Comparative Study of Refraction between Wave Front-Based Refraction and Autorefraction without and with Cycloplegia in Children and Adolescents
The main aim of this study was to compare refraction measurements with and without cycloplegia from two refractors devices, (TRK-2P autorefractometer (TRK-2P) and wavefront-based refraction Visionix 130 (VX130)) in children and adolescents. This descriptive observational study included 20 myopic eye...
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MDPI AG
2022-01-01
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author | Ana M Calvo-Maroto Sara Llorente-González Jaione Bezunartea-Bezunartea Francisco Javier Hurtado-Ceña Clara Berrozpe-Villabona Valentina Bilbao-Malavé David P Piñero Jesús Barrio-Barrio Sergio Recalde-Maestre |
author_facet | Ana M Calvo-Maroto Sara Llorente-González Jaione Bezunartea-Bezunartea Francisco Javier Hurtado-Ceña Clara Berrozpe-Villabona Valentina Bilbao-Malavé David P Piñero Jesús Barrio-Barrio Sergio Recalde-Maestre |
author_sort | Ana M Calvo-Maroto |
collection | DOAJ |
description | The main aim of this study was to compare refraction measurements with and without cycloplegia from two refractors devices, (TRK-2P autorefractometer (TRK-2P) and wavefront-based refraction Visionix 130 (VX130)) in children and adolescents. This descriptive observational study included 20 myopic eyes and 40 hyperopic eyes measured in two different Spanish hospitals. Cycloplegia was carried out by three drops of cyclopentolate hydrochloride 1% (Colircusí cycloplegic, Alcon Healthcare S.A., Barcelona). The mean age of the myopia group was 12.40 ± 3.48 years; for the hyperopia group, the mean age was 7.37 ± 2.47 years. In the myopia group, autorefraction and wavefront-based refraction did not show clinically significant differences in any components between with and without cycloplegia. The hyperopia group showed statistical and clinically significant differences in sphere and SE components between relaxed and non-relaxed states of accommodation, although the cylindrical components were not clinically different. In this study, we considered a value of ≥0.50D as a clinically significant difference in refraction. Therefore, both devices were capable of obtaining accurate refractions without cyclopegia in myopia children, although they did not avoid instrument myopia and accommodation involved in hyperopia children. Moreover, both refractometers could be useful for astigmatism monitoring in children without the need for cycloplegic drops. |
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series | Children |
spelling | doaj.art-5b4f22f7e11f44b3b247f498ebf1a1d92023-11-23T13:21:41ZengMDPI AGChildren2227-90672022-01-01918810.3390/children9010088Comparative Study of Refraction between Wave Front-Based Refraction and Autorefraction without and with Cycloplegia in Children and AdolescentsAna M Calvo-Maroto0Sara Llorente-González1Jaione Bezunartea-Bezunartea2Francisco Javier Hurtado-Ceña3Clara Berrozpe-Villabona4Valentina Bilbao-Malavé5David P Piñero6Jesús Barrio-Barrio7Sergio Recalde-Maestre8Department of Ophthalmology, Clínica Universidad de Navarra, 28027 Madrid, SpainDepartment of Ophthalmology, Clínica Universidad de Navarra, 28027 Madrid, SpainExperimental Ophthalmology Laboratory, Department of Ophthalmology, Clínica Universidad de Navarra, IdiSNA, 31008 Pamplona, SpainDepartment of Pediatric Ophthalmology, Clínica Rementería, 28010 Madrid, SpainDepartment of Preventive Medicine, Public Health and Health Management, Miguel Servet University Hospital, 50009 Zaragoza, SpainDepartment of Ophthalmology, Bellvitge University Hospital, 08907 Barcelona, SpainDepartment of Optics, Pharmacology and Anatomy, University of Alicante, 03690 Alicante, SpainRed Temática de Investigación Cooperativa Sanitaria en Enfermedades Oculares, Oftared, ISCIII, 28040 Madrid, SpainExperimental Ophthalmology Laboratory, Department of Ophthalmology, Clínica Universidad de Navarra, IdiSNA, 31008 Pamplona, SpainThe main aim of this study was to compare refraction measurements with and without cycloplegia from two refractors devices, (TRK-2P autorefractometer (TRK-2P) and wavefront-based refraction Visionix 130 (VX130)) in children and adolescents. This descriptive observational study included 20 myopic eyes and 40 hyperopic eyes measured in two different Spanish hospitals. Cycloplegia was carried out by three drops of cyclopentolate hydrochloride 1% (Colircusí cycloplegic, Alcon Healthcare S.A., Barcelona). The mean age of the myopia group was 12.40 ± 3.48 years; for the hyperopia group, the mean age was 7.37 ± 2.47 years. In the myopia group, autorefraction and wavefront-based refraction did not show clinically significant differences in any components between with and without cycloplegia. The hyperopia group showed statistical and clinically significant differences in sphere and SE components between relaxed and non-relaxed states of accommodation, although the cylindrical components were not clinically different. In this study, we considered a value of ≥0.50D as a clinically significant difference in refraction. Therefore, both devices were capable of obtaining accurate refractions without cyclopegia in myopia children, although they did not avoid instrument myopia and accommodation involved in hyperopia children. Moreover, both refractometers could be useful for astigmatism monitoring in children without the need for cycloplegic drops.https://www.mdpi.com/2227-9067/9/1/88autorefractioncycloplegiachildrenaccommodationrefractive errors |
spellingShingle | Ana M Calvo-Maroto Sara Llorente-González Jaione Bezunartea-Bezunartea Francisco Javier Hurtado-Ceña Clara Berrozpe-Villabona Valentina Bilbao-Malavé David P Piñero Jesús Barrio-Barrio Sergio Recalde-Maestre Comparative Study of Refraction between Wave Front-Based Refraction and Autorefraction without and with Cycloplegia in Children and Adolescents Children autorefraction cycloplegia children accommodation refractive errors |
title | Comparative Study of Refraction between Wave Front-Based Refraction and Autorefraction without and with Cycloplegia in Children and Adolescents |
title_full | Comparative Study of Refraction between Wave Front-Based Refraction and Autorefraction without and with Cycloplegia in Children and Adolescents |
title_fullStr | Comparative Study of Refraction between Wave Front-Based Refraction and Autorefraction without and with Cycloplegia in Children and Adolescents |
title_full_unstemmed | Comparative Study of Refraction between Wave Front-Based Refraction and Autorefraction without and with Cycloplegia in Children and Adolescents |
title_short | Comparative Study of Refraction between Wave Front-Based Refraction and Autorefraction without and with Cycloplegia in Children and Adolescents |
title_sort | comparative study of refraction between wave front based refraction and autorefraction without and with cycloplegia in children and adolescents |
topic | autorefraction cycloplegia children accommodation refractive errors |
url | https://www.mdpi.com/2227-9067/9/1/88 |
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