• Journal of Korean Ophthalmic Optics Society
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• v.15 no.2
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• pp.123-130
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• 2010

Purpose: The study was conducted to compare the values of auto-refraction, manifest refraction and cycloplegic refraction in school-aged children. Methods: One hundred five myopic school children ranged from 6 to 14 years old (210 eyes, $10.28{\pm}1.59$ years old) were recruited and noncycloplegic auto-refraction (AR) and manifest refraction (MR) were conducted and then underwent cycloplegia and refractive status (CR) again with the auto-refractometer. Results: Refractive powers measured by AR, MR, and CR were highly correlated. However, spherical and cylindrical powers of the subjects measured by AR were measured higher negative power than in CR (p<0.001). From 210 eyes, the discrepancy rate in the spherical and cylindrical powers were 40 eyes (19%) and 19 eyes (9%) of the total subjects, respectively and the differences between noncycloplegic and cycloplegic refractions were higher with the spherical and cylindrical powers increasing. Conclusions: The use of the autorefractometer in children with negative spherical power without cycloplegia may overestimate the actual myopia that subjective refraction is the most important in prescription for the eyeglasses and regression equations would be used to prognose the cycloplegic refraction from the auto-refraction as the basic data for the subjective refraction.

• Journal of Korean Ophthalmic Optics Society
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• v.15 no.1
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• pp.99-104
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• 2010

Purpose: Difference of refraction result from the method of autorefraction and iTrace were investigaged for the children of elementary school in Asan City. In iTrace method. exclusion of accommodation without cycloplegia was used. Methods: Manifest refractive stale of 42 eyes of 12~13 years old were measured using autorefractor and iTrace. Refractions of far (more than 5 m) and ncar (30 cm) vision were measured using iTrace. All data showed that the spherical equivalent were classified as being in the group 1 (-0.50D < ~ < +1.00D) and 2 (below -0.50D) according 10 refractive errors. Results: Mean spherical equivalent using autorefractor and iTrace (far and near vision) were -1.08D, -0.29D and -2.34D, respectively (p<0.01). Compared with the far vision using iTrace, autorefraction was measured the myopia with -0.50D ~ -1.00D in 52.4% of total eyes. Autorefraction also statistical significant were measured a more myopia than the far vision using iTrace in group I and 2. Conclusions: The difference of refractive errors between autorefraction and iTrace, objective refraction were measured with far vision of more than 5 m were -0.79D. Autoreftaction showed statistically decreased refraction errors than iTrace with far vision.

• Journal of Korean Ophthalmic Optics Society
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• v.21 no.2
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• pp.119-126
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• 2016

Purpose: To analyze the effect of accommodative control and change values between subjective refraction (SR) and auto-refraction (AR) according to application of fogging after accommodative stimulation depending on ametropia type. Methods: Myopic ametropia 76 eyes and hyperopic ametropia 52 eyes participated for this study. SR and AR values measured by three test conditions (Before accommodative stimulation; Before AS, After accommodative stimulation; After AS, and After application of fogging; After AF) were compared, respectively. Results: In myopic eyes, (-)spherical power by SR and AR in After AS test was significantly increased as compared to Before AS test, (-)spherical power in After AF test was decreased to the level of Before AS test. The differences of spherical power between SR and AR were highly measured by SR in After AS test, and highly measured by AR in After AF test, respectively. In hyperopic eyes, (+)spherical power of SR significantly decreased in After AS test compared to Before AS test, more (+)spherical power was detected in After AF test compared to Before AS test. (+)spherical power of AR have no significant difference between Before AS and After AS test, but more (+)spherical power was detected in After AF test compared to Before AS test. The differences of (+)spherical power between SR and AR were significant in all test conditions. Among 52 eyes which were measured as hyperopic ametropia, 7 eyes were measured as myopia by SR in After AS test. In case of AR, 25 eyes among 52 eyes were mismeasured as myopia of ranges from -0.25 D to -1.25 D in Before AS test, 26 eyes in After AS test, and 19 eyes in After AF test were mismeasured as myopia of ranges from -0.25 D to -1.25 D. Conclusions: Regardless of ametropia type, accommodative control by After AF test was effective on both refraction process. However, in auto-refraction for hyperopic eyes, the misdetermined proportion of refractive error's type was high due to consistent accommodative intervention in all test condition. Therefore, in order to obtain an accurate value of refractive errors, full correction should be determined by subjective refraction process after fogging method.

• Journal of Korean Ophthalmic Optics Society
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• v.19 no.2
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• pp.231-237
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• 2014

Purpose: This study is research of the conditions which causes difference between the refractive power of the measurement of autorefractometer and the prescription using phoropter. Methods: Autorefractometer (SR-7000) and phoroptor (AV-9000) were used to measure 60 eyes of 30 participants who had no eye diseases and wore the corrective lens due to Ametropia. To prevent the dependence of the prescription value of the refractive power on the testers, two testers measured the refractive power of the eyes of the participants at the same measuring conditions. Results: Statistically, the prescribed values of the refractive power by two testers were not significantly different. Most of the prescribed values of the refractive power were smaller than the refractive power by autorefractometer In case of myopic eyes, the difference between refractive powers by the measurement of autorefractometer and the prescription using phoropter showed the trend of increase as the spherical refractive power became larger. The result was analyzed by the range of the different cylindrical refractive power for the myopic astigmatic eyes. In this case, the difference between refractive powers showed the trend of decrease as the cylindrical refractive power became larger. Conclusions: No difference between the prescribed value by two testers was observed. In case of myopic or myopic astigmatic eyes, the difference between refractive powers by autorefractometer and the prescription were measured to be approximately proportional to the refractive powers of ametropic eyes. As the this difference become larger for the participant who needs the lens of larger refractive power, additional caution is needed in the prescription of the refractive power of the corrective lens.

• Journal of Korean Ophthalmic Optics Society
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• v.16 no.4
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• pp.433-438
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• 2011

Purpose: To investigate the proper distance from patient to target when measuring refractive error using open view target type auto-refractor(OVTAR), it was compared refractive errors between by OVTAR using N-vision-K5001 auto-refractor and internal fixation target type auto-refractor(IFTAR) using Canon auto-refractor. Methods: 21 subjects(42 eyes) aged 22.2(${\pm}$3.4) years old who had over 1.0 of corrected visual acuity and no ocular disease were participated for this study. Noncycloplegic measurements of refractive error were performed using a IFTAR(RK-F1, Canon, Japan) and an OVTAR(N-vision-K5001, Shin-nippon, Japan). The distances from subjects to targets in using the open the view target type auto-refractor were 1 m, 3 m, 4 m and 6 m. The refractive errors were compared between by IFTAR and by 1 m, 3 m, 4 m and 6 m target distances respectively using OVTAR. Results: At 1 m fixation distance the mean of refractive errors for total subjects was not significantly different between by OVTAR(-2.75${\pm}$1.84 D) and by IFTAR(-2.95${\pm}$2.04 D)(p=0.06). However at 3, 4 and 6 m fixation distance refractive errors by OVTAR were significantly lower myopic refractive errors than by IFTAR(p<0.05). Conclusions: The distance from subject to fixation target is needed over 3 m for the measurement of refractive error using OVTAR even not to 5~6 m distance.

• Journal of Korean Ophthalmic Optics Society
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• v.11 no.4
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• pp.293-298
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• 2006

For this study, Clinical evaluation of the diverse Autorefractors was performed to examine validity and repeatability compared with subjective refraction. Measurements of refractive error were performed on 212 eyes of 106 subjects subjectivly noncycloplegic. Intersession repeatability of the Autorefractors were also assessed on all 106 subjects together with intersession repeatability on 7 to 14 days intervals. Spherical powers of subjective refraction and autorefractions by Autorefractors were analyzed by paired T-test.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.8
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• pp.353-359
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• 2018

In this study, the performance between subjective refraction and open-field/closed view autorefraction was estimated. We measured the refractive error of early adults aged 18 to 20 years who did not have eye disease. The differences between measurements obtained by subjective refraction and open-field autorefraction for SE, J0, and J45 were $-0.13{\pm}0.53D$ (p=0.17), $+0.33{\pm}0.68D$ (p=0.01), and $+0.13{\pm}0.68D$ (p=0.26), respectively, with only J0 differing significantly. The differences between the measurements of subjective refraction and closed-view autorefraction for SE, J0, and J45 were $-0.30{\pm}0.42D$ (p=0.00), $+0.30{\pm}0.71D$ (p=0.02), and $-0.02{\pm}0.63D$ (p=0.88), respectively, with only SE and J0 differing significantly. The coefficient of accuracy for SE, J0, and J45 components of open-field and closed-view autorefraction were 1.04, 1.33, and 1.34 and 0.83, 1.40, and 1.24, respectively. It is possible to predict the refractive error, which is necessary when deciding on subjective refraction, by measuring the objective refraction of open-field/closed view autorefractors.

• Journal of Korean Ophthalmic Optics Society
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• v.11 no.1
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• pp.55-62
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• 2006

Clinical evaluation of the Closed-view autorefractor and Open-view autorefractor was performed to examine validity and repeatability compared with subjective refraction. Measurements of refractive error were performed on 126 eyes of 65 subjects (aged $26{\pm}7.5$ years) subjectively noncycloplegic. Intersession repeatability of the Closed-view and Open-view were also assessed on all 65 subjects together with Intersession repeatability on 7 to 14 days intervals. Spherical powers and spherical equivalent values of subjective refraction and autorefractions by Closed-view and Open-view were analyzed by paired T-test. The mean spherical powers of subjective refraction, Closed-view and Open-view were determined to be $-2.125{\pm}2.155D$, $-2.146{\pm}1.907D$, $-2.117{\pm}2.121D$, respectively. The mean spherical equivalent values of subjective refraction, Closed-view and Open-view were determined to be $-2.362{\pm}2.204D$, $-2.391{\pm}1.967D$, $-2.366{\pm}2.162D$, respectively. The results showed that the refractive errors as measured by the Closed-view and Open-view were found to be similar to the subjective refraction in all components.

• Proceedings of the KAIS Fall Conference
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• 2010.11b
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• pp.599-602
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• 2010

조절반응의 평가는 옵토메트리 검사의 중요한 일부분이다. 본 연구는 조절반응의 타각적인 검사방법인 자동굴절계와 MEM 검영법 및 Nott 동적검영법으로 측정한 검사결과의 상관성과 차이를 비교하고자 하였다. 본 연구의 취지에 동의하는 19~29사이(평균나이 22.22${\pm}$2.43세)의 정상시력을 가진 27명의 대학생을 선정하여 4D(25cm)의 조절자극이 주어진 상태에서 자동굴절계(Shin-Nippon NVision-K 5001)와 MEM 검영법 및 Nott 동적검영법을 실시하여 조절 반응을 측정하였다. 4D의 조절자극에 대한 조절반응은 자동굴절계(Shin-Nippon NVision-K 5001) 3.70${\pm}$0.25D, MEM 검영법 3.58${\pm}$0.30D 그리고 Nott 동적검영법 3.77${\pm}$0.29D로 각각 측정되었다. 3가지 검사는 상호간에 높은 상관성이 있었다(p<0.05). MEM 검영법은 Nott 동적검영법보다 0.19${\pm}$0.13D 더 낮게 측정되었고(p<0.05), 자동굴절계(Shin-Nippon NVision-K 5001) 보다 0.12${\pm}$0.24D 더 낮게 측정되었다(p<0.05). Nott 동적검영법과 자동굴절계(Shin-Nippon NVision-K 5001)로 측정한 값은 유의한 차이가 없었다(p>0.05). MEM 검영법으로 측정한 조절반응은 Nott 동적검영법이나 자동굴절계로 측정한 값보다 더 낮았다. 저자는 조절반응을 평가할 때, MEM 검영법을 제외한 Nott 동적검영법과 자동굴절계(Shin-Nippon NVision-K 5001)는 상호 대체하여 사용할 수 있다고 주장한다.

• Journal of Korean Ophthalmic Optics Society
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• v.13 no.2
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• pp.29-36
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• 2008

Purpose: We have evaluated both the reliability and accuracy of refractive measurement from autorefractor by comparing with subjective refraction data. Methods: Measurements of refractive error were performed on 198 eyes of 99 subjects in noncycloplegic condition. Also we analyzed refraction results and evaluated repeatability and accuracy of subjective refraction and autorefraction. Furthermore we analyzed accuracy of autorefractor by Fourier analysis. Results: Reliability coefficient of the autorefraction for the right eye were determined to by 0.993, 0.974 and 0.925 respectively, in the spherical, cylinderical component and cylinderical Axis. Also, the reliability coefficient of the autorefraction for the left eye were found to be 0.991, 0.948 and 0.886, respectively, in the spherical, cylinderical component and cylinderical Axis. From the Fourier analysis no statistically significant differences in $J_{0}$ component were found between the auto and subjective refraction measurements (p>0.05) whereas difference of refractive power of $J_{45}$ component when compared with the subjective refraction were -0.019, -0.164. Conclusions: We conclude that autorefractormeter can be effectively used to measure the refractive power within the error limits.