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제목 |
한센환자와 일반노인의 안기능과 굴절이상의 비교 |
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저자 |
이정임 |
소속 |
을지대학교 보건대학원 안경광학과 졸업, 안경하우스 대표 |
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년도 |
2014 |
권 |
1 |
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호 |
47 |
번호 |
5 |
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시작페이지 |
47 |
끝페이지 |
62 |
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첨부 |
2014-5나학회지2014 - 최종.pdf |
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요약 |
Abstract
Comparison of ocular function and refractive errors both Hansen patients
and old people
Jeong-lim Lee
Dept. of optometry, Graduate school of health science, Eulji University
Glasses House Optical Shop, CEO
Background & Objective : The purpose of this study is to prove the characteristics of refractive error and visual acuity about hansen patients and old peoples. To compare the pupil and ocular function was to investigate the characteristics of the eye of the hansen patient.
Methods : Subjects were intended for the elderly over 60 years old 85 years old or younger both hansen patients in Wonju(n=29) and old people in Yangpyeong(n=29). Auto refraction(Topcon KR-7000) to objective refraction was conducted after the subjective refraction. Pupil size at normal illumination and light reflex, response velocity and the reaction states about light reflex was measured and color vision test were. Writing questionnaire and analyzed the subjective symptoms. Spss ver.18.0 was used for statistics analysis and significance level was based on a 0.05. Methods were used Crosstabs analysis, paired T test and descriptive statistics.
Results : Uncorrected visual acuity of hansen patient and old people did not differ by 0.29 ±0.18 and 0.35±0.23. (P=0.108). Corrected visual acuity of hansen patient and old people did differ by 0.55±0.26 and 0.44±0.21(p=0.016). Spherical equivalent of hansen patient and old people was a significant difference -0.40±1.07D and 0.43±0.86D (P<0.05). Effective correction (%) of visual acuity of hansen patient and old people, there was a significant difference 22.58±18.05% and 32.24±27.72%(p<0.05). Pupil size under normal illumination of hansen patient and old people, There was no significant difference 3.34±1.46mm and 3.58±1.18mm. (P> 0.05) Constricted pupil size under light reflex of hansen patient and old people, There was a significant difference 3.13±1.34mm and 1.97±0.34mm (p <0.05). The difference between right and left pupil size under normal illumination of Hansen patient is 0.52±1.42mm, and the difference between right and left pupil size under light reflex is 0.50±1.38mm was no statistically significant difference (p> 0.05). Pupil size difference between the left and right of old people under normal illumination was 0.26±0.51mm and the difference between right and left pupil size under light reflex were significant differences in 0.17±0.09mm (p <0.05). The difference between right and left pupil size under normal illumination of hansen patient is 0.52±1.42mm and of old people is 0.26±0.51mm did not differ (p> 0.05). The difference between right and left pupil size under light reflex is 0.50±1.38mm of hansen people and 0.17±0.09mm of old people, there was no significant difference (p> 0.05). Anisocoria was based to 0.50mm difference between right and left pupil size. under normal illumination of hansen patient. Hansen patient during normal illumination and light reflex is anisocoria (p>0.05). Old people during normal illumination and light reflex is normal (p<0.05). Direct light reflex state of Hansen patient was normal 17.20%(constracted) and abnormal 82.8%(mydriasis, irresponsive). Pupil’s response velocity during light reflex of hansen patient was normal 3.4%(fast) and abnormal 96.6%(slow, irresponsive). Pupil’s reaction state during light reflex of hansen patient was normal 13.8%(constriction) and abnormal 86.20%(constriction after mydriasis , nonconstriction). Direct light reflex state of old people was normal 96.60%(constricted) and abnormal 3.4%(mydriasis, irresponsive). Pupil’s response velocity during light reflex of old people was normal 93.20%(fast) and abnormal 6.80%(slow, irresponsive). Pupil’s reaction state during light reflex of old people was normal 96.60%(constriction) and abnormal 3.40%(constriction after mydriasis, nonconstriction). Result of Chromatic vision test was normal 46.40% and abnormal 53.60% of hansen patient, that was normal 41.40% and abnormal 58.60% of old people. Result of Amsler test was abnormal 20.7% and normal 79.3%, that was normal 100%of old people. Result of writing questionnaire and analyzed the subjective symptoms was ranking 1.Dim sighted(23times) 2.Eyestrain(18times) 3.Tears(15times) of hansen, that was ranking 1.Dim sighted(25times) 2.Tears(8times) 3.Pruritus(8times)
Conclusion : When compared to hansen patient and old people vision was differ corrected visual acuity, spherical equivalent and effective correction (%) of visual acuity, pupil size during normal illumination was not differ, that was differ during light reflex. Result of difference of right and left pupil size in hansen patient was anisocoria, old people was normal. Compared of normal illumination and light reflex in hansen patient was not differ to pupil size, in old people was differ to pupil size. Hansen patient and old people were not differ about result of color vision test. Symptoms was ranking 1.Dim sighted. The hansen patient and old people of symptoms was similar to the first rank dim sighted. Eyestrain and tears were hansen patient was more than the normal old people.
Key word: Anisocoria(Difference of right and left pupil size), Chromatic vision test, Direct light reflex, Effective correction(%) of visual acuity, hansen (leprosy), Pupil size, Subjective symptoms.
교신저자 : 이정임
전자우편 : leejey72@naver.com
주 소 : 수원시 영통구 망포동 332-1(031-206-0254) |
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