Evidence map›Paper›PMID 38378511›Full record

ArticleBMC ophthalmology2024

Subjective versus objective refraction in healthy young adults.

Yuval Kozlov, Michael Kinori, Sharon Armarnik, Tal Yahalomi, Aya Ekshtein, Leora Levian, Daphna Mezad-Koursh, Joseph Pikkel, Oded Ben-Ari

Open access · goldAbstract read
In one paragraph

Article in BMC ophthalmology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Impact of the COVID-19 pandemic lockdowns on manifest refraction in a young adult population: A large cohort study.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
    Observational
  8. Article
  9. Autorefraction versus subjective refraction in high astigmatism.International journal of ophthalmology · 2025
    Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Yuval KozlovDepartment of Military Medicine, Faculty of Medicine, The Hebrew University of Jerusalem, Jerusalem, Israel.
Michael KinoriDepartment of Ophthalmology, Assuta Ashdod Medical Center, Ashdod, Israel. michaelkinori@gmail.com.
Sharon ArmarnikThe Goldschleger Eye Institute, Sheba Medical Center, Tel Hashomer, Israel.
Tal YahalomiDepartment of Ophthalmology, Assuta Ashdod Medical Center, Ashdod, Israel.
Aya EkshteinDepartment of Military Medicine, Faculty of Medicine, The Hebrew University of Jerusalem, Jerusalem, Israel.
Leora LevianThe Israeli Air Force Aeromedical Center, Tel Hashomer, Israel.
Daphna Mezad-KourshDepartment of Ophthalmology, Tel Aviv Medical Center, Tel Aviv, Israel.
Joseph PikkelDepartment of Ophthalmology, Assuta Ashdod Medical Center, Ashdod, Israel.
Oded Ben-AriDepartment of Military Medicine, Faculty of Medicine, The Hebrew University of Jerusalem, Jerusalem, Israel.
Ben-Gurion University of the Negev · ILHebrew University of Jerusalem · ILAriel University · ILSheba Medical Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate objective and subjective refraction differences in healthy young adults.

methodsData concerning candidates for the Israeli Air Force Flight Academy, as well as active air force pilots in all stages of service who underwent a routine health checkup between the years 2018 and 2019 were retrospectively analyzed. Objective refraction measured using a single autorefractometer was compared with subjective refraction measured by an experienced military optometrist during the same visit. The results were converted to power vectors (spherical equivalent [SE], J0, and J45). To interpret astigmatism using power vector values, the cylinder power (Cp) was determined.

resultsThis study included 1,395 young adult participants. The average age was 22.17 years (range, 17-39, 84.8% males). The average SE was - 0.65 ± 1.19 diopter (D) compared with - 0.71 ± 0.91D in the auto- and subjective refraction, respectively (p = 0.001). Cp was 0.91 ± 0.52D and 0.67 ± 0.40D, respectively (p < 0.001). This difference was more common in older participants (p < 0.001). J0 and J45 value differences were not significant. The absolute SE value of subjective refraction was lower in the myopic (p < 0.001) and hyperopic (p < 0.001) patients.

conclusionsYoung hyperopic participants tended to prefer "less plus" in subjective refraction compared with autorefraction. Young myopic participants tended to prefer "less minus" in subjective refraction compared with autorefraction. All participants, but mainly older participants, preferred slightly "less Cp" than that measured using autorefraction; The astigmatic axis did not differ significantly between the methods.

Indexed as

HyperopiaMyopiaAdultAgedFemaleHumansMaleRefraction, OcularRetrospective StudiesVision TestsYoung AdultAstigmatismAutorefractionHyperopiaMyopiaSubjective refractionVisual acuity

Identifiers

PMID38378511
PMCPMC10877844
OpenAlexW4391958239

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.