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야간 눈부심이 근시안에 미치는 영향

The Effect of Night Glare on Myopia

대한시과학회지 2020년 22권 4호 p.465 ~ 475
박상호, 전인철,
소속 상세정보
박상호 ( Park Sang-Ho ) - Dongshin University Graduate School Department of Optometry
전인철 ( Jeon In-Chul ) - Dongshin University Department of Optometry and Optic Science

Abstract


Purpose : This study is to investigate the effect of night glare on myopia.

Methods : Forty eight myopic eyes aged 20 to 30 year old were under the indoor illumination 1 lx or less for 5 minutes for the mesopic adaptation. Subjects were grouped by the equivalent spherical refraction -3.25 D. The group 1 with the refraction under -3.25 D and the group 2 with over -3.25 D were compared and analyzed. Two 100 Watt bulbs were placed by the side of the target whose illuminance at the position of subject's pupil was measured. The disability glare (contrast visual acuity and contrast sensitivity) was measured at 2, 5, and 10 lx and the discomfort glare was quantified by Deboer glare scale. The contrast acuity was measured by Reverse- Contrast chart at 100%, 25% and 10% of contrast LogMAR chart and the contrast sensitivity using the iPad program Clinic CSF 2.0 was measured at 3, 6, 12 and 18 cycles per degree.

Results : The contrast acuity and contrast sensitivity of disability glare were both high in the group 1. The contrast acuity showed a significant difference after glare occurred (p<0.05) while the contrast sensitivity showed a significant difference for a few spatial frequencies. The Deboer glare scale for the discomfort glare decreased as the intensity of glare increased. The group 2 showed more discomfort glare because Deboer glare scale was lower. There was a significant difference only with the illumination of 5 lx (p>0.05).

Conclusion : Considering the trend of higher nighttime activity in Korea, it is thought that not only a standard vision test for the night and the prescription to intervene the glare is needed regardless of age.

키워드

Contrast Sensitivity; Contrast Visual Acuity; Glare; Myopia; Night Driving

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