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At-Home Pupil Dilation During the COVID-19 Pandemic in the Pediatric Population

Yoav Glidai1,2, Rina Su1,2,3, Jake L Diamond2

  • 1Northwell, New Hyde Park, New York.

Journal of Pediatric Ophthalmology and Strabismus
|February 11, 2026
PubMed

Insights

Caregivers found at-home pupil dilation (AHPD) feasible and cost-effective during the COVID-19 pandemic. Most would consider AHPD again, citing convenience and time savings, despite some challenges with difficulty and cost.

Area of Science:

  • Ophthalmology
  • Pediatric Care
  • Public Health

Background:

  • The COVID-19 pandemic necessitated adaptations in healthcare delivery, including pediatric ophthalmology.
  • At-home pupil dilation (AHPD) emerged as a potential solution to maintain eye care access.
  • Caregiver perspectives on AHPD were largely unevaluated prior to this study.

Purpose of the Study:

  • To assess caregiver experiences with at-home pupil dilation (AHPD) for children.
  • To identify challenges and difficulties encountered by caregivers during AHPD.
  • To evaluate the feasibility and acceptance of AHPD during the COVID-19 pandemic.

Main Methods:

  • Retrospective questionnaire study involving caregivers of children younger than 6 years.
  • Eligibility for AHPD determined by a pediatric ophthalmologist.
  • Cyclopentolate 1% eye drops were prescribed; age groups were analyzed.

Main Results:

  • 73.9% of respondents successfully completed AHPD.
  • Mean task difficulty was 3.36 ± 1.44; no significant differences between age groups.
  • 65.8% would consider AHPD in the future; 63% found it time-saving and worthwhile.
  • Primary barriers included difficulty (34.8%), cost (30.4%), and unclear instructions (8.7%).

Conclusions:

  • At-home pupil dilation (AHPD) is a potentially useful, cost-effective, and convenient option for pediatric eye exams.
  • AHPD may reduce patient anxiety associated with in-office procedures.
  • Individualized decisions regarding AHPD should consider child-specific needs, parental capacity, and the ophthalmologic condition.
Abstract

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