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Effects of Cycloplegic Agents on Ocular Parameters in Children with Myopia and Hyperopia
Guangzhi Qu1, Bingfeng Wang1, Saisai Ding1
1Department of Ophthalmology, Weifang Eye Hospital, Zhengda Guangming Eye Group, Weifang, China.
Insights
Cycloplegia significantly alters ocular parameters like anterior chamber depth and pupil diameter in children. These changes can even reverse group differences, offering insights into refractive development.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Refractive Error Research
Background:
- Investigating the impact of cycloplegia on key ocular metrics in pediatric myopia and hyperopia.
- Understanding how refractive states influence ocular measurements in children.
Purpose of the Study:
- To determine the effects of cycloplegia on ocular parameters in children aged 5-10 with myopia and hyperopia.
- To analyze changes in anterior chamber depth (ACD) and pupil diameter (PD) post-cycloplegia.
Main Methods:
- Recruited 42 myopic and 44 hyperopic children (5-10 years).
- Measured central corneal thickness (CCT), corneal curvature (CC), ACD, PD, axial length (AL), and central retinal thickness (CRT) before and after 1% atropine sulfate ointment-induced cycloplegia.
Main Results:
- Pre-cycloplegia: Myopic children had significantly higher ACD and AL, and smaller PD compared to hyperopic children.
- Post-cycloplegia: Pupil diameter in myopic children became significantly larger than in hyperopic children, reversing the initial difference.
- Both groups showed increased ACD and enlarged PD after cycloplegia.
Conclusions:
- Cycloplegia significantly impacts ACD and PD, leading to a reversal of PD differences between myopic and hyperopic children.
- Cycloplegia provides a valuable tool for studying dynamic changes in ocular parameters within a short timeframe.
Background:
To study the effect of cycloplegia on ocular parameters in children with myopia and hyperopia.
Methods:
Forty-two myopia and forty-four hyperopia eyes in children between 5 and 10 years of age were included. Measurements were taken before and after cycloplegia using 1% atropine sulfate ointment. The ocular parameters included central corneal thickness (CCT), corneal curvature (CC), anterior chamber depth (ACD), pupil diameter (PD), axial length (AL), and central retinal thickness (CRT).
Results:
There was no significant difference in CCT, CC, and CRT between the two groups without cycloplegia, but the ACD of the myopia (3.64 ± 0.28 mm) group was significantly higher than that of hyperopia (3.40 ± 0.24 mm; t = -4.522; P < 0.0001). The average PD of the myopia (4.85 ± 0.87 mm) group was significantly smaller than that of the hyperopia group (5.47 ± 1.15 mm; t = 2.903; P < 0.0046). The average AL of myopia (24.25 ± 0.77 mm) was significantly higher than that of hyperopia (21.73 ± 1.24 mm; t = 12.084; P < 0.0001). However, it was found that the average PD of myopia (7.68 ± 0.51 mm) was significantly larger than that of hyperopia (7.41 ± 0.57 mm; t = 2.364; P=0.0202) under cycloplegia. As for the changes in refractive factors before and after cycloplegia, deepened ACD and enlarged PD were noted in both the groups after cycloplegia.
Conclusions:
Cycloplegia not only affects ACD and PD but also leads to the reversal of PD differences between the two groups. Cycloplegia effects enabled us to study changes in all known ocular parameters in a short period.
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