Influences of topical cyclopentolate on anterior chamber parameters with a dual-Scheimpflug analyzer in healthy

Insights

Topical cyclopentolate hydrochloride 1% significantly increased anterior chamber depth, volume, angle, and pupil size in children. Central corneal thickness remained unchanged. These findings impact biometric measurements and refractive surgery planning.

Area of Science:

  • Ophthalmology
  • Optometry
  • Pediatric eye care

Background:

  • Accurate anterior segment measurements are crucial for pediatric eye care.
  • Cyclopentolate hydrochloride is commonly used for cycloplegia.
  • The Galilei dual-Scheimpflug analyzer (GSA) provides detailed anterior segment imaging.

Purpose of the Study:

  • To evaluate the effect of topical cyclopentolate hydrochloride 1% on anterior segment parameters in healthy children.
  • To assess the utility of the Galilei dual-Scheimpflug analyzer (GSA) for these measurements.

Main Methods:

  • Fifty healthy children (mean age 10.27 years) received three drops of cyclopentolate hydrochloride 1%.
  • Anterior segment parameters (ACD, ACA, ACV, CCT, pupil size) were measured using the GSA before and 60 minutes after instillation.
  • Paired t-tests were used for statistical analysis.

Main Results:

  • A statistically significant increase was observed in anterior chamber depth (ACD), anterior chamber angle (ACA), anterior chamber volume (ACV), and pupil size (P < .05).
  • Central corneal thickness (CCT) showed no significant change (P > .05).

Conclusions:

  • Topical cyclopentolate hydrochloride 1% induces significant changes in multiple anterior segment parameters in children.
  • These induced changes must be considered when performing biometric measurements and planning refractive surgery in pediatric populations.
  • The GSA is effective in detecting these drug-induced changes.
Abstract

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