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. Author manuscript; available in PMC: 2013 Apr 1.
Published in final edited form as: Arch Ophthalmol. 2011 Dec 12;130(4):470–479. doi: 10.1001/archophthalmol.2011.377

Table 6a.

Comparison of Manual Refraction with Auto Refraction and Supplemental Manual Refraction Visual Acuity Letter Score

MR-EVAsupl - MR-EVA AR-EVA - MR-EVA
Overall Average MR-EVA Overall Average MR-EVA
≥20/20
(≥84)
20/25-20/32
(83-74)
20/40-20/80
(73-54)
≤20/100
(≤53)
≥20/20
(≥84)
20/25-20/32
(83-74)
20/40-20/80
(73-54)
≤20/100
(≤53)
N 878 158 279 307 134 878 158 279 307 134
Letter Difference*- Median (5th, 95th percentiles) 0 (−5, +7) 0 (−3, +4) 0 (−4, +5) +1 (−7, +9) 0 (−7, +9) −1 (−17, +7) −2 (−15, +5) −2 (−15, +6) −1 (−22, +10) 0 (−12, +9)
Letter Difference
Group - N (%)
 ≤ −15 5 (1%) 0 0 4 (1%) 1 (1%) 56 (6%) 8 (5%) 14 (5%) 28 (9%) 6 (4%)
 −14 to −10 9 (1%) 0 1 (<1%) 4 (1%) 4 (3%) 49 (6%) 8 (5%) 12 (4%) 21 (7%) 8 (6%)
 −9 to −5 38 (4%) 2 (1%) 7 (3%) 17 (6%) 12 (9%) 142 (16%) 29 (18%) 41 (15%) 46 (15%) 26 (19%)
 −4 to +4 728 (83%) 151 (96%) 249 (89%) 230 (75%) 98 (73%) 545 (62%) 105 (66%) 194 (70%) 168 (55%) 78 (58%)
 +5 to +9 77 (9%) 5 (3%) 20 (7%) 38 (12%) 14 (10%) 63 (7%) 8 (5%) 16 (6%) 28 (9%) 11 (8%)
 +10 to +14 12 (1%) 0 0 9 (3%) 3 (2%) 10 (1%) 0 1 (<1%) 6 (2%) 3 (2%)
 ≥+15 9 (1%) 0 2 (1%) 5 (2%) 2 (1%) 13 (1%) 0 1 (<1%) 10 (3%) 2 (1%)
Absolute Value of the
Letter Difference * -
Median (5th, 95th
percentiles)
2 (0, 9) 1 (0, 4) 2 (0, 7) 2 (0, 11) 2(0, 11) 4 (0, 20) 3 (0, 15) 3 (0, 16) 4 (0, 24) 4 (0, 16)
 < 5 - N(%) 728 (83%) 151 (96%) 249 (89%) 230 (75%) 98 (73%) 545 (62%) 105 (66%) 194 (70%) 168 (55%) 78 (58%)
 <10 - N(%) 843 (96%) 158 (100%) 276 (99%) 285 (93%) 124 (93%) 750 (85%) 142 (90%) 251 (90%) 242 (79%) 115 (86%)
 <15 - N(%) 864 (98%) 158 (100%) 277 (99%) 298 (97%) 131 (98%) 809 (92%) 150 (95%) 264 (95%) 269 (88%) 126 (94%)
Coefficient of
Repeatability
9 5 7 13 11 18 16 14 22 15
*

Supplemental MR EVA - MR EVA and Auto Refraction EVA - Manual Refraction EVA, respectively

**

Absolute Value of the Difference

MR-EVA= Manual refraction Electronic Early Treatment Diabetic Retinopathy Study Visual Acuity Test letter score; AR-EVA= Autorefraction Electronic Early Treatment Diabetic Retinopathy Study Visual Acuity Test letter score; MR-EVAsupl= Supplemental Manual refraction Electronic Early Treatment Diabetic Retinopathy Study Visual Acuity Test letter score