Kós Abraão Ferreira de Sousa Neto, Moscovici Bernardo Kaplan, Vilar Cesar, Chaves Mario Augusto Pereira Dias, Da Silva Maíra Gomes Barbosa, Neuwald Maurício Agne, De Medeiros André Lins, Lake Jonathan Clive, Motta Antonio Francisco Pimenta, Tzelikis Patrick Frensel de Moraes, Carricondo Pedro Carlos, Gouvea Larissa, Nosé Walton, Hida Wilson Takashi
Hospital Oftalmologico de Brasília - HOB, Brasilia, Brasilia, Brazil.
Department of Ophthalmology and Visual Sciences, Federal University of Sao Paulo UNIFESP, São Paulo, Brazil.
Clin Ophthalmol. 2025 Mar 28;19:1085-1092. doi: 10.2147/OPTH.S510850. eCollection 2025.
To compare the performance of a self-refraction device (EyeQue Vision Check 2, EyeQue, USA) with autorefraction (OPD-Scan III, NIDEK) and subjective cycloplegic refraction in measuring refractive errors.
This descriptive study included 80 eyes from 40 patients. Measurements were obtained using the portable EyeQue device, OPD-Scan III, and subjective cycloplegic refraction performed by an experienced examiner. Spherical equivalent (SE), cylindrical power, and axis values were analyzed using power vector decomposition (M, J0, J45) to improve accuracy in comparing methods. The main outcome was the agreement between self-refraction, autorefraction, and subjective refraction.
The EyeQue device showed lower variability and greater homogeneity in spherical measurements but exhibited lower precision for cylindrical power and axis than subjective refraction. Power vector analysis revealed that EyeQue overestimated spherical equivalent (M) and produced higher J0 values, suggesting a tendency to alter cylindrical correction. Although comparable to OPD-Scan in spherical refraction, EyeQue demonstrated inconsistencies in astigmatism correction, particularly in J45 components.
The EyeQue device is a promising tool for large-scale screenings due to its affordability and portability. However, its limitations in astigmatism and axis measurements indicate that subjective refraction should complement rather than replace it. Therefore, further refinement and validation in diverse populations are recommended.
比较一种自动验光设备（EyeQue Vision Check 2，美国EyeQue公司）与自动验光仪（OPD-Scan III，日本尼德克公司）以及主观睫状肌麻痹验光在测量屈光不正方面的性能。
这项描述性研究纳入了40例患者的80只眼。使用便携式EyeQue设备、OPD-Scan III进行测量，并由经验丰富的检查者进行主观睫状肌麻痹验光。使用屈光力矢量分解（M、J0、J45）分析球镜等效度（SE）、柱镜度数和轴位值，以提高比较方法的准确性。主要结果是自动验光、自动验光仪验光和主观验光之间的一致性。
EyeQue设备在球镜测量中显示出较低的变异性和较高的同质性，但在柱镜度数和轴位方面的精度低于主观验光。屈光力矢量分析显示，EyeQue高估了球镜等效度（M）并产生了更高的J0值，表明有改变柱镜矫正的趋势。虽然在球镜验光方面与OPD-Scan相当，但EyeQue在散光矫正方面表现出不一致性，尤其是在J45分量上。
EyeQue设备因其价格实惠和便于携带，是大规模筛查的一个有前景的工具。然而，其在散光和轴位测量方面的局限性表明，主观验光应作为补充而非替代。因此，建议在不同人群中进一步完善和验证。
