Abstract:: Purpose:To conduct a comparative review of the subjective refraction measurements using the newly developed simultaneous binocular subjective. Subjective Refraction and Prescribing Glasses: Guide to Practical Techniques and Principles. November The author states that he has no financial or. Introduction. There are two methods of evaluating the refractive error of an eye: 1. A subjective refraction where the result depends on the.


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The table shows that for sphere, retinoscopy and SVOne subjective refraction the same limit of agreement. Also, this finding shows that SVOne sphere measurements have variability similar to that of subjective refraction between clinicians as previously reported.

The SVOne measurements for cylinder and axis were a bit more variable than subjective refraction, but as the authors concluded that could be due to alignment error, something that has been addressed by the introduction of a stand to which the instrument can be attached to, thus virtually eliminating subjective refraction errors and contamination of cylinder and axis measurements.

The next table above shows repeatability data of 10 subjects.


The data shows that SVOne refraction had higher repeatability than subjective refraction. This finding is again consistent with previous reports by Bullimore et al. subjective refraction

Subjective refraction

The subjective refraction study was very strong but clinically we also needed to test the accuracy of subjective refraction device on the majority of the population. A study was conducted to test how well the device performs within the pediatric population.

Conducted by Rosenfeld et al.

Subjective refraction study was conducted using 40 normal children age 5 to 17, all correctable to normal vision. The subjective refraction followed the same design as the adult study.

And both methods showed the same LOA for cylinder and axis.

Check the optical centers in comparison to the pupillary centers. Check whether the reading segments are in the correct position. Make sure the new glasses fit the patient correctly.

Check whether the old glasses were made subjective refraction a plus cylinder design using the Subjective refraction lens clock.

C Subjective Refraction Measurements Module

Check whether the base curve was changed using the Geneva lens clock. Evaluate the patient for dry eye. If the patient has a high prescription, check the subjective refraction distance.

Often, it subjective refraction easier to refract such patients over their old pair of glasses to keep the vertex distance the same. Check the pantoscopic tilt. Normally the tilt is 10 to 15 degrees, so that when the patient reads, the eye is perpendicular to the lens.

Understanding the Gold Standard of Refraction - Smart Vision Labs

Subjective refraction patient may be noticing that the tilt is different compared to the old glasses. With postoperative glasses, evaluate for diplopia in down gaze due to anisometropia.


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