Cycloplegic refraction in esotropic children. Cyclopentolate versus atropine
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 diff...
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Veröffentlicht in: | Ophthalmology (Rochester, Minn.) Minn.), 1981-10, Vol.88 (10), p.1031-1034 |
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description | 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. |
doi_str_mv | 10.1016/S0161-6420(81)80032-2 |
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Cyclopentolate versus atropine</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Rosenbaum, A L ; Bateman, J B ; Bremer, D L ; Liu, P Y</creator><creatorcontrib>Rosenbaum, A L ; Bateman, J B ; Bremer, D L ; Liu, P Y</creatorcontrib><description>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.</description><identifier>ISSN: 0161-6420</identifier><identifier>DOI: 10.1016/S0161-6420(81)80032-2</identifier><identifier>PMID: 7335305</identifier><language>eng</language><publisher>United States</publisher><subject>Accommodation, Ocular - drug effects ; Age Factors ; Atropine ; Child ; Child, Preschool ; Cyclopentolate ; Esotropia - complications ; Female ; Humans ; Hyperopia - complications ; Hyperopia - diagnosis ; Infant ; Male ; Mydriatics ; Phenylacetates ; Refraction, Ocular ; Retina ; Strabismus - complications</subject><ispartof>Ophthalmology (Rochester, Minn.), 1981-10, Vol.88 (10), p.1031-1034</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7335305$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rosenbaum, A L</creatorcontrib><creatorcontrib>Bateman, J B</creatorcontrib><creatorcontrib>Bremer, D L</creatorcontrib><creatorcontrib>Liu, P Y</creatorcontrib><title>Cycloplegic refraction in esotropic children. Cyclopentolate versus atropine</title><title>Ophthalmology (Rochester, Minn.)</title><addtitle>Ophthalmology</addtitle><description>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.</description><subject>Accommodation, Ocular - drug effects</subject><subject>Age Factors</subject><subject>Atropine</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cyclopentolate</subject><subject>Esotropia - complications</subject><subject>Female</subject><subject>Humans</subject><subject>Hyperopia - complications</subject><subject>Hyperopia - diagnosis</subject><subject>Infant</subject><subject>Male</subject><subject>Mydriatics</subject><subject>Phenylacetates</subject><subject>Refraction, Ocular</subject><subject>Retina</subject><subject>Strabismus - complications</subject><issn>0161-6420</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1981</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9j01LxDAURbNQxnH0Jwx0JbromOS1SbqUwS8ouFDXJU1ftJI2NWmF-fcWp7i5Fw6HC5eQLaM7Rpm4fZ2DpSLj9FqxG0Up8JSfkPU_PiPnMX5RSoWAbEVWEiAHmq9JuT8Y5weHH61JAtqgzdj6Pmn7BKMfgx9mbj5b1wTsd8nRxn70To-Y_GCIU0z0n9fjBTm12kW8XHpD3h_u3_ZPafny-Ly_K9OBUzGmNdeiYBIsUitZXVhrjBDWZDKTNlNKA5dNU3PGTY2qwAwKLEAxkXMNChlsyNVxdwj-e8I4Vl0bDTqne_RTrCQoJQsuZ3G7iFPdYVMNoe10OFTLffgFcY5ccA</recordid><startdate>198110</startdate><enddate>198110</enddate><creator>Rosenbaum, A L</creator><creator>Bateman, J B</creator><creator>Bremer, D L</creator><creator>Liu, P Y</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>198110</creationdate><title>Cycloplegic refraction in esotropic children. Cyclopentolate versus atropine</title><author>Rosenbaum, A L ; Bateman, J B ; Bremer, D L ; Liu, P Y</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p206t-b2a69173fe0f71b9ffcc66fc4747f488a327ddb212cbe89e439e9381652a38e13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1981</creationdate><topic>Accommodation, Ocular - drug effects</topic><topic>Age Factors</topic><topic>Atropine</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cyclopentolate</topic><topic>Esotropia - complications</topic><topic>Female</topic><topic>Humans</topic><topic>Hyperopia - complications</topic><topic>Hyperopia - diagnosis</topic><topic>Infant</topic><topic>Male</topic><topic>Mydriatics</topic><topic>Phenylacetates</topic><topic>Refraction, Ocular</topic><topic>Retina</topic><topic>Strabismus - complications</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rosenbaum, A L</creatorcontrib><creatorcontrib>Bateman, J B</creatorcontrib><creatorcontrib>Bremer, D L</creatorcontrib><creatorcontrib>Liu, P Y</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Ophthalmology (Rochester, Minn.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rosenbaum, A L</au><au>Bateman, J B</au><au>Bremer, D L</au><au>Liu, P Y</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cycloplegic refraction in esotropic children. Cyclopentolate versus atropine</atitle><jtitle>Ophthalmology (Rochester, Minn.)</jtitle><addtitle>Ophthalmology</addtitle><date>1981-10</date><risdate>1981</risdate><volume>88</volume><issue>10</issue><spage>1031</spage><epage>1034</epage><pages>1031-1034</pages><issn>0161-6420</issn><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.</abstract><cop>United States</cop><pmid>7335305</pmid><doi>10.1016/S0161-6420(81)80032-2</doi><tpages>4</tpages></addata></record> |
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subjects | Accommodation, Ocular - drug effects Age Factors Atropine Child Child, Preschool Cyclopentolate Esotropia - complications Female Humans Hyperopia - complications Hyperopia - diagnosis Infant Male Mydriatics Phenylacetates Refraction, Ocular Retina Strabismus - complications |
title | Cycloplegic refraction in esotropic children. Cyclopentolate versus atropine |
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