NCT07891884

Brief Summary

This study aims to evaluate the performance of automated subjective refraction performed by operators with different professional backgrounds. By comparing their results with those obtained by a senior optometrist using the same automated refraction program, the study will assess agreement in refractive prescriptions and examine examination efficiency, participant experience, and safety, thereby providing evidence for the further application of automated subjective refraction technology.

Trial Health

65
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
254

participants targeted

Target at P75+ for not_applicable

Timeline
4mo left

Started Nov 2026

Shorter than P25 for not_applicable

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

October 11, 2026

Completed
12 days until next milestone

First Posted

Study publicly available on registry

October 23, 2026

Completed
9 days until next milestone

Study Start

First participant enrolled

November 1, 2026

Expected
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2026

2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

February 28, 2027

Last Updated

October 23, 2026

Status Verified

September 1, 2026

Enrollment Period

2 months

First QC Date

October 11, 2026

Last Update Submit

October 17, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • Agreement in refractive prescriptions between operators from different professional backgrounds and senior optometrists using the same automated refraction program

    Day 1, after completion of both subjective refraction examinations

Secondary Outcomes (3)

  • Examination time for comparison operators and senior optometrists using the automated refraction program

    Day 1, during each subjective refraction examination.

  • Participant acceptance, comfort, and satisfaction with the automated refraction procedure

    Day 1, after completion of both subjective refraction examinations.

  • Adverse events and ocular discomfort during the examinations

    Day 1, during both subjective refraction examinations.

Study Arms (6)

Nurse First

EXPERIMENTAL

Participants first undergo automated subjective refraction performed by a trained nurse, followed by a rest interval of at least 20 minutes and then automated subjective refraction performed by a senior optometrist using the same program. The two operators are blinded to each other's refraction results.

Diagnostic Test: Nurse-Operated Automated Subjective RefractionDiagnostic Test: Senior Optometrist-Operated Automated Subjective Refraction

Senior Optometrist First: Nurse Group

EXPERIMENTAL

Participants first undergo automated subjective refraction performed by a senior optometrist, followed by a rest interval of at least 20 minutes and then automated subjective refraction performed by a trained nurse using the same program. The two operators are blinded to each other's refraction results.

Diagnostic Test: Nurse-Operated Automated Subjective RefractionDiagnostic Test: Senior Optometrist-Operated Automated Subjective Refraction

Village Doctor First

EXPERIMENTAL

Participants first undergo automated subjective refraction performed by a trained village doctor, followed by a rest interval of at least 20 minutes and then automated subjective refraction performed by a senior optometrist using the same program. The two operators are blinded to each other's refraction results.

Diagnostic Test: Village Doctor-Operated Automated Subjective RefractionDiagnostic Test: Senior Optometrist-Operated Automated Subjective Refraction

Senior Optometrist First: Village Doctor Group

EXPERIMENTAL

Participants first undergo automated subjective refraction performed by a senior optometrist, followed by a rest interval of at least 20 minutes and then automated subjective refraction performed by a trained village doctor using the same program. The two operators are blinded to each other's refraction results.

Diagnostic Test: Village Doctor-Operated Automated Subjective RefractionDiagnostic Test: Senior Optometrist-Operated Automated Subjective Refraction

Trained Lay Personnel First

EXPERIMENTAL

Participants first undergo automated subjective refraction performed by trained lay personnel, followed by a rest interval of at least 20 minutes and then automated subjective refraction performed by a senior optometrist using the same program. The two operators are blinded to each other's refraction results.

Diagnostic Test: Lay Personnel-Operated Automated Subjective RefractionDiagnostic Test: Senior Optometrist-Operated Automated Subjective Refraction

Senior Optometrist First: Trained Lay Personnel Group

EXPERIMENTAL

Participants first undergo automated subjective refraction performed by a senior optometrist, followed by a rest interval of at least 20 minutes and then automated subjective refraction performed by trained lay personnel using the same program. The two operators are blinded to each other's refraction results.

Diagnostic Test: Lay Personnel-Operated Automated Subjective RefractionDiagnostic Test: Senior Optometrist-Operated Automated Subjective Refraction

Interventions

A trained nurse operates the automated refraction program to complete the full subjective refraction procedure and obtain spherical power, cylindrical power, and cylinder axis.

Nurse FirstSenior Optometrist First: Nurse Group

A trained village doctor operates the automated refraction program to complete the full subjective refraction procedure and obtain spherical power, cylindrical power, and cylinder axis.

Senior Optometrist First: Village Doctor GroupVillage Doctor First

Trained lay personnel who have passed competency assessment operate the automated refraction program to complete the full subjective refraction procedure and obtain spherical power, cylindrical power, and cylinder axis.

Senior Optometrist First: Trained Lay Personnel GroupTrained Lay Personnel First

A senior optometrist operates the same automated refraction program according to a standardized procedure to obtain spherical power, cylindrical power, and cylinder axis. These measurements serve as the reference results for comparison.

Nurse FirstSenior Optometrist First: Nurse GroupSenior Optometrist First: Trained Lay Personnel GroupSenior Optometrist First: Village Doctor GroupTrained Lay Personnel FirstVillage Doctor First

Eligibility Criteria

Age7 Years+
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Age 7 years or older, of either sex. ② Astigmatism magnitude of 1.50 D or less. ③ Voluntary participation in the study with written informed consent.

You may not qualify if:

  • Concomitant ocular diseases causing opacity of the ocular media, such as cataract, glaucoma, or fundus disease.
  • History of ocular trauma or intraocular surgery.
  • Manifest strabismus or significant binocular vision dysfunction. ④ Inability to follow and respond to system instructions. ⑤ Only one eye meeting the eligibility criteria.
  • Considered unsuitable for participation by the investigator.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Refractive Errors

Condition Hierarchy (Ancestors)

Eye Diseases

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
DIAGNOSTIC
Intervention Model
CROSSOVER
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 11, 2026

First Posted

October 23, 2026

Study Start (Estimated)

November 1, 2026

Primary Completion (Estimated)

December 31, 2026

Study Completion (Estimated)

February 28, 2027

Last Updated

October 23, 2026

Record last verified: 2026-09

Data Sharing

IPD Sharing
Will not share

No external sharing of individual participant data is currently planned.