Is the Sphere Value Measured by an Autorefractor Reliable in Children under Cycloplegia? Comparison with Streak Retinoscopy.

Rita Dinis Da Gama, Tania Yang Nom, Daniela Candido Da Costa, Joana Chambel Dos Santos, Rute Sousa Da Costa, Catarina Relha
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Abstract

Purpose: To compare and repeatedly measure cycloplegic refraction in a cross-section of children using retinoscopy and automated refraction.

Methods: A total of 560 children (corresponding to 1120 eyes) ranging in age from 3 to 10 years participated in the study. Each child underwent a comprehensive eye examination, which included table mounted autorefractor evaluation (Kowa KW-2000) and streak retinoscopy, both after cycloplegia with 1% cyclopentolate hydrochloride. Data were analyzed using Fourier decomposition of the power profile.

Results: More positive values of M component and sphere value were given by cycloplegic autorefraction (AKW) compared with cycloplegic streak retinoscopy (RR). More negative values for the J45 vector and more positive for J0 were given AKW although this difference was not statistically significant.

Conclusions: Our study shows that the table mounted autorefkeratometer Kowa KW- 2000 can be applied to young children with cycloplegia as instrument for cycloplegic refraction, and a discount of +0.67 should be applied on the sphere value. Similar care should be taken on the evaluation of the sphere and spherical equivalent values should be applied in other devices.

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自折射镜测球值对小儿独眼瘫痪可靠吗?与条纹视网膜镜的比较。
目的:比较并反复测量使用视网膜镜和自动屈光检查的儿童睫状体麻痹的横切面屈光。方法:对3 ~ 10岁儿童560例(1120只眼)进行研究。所有患儿均接受了全面的眼科检查,包括台式自折射镜评估(Kowa KW-2000)和条纹视网膜镜检查,均在1%盐酸环戊酸盐睫状体麻痹后进行。利用功率分布的傅立叶分解对数据进行分析。结果:与单眼瘫痪条纹视网膜镜(RR)相比,单眼瘫痪自折射(AKW)的M分量和球值更阳性。在AKW中,J45的阴性值更多,而J0的阳性值更多,尽管这种差异没有统计学意义。结论:我们的研究表明,台式自反射角度数计Kowa KW- 2000可用于幼儿独眼瘫患者作为独眼瘫屈光仪器,球体值应折让+0.67。在评估球体时也应采取类似的注意,在其他装置中也应应用球面等效值。
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