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Pediatric Refraction Calculator

Evidence-based cycloplegic refraction analysis

Patient Information

Enter patient details and cycloplegic agent used

Patient Name (optional)

Age (years)

Cycloplegic Agent *

⚠️ NOTE: Age <6 months. Physiological hyperopia (+2.00 to +3.00 D) is expected. Amblyopia risk thresholds are unreliable at this age. Use clinical judgment.

Clinical Examination *

Required for accurate risk assessment

BCVA OD (optional)

BCVA OS (optional)

Cover Test *

Fixation OD *

Fixation OS *

Pupil Size Post-Cycloplegia (mm)

<6 mm suggests inadequate cycloplegia

Iris Color *

Right Eye (OD)

Dry Refraction

Sphere (D)

Cylinder (D)

Axis (°)

Cycloplegic Refraction

Sphere (D)

Cylinder (D)

Axis (°)

Left Eye (OS)

Dry Refraction

Sphere (D)

Cylinder (D)

Axis (°)

Cycloplegic Refraction

Sphere (D)

Cylinder (D)

Axis (°)

⚕️ For clinical decision support only. Always use individual clinical judgment.

Built with evidence-based thresholds from AAPOS, Donahue et al., Leat 2011, and PEDIG.