Evidence map›Paper›PMID 42459770›Full record

ArticleClinical ophthalmology (Auckland, N.Z.)2026

Mechanisms of Neuroperceptual Differences Between Subjective and Objective Refraction Based on Multimodal Imaging and Neurovisual Features.

Xinfang Cao, Jie Shao, Yonggang Zhang, Jun Zhang

Abstract read
In one paragraph

Article in Clinical ophthalmology (Auckland, N.Z.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Xinfang CaoDepartment of Ophthalmology, Hangzhou MSK Eye Hospital, Hangzhou, People's Republic of China.
Jie ShaoDepartment of Ophthalmology, Hangzhou MSK Eye Hospital, Hangzhou, People's Republic of China.
Yonggang ZhangDepartment of Ophthalmology, Hangzhou MSK Eye Hospital, Hangzhou, People's Republic of China.
Jun ZhangDepartment of Ophthalmology, Hangzhou MSK Eye Hospital, Hangzhou, People's Republic of China.ORCID 0000-0002-8259-9795

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To quantify individual variations between subjective and objective refraction, explore correlations between multimodal imaging features, clinical parameters and refraction discrepancies, screen independent influencing factors, and construct a predictive model to provide technical support for personalized refractive surgery. Methods: A total of 264 myopic patients (264 eyes) were enrolled. Paired Results: There were significant individual differences between subjective and objective refraction, and the difference distribution was consistent with the normal distribution. The difference between subjective and objective refraction was moderately correlated with long-term daily maintained refraction (r=0.47, P<0.001), weakly correlated with subjective refraction, objective refraction, corneal morphological features, and OCT optic nerve imaging features (r=0.17~0.25, P<0.05), and extremely weakly correlated or uncorrelated with OCT macular imaging features and fundus color photography imaging features (r<0.10, P>0.05). Multivariate regression analysis showed that long-term daily maintained refraction, corneal higher-order aberrations, and OCT optic nerve imaging features were independent risk factors affecting the difference (P<0.05). The prediction model constructed based on 126-dimensional radiomics key features, long-term daily maintained refraction, and core clinical parameters had a prediction accuracy of 87.2% and an area under the ROC curve (AUC) of 0.89. Conclusion: Long-term daily maintained refraction is the core factor affecting the neuroperceptual difference between subjective and objective refraction. Among multimodal imaging features, only OCT optic nerve-related features have a weak correlation with the difference, and corneal higher-order aberrations are independent influencing factors. The results of this study can provide a theoretical basis and technical support for the precise diagnosis and treatment of refractive correction.

Indexed as

multimodal imagingobjective refractionsubjective refraction

Identifiers

PMID42459770
PMCPMC13372003

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