Auto-refraction versus subjective refraction in different phakic and pseudophakic conditions:the Tehran Geriatric Eye Study(TGES)

作     者：Hassan Hashemi Amir Asharlous Alireza Jamali Abolghasem Mortazavi Alireza Hashemi Mehdi Khabazkhoob 

作者机构：Noor Research Center for Ophthalmic EpidemiologyNoor Eye HospitalTehran ***Iran Noor Ophthalmology Research CenterNoor Eye HospitalTehran ***Iran Rehabilitation Research CenterDepartment of OptometrySchool of Rehabilitation SciencesIran University of Medical SciencesTehran ***Iran Department of NeurosurgerySina HospitalTehran University of Medical SciencesTehran ***Iran Department of Basic SciencesSchool of Nursing and MidwiferyShahid Beheshti University of Medical SciencesTehran ***Iran 

出 版 物：《International Journal of Ophthalmology(English edition)》 (国际眼科杂志（英文版）)

年 卷 期：2023年第16卷第8期

页      面：1309-1316页

核心收录：

学科分类：1002[医学-临床医学] 100212[医学-眼科学] 10[医学] 

基　　金：Supported by National Institute for Medical Research Development(NIMAD)affiliated with the Iranian Ministry of Health and Medical Education(No.963660) 

主　　题：refraction subjective geriatric noncycloplegic autorefraction 

摘      要：AIM:To compare the subjective refraction data with non-cycloplegic auto-refraction findings in the geriatric population above 60 years of age according to the different crystalline lens ***:This report is a part of the Tehran Geriatric Eye Study(TGES)that was conducted from January 2019 to January 2020 on elderly population 60 years of age and above in *** samples were selected by multistage stratified random cluster *** 3791 individual invitees,3310(response rate:87.3%)participated in this *** study participants underwent non-cycloplegic autorefraction(auto-refractometer/keratometer Nidek ARK-510)and subjective ***:Regarding the sphere,eyes with mixed cataract had the worst limits of agreement(LoA:-1.24 to 0.87)and the best agreement was related to the pseudophakic eyes(LoA:-0.83 to 0.54).The highest(0.27±0.31 D)and lowest(0.21±0.27 D)differences between the two methods regarding the cylinder power were observed in eyes with cortical cataract and normal eyes,*** worst LoA between the two methods in measuring the cylinder power was related to the eyes with mixed cataract(LoA:-0.44 to 0.96).Regarding the J0(horizontal/vertical components of astigmatism),the mean values of J0 obtained by auto-refraction were tended more toward against the rule direction in all crystalline lens conditions,and the two methods had the greatest difference in cortical cataract cases(0.05±0.17 D).Regarding the J45(oblique components of astigmatism),the lowest(0±0.11 D)and highest(-0.01±0.12 D)differences were observed in normal eyes and eyes with cortical cataract,***:The auto-refractometer/keratometer Nidek ARK-510 results in the elderly with different phakic and pseudophakic conditions do not correspond well with subjective refraction *** discrepancy in spherical findings is more pronounced in individuals with mixed cataract than in other cases.