: Automated refraction (Scheiner principle) is universally used to start a visual examination. Although the results are reliable in eyes implanted with monofocal intraocular lenses (IOLs), they may be less precise with multifocal (mIOL) or extended depth-of-focus (EDOF) IOLs and can even indicate a refractive error that does not clinically exist. Autorefractor results with monofocal, multifocal, and EDOF IOLs were investigated through literature search analyzing the papers reporting the difference between automated and clinical refraction. The average difference ranged between -0.50 diopter (D) and -1.00 D with most mIOL and EDOF IOLs. The differences in astigmatism were generally much lower. Autorefractors using infrared light cannot measure eyes with high technology IOLs precisely because of the influence of the refractive or of the diffractive near add. The systematic error induced with some IOLs should be mentioned in the IOL label to prevent possible inappropriate refractive procedures to treat apparent myopia.

Automated and subjective refraction with monofocal, multifocal, and EDOF intraocular lenses: review / Bellucci, Carlo; Mora, Paolo; Tedesco, Salvatore Antonio; Gandolfi, Stefano; Bellucci, Roberto. - In: JOURNAL OF CATARACT AND REFRACTIVE SURGERY. - ISSN 0886-3350. - 49:6(2023), pp. 642-648. [10.1097/j.jcrs.0000000000001186]

Automated and subjective refraction with monofocal, multifocal, and EDOF intraocular lenses: review

Bellucci, Carlo
;
Mora, Paolo;Tedesco, Salvatore Antonio;Gandolfi, Stefano;
2023-01-01

Abstract

: Automated refraction (Scheiner principle) is universally used to start a visual examination. Although the results are reliable in eyes implanted with monofocal intraocular lenses (IOLs), they may be less precise with multifocal (mIOL) or extended depth-of-focus (EDOF) IOLs and can even indicate a refractive error that does not clinically exist. Autorefractor results with monofocal, multifocal, and EDOF IOLs were investigated through literature search analyzing the papers reporting the difference between automated and clinical refraction. The average difference ranged between -0.50 diopter (D) and -1.00 D with most mIOL and EDOF IOLs. The differences in astigmatism were generally much lower. Autorefractors using infrared light cannot measure eyes with high technology IOLs precisely because of the influence of the refractive or of the diffractive near add. The systematic error induced with some IOLs should be mentioned in the IOL label to prevent possible inappropriate refractive procedures to treat apparent myopia.
2023
Automated and subjective refraction with monofocal, multifocal, and EDOF intraocular lenses: review / Bellucci, Carlo; Mora, Paolo; Tedesco, Salvatore Antonio; Gandolfi, Stefano; Bellucci, Roberto. - In: JOURNAL OF CATARACT AND REFRACTIVE SURGERY. - ISSN 0886-3350. - 49:6(2023), pp. 642-648. [10.1097/j.jcrs.0000000000001186]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11381/2948012
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