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In asymptomatic patients, comprehensive routine optometric eye examinations detect a significant number of new eye conditions and/or result in management changes. The number detected increases with age and assessment interval.

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Optometric practitioners routinely modify the subjective refraction to create the prescription. Small modifications are common, whereas larger modifications are used more sparingly. Because there is a significant amount of clinical judgment involved in determining the refractive prescription, reliance on automated or subjective refraction alone would not be prudent.