Seymen Zeynep, Bekmez Sinan, Eris Erdem, Yildiz Burcin Kepez, Vural Asli, Ogreden Tulin, Perente Irfan
Department of Ophthalmology, University of Health Sciences Istanbul Training and Research Hospital, Istanbul, Turkey.
Department of Ophthalmology, University of Health Sciences Dr. Behcet Uz Children's Diseases and Surgery Training and Research Hospital, Izmir, Turkey.
Beyoglu Eye J. 2021 Jun 8;6(2):108-114. doi: 10.14744/bej.2021.28247. eCollection 2021.
This study was conducted to compare refractive error measurements recorded using the Nidek HandyRef-K handheld autorefractometer (HDY; Nidek Co. Ltd., Tokyo, Japan), Plusoptix A09 photorefractor (PO; Plusoptix GmbH, Nuremberg, Germany), Retinomax K-plus 3 (RTX; Right Mfg. Co. Ltd., Tokyo, Japan), and a table-mounted autorefractometer/keratometer (TTR; URK 800, Unicos Co. Ltd., Daejeon, Republic of Korea).
Patients aged ≥18 years underwent measurement of refraction without cycloplegia using 4 devices and the spherical power (SP), cylindrical power (CP), and spherical equivalent (SE) values were analyzed and compared.
A total of 181 eyes of 181 patients were enrolled in the study. The mean age of the patients was 33.08±0.95 years (range: 18-79 years). There was a significantly significant difference in the SP, CP, and SE values determined by the devices (p<0.001). The SP and SE values of the RTX and the HDY were similar, while the other device results were different (Wilcoxon signed-rank test, p=0.004). The CP values of the PO and the TTR, the HDY and the TTR were also comparable.
The HDY, RTX, and the PO are suitable for screening in clinical practice, but the findings strongly suggest that they should be used with caution.
本研究旨在比较使用尼德克手持自动验光仪（HDY；尼德克有限公司，东京，日本）、Plusoptix A09验光仪（PO；Plusoptix GmbH，纽伦堡，德国）、Retinomax K-plus 3（RTX；Right制造有限公司，东京，日本）以及台式自动验光仪/角膜曲率计（TTR；URK 800，Unicos有限公司，韩国大田）记录的屈光不正测量结果。
年龄≥18岁的患者使用4种设备进行非散瞳验光，并对球镜度数（SP）、柱镜度数（CP）和等效球镜度数（SE）值进行分析和比较。
共纳入181例患者的181只眼。患者的平均年龄为33.08±0.95岁（范围：18 - 79岁）。各设备测得的SP、CP和SE值存在显著差异（p<0.001）。RTX和HDY的SP和SE值相似，而其他设备的结果不同（Wilcoxon符号秩检验，p = 0.004）。PO和TTR、HDY和TTR的CP值也具有可比性。
HDY、RTX和PO适用于临床实践中的筛查，但研究结果强烈表明应谨慎使用。
