자동포롭터 내부렌즈의 합성굴절력에 대한 신뢰도 평가

Abstract

목적: 자동포롭터의 표기 도수와 구면굴절력 및 원주굴절력 실측값을 비교하여 굴절력의 신뢰도를 평가하였다. 방법: 자동포롭터의 마이너스 구면렌즈 및 원주렌즈의 굴절력을 수동렌즈미터로 측정하여 표기도수와의 정확도를 비교하였으며 두 렌즈가 중첩되었을 때의 합성굴절력과 등가구면굴절력을 시험렌즈와 비교 평가하였다. 결과: 포롭터에 내장되어 있는 구면렌즈의 구면굴절력은 70.6%가 표기도수와 0.125 D 이상의 오차가 발생하였으며, 굴절력이 높아질수록 오차값도 증가하였다. 원주렌즈의 단일 원주굴절력은 표기도수와 거의 일치하였다. 포롭터에서 구면렌즈와 원주렌즈가 중첩되었을 때의 합성 구면굴절력은 단일렌즈 구면굴절력과 동일하여 중첩에 의한 구면굴절력의 변화가 없음을 알 수 있었다. 그러나 구면렌즈와 원주렌즈가 중첩되었을 때의 원주굴절력은 표기도수와 큰 차이가 있어 중첩에 의해 영향을 받는다는 것을 알 수 있었다. 포롭터를 이용하여 실측된 등가구면굴절력은 표기도수 및 시험테를 이용한 등가구면굴절력에 비해 낮았으며 고도수일수록 더 낮았다. 결론: 고도의 근시안 또는 근시성 난시 안에서 자동포롭터를 사용하여 시력검사를 하는 경우 표기도수와 차이가 발생하며 과교정이 될 것으로 보여 이에대한 개선이 필요할 것으로 보인다. Purpose: To evaluate the reliability of refractive power by comparing the marked refractive power in an automatic phoropter and actually measured spherical/cylindrical refractive power. Methods: Actual refractive power of minus spherical lens and cylindrical lens in an automatic phoropter was measured by a manual lensmeter and compared with the accuracy of marked refractive power. Furthermore, combined refractive power and spherical equivalent refractive power of two overlapped lenses were compared and evaluated with the refractive power of trial lens. Results: An error of 0.125 D and more against the marked degree was observed in 70.6% of spherical refractive power of spherical lens which is built in phoropter, and the higher error was shown with increasing refractive power. Single cylindrical refractive power of cylindrical lens is almost equivalent to the marked degree. Combined spherical refractive power was equivalent to spherical refractive power of single lens when spherical lens and cylindrical lens were overlapped in a phoropter. Thus, there was no change in spherical refractive power by lens overlapping. However, there was a great difference, which suggest the effect induced by overlapping between cylindrical refractive power and the marked degree when spherical lens and cylindrical lens were overlapped. Spherical equivalent refractive power measured by using a phoropter was lower than that estimated by trial glasses frame and marked degree. The difference was bigger with higher refractive power. Conclusions: When assessment of visual acuity is made by using an automatic phoropter for high myopes or myopic astigmatism, some difference against the marked degree may be produced and they may be overcorrected which suggests that improvement is required.