Used for about 3 years then went with an automated phoropter. The light is VERY useful when illumination is dim. Once you go illuminated then it is hard to go back.
I have 2 of these units. "Unit A" sticks slightly on the left eye once you click pass a certain amount of diopters. Roughly every 2D or something, but it is usable. Just be aware that you might have to give a little more TLC on OS if you go pass those sticking points. The price of this one reflects that compared to the other one.
Includes the near rod, but not the near Snellen card. Those are cheap though. The near rods spring mechanism catches a little also.