PMID: 7335305Oct 1, 1981Paper

Cycloplegic refraction in esotropic children. Cyclopentolate versus atropine

Ophthalmology
A L RosenbaumP Y Liu

Abstract

Retinoscopy was performed on a population of predominantly white esotropic children younger than 5.5 years with cyclopentolate 1% and atropine 1.0%. Atropine 1.0% revealed +0.34 diopters more hyperopia than cyclopentolate 1.0%, when the mean differences between the two drugs were examined. Mean difference analysis would probably indicate that atropine retinoscopy was unnecessary. However, 22% of the children had +1.0 diopters or more of hyperopia uncovered by atropine. This significant subpopulation suggests that in young patients with esotropia, an atropine refraction is essential to uncover the maximum amount of hyperopia. Almost all of this subgroup with +1.00 or greater hyperopia had an initial cyclopentolate retinoscopy of +2.00 diopters or more. Therefore, retinoscopy using atropine cycloplegia becomes even more important in this population. There was a trend for the greater differences to be in children older than age 2 years. However, these values were not statistically significant.

References

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Sep 1, 1961·Archives of Ophthalmology·B C GETTES, O BELMONT
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Jan 1, 1925·Transactions of the American Ophthalmological Society·A Duane

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Citations

Jan 1, 1992·Documenta Ophthalmologica. Advances in Ophthalmology·G Auffarth, W Hunold
May 19, 2005·Journal of Cataract and Refractive Surgery·Elizabeth M HofmeisterSteven C Schallhorn
Aug 1, 1996·Ophthalmology·A J Flach
Feb 27, 2016·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Kyung-Ah Park, Sei Yeul Oh
Jan 1, 1991·Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)·L W Jones, D T Hodes
Jul 21, 2020·Journal of Pediatric Ophthalmology and Strabismus·Xinting LiuXinjie Mao
Oct 23, 2004·Clinical & Experimental Ophthalmology·Dorothy S P FanDennis S C Lam
May 31, 2007·European Journal of Ophthalmology·A BagheriM Reza Mohebbi
Mar 10, 2006·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·P Dureau

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