Retinoscopy (Ret) is a technique to obtain an objective measurement of the

refractive error Refractive error, also known as refraction error, is a problem with focus (optics), focusing light accurately on the retina due to the shape of the human eye, eye and or cornea. The most common types of refractive error are myopia, near-sightedne ...

of a patient's

eyes Eyes are organs of the visual system. They provide living organisms with vision, the ability to receive and process visual detail, as well as enabling several photo response functions that are independent of vision. Eyes detect light and conve ...

. The examiner uses a retinoscope to shine light into the patient's eye and observes the reflection (reflex) off the patient's

retina The retina (from la, rete "net") is the innermost, light-sensitive layer of tissue of the eye of most vertebrates and some molluscs. The optics of the eye create a focused two-dimensional image of the visual world on the retina, which then ...

. While moving the streak or spot of light across the pupil the examiner observes the relative movement of the reflex or manually places lenses over the eye (using a

trial frame A trial frame is a tool used by ophthalmic professionals like ophthalmologists and optometrists. It is basically an adjustable spectacle frame with multiple cells, used to hold corrective lenses, and other accessories in subjective refraction (fin ...

and trial lenses) to "neutralize" the reflex. Static retinoscopy is a type of retinoscopy used in determining a patient's refractive error. It relies on

Foucault knife-edge test The Foucault knife-edge test is an optical test to accurately measure the shape of concave curved mirrors. It is commonly used by amateur telescope makers for figuring primary mirrors in reflecting telescopes. It uses a relatively simple, inexpens ...

, which states that the examiner should simulate optical infinity to obtain the correct refractive power. Hence, a power corresponding to the working distance is subtracted from the gross retinoscopy value to give the patient's refractive condition, the working distance lens being one which has a focal length of the examiner's distance from the patient (e.g. +1.50

dioptre A dioptre (British spelling) or diopter (American spelling) is a unit of measurement with dimension of reciprocal length, equivalent to one reciprocal metre, 1 dioptre = 1 m−1. It is normally used to express the optical power of a lens or curv ...

lens for a 67 cm working distance). Myopes display an "against" reflex, which means that the direction of movement of light observed from the retina is a different direction to that in which the light beam is swept. Hyperopes, on the other hand, display a "with" movement, which means that the direction of movement of light observed from the retina is the same as that in which the light beam is swept. Static retinoscopy is performed when the patient has relaxed accommodative status. This can be obtained by the patient viewing a distance target or by the use of cycloplegic drugs (where, for example, a child's lack of reliable fixation of the target can lead to fluctuations in accommodation and thus the results obtained). Dynamic retinoscopy is performed when the patient has active accommodation from viewing a near target. Retinoscopy is particularly useful in prescribing corrective lenses for patients who are unable to undergo a subjective refraction that requires a judgement and response from the patient (such as children or those with severe intellectual disabilities or communication problems). In most tests however, it is used as a basis for further refinement by subjective refraction. It is also used to evaluate accommodative ability of the eye and detect latent

hyperopia Far-sightedness, also known as long-sightedness, hypermetropia, or hyperopia, is a condition of the eye where distant objects are seen clearly but near objects appear blurred. This blurred effect is due to incoming light being focused behind, i ...

References

External links

Slide show of retinoscopy

Foucault test

Retinoscopy simulator online
{{Eye procedures Diagnostic ophthalmology Ophthalmic equipment

See also

References

External links