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Abstract Summary This study aimed to compare between manifest, cycloplegic and wavefront refraction in different grades of myopia. All grades of mypia were included (low, moderate and high myopia) with cylinder ≤ -1.5 D. 100 myopic eyes were included. The data collected included: age, sex, manifest refraction, cycloplegic refraction and wavefront refraction. Manifest refraction was acquired by autorefractometer (NideK) 3 times trial and best corrected visual acuity is acquired. A monocular subjective refraction was performed on all subjects to an accuracy of ±0.25 D for sphere and cylinder powers. Cycloplegic refraction was acquired after applying cyclopentolate eye drops 1% for an hour. Wavefront refraction was acquired by the iDesign aberrometer (Hartmann Shack Aberrometer) (Visx, USA) using a 32 × 32 lenslet array and near infra-red light with a wavelength of 780 nm. All aberrometry measurements were made within 2 mins of completing the subjective refraction routine and pupil size measurements. Wavefront errors were recorded under monocular conditions with the room lighting switched off. Our results showed that the wavefront method shows higher values for each of sphere, cylinder and spherical equivalent, followed by manifest and lastly cycloplegic method in all grades of myopia. Conclusion Regarding the three methods of refraction (manifest, cycloplegic and wavefront), our results showed that the wavefront refraction acquired by the iDesign aberrometer (Hartmann Shack Aberrometer) shows higher values for each of sphere, cylinder and spherical equivalent, followed by manifest refraction acquired by autorefractometer (NideK) and lastly cycloplegic refraction in all grades of myopia. |