the old men and women who in habit Daegu. The results were as follows : 1. The subjects consisted of 537 people, 29.98% men, 70.02% women. 2. The emmetropia was 1.12% for myopia, 2.79% for hyperopia, 96.09% for astigmatism. 3. The abnormal refraction was composition for myopic compound astigmatism(16.57%), hyperopia compound astigmatism(45.62%), Mixed astigmatism(33.89%). 4. On the Myopic Spherical Equivalent(S.E) power, the range of -0.50D ${\leq}$ M.S.E < -1.00D was 21.67%, -1.00D ${\leq}$ M.S.E < -2.00D was 48.89%, -2.00D ${\leq}$ M.S.E < -6.00D was 29.44%. 5. On the Hyperopic Spherical Equivalent(S.E) power, the range of +0.50D ${\leq}$ H.S.E < +1.00D was 28.57%, +1.00D ${\leq}$ H.S.E < +2.00D was 49.30%, +2.00D ${\leq}$ H.S.E < +6.00D was 23.13%. 6. The addition power was 1.00D(8.01%), 1.50D(8.57%), 2.00D(13.78%), 2.50D(16.57%), 3.00D(16.95%), 3.50D(17.88%), 4.00D(18.25%).

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Refractive Error in Middle and High School Pupils (중고등학생의 안굴절 상태조사 및 연구)

  • Pyo, Kyoung-Min;Kim, Woong-Tea
    • Journal of Korean Ophthalmic Optics Society
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    • v.1 no.1
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    • pp.119-125
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    • 1996
  • From 1995. 3. 20 to 1995. 4. 10 refractive errors were surveyed on the 1,197 middle and high school pupils in Dong-Du-Cuon area. On the basis of the power of the old glasses or newly examined power, we surveyed the distribution of the refractive errors according to their types, ages, heights, weights and differences between both eyes. Among 2,394 eyes examined, 1,125eyes(47%) were emmetropia, 967 eyes(40.4%) were myopic, and 302eyes(12.6%) were hyperopic. As to the distribution of refractive errors, simple myopia(42.9%) was most common, and mixed astigmatism and compound hyperopic astigmatism were below 1%, Among the types of astigmatism, 62% were with the rule, 23% were against the rule and 15% were oblique, Differences between both eyes, the left eye showed more myopic than those of right eye. The distribution of myopia according to their ages, 27.7 at age 11, 38.5% at age 12, 35.5% at age 41.5% at age 14, 37.7% at age 15, 48.3% at age 16 and 46.8% at age 17., there was a significant increase in the prevalence of the myopia but that or hyperopia decreases with increases of age.

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The Clinical Study on Spectacle Wearers of Highschool Students (고등학생 안경착용자의 착용상태에 관안 임상적 연구)

  • Kim, Sang-Kyun;Sung, A-Young
    • Journal of Korean Ophthalmic Optics Society
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    • v.9 no.1
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    • pp.19-27
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    • 2004
  • The purpose of this study is to survey spectacle wearers's way of thinking through the questionaire and to investigate their wearing conditions through fitting conditions, the pantascopic angle, vertex distance, the coincidence of vertical and horizontal distance between optical center of the lens and pupillary distance of the eye in random selected 150 ametropic corrective wearers in the age of 17 to 19. The results are as follows : 1. The most popular causes of physical complaints in the ex-wearing spectacle are frame pressure(34.0%), slipping forward(30.0%) and most popular visual complaints are blur vision(30.0%) and asthenopia(20.0%). 2. The most common physical or visual complaints in the present wearing spectacle are slipping forward(30.0%), pressure (50.0%), color(10.0%). 3. Myopic glasses wearers accounted for 56.7% of the subjects, the others were compound myopic astigmatism. In 60% of the subjects' binocular diopter did not coincide. 4. In the pantascopic angle of the both eyes coincide in 66.7% of the subjects. The average of pantascopic angle is $10.07^{\circ}$. 5. In the vertex distance of the both eyes coincided in 65.3% of the subjects. the he average of vertex distance is 13.6 mm. 6. Among 150 eyes with monocular, the vertical distance between optical center of the lens and pupillary distance of the eye is within the RAL-RG 915 that is tolerance of ophthalmic dispensing in German Standards in 82 eyes (54.6%). 7. Among 150 eyes with monocular, the horizontal distance between optical center of the lens and pupillary distance of the eye is within the RAL-RG915 that is tolerance of ophthalmic dispensing in German Standards in 86 eyes(57.3 %).

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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.

Effect of Spectacles Correction on the Improvement of Visual Acuity in Hyperopic Amblyopia (원시성 약시에서 안경교정에 의한 시력개선 효과)

  • Park, Hyun-Ju
    • Journal of Korean Ophthalmic Optics Society
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    • v.12 no.2
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    • pp.95-106
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    • 2007
  • The purpose of this study was to investigate effect of spectacle correction therapy instead of occlusion therapy for refractive amblyopia treatment. Spectacle correction were prescribed to give the same effect as a occlusion therapy by under correction for normal eye and there was no additional treatment but only spectacle correction for hyperopic amblyopia. The results can be summarized as follows: 1. In hyperopic amblyopia after correction, initial visual acuity($Mean{\pm}SD$) was $0.36{\pm}0.13$ and final visual acuity($Mean{\pm}SD$) was $0.82{\pm}0.23$. 2. Regardless with age, there was significant differences between initial acuity and final acuity, it shows improvement in visual acuity after spectacle correction treatment. 3. Initial correction age did not influence the length of treatment and success rate of treatment, so that ambyopia correction effect not related with age. 4. Compared with initial visual acuity with final visual acuity, initial visual acuity was in proportion to final visual acuity. 5. Incidence was higher in hyperopia and hyperopic astigmatism than myopia and myopic astigmatism in refractive amblyopia group and the therapy was more effective for hyperopia and hyperopic astigmatism than myopia and myopic astigmatism. 6. Treatment was effective even for children who is older than 8 years.

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A Critical Examination of Convergence Studies on Media Policy Institutions (방통융합 관련 법제개편 논의의 비판적 분석)

  • Kim, Pyung-Ho
    • Korean journal of communication and information
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    • v.30
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    • pp.121-141
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    • 2005
  • Most of the convergence studies argue the reform of the current policy regime of broadcasting and telecommunications in Korea from two perspectives: 1) the media governance perspective and 2) the media industry perspective. The former emphasizes the need of integrity, consistency and efficiency of the regime in the convergence environment, while the latter focuses upon the growth and development of the media industry making the best of economic and industrial opportunities that are spawned by digital convergence. Although their arguments are logical and robust, they are lopsided in terms of legalism and myopic economism due to the linear perception of institutionalism, Bureaucratic administrative practices as well as ostentatious IT policies that have chronically plagued the policy regime in Korea cannot be resolved by simply assimilating distinct regulatory bodies and laws. Unless these two issues are properly addressed, the convergence of media policy institutions would end up a half-success or half-failure contrary to the exportations of existing studies.

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The Change of the Near Eye Position according to the Spectacle and Contact Lens Wearing (안경과 콘택트렌즈 착용에 따른 근거리안위의 변화)

  • Han, Sun-Hee;Kim, Bong-Hwan;Kim, Hak-Jun;Park, Jun-Sung;Park, Hae-Been;Kim, Mi-Jeong;Park, Ju-Hyeong;Kim, Jin-Sol;Lee, Kyeong-Hoon;Kim, Jong-Hwan;Ha, Na-Ri
    • Journal of Korean Clinical Health Science
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    • v.3 no.4
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    • pp.435-443
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    • 2015
  • Purpose. This study was to investigate comparison of the near eye position according to the spectacle and contact lens wearing. Methods. We measured the AC/A ratio and near horizontal phoria using modified Thorington method in each case spectacle and contact lens wearing of equivalent spherical power after measuring the full corrected diopter for 20 subjects (men 5, woman 15, $21.15{\pm}1.35$ years) without specific ocular diseases, ocular surgery experience and vision anomalies. Results. It was shown high correlation between spectacle and contact lens wearing as AC/A ratio is a correlation coefficient 0.99 (p=0.00), near horizontal phoria is a correlation coefficient 0.95 (p=0.00). And contact lens wearing increased as AC/A ratio by $0.32{\pm}1.35$ ${\Delta}/D$ (p=0.31) and near horizontal phoria by $-0.17{\pm}2.18$ ${\Delta}$ (p=0.73) than spectacle wearing but there was no statistically significant difference. As the higher myopic grade AC/A ratio increased and then was shown decreased tendency in -6.00 D < $SED{\leq}-4.00$ D group (p>0.05) and as the higher myopic grade near exophoria increased but there was no statistically significant difference (p>0.05). Conclusions. We should consider that the subjects who had the lower AC/A ratio or higher near exophoria in -6.00 D < $SED{\leq}-4.00$ D group were necessary to measure AC/A ratio and near horizontal phoria when they were wearing contact lens because contact lens wearing tended to increase the near exophoria than spectacle wearing.