RT Journal Article
T1 Accuracy and precision of automated subjective refraction in young hyperopes under cycloplegia
A1 Carracedo Rodríguez, Juan Gonzalo
A1 Carpena Torres, Carlos
A1 Pastrana Robles, Cristina
A1 Rodríguez-Lafora Lorente, María
A1 Serramito Blanco, María
A1 Privado Aroco, Ana
A1 Espinosa Vidal, Teresa María
AB Purpose: To assess the agreement between the Eye Refract, an instrument to perform subjective automated refraction, and the traditional subjective refraction, as the gold standard, in young hyperopes under noncycloplegic and cycloplegic conditions.Methods: A cross-section and randomized study was carried out, involving 42 participants (18.2 ± 7.7 years, range 6 to 31 years). Only one eye was chosen for the analysis, randomly. An optometrist conducted the refraction with the Eye Refract, while another different optometrist conducted the traditional subjective refraction. Spherical equivalent (M), cylindrical components (J0 and J45), and corrected distance visual acuity (CDVA) were compared between both refraction methods under noncycloplegic and cycloplegic conditions. A Bland-Altman analysis was performed to assess the agreement (accuracy and precision) between both refraction methods.Results: Without cycloplegia, the Eye Refract showed significantly lower values of hyperopia than the traditional subjective refraction (p < 0.009), the mean difference (accuracy) and its 95% limits of agreement (precision) being -0.31 (+0.85, -1.47) D. Conversely, there were no statistical differences between both refraction methods under cycloplegic conditions (p ≥ 0.05). Regarding J0 and J45, both refraction methods manifested no significant differences between them under noncycloplegic and cycloplegic conditions (p ≥ 0.05). Finally, the Eye Refract significantly improved CDVA (0.04 ± 0.01 logMAR) compared with the traditional subjective refraction without cycloplegia (p = 0.01).Conclusions: The Eye Refract is presented as a useful instrument to determine the refractive error in young hyperopes, the use of cycloplegia being necessary to obtain accurate and precise spherical refraction.
PB Elsevier
YR 2023
FD 2023-12-01
LK https://hdl.handle.net/20.500.14352/109725
UL https://hdl.handle.net/20.500.14352/109725
LA eng
NO Carracedo G, Carpena-Torres C, Pastrana C, Rodríguez-Lafora M, Serramito M, Privado-Aroco A, Espinosa-Vidal TM. Accuracy and precision of automated subjective refraction in young hyperopes under cycloplegia. J Optom. 2023 Oct-Dec;16(4):252-260. doi: 10.1016/j.optom.2023.03.001. Epub 2023 Apr 3. PMID: 37019707; PMCID: PMC10518767.
DS Docta Complutense
RD 6 abr 2025