• 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.17 no.3
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• pp.293-298
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• 2012

Purpose: We compared static retinoscopy in eyes opened with cycloplegic refraction depending on the hyperopia for school-aged children. Methods: There were 59 eyes (30 patients) who were divided into 3 groups - the mild hyperopia (+0.25 D ~ +1.00 D), moderate hyperopia (+1.25 D ~ +2.00 D) and high hyperopia (+2.25 D or more). They all had 0.8 visual acuity or more. Autorefraction and retinoscopy were performed prior to cycloplegic refraction, and then copmared with manifest refraction and cycloplegic refraction. Results: Hyperopia measured with static retinoscopy tends to be measured higher than manifest refraction for school-aged children. Changes of spherical power was statistically significant (p < 0.001). Changes of astigmatism was not statistically significant (p > 0.05). Conclusions: The difference between cycloplegic refraction and static retinoscopy was not significant for hyperopic school-aged children. The use of retinoscopy was limited for opticians because of legal constraints. The usage of static retinoscopy in eyes opened for optician should be generalized under the conditions not using the cycloplegic.

• 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.11 no.3
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• pp.275-280
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• 2006

For this study, we analysed the difference of values between noncycloplegic and cycloplegic autorefraction in primary school children. We classified the elementary school one, two, three grade (8~10age) 79children(158eyes) who did not have strabismus or amblyopia. They were examined by using the Autorefractor in domestic market before and after cycloplegic. Discrepancies beyond 0.50D in spherical and cylindrical power and 20 degree in cylindrical axis were regarded as significant. The percentages of discrepancy were greater in spherical power between noncydoplegic and cycloplegic autorefraction(p<0.05). The percentages of discrepancy were not greater in cylindrical power between noncycloplegic and cycloplegic autorefraction. The percentages of discrepancy were greater in cylindrical axis between noncydoplegic and cycloplegic autorefraction(p<0.05). In conclusion, for the primary school children who did not wear glasses, the prediction table of this study will be helpful to reduce the test error in visual acuity and refractive error tests.

• 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 Korean Ophthalmic Optics Society
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• v.11 no.3
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• pp.201-206
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• 2006

The purpose of this study is observed effect of cycloplegia in emmetropia with use of cycloplegia. We examined the naked visual acuity, mainfest refraction, 105eyes with emmetropia(under SE ${\pm}0.50D$, Cyl ${\pm}1.00D$) after the use of cycloplegia. We used Nidek ARK-700 autorefractometer. Sexual difference of mainfest refraction error showed in male -0.67D, female -0.92D and difference of the CR and the MR male 0.5D, female 0.81D the total mean 0.69D. The naked visual acuity were in male 0.82, female 0.74, total mean 0.77. Age comparison, difference CR and MR were total mean 0.69D and 13 years group 1.1D were the highest. The naked visual acuity were in the highest 10 years group 0.86. Effect of cycloplegia was $0.69D{\pm}0.79$ in emmetropia and visual acuity was $0.77{\pm}0.21$. The optician, it will not be able to use cycloplegia, must pay attention spectacle prescription unnecessary and over correction in condition below -0.75D MR, above 0.77 visual acuity.

• 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.

• 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.

• Journal of Korean Ophthalmic Optics Society
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• v.18 no.2
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• pp.173-178
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• 2013

Purpose: This study is to predict refractive errors according to uncorrected visual acuity using uncorrected visual acuity of the first glasses wearers. Methods: For 886 children who visited an ophthalmic clinic, subjective refraction was carried out with maintain refraction (MR) and cycloplegic refraction (CR), and objective refraction was carried out using auto-refractometer. Uncorrected visual acuity and corrected visual acuity were tested using on a trial lens and a Han's visual acuity chart. Results: In correlation between with the uncorrected visual acuity and refractive the myopia was the highest (r=0.774) and followed by hyperopia (r=0.670), simple astigmatism (r=0.623), simple with-the-rule astigmatism (r=0.604)and simple against-the-rule astigmatism (r=0.508). Conclusions: There were differences in the predictions between uncorrected visual acuity and refractive error according to the types of refractive error and astigmatism.

• Journal of Korean Ophthalmic Optics Society
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• v.15 no.3
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• pp.219-225
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• 2010

Purpose: Usefulness in predicting the power of spherical rigid gas-pearmeable (RGP) lenses prescription using dioptric power matrices and arithmetic calculations was evaluated in this study. Noncycloplegic refractive errors and over-refractions were performed on 110 eyes of 55 subjects (36 males and 19 females, aged $24.60{\pm}1.55$years) in twenties objectively with an auto-refractometer (with keratometer) and subjectively. Tear lenses were calculated from keratometric readings and base curves of RGP lenses, and the power of RGP lenses were computed by a dioptric power matrix and an arithmetic calculation from the manifest refraction and the tear lens, and were compared with those by over-refractions in terms of spherical (Sph), spherical quivalent (SE) and astigmatic power. Results: The mean difference (MD) and 95% limits of agreement (LOA=$MD{\pm}1.96SD$) were better for SE (0.26D, $0.26{\pm}0.70D$) than for Sph (0.61D, $0.61{\pm}0.86D$). The mean difference and agreement of the cylindrical power between matrix and arithmetic calculation (-0.13D, $-0.13{\pm}0.53D$) were better than between the others (-0.24D, $0.24{\pm}0.84D$ between matrix and over-refraction; -0.12D, $0.12{\pm}1.00D$ between arithmetic calculation and over-refraction). The fitness of spherical RGP lenses were 54.5% for matrix, 66.4% for arithmetic calculation and 91.8% for over-refraction. Arithmetic calculation was close to the over-refraction. Conclusions: In predicting indications and powers of spherical RGP lens fitting, although there are the differences of axis between total (spectacle) astigmatism and corneal astigmatism, Spherical equivalent using an arithmetic calculation provides a more useful application than using a dioptric power matrix.