The replacement of the chair, stand and phoropter by subjective autorefraction--a candid evaluation.

With all the competition from outside of professional optometry, it is imperative that the doctor of optometry offer the patient a service that is superior. Keep in mind that I am no better than or different from other doctors, but my patients see me that way. That is an important ingredient in a successful practice. My experience demonstrates that the Humphrey Over-refraction System can function with great efficiency as the primary and indeed the only subjective refraction device in a busy solo practice. It can also take a mediocre practice and help to put it on the map. Some may not have confidence in automation. Others may feel that the methods described herein are maverick or financially risky. If you are skeptical, whatever the reason, you will obviously stick with traditional refractive methods. If, on the other hand, you are dissatisfied with traditional methods and the fruits of your labor, automation is a solid alternative as long as sound management guidelines are followed.