ArticleOphthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists)2025
The QuickSee autorefractor reliably measures the accommodative response in children compared with the Shin-Nippon autorefractor.
Article in Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed.
- Effect of fogging lenses on accommodation using an open-view portable wavefront autorefractor.Journal of optometry · 2026Article
- The QuickSee autorefractor reliably measures the accommodative response in children compared with the Shin-Nippon autorefractor.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2025Article
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Abstract
introductionThis study evaluated the QuickSee autorefractor for measurement of the accommodative response in a cohort of children without significant ametropia, and compared the findings to those determined using the gold-standard Shin-Nippon device.
methodsChildren aged 5-7 years were recruited. QuickSee and Shin-Nippon autorefractors were used to measure refractive status at distance (4 m) and near (50, 33 and 25 cm). Accommodative response was calculated as the difference between distance autorefraction and the value obtained for each accommodative demand. Individual accommodative response slopes were calculated from linear regression for response against demand and averaged to calculate mean slopes for each autorefractor. Inter-instrument agreement between the QuickSee and Shin-Nippon was assessed using the Bland-Altman method and 95% limits of agreement. Differences in measured accommodative responses between devices across accommodative demand were assessed by repeated measures ANOVA.
resultsForty-nine children with a median (IQR) spherical equivalent refraction of +0.38 (0.50 D) (range -0.63 to +1.50 D) participated. Median (IQR) accommodative responses for the 2, 3 and 4 D demands were 1.63 D (0.69), 2.50 D (0.75) and 3.13 D (0.63), respectively, for QuickSee, and 1.63 D (0.69), 2.50 D (0.56) and 3.25 D (0.63) for the Shin-Nippon. Mean ± SD slopes for accommodative response were 0.75 ± 0.22 and 0.83 ± 0.18 for QuickSee and Shin-Nippon, respectively (p = 0.09). Pearson's correlation showed no significant proportional bias for measures of accommodative response with either autorefractor (p ≥ 0.19). The mean difference in accommodative response measured by the QuickSee and Shin-Nippon did not differ significantly with accommodative demand (F = 1.70, p = 0.19).
conclusionThe agreement observed here demonstrates that the QuickSee shows promise in measuring accommodative response over a range of demands (2, 3 and 4 D) in a paediatric population without significant ametropia. Further research is required to determine if these findings translate over a wider range of refractive errors, and to evaluate the value of QuickSee accommodative response measures in vision screening.
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