Comparison of non-cycloplegic photorefraction, cycloplegic photorefraction and cycloplegic retinoscopy in children

<b>AIM:</b> To compare the results of noncycloplegic photorefraction, cycloplegic photorefraction and cycloplegic refraction in preschool and non-verbal children. <b>METHODS:</b> One hundred and ninety-six eyes of 98 children (50 females, 48 males) were included in the study...

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Main Authors: Ozdemir Ozdemir, Zuhal Özen Tunay, Ikbal Seza Petriçli, Damla Ergintürk Acar
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2015-02-01
Series:International Journal of Ophthalmology
Subjects:
Online Access:http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4325256/
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author Ozdemir Ozdemir
Zuhal Özen Tunay
Ikbal Seza Petriçli
Damla Ergintürk Acar
Zuhal Özen Tunay
author_facet Ozdemir Ozdemir
Zuhal Özen Tunay
Ikbal Seza Petriçli
Damla Ergintürk Acar
Zuhal Özen Tunay
author_sort Ozdemir Ozdemir
collection DOAJ
description <b>AIM:</b> To compare the results of noncycloplegic photorefraction, cycloplegic photorefraction and cycloplegic refraction in preschool and non-verbal children. <b>METHODS:</b> One hundred and ninety-six eyes of 98 children (50 females, 48 males) were included in the study. Firstly, non-cycloplegic photorefraction was achieved with Plusoptix A09; secondly, cycloplegic photorefraction was carried out with Plusoptix A09 after 10 min cyclopentolate. Finally, 30min after instillation of twice cyclopentolate, cycloplegic refraction was obtained with autorefraction and/or standard retinoscopy. Spheric equivalent, spheric power, cylindric power and cylindrical axis measurements were statistically compared. <b>RESULTS:</b> The mean age was 28.8±18.5mo (range 12-72mo). The differences in spherical equivalent, spheric power and cylindrical power measured by the three methods were found statistically significant (P<0.05). The spherical equivalent and spheric power measured by cycloplegic photorefraction were statistically higher than the measurements of the other methods (P<0.05). The cylindrical power measured by cycloplegic refraction was statistically lower than the measurements of the photorefraction methods (P<0.05). There was no significant difference in cylindrical axis measurements between three methods (P>0.05). <b>CONCLUSION:</b> For the determination of refractive errors in children, the Plusoptix A09 measurements give incorrect results after instillation of cyclopentolate. Additionally, the cylindrical power measured by Plusoptix A09 with or without cycloplegia is higher. However, the non-cycloplegic Plusoptix A09 measures spheric equivalent and spheric power similar to cycloplegic refraction measurements in preschool and non-verbal children.
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spelling doaj.art-67ccd993e66b4bfe83593848b70ab35d2022-12-22T00:29:43ZengPress of International Journal of Ophthalmology (IJO PRESS)International Journal of Ophthalmology2222-39592227-48982015-02-018112813110.3980/j.issn.2222-3959.2015.01.24Comparison of non-cycloplegic photorefraction, cycloplegic photorefraction and cycloplegic retinoscopy in childrenOzdemir Ozdemir0Zuhal Özen Tunay1Ikbal Seza Petriçli2Damla Ergintürk Acar3Zuhal Özen Tunay4Department of Ophthalmology, Zekai Tahir Burak Women’s Health Education and Research Hospital, Ankara 06100, Turkey<br>Department of Ophthalmology, Zekai Tahir Burak Women’s Health Education and Research Hospital, Ankara 06100, Turkey<br>Department of Ophthalmology, Etlik Zubeyde Hanim Maternity and Women’s Health Research Hospital, Ankara 06100, Turkey<br>Department of Ophthalmology, Zekai Tahir Burak Women’s Health Education and Research Hospital, Ankara 06100, Turkey<br>Department of Ophthalmology, Antalya Education and Research Hospital, Antaly 07125, Turkey<b>AIM:</b> To compare the results of noncycloplegic photorefraction, cycloplegic photorefraction and cycloplegic refraction in preschool and non-verbal children. <b>METHODS:</b> One hundred and ninety-six eyes of 98 children (50 females, 48 males) were included in the study. Firstly, non-cycloplegic photorefraction was achieved with Plusoptix A09; secondly, cycloplegic photorefraction was carried out with Plusoptix A09 after 10 min cyclopentolate. Finally, 30min after instillation of twice cyclopentolate, cycloplegic refraction was obtained with autorefraction and/or standard retinoscopy. Spheric equivalent, spheric power, cylindric power and cylindrical axis measurements were statistically compared. <b>RESULTS:</b> The mean age was 28.8±18.5mo (range 12-72mo). The differences in spherical equivalent, spheric power and cylindrical power measured by the three methods were found statistically significant (P<0.05). The spherical equivalent and spheric power measured by cycloplegic photorefraction were statistically higher than the measurements of the other methods (P<0.05). The cylindrical power measured by cycloplegic refraction was statistically lower than the measurements of the photorefraction methods (P<0.05). There was no significant difference in cylindrical axis measurements between three methods (P>0.05). <b>CONCLUSION:</b> For the determination of refractive errors in children, the Plusoptix A09 measurements give incorrect results after instillation of cyclopentolate. Additionally, the cylindrical power measured by Plusoptix A09 with or without cycloplegia is higher. However, the non-cycloplegic Plusoptix A09 measures spheric equivalent and spheric power similar to cycloplegic refraction measurements in preschool and non-verbal children.http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4325256/cyclopentolatecycloplegiaphotorefractionphotoretinoscopyPlusoptixretinoscopyrefractionrefraction
spellingShingle Ozdemir Ozdemir
Zuhal Özen Tunay
Ikbal Seza Petriçli
Damla Ergintürk Acar
Zuhal Özen Tunay
Comparison of non-cycloplegic photorefraction, cycloplegic photorefraction and cycloplegic retinoscopy in children
International Journal of Ophthalmology
cyclopentolate
cycloplegia
photorefraction
photoretinoscopy
Plusoptix
retinoscopy
refraction
refraction
title Comparison of non-cycloplegic photorefraction, cycloplegic photorefraction and cycloplegic retinoscopy in children
title_full Comparison of non-cycloplegic photorefraction, cycloplegic photorefraction and cycloplegic retinoscopy in children
title_fullStr Comparison of non-cycloplegic photorefraction, cycloplegic photorefraction and cycloplegic retinoscopy in children
title_full_unstemmed Comparison of non-cycloplegic photorefraction, cycloplegic photorefraction and cycloplegic retinoscopy in children
title_short Comparison of non-cycloplegic photorefraction, cycloplegic photorefraction and cycloplegic retinoscopy in children
title_sort comparison of non cycloplegic photorefraction cycloplegic photorefraction and cycloplegic retinoscopy in children
topic cyclopentolate
cycloplegia
photorefraction
photoretinoscopy
Plusoptix
retinoscopy
refraction
refraction
url http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4325256/
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