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Accuracy and intrasession variability of noncycloplegic autorefraction of school-aged children and adolescents.

Justyna KiermaszJacek Pniewski
Published in: Journal of the Optical Society of America. A, Optics, image science, and vision (2023)
The aims of the study were (1) to compare the accuracy and intrasession variability of noncycloplegic autorefraction (AR) obtained by a photorefractor and conventional and open-field autorefractors and (2) to evaluate the impact of accommodative and binocular vision anomalies on the accuracy of autorefraction. Twenty-nine children and adolescents aged 8-18 years were examined. All instruments gave more myopic results than subjective refraction (SR). Mean differences between the SR and the AR were +0.52/-0.25×96 ∘ for the photorefractor, +0.63/-0.31×93 ∘ for the conventional autorefractor, and +0.19/-0.26×94 ∘ for the open-field instrument. The photorefractor appeared to be the most repeatable. The impact of the examined vision anomalies on the accuracy of autorefraction was not statistically significant.
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