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

J Opt Soc Am A Opt Image Sci Vis. 2023 Sep 1;40(9):1733-1740. doi: 10.1364/JOSAA.487797.

Abstract

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.

MeSH terms

  • Accommodation, Ocular
  • Adolescent
  • Child
  • Humans
  • Myopia*
  • Vision Tests*
  • Vision, Binocular