{"title":"Knowledge of ophthalmic glasses that ORT should know","authors":"Y. Mitsui","doi":"10.4263/JORTHOPTIC.36.5","DOIUrl":"https://doi.org/10.4263/JORTHOPTIC.36.5","url":null,"abstract":"","PeriodicalId":205688,"journal":{"name":"Japanese orthoptic journal","volume":"33 11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131657359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dawn and Rise and Fall of Strabismus in Japan","authors":"T. Maruo","doi":"10.4263/JORTHOPTIC.36.15","DOIUrl":"https://doi.org/10.4263/JORTHOPTIC.36.15","url":null,"abstract":"1.日本の視能学・斜視学は、江戸時代末期の1862年Bauduinの来日により眼科学の中でもいち早く幕開き、1940年ころには世界のレベルに達していた。2.第二次世界大戦と戦後の占領下での混乱(1941-1952)により停滞した。3.1954年のAndersonの来日による大型弱視鏡の導入で現代斜視学が始まり、眼科学のメインテーマとなり日本弱視斜視研究会発足(1964)までにおおむね現在のレベルに達し、第二次ベビーブームと高度経済成長により発展した。4.現在、少子高齢化で眼科のメインテーマから外されて衰退しつつある。5.今後の診療レベルの維持に視能訓練士の役割は大きい。","PeriodicalId":205688,"journal":{"name":"Japanese orthoptic journal","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113981156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2007-10-31DOI: 10.4263/JORTHOPTIC.36.103
M. Miyata, O. Katsumi, M. Oikawa, Junko Ito, Y. Miyanaga, J. Inouye
Purpose: To investigate the usefulness of pattern reversal visually evoked response (PVER) for visual assessments on patients with visual conversion reaction (VCR). Subjects and Methods: We performed PVER on 30 patients suspected as the VCR, who visited our hospital between October 2005 and September 2006. The 25 cases out of 30 were girls. Their ages ranged from 5 to 15 years old with a mean of 9.5 years old. In addition to the visual acuity test, the pattern reversal VER, both steady-state and transient stimulation,were recorded in all patients. Results: Visual acuity improved to normal level with the neutralization method in 75% of eyes. The transient VER showed normal reaction in 96.7% of eyes, and the prolongation of implicit time was observed only in 3.3% of eyes. The steady-state VER were recordable in all check sizes. The bandpass shape VER amplitude-check size function curve was observed in 80% and in the rest of 20%, the curve was somewhat irregular. Conclusion: In the present study, the PVER was quite normal even though the visual acuity and visual field showed grossly abnormal. Hence we concluded that the PVER may be helpful to establish the diagnosis of VCR.
{"title":"Trial of Pattern Reversal Visual Evoked Response in Patients with Visual Conversion Reaction","authors":"M. Miyata, O. Katsumi, M. Oikawa, Junko Ito, Y. Miyanaga, J. Inouye","doi":"10.4263/JORTHOPTIC.36.103","DOIUrl":"https://doi.org/10.4263/JORTHOPTIC.36.103","url":null,"abstract":"Purpose: To investigate the usefulness of pattern reversal visually evoked response (PVER) for visual assessments on patients with visual conversion reaction (VCR). Subjects and Methods: We performed PVER on 30 patients suspected as the VCR, who visited our hospital between October 2005 and September 2006. The 25 cases out of 30 were girls. Their ages ranged from 5 to 15 years old with a mean of 9.5 years old. In addition to the visual acuity test, the pattern reversal VER, both steady-state and transient stimulation,were recorded in all patients. Results: Visual acuity improved to normal level with the neutralization method in 75% of eyes. The transient VER showed normal reaction in 96.7% of eyes, and the prolongation of implicit time was observed only in 3.3% of eyes. The steady-state VER were recordable in all check sizes. The bandpass shape VER amplitude-check size function curve was observed in 80% and in the rest of 20%, the curve was somewhat irregular. Conclusion: In the present study, the PVER was quite normal even though the visual acuity and visual field showed grossly abnormal. Hence we concluded that the PVER may be helpful to establish the diagnosis of VCR.","PeriodicalId":205688,"journal":{"name":"Japanese orthoptic journal","volume":"231 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125700721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Defocus curve following the implantation of multifocal intraocular lenses","authors":"Shinichi Ohki, H. Bissen-Miyajima, Kunihiko Nakamura","doi":"10.4263/JORTHOPTIC.36.81","DOIUrl":"https://doi.org/10.4263/JORTHOPTIC.36.81","url":null,"abstract":"目的:白内障手術後に遠方のみでなく近方視力も得られることを目的とした多焦点眼内レンズ(IOL)が開発され、各IOLの特徴を理解することが適応を決める上で重要となる。今回、屈折型、回折型多焦点IOL挿入後の焦点深度を測定し、単焦点IOLとの違いを比較検討した。対象と方法:対象は東京歯科大学水道橋病院にて白内障手術目的で屈折型多焦点IOL、回折型多焦点IOL、単焦点IOLを挿入された13例26眼で、術後1ヶ月以降に焦点深度を測定した。焦点深度は最良遠方視力の得られる屈折値をゼロ基点とし、プラス側は2D、マイナス側は5Dまで0.5D刻みで球面度数を付加した視力を測定した。結果:付加するプラスおよびマイナス度数を横軸、付加した際の視力を縦軸にしたグラフを作成すると、単焦点IOLは、最良視力の得られるゼロ基点を頂点とした一峰性のグラフとなるが、屈折型および回折型は最良視力の得られるゼロ基点とマイナス側でも視力が上がる二峰性のグラフとなった。屈折型に比べ、回折型はゼロ基点と-3Dに明らかなピークを認め、多焦点IOLでもタイプにより、焦点深度曲線が異なっていた。結論:多焦点IOLは、単焦点IOLに比べ近方視力の向上が期待されるが、屈折型と回折型では焦点深度の変化が異なり、今後適応を決める際、この特徴を理解しておく必要があると思われた。","PeriodicalId":205688,"journal":{"name":"Japanese orthoptic journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130565885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparison of Axial Lengths Measured by Central-, Paracentral-, and Defocusing-Methods Using IOLMaster™ on Patients With Cataract","authors":"Chiaki Sato, C. Suto, Emiko Shimamura, Sachiko Kuraoka","doi":"10.4263/JORTHOPTIC.36.45","DOIUrl":"https://doi.org/10.4263/JORTHOPTIC.36.45","url":null,"abstract":"IOLMaster™における眼軸長測定法の違いによる測定値の精度について検討した。対象は屈折異常以外の眼疾患を認めないコントロール群22例41眼、IOLMaster™で眼軸長測定可能であった白内障群39例58眼である。IOLMaster™にて(1)中心法、(2)傍中心法、(3)デフォーカス法の3つの方法で眼軸長を測定し、測定値を比較検討した。コントロール群(1)24.73±1.52mm、(2)24.71±1.52mm、(3)24.72±1.51mm、白内障群(1)23.96±1.48mm、(2)23.94±1.50mm、(3)23.94±1.55mmと両群とも3つの方法の間に有意差はなかった(p=0.18,p=0.10)。(1)と(2)の差はコントロール群|0.04±0.08|mm、白内障群|0.15±0.41|mm、(1)と(3)の差はコントロール群|0.03±0.07|mm、白内障群|0.10±0.33|mmと、白内障群でばらつきが大きいもののコントロール群との間に有意差はなかった(p=0.41,p=0.35)。傍中心法、デフォーカス法のいずれも中心法と遜色のない測定法であるが、白内障眼では測定値がばらつくこともあり測定値の選択に注意が必要であると考えられた。これらの方法で、当院では測定不能率を10.6%から7.3%に減らすことができた。中心法で測定できない症例も測定法を工夫することによりIOLMaster™を有効に活用できる。","PeriodicalId":205688,"journal":{"name":"Japanese orthoptic journal","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127612606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Survey of Questionnaire About Schoolchild Glasses Replied by School Nurses","authors":"Tomoko Simada, T. Yasukura, Noriko Matusima","doi":"10.4263/JORTHOPTIC.36.171","DOIUrl":"https://doi.org/10.4263/JORTHOPTIC.36.171","url":null,"abstract":"目的:大阪府下公立小学校の養護教諭によるアンケート結果から、小学校児童の眼鏡に関する問題を考察する。方法:2006年1月~2月に大阪府下公立小学校514校にアンケートを送付し、養護教諭からの返答をまとめた。アンケート内容は、眼鏡使用の児童の病名・装用方法の理解度、実際の把握率、児童への指導、保護者からの相談についてである。結果:アンケートの回収率は45.3%であった。病名や装用方法の理解度は高いが、実際の把握は53%であった。児童への指導や保護者からの相談は約20%であったが、内容は多岐にわたっていた。結論:学校で児童の保健指導を担う養護教諭は、学業やスポーツに深く関わる眼鏡について正しい知識をもち、それを指導する眼科医や視能訓練士も児童の眼鏡装用に興味をもつように促すなどの、眼鏡装用に対する啓発活動が望まれる。","PeriodicalId":205688,"journal":{"name":"Japanese orthoptic journal","volume":"101 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121127221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Client Satisfaction in a monovision with bifocal hard contact lenses","authors":"E. Makino, H. Makino, C. Utsunomiya, Y. Nawa","doi":"10.4263/JORTHOPTIC.36.141","DOIUrl":"https://doi.org/10.4263/JORTHOPTIC.36.141","url":null,"abstract":"老視矯正法の一つであるモノビジョン法の視覚への影響を知るために、遠近両用コンタクトレンズ装用者12名に対し優位眼遠見重視モノビジョン法、優位眼近見重視モノビジョン法を行い、立体視機能の測定、患者満足度調査を行い分析した。患者満足度調査におけるアンケートの結果、調査8項目の合計スコアの平均値はモノビジョン優位眼遠見重視法では20.5、モノビジョン優位眼近見重視法では23.0であった。また、スコアのピークはモノビジョン優位眼遠見重視法では20.95、モノビジョン優位眼近見重視法では23.33であった。遠近両用HCL適正モノビジョン法を優位眼近見重視法で行うと患者満足度ポイントが12.2%高い評価が得られその有用性が高いことが分かった。また、優位眼を近見に合わせた場合も満足が得られ、立体視機能は61.7(sec:平均)であった。ただし、今回の2方法のモノビジョン法を行った12名の内91.7%のHCL装用者は、近見重視の生活を送っていた。更に、CSQ-8J(Client Satisfaction Questionnaire)-8J)のα係数は、優位眼遠見重視法においては0.80、優位眼近見重視法においては0.93、CSQ-8Jの信頼性は満足できた。","PeriodicalId":205688,"journal":{"name":"Japanese orthoptic journal","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131354817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A report of newly designed inter-professional course with other seven professions in education for orthoptist","authors":"Junko Fujita, Kaduki Nakada, S. Matsubayashi, T. Niida","doi":"10.4263/JORTHOPTIC.36.155","DOIUrl":"https://doi.org/10.4263/JORTHOPTIC.36.155","url":null,"abstract":"保健、医療、福祉の現場では様々な職種が連携してサービスを提供しており、チームアプローチなくして効果的、効率的なサービス提供は不可欠となってきている。今回、病院と福祉施設で職種間連携の実習を新たに行なったので紹介する。8職種を学ぶ53名の学生が実習に参加した。学生は、病院または福祉施設の対象者1名を評価した。その後アセスメントサマリー、サービス計画書を作成し、ケースカンファレンスを行なった。実習終了後、視機能療法学科学生にアンケート調査を実施した。アンケートの分析より、実習を通じて他職種を学ぶ学生とのコミュニケーションの難しさ、日常生活から視機能を考えることが重要であると判明した。さらに学生は、国際生活機能分類の理解および高次脳機能とその障害することが必要であると感じた。","PeriodicalId":205688,"journal":{"name":"Japanese orthoptic journal","volume":"83 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131988660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}