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
Hauptverfasser: Rosenbaum, A L, Bateman, J B, Bremer, D L, Liu, P Y
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container_title Ophthalmology (Rochester, Minn.)
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creator Rosenbaum, A L
Bateman, J B
Bremer, D L
Liu, P Y
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.
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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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