Author:
Schott Brian,Seery Christopher,Wagner Rudolph S.,Guo Suqin
Abstract
Purpose:
To evaluate whether cycloplegic autorefraction can provide similar results as cycloplegic retinoscopy, allowing more comprehensive ophthalmologists to be comfortable in managing pediatric refractive error and refractive amblyopia.
Methods:
This retrospective chart review was performed to determine the mean difference in sphere, cylinder, and axis between cycloplegic autorefraction and retinoscopy, both of which were obtained on the same eye at least 30 minutes after cycloplegia and dilation with a mixed solution of tropicamide, cyclopentolate, and phenylephrine.
Results:
A total of 34 eyes (18 right, 16 left) from 18 patients were included in the analysis. Mean sphere difference between cycloplegic autorefraction and retinoscopy was 0.044 ± 0.278 diopters (D) (95% CI: −1.275 to 1.363 D), mean cylinder difference was −0.081 ± 0.236 D (95% CI: −0.706 to 0.544 D), and mean axis difference was 7.059 ± 19.676 degrees (95% CI: −32.527 to 38.878 degrees). Mean differences in sphere, cylinder, and axis were not statistically significant (
P
= .362, .0541, and .377, respectively).
Conclusions:
In this small sample population, cycloplegic autorefraction was comparable to cycloplegic retinoscopy. Recognition of amblyopia should still prompt evaluation by a pediatric ophthalmologist. Further research is necessary to confirm whether uncomplicated refractive error in children may be sufficiently detected and managed by a comprehensive ophthalmologist.
[
J Pediatr Ophthalmol Strabismus
. 2022:59(6):422–427.]
Subject
Ophthalmology,General Medicine,Pediatrics, Perinatology and Child Health
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献