Effect of six different autorefractor designs on the precision and accuracy of refractive error measurement

<h4>Purpose</h4> To evaluate the precision of objective refraction measurements with six different autorefractors that have different designs and measurement principles and to compare the objective refraction values with the subjective refraction. <h4>Method</h4> Objective re...

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Main Authors: Abinaya Priya Venkataraman, Rune Brautaset, Alberto Domínguez-Vicent
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9704684/?tool=EBI
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author Abinaya Priya Venkataraman
Rune Brautaset
Alberto Domínguez-Vicent
author_facet Abinaya Priya Venkataraman
Rune Brautaset
Alberto Domínguez-Vicent
author_sort Abinaya Priya Venkataraman
collection DOAJ
description <h4>Purpose</h4> To evaluate the precision of objective refraction measurements with six different autorefractors that have different designs and measurement principles and to compare the objective refraction values with the subjective refraction. <h4>Method</h4> Objective refraction of 55 participants was measured using six autorefractors with different designs. The instrument features mainly varied in terms of measurement principles, inbuilt fogging, open or closed view, and handheld or stationary designs. Two repeated measurements of objective refraction were performed with each autorefractor. The objective refractions from the six autorefractors were compared with the standard subjective refraction. The repeatability limit and Bland-Altman were used to describe the precision and accuracy of each autorefractor, respectively. The analysis was done using the spherical component of the refraction and the power-vector components, spherical equivalent (M), and cylindrical vectors. <h4>Results</h4> The repeatability of all autorefractors was within 1.00 and 0.35D for measuring the M and both cylindrical components, respectively. Inbuilt fogging was the common feature of the instruments that showed better repeatability. Compared to subjective refraction, the mean difference for sphere and M was below +0.50D, and it was close to zero for the cylindrical components. The instruments that had inbuilt fogging showed narrower limit of agreement. When combined with fogging, the open field refractors showed better precision and accuracy. <h4>Conclusions</h4> The inbuilt fogging is the most important feature followed by the open view in determining the precision and accuracy of the autorefractor values.
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spelling doaj.art-12c31d39f71a488a9480231db6f5be772022-12-22T04:36:06ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-011711Effect of six different autorefractor designs on the precision and accuracy of refractive error measurementAbinaya Priya VenkataramanRune BrautasetAlberto Domínguez-Vicent<h4>Purpose</h4> To evaluate the precision of objective refraction measurements with six different autorefractors that have different designs and measurement principles and to compare the objective refraction values with the subjective refraction. <h4>Method</h4> Objective refraction of 55 participants was measured using six autorefractors with different designs. The instrument features mainly varied in terms of measurement principles, inbuilt fogging, open or closed view, and handheld or stationary designs. Two repeated measurements of objective refraction were performed with each autorefractor. The objective refractions from the six autorefractors were compared with the standard subjective refraction. The repeatability limit and Bland-Altman were used to describe the precision and accuracy of each autorefractor, respectively. The analysis was done using the spherical component of the refraction and the power-vector components, spherical equivalent (M), and cylindrical vectors. <h4>Results</h4> The repeatability of all autorefractors was within 1.00 and 0.35D for measuring the M and both cylindrical components, respectively. Inbuilt fogging was the common feature of the instruments that showed better repeatability. Compared to subjective refraction, the mean difference for sphere and M was below +0.50D, and it was close to zero for the cylindrical components. The instruments that had inbuilt fogging showed narrower limit of agreement. When combined with fogging, the open field refractors showed better precision and accuracy. <h4>Conclusions</h4> The inbuilt fogging is the most important feature followed by the open view in determining the precision and accuracy of the autorefractor values.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9704684/?tool=EBI
spellingShingle Abinaya Priya Venkataraman
Rune Brautaset
Alberto Domínguez-Vicent
Effect of six different autorefractor designs on the precision and accuracy of refractive error measurement
PLoS ONE
title Effect of six different autorefractor designs on the precision and accuracy of refractive error measurement
title_full Effect of six different autorefractor designs on the precision and accuracy of refractive error measurement
title_fullStr Effect of six different autorefractor designs on the precision and accuracy of refractive error measurement
title_full_unstemmed Effect of six different autorefractor designs on the precision and accuracy of refractive error measurement
title_short Effect of six different autorefractor designs on the precision and accuracy of refractive error measurement
title_sort effect of six different autorefractor designs on the precision and accuracy of refractive error measurement
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9704684/?tool=EBI
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AT albertodominguezvicent effectofsixdifferentautorefractordesignsontheprecisionandaccuracyofrefractiveerrormeasurement