COMPARISON BETWEEN NEAR RETINOSCOPY AND CYCLOPLEGIC RETINOSCOPY IN THE REFRACTION OF INFANTS AND CHILDREN

被引：36

作者：

SAUNDERS, KJ

WESTALL, CA

机构：

[1] Special Assessment Unit, University of Wales, College of Cardiff, Department of Optometry, Cardiff

[2] Hospital for Sick Children, Toronto, ON

来源：

OPTOMETRY AND VISION SCIENCE | 1992年 / 69卷 / 08期

关键词：

RETINOSCOPY; NEAR RETINOSCOPY; INFANT; CHILDREN; REFRACTION; CYCLOPLEGIA;

D O I：

10.1097/00006324-199208000-00004

中图分类号：

R77 [眼科学];

学科分类号：

100212 ;

摘要：

We investigated the validity of replacing cycloplegic retinoscopy with a noncycloplegic, "near" retinoscopy technique. We refracted a group of 31 infants (<2 years) and 43 children (>2 years) with both techniques, grading our level of confidence in the result. Near retinoscopy gave on average a less hypermetropic result than cycloplegic retinoscopy by 0.39 D. The difference was significant in infants and for low levels of examiner confidence. However, a repeatability study showed that much of the variability in the infant group could be attributed to the poor repeatability of either retinoscopy technique. Agreement between the two techniques is improved by changing the suggested adjustment factor from 1.25 to 1.00 D for children and to 0.75 D for infants.

引用

页码：615 / 622

页数：8

共 14 条

[1]

Mohindra I., A technique for infant examination, Am J Optom Physiol Opt, 52, pp. 867-870, (1975)

[2]

Mohindra I., Comparison of “near retinoscopy” and subjective refraction in adults, Am J Optom Physiol Opt, 54, pp. 319-322, (1977)

[3]

Mohindra I., A non-cydoplegic refraction technique for infants and young children, J am Optom Assoc, 48, pp. 518-523, (1977)

[4]

Mohindra I., Molinari J.F., Near retinoscopy and cycloplegic retinoscopy in early primary grade schoolchildren, Am J Optom Physiol Opt, 56, pp. 34-38, (1979)

[5]

Rosenfield M., Evaluation of clinical techniques to measure tonic accommodation, Optom Vis Sci, 66, pp. 809-814, (1989)

[6]

Owens D.A., Mohindra I., Held R., The effectiveness of a reti-noscope beam as an accommodative stimulus, Invest Op-Thalmol Vis Sci, 19, pp. 942-949, (1980)

[7]

Atkinson J., Braddick O., Infant precursors of later visual disorders: Correlation or causality?, The Minnesota Symposia on Child Psychology, 20, pp. 35-65, (1988)

[8]

McBrlen N.A., Millodot M., The relationship between tonic accommodation and refractive error, Invest Ophthalmol Vis Sci, 28, pp. 997-1004, (1987)

[9]

Rosner J., Rosner J., Relation between clinically measured tonic accommodation and refractive status in 6- to 14-year-old children, Optom Vis Sci, 66, pp. 436-439, (1989)

[10]

Bullimore M.A., Gilmartin B., Hogan R.E., Objective and subjective measurement of tonic accommodation, Ophthal Physiol Opt, 6, pp. 57-62, (1986)

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