Digital phoropter + iCare tonometer

And i’m considering moving from a manual phoropter to a digital system (Reichert VRx vs Topcon CV-5000) and pairing it with the iCare ic200 for gentler IOP checks on anxious or pediatric patients. My priority is keeping a truly comprehensive exam and patient-centered dialogue while gaining efficiency and consistency. For those who’ve switched, did your refraction time drop without sacrificing rapport or accuracy, and any pitfalls you’d flag?

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Switched to VRx last year; with EHR integration and a custom “distance/near + cyl refine” script, my routine refractions dropped about 3 minutes without losing the conversation — like cruise control, but you still steer. The iCare ic200’s been great for anxious kids; I dim the tower light and mute the beep for steadier readings, and I repeat a series if the variability flashes high. @OP do you have autoref/keratometry feeding your starting refraction?

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