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Related Experiment Video

Updated: Jan 12, 2026

Subjective Refraction Test Using a Smartphone for Vision Screening
05:36

Subjective Refraction Test Using a Smartphone for Vision Screening

Published on: October 18, 2024

1.7K

Innovative myopic screening platform based on smartphones.

Qiang Su1, Yicheng Ge1,2, Jinghui Wang1

  • 1Tianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute and School of Optometry, Tianjin Medical University Eye Hospital, Tianjin, China.

Frontiers in Bioengineering and Biotechnology
|November 5, 2025
PubMed
Summary

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A new smartphone app accurately screens for myopia, providing a cost-effective and accessible tool for at-home vision assessment. This validated method offers reliable refractive error measurements, enhancing accessibility to eye care.

Area of Science:

  • Ophthalmology
  • Optometry
  • Biomedical Engineering

Background:

  • Subjective refraction is crucial for diagnosing refractive errors like myopia.
  • Traditional methods using phoropters are costly and require clinical settings.
  • Accessible at-home vision assessment tools are needed for early detection and management.

Purpose of the Study:

  • To validate a novel smartphone-based approach for subjective refraction, specifically for myopia screening.
  • To assess the feasibility of using smartphones as a cost-effective and accessible tool for at-home vision assessment.

Main Methods:

  • 230 healthy volunteers (7-40 years) with refractive errors underwent both conventional phoropter examination and smartphone-based subjective refraction.
  • Smartphone measurements involved moving the screen towards the eye until optotypes were clear.
Keywords:
far pointmyopiasmartphone measurementsubjective refractionvision screening

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  • Eye-to-smartphone screen distance was calculated using iris diameter, enabling computation of sphere, cylinder, and axis.
  • Main Results:

    • The smartphone method showed close agreement with the gold-standard phoropter examination.
    • Limits of Agreement (LOAs) for sphere, cylinder, and spherical equivalent refraction (SER) were within 1 diopter.
    • High Areas Under the Curve (AUCs) of 0.973 and 0.986 were achieved for myopia screening in specific SER ranges.

    Conclusions:

    • Smartphone-based vision screening is a valid and accurate method for refractive error assessment.
    • This technology offers a cost-effective and accessible solution for myopia screening, particularly for at-home use.
    • The approach is suitable for opportunistic and large-scale myopia screening programs, improving access to vision care.