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Published on: January 26, 2018
Cycloplegic and mydriatic agents for routine ophthalmologic examination: a survey of pediatric ophthalmologists
Anup J Patel1, John W Simon, David J Hodgetts
1Albany Medical College/Lions Eye Institute, Albany, NY 12208, USA.
Introduction:
We have used a mixture of tropicamide 1% and cyclopentolate 2% for routine cycloplegia in children. Because our hospital pharmacy expressed reluctance to prepare this mixture, we were interested in the current standard of care among pediatric ophthalmologists.
Methods:
A survey was mailed to all members and associate members of the American Association for Pediatric Ophthalmology and Strabismus. Responses were tabulated from 522 respondents (62%).
Results:
Mixtures were used by 22% of respondents for neonates and by 40% for older children. The most popular mixtures were cyclopentolate and phenylephrine for neonates and cyclopentolate, phenylephrine, and tropicamide for older children.
Conclusion:
Although a commercially available mixture (Cyclomydril; Alcon, Ft. Worth, TX) has found wide acceptance for treatment of neonates, ophthalmologists seeking stronger concentrations for older children must rely on alternate sources. There would appear to be a market for such a product.
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