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검영기 훈련 모형안의 굴절상태 눈금과 벗어난 시축의 평가

Evaluation of scale accuracy and effect of off-the-visual-axis on schematic retinoscope training eye

  • 투고 : 2010.08.19
  • 심사 : 2010.10.15
  • 발행 : 2010.10.31

초록

검영기 훈련 모형안(모형안)에 표시된 굴절상태 눈금과 벗어난 시축의 효과를 타각적 굴절검사인 검영법으로 알아보자 하였다. 두 명의 능숙한 retinoscopist가 검영법을 이용하여 굴절상태를 무작위로 검사하였다. 동일한 7개의 훈련 모형안을 선정하여 각각 +4에서 -6 diopter(+4, +3, +2, +1, 0, -1, -2, -3, -4, -5, -6) 굴절상태 눈금을 맞추고 거리보정용 시험렌즈를 가입하여 180도 경선에서 중화거리를 측정하여 눈금설정 상태를 평가하였고, 시축과 5, 10, 15, 20도 시축에서 벗어난 굴절력을 측정하였다. 두 명의 retinoscopist가 측정한 눈금설정 상태는 7개 중 6개의 훈련 모형안 이 통계적인 차이가 있었다(P<0.05). 5, 10, 15, 20도 시축에서 벗어난 검영법 굴절력은 $-0.13{\pm}0.06$, $-0.29{\pm}0.06$, $-0.58{\pm}0.11$, $-0.83{\pm}0.16$ diopter 이였다. 모형안에 표시된 굴절상태 눈금과 검영법을 이용하여 측정한 굴절상태 눈금이 다를 수 있고, 모형안에 검영을 시축에 벗어나 시행할 경우 굴절 검사값에 오차를 유발할 수 있다.

To investigate accuracy of graduated scale of schematic retinoscope training eye(schematic eye) and induced effect when measured at off-axis from visual axis. Two skilled retinoscopist measured refractive power using retinoscope in random order. Seven schematic eyes from a single manufacturer were recruited and set to mark +4.00 to -6 diopter(+4, +3, +2, +1, 0, -1, -2, -3, -4, -5, -6). After introducing +2.00 diopter trial lens(50cm working lens), neutral distance was measured at 180 degree to estimate accuracy of scale, and refractive power measured at 0, 5, 10, 15 and 20 degree off-axis to see if any error was induced. According to the results measured by two specialists, in six of seven schematic eye, scale setting varied (p<0.05) and measured refractive power at 5, 10, 15 and 20 degree off-axis from visual axis were $-0.13{\pm}0.06$, $-0.29{\pm}0.06$, $-0.58{\pm}0.11$, and $-0.83{\pm}0.16$ diopter respectively. In some schematic eye, scale graduated on the schematic eye and scale measured by retinoscopy could be different and if retinoscopy is performed off-axis from visual axis, any measuring error can be caused.

키워드

참고문헌

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