Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Retinoscopes”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 145 records · Page 8Linked to original sources
PubMed1982

Aphakic ultrasonographic refraction in adults. Comparison with retinoscopy and subjective refraction.

A simple method of aphakic refraction using ultrasonographic axial length measurement and keratometry was tried on 97 eyes of adult aphakic patients. The refractive errors determined by this method and by retinoscopy were compared to the subjective refraction of the same eyes. The ultrasonographically determined refractive errors were significantly nearer the subjective refraction than were the retinoscopically determined refractive errors.

Aged↗
PubMed1981

[Determination of refractive status in groups by laser (author's transl)].

It was tried to demonstrate the laser-test simultaneously great groups of persons and thus to divide them roughly into prospective emmetropes and different ametropes. For that an interference-phenomenon of laser-light on a screen is used to determine the refractive status. If the head is moved slowly in one direction, myopes register a movement of the interference-pattern in the contrary sense, hyperopes a movement in the same sense, while emmetropes do not recognize a direction of movement. The refractive status of 139 students was investigated. The results of the laser-test with a small group of 24 students were compared with the results of retinoscopia, in the course of which the laser-test proved to be very sensitive. In 86% of the cases laser correction and retinoscopic correction were identical within a variation of +/- 0.25 dpt. All ametropic patients were detected with great certainty. Even negligible, subjectively not perceptible ametropia could be detected. Thus it was shown, that only 60% of those, who have been found to be ametropic by the laser-test, really do need glasses or a better correction. For determination of astigmatism further experiments are necessary.

Adolescent↗
PubMed1981

A new technique for portable slit examination.

A new technique is presented for obtaining a portable low-power slit view of the cornea and anterior chamber by using a halogen streak retinoscope as the light source and binocular loupes or an aspheric + 20 diopter lens for magnification.

Anterior Chamber↗
PubMed1975

Some sources of discrepancy between static retinoscopy and subjective refraction.

Conflicting views have been expressed in the literature regarding the sign and magnitude of the difference between the values of ocular correction deduced by retinoscopy and by subjective refraction. Possible causes for such a discrepancy are briefly reviewed. Calculations based upon experimental data show that neither the reddish colour of the retinoscopic reflex nor the position of the layer in the retina at which the reflex originates are likely to introduce any important discrepancy. The probable significance of other factors is assessed.

Accommodation, Ocular↗
PubMed1977

A non-cycloplegic refraction technique for infants and young children.

An objective, near-retinoscopy technique for assessing non-cyloplegic refractions in infants and young children is presented. The technique involves performing retinoscopy at near in an otherwise dark room, as the patient fixates the retinoscope light with one eye, while the other is occluded. Data are presented which support the reliability and validity of this technique in adults and infants.

Age Factors↗
PubMed1977

Comparison of "near retinoscopy" and subjective refraction in adults.

Static retinoscopy can yield contaminated results because the central rays of the retinoscope beam are oblique with respect to the line of sight of the eye being examined. Additionally, it is difficult to obtain steady distant fixation by children and infants. A near-retinoscopy technique is described, and refractive errors obtained by subjective refraction and near retinoscopy on adults are compared to show that the latter technique yields reliable and valid measures of refraction.

Adult↗
PubMed1997

Effect of contralateral fog during refractive error assessment.

BACKGROUND: When assessing refractive error using static retinoscopy, it is conventional to fog the contralateral eye by approximately 2.00 D to prevent a blur-driven accommodative response stimulating consensual accommodation in the tested eye. However, the effect of higher amounts of contralateral fog (e.g., in a moderate-to-high uncorrected myopic individual) during refractive error assessment is unclear. METHODS: We assessed the refractive state in 16 visually normal myopic subjects while fogging the contralateral eye between zero and 6.00 D, in 1.00 D increments. Retinoscopy was simulated by shining a streak retinoscope light into the right eye, while simultaneously measuring the refractive state of this eye objectively. RESULTS: No significant change in mean refractive state was observed for up to 5.00 D of contralateral fog. But, 6.00 D of contralateral fog produced a significant mean increase in the myopic direction of 0.13 D. Also, in three subjects, a myopic shift of approximately 0.60 D was recorded after the introduction of 6.00 D of contralateral fog. Nevertheless, the magnitude of these largest shifts in refractive error are still smaller than the previously reported degree of repeatability of static retinoscopy. CONCLUSIONS: Since large amounts of contralateral fog produced only small and clinically insignificant changes in the refractive state, the practitioner merely needs to ensure that the nontested eye is indeed fogged. The magnitude of fog present will have only a minimal effect on the final result.

Adult↗
PubMed1995

[The relations of corneal, lenticular and total astigmatism].

PURPOSE: To determine the relations of corneal, lenticular and total astigmatism and the changes of the astigmatism with age. METHOD: Out-patients with refractive errors were refracted with retinoscope after using cycloplegic drops and measured the radii of anterior corneal curvature. RESULT: One hundred and ninety-four cases (382 eyes) with refractive errors were studied. Of the eyes 67.9% had regular corneal astigmatism, 68.1% irregular lenticular astigmatism and 60.7% regular total astigmatism, 88.5% of the corneal astigmatism has the same quality as the total astigmatism. The total astigmatism in 46% of the eyes included the summation of corneal and lenticular astigmatism, but in 41.3% of the eyes irregular lenticular astigmatism corrected the regular corneal astigmatism. The astigmatism of cornea, lens and total astigmatism changed from regular to irregular with the increase of age. The linear correlation analysis showed a positive correlation between the power of horizontal corneal refraction and age, and a negative corrlation between the power of vertical corneal refraction and age. CONCLUSION: The shape of cornea was the major cause of total astigmatism. The influence of lens on the total astigmatism was different. The reasons for the change of the total astigmatism from regular to irregular with the increase of age were the changes of the power of corneal refraction, particularly the increase of the power of horizontal corneal refraction and lenticular irregular astigmatism.

Adolescent↗
PubMed2003

[Wavefront analysis and adaptive optics].

In this paper we attempt to provide an overview of the principles of wavefront measurement. We also discuss the operational principles of different systems currently present on the market including their advantages and disadvantages. Moreover, we speculate on current and possible future implications of this new technology in the laser refractive surgery. Adaptive optics are explained in the context of "customized ablation" and preoperative verification of the desired results. Finally, the first international clinical results of wavefront guided excimer laser surgery are reviewed and critically commented.

Equipment Design↗
PubMed2003

[Examination of preschool children for refractive errors. First experience using a handheld autorefractor].

BACKGROUND: Since ametropia is a leading cause of amblyopia refractive screening of preschool children is recommended. Measurement of refraction using tabletop autorefractors can be difficult or impossible due to lack of cooperation in this age group. The intention of the present study is to evaluate the use of a new handheld autorefractor for screening in kindergartens. METHODS: A total of 216 children aged 3.5-4.5 years were examined without cycloplegia using the handheld autorefractor (SureSight, Welch Allyn) in their kindergartens. RESULTS: Using the test device the majority of the examined eyes showed mild hyperopia (on average +1.18+/-0.87 dpt spherical equivalent) and mild astigmatism (on average 0.60+/-0.46 dpt cylinder power). The reproducibility of repeated autorefractor readings was higher for cylinder power and axis than for the spherical equivalent. Autorefractor readings of 55 eyes could be compared with the results of cycloplegic retinoscopy. The results were similar between the two measurements with differences of no more than 0.5 dpt in 18.2% for the spherical equivalent, in 82.1% for cylinder power, and in 66.6% for axis (weighted axis difference). There was adequate cooperation in 99.5% of the children. CONCLUSION: The handheld autorefractor proved an accuracy of measurement comparable to that of conventional tabletop autorefractors for cylinder power and axis with limitations in accuracy for the spherical equivalent. Validity and threshold values for relevant abnormalities are to be evaluated in further studies. By the high cooperation rate the instrument proved useful for screening examinations in preschool children.

Child, Preschool↗
PubMed2005

Clinical comparison of 6 aberrometers. Part 1: Technical specifications.

PURPOSE: To provide a detailed assessment of the techniques, technical features, and practical use of 6 aberrometers made available to our institution from September 2002 to January 2004. SETTING: Department of Ophthalmology, University Hospital Antwerp, Antwerp, Belgium. METHODS: A number of technical and practical parameters are listed for the Visual Function Analyzer (Tracey), the OPD-scan (ARK 10000; Nidek), the Zywave (Bausch & Lomb), the WASCA (Carl Zeiss Meditec), the MultiSpot Hartmann-Shack device, and the Allegretto Wave Analyzer including working principles, data acquisition, aberrometer alignment, wavefront calculation, and data analysis. Operator and patient comfort as well as practical advantages and disadvantages are discussed. CONCLUSION: All devices met at least half the following parameters: alignment, correction for source wavelength, data averaging, measurement quality check, and inhibition of accommodation.

Aberrometry↗
PubMed2006

Analysis of patients with good uncorrected distance and near vision after monofocal intraocular lens implantation.

PURPOSE: To analyze factors contributing to uncorrected visual acuity of at least 6/12 for distance and at least J4 for near (pseudoaccommodation) after monofocal intraocular lens (IOL) implantation. SETTING: Iladevi Cataract and IOL Research Center, Ahmedabad, India. METHODS: In a case-controlled study of 30 eyes (30 patients) that had phacoemulsification, those with pseudoaccommodation were assigned to cases and 30 eyes (30 patients) without pseudoaccommodation were designated as controls. Controls were matched by identical best corrected visual acuity, age, and postoperative duration. Subjective refraction was done with retinoscopy. Factors analyzed included corneal astigmatism, pupil size, axial IOL movement, amplitude of accommodation, axial length (AL), and age. Corneal astigmatism was noted on topography and interpreted as against the rule (ATR) (180 +/- 15 degrees), with the rule (WTR) (90 +/- 15 degrees), and oblique (OB) (45/135 +/- 30 degrees). Pupil size was noted on topographic display and AL and anterior chamber depth (ACD) on immersion A-scan. The axial IOL movement was calculated as the difference in ACD after instillation of cyclopentolate 1% (Cyclopent) and subsequently pilocarpine nitrate 2% (Carpinol) at separate visits, and amplitude of accommodation was measured with static and dynamic retinoscopy. Multivariate logistic regression and odds ratio with 95% confidence intervals were determined. RESULTS: Mean spherical equivalent was -0.45 +/- 0.63 diopter (D) in cases and -0.35 +/- 0.83 D (P = .61) in controls. Multivariate logistic regression in cases versus controls: corneal astigmatism (ATR versus WTR and OB collectively): 10.19 [1.8,57.44], P = .009; pupil size: 0.45 [0.07,2.71], P = .38; axial IOL movement: 1.39 [0.51,0.77], P = .514; amplitude of accommodation: 2.95 [0.93,9.3], P = .065; AL: 0.55 [0.29,1.02], P = .058; and age: 0.98 [0.5,1.95], P = .963. CONCLUSION: The study suggests a significant role of ATR corneal astigmatism in good uncorrected distance and near vision after monofocal IOL implantation.

Accommodation, Ocular↗
PubMed2004

Image analysis of optic nerve disease.

Existing methodologies for imaging the optic nerve head surface topography and measuring the retinal nerve fibre layer thickness include confocal scanning laser ophthalmoscopy (Heidelberg retinal tomograph), optical coherence tomography, and scanning laser polarimetry. For cross-sectional screening of patient populations, all three approaches have achieved sensitivities and specificities within the 60-80th percentile in various studies, with occasional specificities greater than 90% in select populations. Nevertheless, these methods are not likely to provide useful assistance for the experienced examiner at their present level of performance. For longitudinal change detection in individual patients, strategies for clinically specific change detection have been rigorously evaluated for confocal scanning laser tomography only. While these initial studies are encouraging, applying these algorithms in larger numbers of patients is now necessary. Future directions for these technologies are likely to include ultra-high resolution optical coherence tomography, the use of neural network/machine learning classifiers to improve clinical decision-making, and the ability to evaluate the susceptibility of individual optic nerve heads to potential damage from a given level of intraocular pressure or systemic blood pressure.

Diagnostic Imaging↗
PubMed2005

[Comparative results of keratometry with three different keratometers after LASIK].

BACKGROUND: Postoperative hyperopia is a frequent result of cataract surgery in eyes after previous myopic kerato-refractive surgery. One reason for the underestimation of intraocular lens (IOL) power is the wrong corneal refractive power measurement obtained by keratometers and corneal topography systems after LASIK. The aim of this study was to compare the precision of measurements of three different keratometers after LASIK. METHOD: We studied 58 eyes of 34 refractive patients aged between 20 and 51 years. The preoperative measurements and the measurements one month after LASIK were performed with the Keratometer (Zeiss), the corneal topograph (EyeSys Technologies) and the IOL-Master (Zeiss). We compared our postoperative measurement results obtained with the three keratometers with the results obtained by using the clinical history method (chm). RESULTS: The smallest mean deviation was achieved with the IOL-Master (measured mean +/- SD: 38.94 +/- 1.88 D, vs. chm: 38.35 +/- 2.13 D). The Keratometer (Zeiss) showed a larger deviation (measured: 39.12 +/- 1.76 D, chm 38.34 +/- 2.07 D) and the largest deviation was shown with the corneal topograph (measured: 39.84 +/- 1.85 D, chm: 38.86 +/- 2.10 D), which measured in mean one diopter higher than what was obtained utilizing the chm. A positive correlation between corrected myopia and the postoperative difference between the measured and calculated value for each keratometer was found. CONCLUSION: This study demonstrates that with common keratometers central corneal power is measured too high after LASIK. For IOL calculation in patients after LASIK, the wrongly positive deviation from measured central corneal power has to be taken into account.

Adult↗
PubMed2005

[Accuracy of the autorefractor power refractor in clinical work--a comparative study].

BACKGROUND: The aim of this prospective study was to investigate accuracy and efficiency of the autorefractometer PowerRefractor compared to established autorefractometers and retinoscopy as standard method. PATIENTS AND METHODS: 150 patients (300 eyes) were examined. Patients were initially (pupil not influenced) analyzed with the Power Refractor (PR (neutral)). After that a examination followed under standardized Cyclopentolat cycloplegia with the Power Refractor (PR (cyclo)), the hand-held Retinomax K-plus (Nikon), the table-top mounted RK-5 (Canon) and retinoscopy. RESULTS: Deviation from retinoscopy (percentage of values with more than 1 dpt difference/maximal deviation): Sphere: PR (neutral): 66.3 %/8.5 dpt; PR (cyclo): 48 %/5 dpt; RK-5: 26.7 %/4.75 dpt; Retinomax K-plus: 6.7 %/1.25 dpt; Cylinder: PR (neutral): 12 %/6.25 dpt; PR (cyclo): 21 %/4.75 dpt; RK-5: 1.3 %/2.75 dpt; Retinomax K-plus: 2.3 %/2.5 dpt; spherical equivalent: PR (neutral): 44.7 %/7.1 dpt; PR (cyclo): 35.3 %/5.4 dpt; RK-5: 9 %/4.5 dpt; Retinomax K-plus: 1.3 %/1.,4 dpt; error of entire refraction: PR (neutral): 62.7 %/7.8 dpt; PR (cyclo): 61.3 %/7.3 dpt; RK-5: 24 %/4,5 dpt; Retinomax K-plus: 14.7 %/3.6 dpt CONCLUSIONS: The best accuracy compared to retinoscopy had Retinomax K-plus followed by RK-5. PowerRefractor had the biggest deviations of the tested devices. PowerRefractor may be a usefull device for screening small children and handicapped people because of the one meter observing distance. For a precise refraction especially in children a retinoscopy under cycloplegic conditions is still necessary.

Adolescent↗
PubMed2006

[High tech in the diagnosis of glaucoma].

Scanning laser tomography (HRT, HRT II), scanning laser polarimetry (GDx nerve fibre analyser, GDx VCC), retinal thickness analyser (RTA) and optical coherence tomography (OCT, stratus OCT) provide objective measurements of the optic disc and the retinal nerve fibre layer suitable for the follow-up of glaucoma patients. Their ability to diagnose early glaucomatous damage is still limited but promising technical advances in this field can be expected in the future. For the moment, clinical examination and fundus photography still remain the gold standard for the assessment of glaucomatous optic disc and retinal nerve fibre layer damage.

Biotechnology↗