• 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.

• Journal of Korean Ophthalmic Optics Society
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• v.15 no.2
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• pp.185-193
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• 2010

Purpose: The purpose of this study was to investigated the effect of vision training methods on the visual function and sensation symptoms of patients with convergence insufficiency. Mehtods: The vision training observation group included 35 clients who had binocular vision disorders without opthalmic diseases or vertical phoria. They took the each vision training once a week for eight weeks and were investigated for the function and sensation symptoms changes of binocular vision. Results: According to the results, all vision training methods showed improvement of binocular vision function and sensation symptoms. For Worth 4 Dot test, Titmus test and red lenses observed the changes in fusion rate, all the training methods showed similar improvements. Conclusions: The study proved that vision training methods for patients with binocular vision was effective for the improvement of the phoria, function and sensation symptoms of these patients.

• Journal of Korean Ophthalmic Optics Society
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• v.17 no.2
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• pp.185-194
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• 2012

Purpose: The changes of phoria and subjective asthenopia before and after viewing were compared based on 2D image and two ways of 3D images, and presented for references of 3D image watching and production. Methods: Change in phoria was measured before and after watching 2D image, 3D-FPR and 3D-SG images for 30 minutes with a target of 41 university students at 20-30 years old (male 26, female 15). Paired t-test and Pearson correlation between changed phoria and subjective symptoms which were measured using questionnaires were evaluated by before and after watching each images. Results: Right after watching 2D image, exophoria was increased by 0.5 $\Delta$, in distance and near, but it was not a significant level. Right after watching 3D image, exophoria was increased by 1.0~1.5 $\Delta$, and 1.5~2.0 $\Delta$, in distance and near, respectively when compared with before watching. In the significant level, exophoria tended to increase. Changes in near was increased more by 0.5 $\Delta$, compared with those in distance. Changes based on way of 3D-FPR and 3D-SG image were less than 0.5 $\Delta$, and there was almost no difference. In terms of visual subjective symptoms, eye strain was increased in 3D image compared with that in 2D image. In addition, there was no difference depending on way of image. In terms of Pearson correlation between phoria change and eye strain, as exophoria was increased, eye strain was increased. Conclusions: Watching 3D image increased eye strain compared with watching 2D image, and accordingly exophoria tended to increase.

• Journal of Korean Ophthalmic Optics Society
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• v.19 no.3
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• pp.363-369
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• 2014

Purpose: Three-dimensional (3D) displays are very useful in many fields, but induce physical discomforts in some people. This study is to assess symptom type and severity of asthenopia with their habitual distance corrective spectacle (HDCS) and their binocular vision corrective spectacle lenses (BVCSL) in people who feel physical discomforts. Methods: 35 adult subjects (ages $32.2{\pm}4.4$ yrs) were pre-screened out of 98 individuals to have the highest symptom/asthenopia scores following 65 minutes of 3D television viewing with HDCS. These 35 individuals were then retested symptom/asthenopia scores during they watched 3D television for 65 minutes at a distance of 2.7 m with wearing BVCSL of horizontal, vertical or base down yoked prisms. A 4-point symptom-rating scale questionnaire (0=no symptom and 3=severe) was used to assess 11 symptoms (e.g., blur, diplopia, etc.) related to visual fatigue/visual discomfort. Distance and near lateral phoria were measured using Howell phoria card and vertical phoria were measured using Maddox rod. Symptoms induced by watching 3D TV were compared between wearing HDCS and BVCSL. Results: Asthenopia in watching 3D TV with wearing BVCS was significantly lower than wearing HDCS at 5, 25, 45, and 65 minutes (all p < 0.001, paired t-tests). In only refractive error power correction power group, all asthenopia was not significantly different between HDCS and BVCSL (all $p{\geq}0.05$, paired t-tests). In prism correction groups for binocular imbalance, symptoms of asthenopia, however, was significantly lower for when wearing BVCSL than when wearing HDCS (all p < 0.05). Conclusions: Correction of phoria/vergence-based binocular vision imbalance can reduce asthenopia during 3D television viewing. An individual with binocular vision imbalance need corrected/compensated glasses with appropriate prisms prior to prolonged viewing of 3D television displays to reduce asthenopia/visual fatigue.

• Journal of Korean Ophthalmic Optics Society
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• v.13 no.1
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• pp.83-87
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• 2008

Purpose: This study was investigated for the effects of vision training on the phoria and positive fusion reverse (PFR) of patients with convergence insufficiency (C.I). Methods: Subjects were included 11 patients with CI of T Vision Center (5 patients with distance orthophoria, 6 patients with distance exophoria). The vision training of this study had been processed daily during an average of 2 months for each patients. Results: The result showed that after vision training, the phoria and PFR of CI patient were improved significantly than that before vision training (p<0.05) and when the groups were divided to the distance orthophoria convergence insufficiency (DOCI) group and distance exophoria convergence insufficiency (DE-CI) group, these improvements were proved similarly in the both groups. Conclusions: This study proved that vision training for patients with C.I was effective for the improvement of the phoria and PFR of these patients.

• Journal of Korean Ophthalmic Optics Society
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• v.20 no.4
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• pp.477-484
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• 2015

Purpose: This study was investigated to evaluate the effect of the variation of the face form angle(FFA) of spectacle frame on the visual acuity and the visual function. Methods: The visual acuity, the contrast sensitivity, the stereopsis, and the phoria were measured with the spectacle frame whose the FFA is at $5^{\circ}$ and $25^{\circ}$ and the surveys were conducted on subjective symptoms. Here, 30 adults (14 men and 16 women, average age:$25.46{\pm}3.9$), who did not have ocular diseases and were fully corrected in case of having had refractive error, were to act as experimental subjects for this measurement. Results: The visual acuity and the contrast sensitivity was decreased and the phoria was tended to increase to the esophoria direction at the FFA $25^{\circ}$ than at the FFA $5^{\circ}$. The stereopsis was significantly reduced at the FFA $25^{\circ}$ than at the FFA $5^{\circ}$. Also when the FFA was larger, the higher the degree of refractive error was, the more the increase of the subjective symptoms such as being blurred characters, being disturbed head, and having sore eyes was, which reveals a statistically significant correlation between them. Conclusions: If the FFA increases, the visual acuity, the contrast sensitivity and the stereopsis was found to decrease and the phoria to increase to the esophoria direction. Therefore it shows that the variation of the FFA of spectacle frame can influence the visual acuity and the visual function.

• Journal of Korean Ophthalmic Optics Society
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• v.11 no.3
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• pp.267-273
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• 2006

For this study, we measured heterophoria, Calculated AC/A, Gradient AC/A of pre & post LASIK operation. In case of heterophoria, the results showed that orthophoria 2.78% decreased, exophoria 2.78% increased on pre & post op distance phoria and exophoria 5.55% increased, esophoria 5.55% decreased on pre & post op near phoria. In case of AC/A, Calculated AC/A significantly decreased as 0.36 at AC/A and accommodation decreased as 1.25D (p<0.05). It showed that Gradient AC/A decreased 0.34 and PC/A increased 0.09 but they didn't show significant difference.

• Journal of Korean Ophthalmic Optics Society
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• v.13 no.2
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• pp.37-41
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• 2008

Purpose: The purpose of this case study is to prescribe a prismatic correction in uncommon case of cyclovertical heterophoria. Methods: The prescribed prism was used to balance the vertical vergence break values by the binocular vision evaluation such as phoria, vergence, accommodative function and the others. Results: Although asymptomatic lateral phoria was changed, the vertical prismatic correction improved the symptoms such as eyestrain, headaches, diplopia and others. And cyclophoria was disappeared by prismatic correction. Conclusions: The prismatic correction for this case was useful for alleviating symptoms of cyclovertical deviations.

• Journal of Korean Ophthalmic Optics Society
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• v.16 no.4
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• pp.417-423
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• 2011

Purpose: This study was to investigate that near gradient AC/A ratio could be used to prescribe a patient with distance exophoria, we compared the difference between distance gradient AC/A ratio and near gradient AC/A ratio. Also, this thesis was to understand the relationship between calculated AC/A ratio and gradient AC/A ratio. Methods: Objective and subjective refractive error were corrected and we used Howell (3 m) chart for distance phoria tests and Howell-Kim (40 cm) chart for near phoria tests. The near gradient AC/A ratio and calculated AC/A ratio were used by Howell-Kim (40 cm) combined with +1.00 D, -1.00 D, +2.00 D and -2.00 D. Results: The average value of distance exophoria was 1.17${\pm}$1.17 $\Delta$, and the average value of near exophoria was 3.71${\pm}$2.80 $\Delta$ (t-test. p<0.001). The correlation of distance phoria with near phoria was little higher (r = 0.59, p < 0.001). Gradient AC/A ratios depending on measuring distance and stimulus were higher (r = 0.11~0.53. P < 0.001), when distance was shorter and stimulus to accommodation was more. Also, stimulus to accommodation by plus lens was higher than stimulus to accommodation by minus lens (paired t-test. p < 0.001). There was negative correlation between calculated AC/A ratio and gradient AC/A ratio. As the calculated AC/A ratio was higher, gradient AC/A ratio was lesser. Near gradient AC/A ratio was slightly higher than distance gradient AC/A ratio. Distance and near gradient AC/A ratio taken through the subjective -1.00 D were 1.30 $\Delta$/D and 1.68 $\Delta$/D(t-test. t=1.67, p < 0.001). Conclusions: There is negative correlation between calculated AC/A ratio and gradient AC/A ratio. Also, there is subtle difference between near gradient AC/A ratio and distance gradient AC/A ratio. Therefore, we need to measure distance gradient AC/A ratio when a practitioner prescribe glasses for a patient with distance exophoria.

• Journal of Korean Ophthalmic Optics Society
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• v.21 no.3
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• pp.235-242
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• 2016

Purpose: This study was to investigate whether the application of different diagnostic criteria affected the frequency of convergence insufficiency (CI). Methods: Eighty one subjects with mean age of 22.54 years (20 to 27 years) were evaluated. Binocularity tests after refraction were performed as the following tests: near point of convergence (NPC) with an accommodative target, phoria using von Graefe method, positive fusional vergence (PFV) with a phoropter. Subjects with CI were diagnosed when exophoria (exo) was greater at near than at distance ($exo{\geq}4{\Delta}$, or >$6{\Delta}$), fusional vergence was $PFV{\leq}11{\Delta}$ for blur, $PFV{\leq}15{\Delta}$ for break, Sheard's or Percival's criterion, and NPC was $NPC{\geq}6cm$, ${\geq}7.5cm$ or >10 cm. Results: Frequency of CI with one diagnostic criterion was ranged from 6.2% to 77.8%, and was overestimated or underestimated according to criteria. It was reduced to the range of 6.2% to 43.2% with diagnostic criteria more than two, especially to the range of 24.7% to 28.4% with lower variability in diagnostic criteria including phoria and Sheard's criterion. There were high relationship between total score of signs and phoria score (r = 0.772, p<0.001), and measured phoria and Sheard's criterion (r = -0.654, p<0.001), but NPC had a high variability and a weak or no significant relationship with other diagnostic criteria. Results suggested $exo{\geq}4{\Delta}$, Sheard's criterion and $NPC{\geq}7.5cm$ for diagnostic criteria of signs and sequence for CI. Conclusions: Frequency of CI is likely to be over- and underestimated with diagnostic criteria. Cutoff values and procedures for phoria, Sheard's criterion and NPC as clinical signs should be suggested definitely in diagnosis associated with CI.