Description
The Nidek RT-5100 Auto Phoropter Refractor with Control Box is a precision-engineered digital refraction system designed to enhance accuracy, efficiency, and patient comfort during subjective refraction exams.
Featuring smooth electronic lens switching and intuitive control via its dedicated control box, the RT-5100 streamlines the refraction process while minimizing manual adjustments. Its programmable settings and fast response time allow clinicians to perform comprehensive exams with improved workflow and repeatability.
The system delivers precise sphere, cylinder, and axis adjustments, ensuring reliable results across a wide range of refractive conditions. Built with durability and clinical efficiency in mind, the RT-5100 is ideal for modern ophthalmic and optometric practices seeking consistent performance and seamless operation.
The TRS features a forehead-position detector (blue LED) for reliable vertex measurements. Wide Visual Field (40°) apertures provide a natural view of the environment, enabling more realistic and accurate refractions.
Easy Maintenance & Upgrades
How will the RT-5100 maximize your return on investment?
- Increase patient capacity
- Improve patient flow and reduce wait times
- Decrease testing time, more time available for marketing services
- Spend more quality time with patients
- More time for contact fittings, optical selections, and case disposition discussions
- Cut testing times in half, with reliable delegated refractions
- Standardize procedures for reproducible results across all operators
- Reduce the risk of repetitive motion and stress injuries
- Decrease total labor in manual procedures and transcribing data
- Transfer data to EMR without transcription errors
- Increase referrals through enhanced patient experience
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The RT-5100 Total Refraction System generates extremely precise and reliable digital refractions, minimizes staff variables, and eliminates transcription errors while smoothly integrating with EMR systems. The RT-5100 Digital Refractor replaces the manual refractor and allows the clinical staff to control the refraction process through a touch screen keypad. By integrating with the OPD, the TRS enhances the patient experience with Optical Path Diagnostics through a faster, more accurate, and modern exam. The patient’s refraction may be personalized to compensate for lifestyle or different lighting conditions. The entire refraction process can be pre-programmed to standardize workflow, reduce exam time, improve staff efficiency, and maximize patient flow. |
Increase Patient Flow and Revenue
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Intelligent Split Prism is More Precise and Effective
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8.4″ Color LCD Touch Screen
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Compare Old vs. New Rx
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Smooth, Quiet Lens Selection for Faster Examination
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Tilt Screen for Near Testing When used for near testing the displayed contents will automatically be rotated to the correct orientation. |
Reduce Transcription Error with Instant EMR Transfer
The TRS incorporates an intelligent IC card system that provides easy wireless data transfers from auto-refractors, auto-lensmeters, and the OPD-Scan III. |
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Compact Ergonomic Design and Function The RT-5100 compact and ergonomic design presents a modern high-tech appearance which enhances the patient’s perception of the practice. With the TRS, the operator can remain comfortably seated throughout the entire exam, eliminating repetitive neck and shoulder stress injuries. |
XFRACTIONSM Process XFRACTIONSM is the refractive process created when OPD wavefront technology is combined with automated digital refraction. Far superior understanding of the patient’s total visual system (physiological optics), is achieved in a fraction of the time required to complete manual refraction. Benefits include superior diagnostic data, profitable practice efficiencies across myriad metrics, optimized outcomes, and enhanced patient experience. |
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High-Speed Printer with Automatic Cutter
The RT-5100 includes a built-in high-speed printer that automatically prints 3 thermal tape. Print-outs are intended to serve as hard-copy back-ups to the data sent electronically to the EMR. Training For many offices, Marco’s highly trained sales staff is qualified to train doctors and staff how to realize the full benefits of the RT-5100 system. In addition to this on-site training, Marco offers JCAHPO-certified training in the state-of- the-art Nidek Institute of Vision Technology. Nidek’s online training center is available on demand 24 hours a day, seven days a week. |
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Technical Specifications
| Refraction Type | Automated Subjective Refraction |
| Sphere Range | -19.00D to +16.75D |
| Cylinder Range | 0.00D to ±6.00D |
| Axis Range | 0° – 180° |
| Prism Range | 0Δ to 10Δ |
| Lens Switching | Electronic / Motorized |
| Control Interface | External Control Box |
| Vertex Distance | Adjustable |
| Interpupillary Distance | Adjustable |
| Cross Cylinder | ±0.25D |
| Jackson Cross Cylinder | Built-in |
| Near Vision Testing | Integrated |
| Polarization Filters | Included |
| Occluder | Electronic |
| Auxiliary Lenses | Multiple Lens Combinations |
| Chart Compatibility | Supports Digital Chart Systems |
| Patient Comfort | Quiet & Smooth Operation |
| Mounting | Phoropter Arm Compatible |
| Power Supply | Standard Clinical Voltage |
| Design | Ergonomic & Durable |












Simultaneous presentation of the two Jackson Cross images with the Split prism makes cylinder power and axis testing much quicker and easier for both the patient and the doctor than with traditional Jackson cross cylinder testing. It makes the choice more obvious for the patient and simpler for the doctor to refine, resulting in quicker refractions and a more satisfying patient experience.
The 8.4-inch color LCD gives enhanced, illuminated detail with the functionality of a touch screen. No longer does the doctor need to strain in low light to see the refractor in order to perform the exam. The compact design of the keypad maximizes work-space and user comfort, avoiding the risk of shoulder and neck injury from repetitive motion. Additional benefits include:
With the push of a button, multiple changes can be made allowing the patient to compare their previous Rx to the new prescription. By demonstrating the effect of prescription changes rapidly, patients can decide whether the change is important to their visual performance. Changes
Advanced Dial with S/C/A Mode Key in the center allows the doctor to quickly refine sphere, cylinder, and axis using only one hand. This makes it much easier to perform retinoscopy when necessary. The TRS also provides for near tests automatically adjusting convergence for PD, and activating the built in lights for near chart illumination, ensuring that patients can see the chart with any room illumination.
Marco’s proprietary Marco Connect Software simplifies the integration and transfer of data to any company’s EMR. Transfer data into the patient’s EMR at the push of a button, eliminating transcription errors and the need to manually input data, giving you more time with your patients.


