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Correction: Hansen et al. Two-Year Results of 0.01% Atropine Eye Drops and 0.1% Loading Dose for Myopia Progression Reduction in Danish Children: A Placebo-Controlled, Randomized Clinical Trial. <i>J. Pers. Med.</i> 2024, <i>14</i>, 175.

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Related Experiment Video

Updated: Oct 2, 2025

Author Spotlight: Advancements in Refractive Surgical Correction for Presbyopia and Exploring Postoperative Visual Acuity
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Achieving Optimal Correction for Young Myopic Children: A Concept Study.

Sara Bøgelund Rasmussen1, Flemming Møller1, Trine Møldrup Jakobsen1

  • 1Department of Ophthalmology, Vejle Hospital, University Hospital of Southern Denmark, Vejle, Denmark.

Biomedicine Hub
|February 28, 2022
PubMed
Summary

Autorefractors may help correct myopia in children unable to cooperate with subjective refraction. Non-cycloplegic autorefraction closely matched subjective refraction, but cycloplegic measurements differed significantly.

Keywords:
AutorefractionChildrenMyopiaSubjective manifest refraction

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Area of Science:

  • Ophthalmology
  • Pediatric Optometry
  • Refractive Error Correction

Background:

  • Accurate refractive error assessment is crucial for managing myopia in children.
  • Subjective manifest refraction (SR) can be challenging in young or uncooperative patients.
  • Autorefraction offers a potential alternative for objective refractive error measurement.

Purpose of the Study:

  • To evaluate the efficacy of autorefractors as an alternative to subjective manifest refraction (SR) for myopic children.
  • To compare non-cycloplegic and cycloplegic autorefraction measurements with SR in pediatric myopia.
  • To determine the utility of specific autorefractor models for prescribing glasses in challenging pediatric cases.

Main Methods:

  • Included 21 myopic children aged 9-12 years.
  • Performed non-cycloplegic SR and autorefraction (AR) with Shin-Nippon Nvision-K 5001 and Topcon KR-800S.
  • Conducted cycloplegic AR with Shin-Nippon Nvision-K 5001 for comparison.

Main Results:

  • Non-cycloplegic AR spherical equivalent refractive error showed no significant difference from SR.
  • Cycloplegic Shin-Nippon Nvision-K 5001 AR measurements were significantly less myopic than SR (p < 0.001).
  • Astigmatic diopter values and axis measurements showed no significant difference between SR and AR, except for poor axis agreement with cylinders <0.75 D.

Conclusions:

  • Topcon KR-800S and Shin-Nippon Nvision-K 5001 autorefractors are potentially useful for prescribing glasses in uncooperative myopic children.
  • Non-cycloplegic autorefraction appears reliable for this population.
  • Caution is advised for low astigmatism (<0.75 D), suggesting adding half the cylinder to the spherical component when using ARs.