Normal Corneal Topographic Patterns of Korean Adults

To define the distribution of normal corneal topographic patterns of Korean adults and compare them with previously published western data, computerized corneal topography was performed on the randomly selected eye of 232 normal subjects using TMS-1(Computed Anatomy). Recruited subjects were 116 females and 118 males. Mean age of the subjects was 50.5 yr. (range 17 to 86 yr.). The color-coded videokeratographs were classified by a masked observer according to the Bogan et al's classification such as round, oval, symmetric bow tie, asymmetric bow tie, and irregular. The results revealed 16 eyes (6.9%) had round. 31 (13.4%) oval, 42 (18.1%) symmetric bow tie, 99 (42.7%) asymmetric bow tie, and 44 (19.0%) irregular pattern. There was no statistically significant difference in the distribution of topographic pattern between male and female and among the age groups. Our results of topographic patterns show the tendency of more irregular and less round topographic pattern in Korean adults, as compared to that of western adults.

Quantitative Analysis of Changes of Automated Perimetric Thresholds after Pupillary Dilation and induced Myopia in Normal Subjects

We quantitatively analyzed the changes of the(retinal) threshold sensitivities between normal status and dilated emmetropic status, and between dilated emmetropic status and -1.0D induced myopic status. Three consecutive visual field examinations by Humphrey Field Analyzer C-30-2 threshold test and STATPAC program were performed in 36 eyes of 21 normal subjects who ranged in age from 23 to 40 years. The results were as follows: 1) There was a statistically significant decrease (0.87 +/- 0.91dB) in the mean threshold sensitivity within the central 30 degrees at the dilated emmetropic status(27.90dB) as compared with the normal status(28.77dB) (p=0.0001). 2) There was a statistically significant decrease(0.99 +/- 0.61dB) at -1.0D induced myopic status(26.91dB) as compared with the dilated emmetropic status(27.90dB) (p=0.0001). 3) After dilation, the mean threshold sensitivity between 20 and 30 degrees of field showed statistically significant decrease as compared with thosE' within the central 20 degrees of visual field(p0.05). Therefore, we emphasize the importance of consistent pupillary size and correct refractive state in performing the serial automated visual field tests.