Abstract
Context: Uncorrected refractive errors are the most common cause of visual impairment and global blindness. Aims: This study aims to assess the accuracy of refractive error measurements using streak retinoscopy and autorefraction, both with and without administering cycloplegics, in children aged 4-10 years. Settings and design: This study is an analytical observational research with a cross-sectional design. Subjects and methods: This study was conducted at an eye clinic from January 2020 to August 2020, with 90 subjects. The examination utilized 1% cyclopentolate cycloplegia administered twice within 1 h, along with retinoscopy and autorefractors. Statistical analysis used: The data were analyzed using the Wilcoxon signed-rank test. Results: The study results indicate that (1) there was no significant difference in the mean spherical equivalent (SE) before cycloplegia between the two instruments (P = 0.630); (2) a significant difference in mean SE after cycloplegia was observed for both instruments (P < 0.001); (3) significant differences in mean SE after cycloplegia were noted for both instruments in cases of compound myopic astigmatism (P < 0.001), compound hyperopic astigmatism (P = 0.007), and mixed astigmatism (P = 0.001); and (4) examination of all subjects showed undercorrection of autorefractometry results compared to those of retinoscopy. Conclusions: Retinoscopy and autorefractors yield different results for refractive error correction after cycloplegia. Therefore, autorefractor examination with cycloplegia cannot be considered a substitute for retinoscopy with cycloplegia.
Keywords
Publication details
- DOI
- 10.4103/ojo.ojo_100_25
- Journal
- Oman Journal of Ophthalmology, 19(2), 232-238
- Publisher
- Medknow Publications
- Open access
- Gold open access
Cite this article
APA 7
Mayasari, D. I., Rimayanti, U., Rahmah, M. N., & Syawal, P. (2026). Comparison of refractive examination results in children with and without cycloplegia using retinoscopy and autorefractors. Oman Journal of Ophthalmology, 19(2), 232-238. https://doi.org/10.4103/ojo.ojo_100_25
MLA 9
Mayasari, Delvi Indera, et al. "Comparison of refractive examination results in children with and without cycloplegia using retinoscopy and autorefractors." Oman Journal of Ophthalmology, vol. 19, no. 2, 2026, pp. 232-238. https://doi.org/10.4103/ojo.ojo_100_25.
Chicago (author–date)
Mayasari, Delvi Indera, Ulfah Rimayanti, Marlyanti Nur Rahmah, and Purnamanita Syawal. 2026. "Comparison of refractive examination results in children with and without cycloplegia using retinoscopy and autorefractors." Oman Journal of Ophthalmology 19 (2): 232-238. https://doi.org/10.4103/ojo.ojo_100_25.
Harvard
Mayasari, D. I., Rimayanti, U., Rahmah, M. N. and Syawal, P. (2026) 'Comparison of refractive examination results in children with and without cycloplegia using retinoscopy and autorefractors', Oman Journal of Ophthalmology, 19(2), pp. 232-238. doi:10.4103/ojo.ojo_100_25.
Vancouver
Mayasari DI, Rimayanti U, Rahmah MN, Syawal P. Comparison of refractive examination results in children with and without cycloplegia using retinoscopy and autorefractors. Oman Journal of Ophthalmology. 2026;19(2):232-238. doi:10.4103/ojo.ojo_100_25
IEEE
D. I. Mayasari, U. Rimayanti, M. N. Rahmah, and P. Syawal, "Comparison of refractive examination results in children with and without cycloplegia using retinoscopy and autorefractors," Oman Journal of Ophthalmology, vol. 19, no. 2, pp. 232-238, 2026, doi: 10.4103/ojo.ojo_100_25.