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근거리에서 시기능 비교 분석 KCI 등재

Comparative Analysis of the Visual Function at Near

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대한시과학회지 (The Korean Journal of Vision Science)
대한시과학회 (The Korean Society Of Vision Science)
초록

Purpose : To compare the visual function at near and to obtain the useful clinical data for diagnosis and prescription of relieving prism. Methods :The 88 subjects, 64 males and 24 females, mean age of 25.1±4.8. were recruited. Subjective refraction, amplitude of accommodation. relative accommodation, near point of convergence(N.P.C). fusional vergence, stereopsis, AC/A ratio, fixation disparity parameters, dissociated phoria and associated phoria were measured by using various charts, and prism prescription by criteria was compared. Results : 9.05±1.660 of amplitude of accommodation by minus Jens addition, 7.39±4.40 cm of NPC. 2.29±0.310 of NRA and -3.04±0.90 of PRA were measured respectively. Break point and recovery point of negative fusional vergence were 21.63±5.856 and 12.81±4.656 respectively, and those of positive fusional vergence were 22.41±6.97 6 and 12.21±4.926. In cases of stereopsis measured with Borish vectographic nearpoint card II. 61.21±60.65" with real contour ring chart and B6.74±175.5b" with l<andom dot E chart were measured and there were significant differences between the values(t = -4.815. p = 0.000). ln the dissociated phoria test using 3 types of card, mean dissociated phoria were -3.04±4.666 (8orish card). -2.71±4.886(Howell card) and -3.04±4. 796(Modified Thorington). The highest phoria was measw·ed with Borish card adopting prism add method. There was significance between Borish card and Howell card(t = -2.437. p = 0.017), but no significance between Borish card and Modified Thorington card or among three cards found. In the associated phoria test. mean associated phoria was -0.66±1.87 6(Borish card). -0.76±1.956 (8ernell slide). -0.69±1.796 (Saladin card) and -2.05±3.55 (Wesson card) the highest exo-phoria. Statistical significance was found. only when Wesson card is included(F = 6.645. p = 0.000). Oissociated phoria( -0.67±1.856) and associated phoria(-3.40±4.666 ) by Borish card(t = -6.858. p = 0.000) were showed significant difference. Gradient AC/A ratio using S±l.OOD is below ; 3.20±1.62.6 "'~th Borish card. ~.05±1.456 wilh Howell card, 2.76±1.19/\ with Modified Thorington. There was no significant difference. Fixation disparity parameters were X -intercept -2.05±3.556 . Y-intercept -3.09±4.59' and slope -0.83±0.81 '. according to Ogle's four types fixation disparity curve type, the order of type was I type, ffitype, Ntype, II type and so for1h.In the comparison of prescriptions by Sheard's criterion, Percival's criterion and associated phoria, exo-phoria and eso-phoria needed prism prescription only in associated Phoria. Conclusions : Stereopsis, dissociated phoria and associated phoria varied with cards. In that reason. examination, diagnosis, prism prescription of subjective symptoms on phoria have to consider the card used and criteria adopted, and the card to be used is need to be adopted in compliance with criteria after understanding character of each card.

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