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Comparison of the PlusOptix S09 and Spot Vision photorefractor to cycloretinoscopy

Funda Dikkaya1, Sevil Karaman Erdur2

  • 1Department of Ophthalmology, Medipol University School of Medicine, Istanbul Medipol University, Bağcılar, 34124, Istanbul, Turkey. fundadikkaya@hotmail.com.

International Ophthalmology
|September 27, 2018
PubMed

Insights

The PlusOptix S09 and Spot Vision devices offer acceptable results for screening children's vision. However, these photorefractive devices should not be solely relied upon for spectacle prescription.

Area of Science:

  • Ophthalmology
  • Pediatric Optometry
  • Vision Science

Background:

  • Accurate refractive error assessment is crucial for pediatric eye care.
  • Photorefractive devices offer a non-contact method for measuring vision in children.
  • Comparing new technologies with established methods like cycloplegic retinoscopy is essential for validating their clinical utility.

Purpose of the Study:

  • To compare the accuracy of refraction measurements obtained from the PlusOptix S09 and Spot Vision photorefractive devices against cycloplegic retinoscopy in children.
  • To evaluate the performance of these devices across different age groups.

Main Methods:

  • A prospective study evaluated 136 eyes of 68 children, divided into two age groups (5-9 years and 10-18 years).
  • Refraction measurements including spherical equivalent, spherical power, cylindrical power, and axis were recorded using PlusOptix S09, Spot Vision, and cycloplegic retinoscopy.
  • Statistical analysis compared the measurements obtained from the three methods.

Main Results:

  • Both PlusOptix S09 and Spot Vision showed statistically significant differences in spherical equivalent and spherical power compared to cycloplegic retinoscopy across age groups.
  • Cylindrical power measurements also differed significantly between the photorefractive devices and cycloplegic retinoscopy.
  • While acceptable for screening, discrepancies highlight limitations for precise prescription.

Conclusions:

  • The PlusOptix S09 and Spot Vision devices provide acceptable outcomes for vision screening in children.
  • These photorefractive devices should not be used as the sole basis for prescribing corrective lenses.
  • Clinical decisions regarding spectacle prescription require confirmation with traditional methods like cycloplegic retinoscopy.
Abstract

Keywords:
AmblyopiaCycloretinoscopyPhotorefractionPlusOptix S09Spot Vision

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