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Automatic infrared refractors--a comparative study.

W Wesemann1, B Rassow

  • 1Medical Optics Laboratory, University of Hamburg, Federal Republic of Germany.

American Journal of Optometry and Physiological Optics
|August 1, 1987
PubMed
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Seven automatic infrared refractors were tested. While accurate for most normal eyes, they showed errors in patients with intraocular lenses or other eye conditions, sometimes failing completely.

Area of Science:

  • Ophthalmology
  • Optometry
  • Medical Device Technology

Background:

  • Automatic infrared (IR) refractors are widely used for objective eye measurements.
  • Understanding their performance across diverse patient populations is crucial for clinical application.

Purpose of the Study:

  • To evaluate the performance and accuracy of seven different automatic IR eye refractors.
  • To compare objective measurements from automatic refractors with subjective refractions in normal subjects.
  • To identify limitations and potential failure points in specific patient groups.

Main Methods:

  • Standardized measurements were performed on a model eye, 55 normal ametropic subjects, and patients with specific ocular conditions (e.g., intraocular lenses, aphakia, scattering media).
  • Comparison of automatic refraction results against conventional subjective eye examinations.

Related Experiment Videos

  • Analysis of measurement range, linearity errors, spherical equivalent, and cylinder power accuracy.
  • Main Results:

    • Model eye tests revealed smaller measurement ranges and linearity errors in several instruments.
    • In normal subjects, over 80% of spherical equivalent and 90% of cylinder power measurements were within 0.51 D of subjective results.
    • Significantly larger errors, or complete failure, occurred in patients with intraocular lenses, aphakia, or scattering eye media.

    Conclusions:

    • Automatic IR refractors demonstrate good accuracy for routine refractive error assessment in normal, ametropic eyes.
    • Performance degrades considerably in eyes with complex conditions, such as post-operative or pathological changes.
    • Clinical use requires careful consideration of patient-specific factors, as automatic refraction may be unreliable or impossible in certain cases.