목 적: 조절마비제를 투여한 근시안 아동에서 나안시력의 변화에 따른 구면굴절이상과 난시량의 연관성을 알아보고자 하였다. 방 법 : 안경착용경험이 없고 시력저하를 호소하여 내원한 초등학교 아동 34명(68안)에 대하여 나안시력, 교 정시력, 구면굴절력, 난시량의 변화를 측정하였다. 조절마비제는 Midrin-p(phenylephrine 1%, tropicamide 1%), Homatropine(homatropine 1%)를 사용하여 비교하였으며, 5분간 3회 투여하였다. 구면굴절력 및 난시 량의 측정은 RK-5(Canon, Japan)를, 나안시력 및 교정시력의 측정은 한식시력표(한천석 3m용 시표)를 사용 하였고 통계프로그램은 Origin 8.0을 사용하여 P

Purpose: The author investigated correlations between change of spherical power and astigmatism for myopic school children under the cycloplegic refractions. Materials & Methods : Among the children who felt visual disturbance for the first time, no experience of eyewear, the author tested visual acuity, spherical power and astigmatism. The medicine which were 1% Mydrin-p and 1% Homatropine used in cycloplegic refraction. The measurement of refractive power and astigmatism used by RK-5 (Canon, Japan). Results: According to two types of cyclogplegic medicine, the results of changes of visual acuity, spherical power and astigmatism were statistical different. The instillation of cycloplegic medicine evoked statistically the change of visual acuity and spherical power, in hence, astigmatism were not statistical different(p=0.23). Conclusion: The instillation of cycloplegic medicine could affect the change of visual acuity and refractive power. Decreasing the astigmatism can increase the visual acuity under the cycloplegic refraction in myopic school children.

• 신철근(청암대학교 안경광학과) | Cheol-Guen Shin