Autorefraction, Retinoscopy, Javal’s Rule, and Grosvenor’s Modified Javal’s Rule: The Best Predictor of Refractive Astigmatism

The aim of the study was to determine the level of agreement between Javal’s rule, autorefraction, retinoscopy, and refractive astigmatism and to determine which technique is the most suitable substitute when subjective refraction is not applicable using a clinical sample. A total of 36 subjects, 14...

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Main Authors: Kofi Asiedu, Samuel Kyei, Emmanuel Ekow Ampiah
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2016/3584137
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author Kofi Asiedu
Samuel Kyei
Emmanuel Ekow Ampiah
author_facet Kofi Asiedu
Samuel Kyei
Emmanuel Ekow Ampiah
author_sort Kofi Asiedu
collection DOAJ
description The aim of the study was to determine the level of agreement between Javal’s rule, autorefraction, retinoscopy, and refractive astigmatism and to determine which technique is the most suitable substitute when subjective refraction is not applicable using a clinical sample. A total of 36 subjects, 14 males and 22 females, were involved in this study. The intraclass correlation coefficients between subjective refraction, autorefraction, and retinoscopy were 0.895 and 0.989, respectively, for the spherical equivalent. The Bland-Altman 95% limits of agreement between subjective refraction and autorefraction; subjective refraction and retinoscopy; and autorefraction and retinoscopy were −2.84 to 3.58, −0.88 to 1.12, and −3.01 to 3.53, respectively, for the spherical equivalent. The intraclass correlation coefficients between spectacle total astigmatism and the following techniques were as follows: retinoscopy (0.85); autorefraction (0.92); Javal’s rule (0.82); and Grosvenor et al. version (0.85). The Bland-Altman 95% limits of agreement between subjective refraction and autorefraction; subjective refraction and retinoscopy; subjective refraction and Javal’s rule; and subjective refraction and Grosvenor et al. version were −0.87 to 1.25, −1.49 to 1.99, −0.73 to 1.93, and −0.89 to 1.7, respectively, for the total astigmatism. The study showed that autorefraction and Javal’s rule may provide a starting point for subjective refraction cylinder power determination but only retinoscopy may satisfactorily replace subjective refraction total astigmatism when subjective refraction is not applicable.
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spelling doaj-art-a0ad458f1aa14002998d6fd6f564aa4d2025-02-03T01:23:52ZengWileyJournal of Ophthalmology2090-004X2090-00582016-01-01201610.1155/2016/35841373584137Autorefraction, Retinoscopy, Javal’s Rule, and Grosvenor’s Modified Javal’s Rule: The Best Predictor of Refractive AstigmatismKofi Asiedu0Samuel Kyei1Emmanuel Ekow Ampiah2Refraction and Low Vision Clinic, Komfo Anokye Teaching Hospital Eye Center, P.O. Box 1934, Kumasi, GhanaDepartment of Optometry, School of Allied Health Sciences, College of Health and Allied Science, University of Cape Coast, Cape Coast, GhanaRefraction and Low Vision Clinic, Komfo Anokye Teaching Hospital Eye Center, P.O. Box 1934, Kumasi, GhanaThe aim of the study was to determine the level of agreement between Javal’s rule, autorefraction, retinoscopy, and refractive astigmatism and to determine which technique is the most suitable substitute when subjective refraction is not applicable using a clinical sample. A total of 36 subjects, 14 males and 22 females, were involved in this study. The intraclass correlation coefficients between subjective refraction, autorefraction, and retinoscopy were 0.895 and 0.989, respectively, for the spherical equivalent. The Bland-Altman 95% limits of agreement between subjective refraction and autorefraction; subjective refraction and retinoscopy; and autorefraction and retinoscopy were −2.84 to 3.58, −0.88 to 1.12, and −3.01 to 3.53, respectively, for the spherical equivalent. The intraclass correlation coefficients between spectacle total astigmatism and the following techniques were as follows: retinoscopy (0.85); autorefraction (0.92); Javal’s rule (0.82); and Grosvenor et al. version (0.85). The Bland-Altman 95% limits of agreement between subjective refraction and autorefraction; subjective refraction and retinoscopy; subjective refraction and Javal’s rule; and subjective refraction and Grosvenor et al. version were −0.87 to 1.25, −1.49 to 1.99, −0.73 to 1.93, and −0.89 to 1.7, respectively, for the total astigmatism. The study showed that autorefraction and Javal’s rule may provide a starting point for subjective refraction cylinder power determination but only retinoscopy may satisfactorily replace subjective refraction total astigmatism when subjective refraction is not applicable.http://dx.doi.org/10.1155/2016/3584137
spellingShingle Kofi Asiedu
Samuel Kyei
Emmanuel Ekow Ampiah
Autorefraction, Retinoscopy, Javal’s Rule, and Grosvenor’s Modified Javal’s Rule: The Best Predictor of Refractive Astigmatism
Journal of Ophthalmology
title Autorefraction, Retinoscopy, Javal’s Rule, and Grosvenor’s Modified Javal’s Rule: The Best Predictor of Refractive Astigmatism
title_full Autorefraction, Retinoscopy, Javal’s Rule, and Grosvenor’s Modified Javal’s Rule: The Best Predictor of Refractive Astigmatism
title_fullStr Autorefraction, Retinoscopy, Javal’s Rule, and Grosvenor’s Modified Javal’s Rule: The Best Predictor of Refractive Astigmatism
title_full_unstemmed Autorefraction, Retinoscopy, Javal’s Rule, and Grosvenor’s Modified Javal’s Rule: The Best Predictor of Refractive Astigmatism
title_short Autorefraction, Retinoscopy, Javal’s Rule, and Grosvenor’s Modified Javal’s Rule: The Best Predictor of Refractive Astigmatism
title_sort autorefraction retinoscopy javal s rule and grosvenor s modified javal s rule the best predictor of refractive astigmatism
url http://dx.doi.org/10.1155/2016/3584137
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AT samuelkyei autorefractionretinoscopyjavalsruleandgrosvenorsmodifiedjavalsrulethebestpredictorofrefractiveastigmatism
AT emmanuelekowampiah autorefractionretinoscopyjavalsruleandgrosvenorsmodifiedjavalsrulethebestpredictorofrefractiveastigmatism