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Atropine versus cyclopentolate plus tropicamide in esodeviations

J H Goldstein1, B B Schneekloth

  • 1State University of New York Health Science Center at Brooklyn, USA.

Ophthalmic Surgery and Lasers
|December 1, 1996
PubMed
Summary

Atropine 1% eye ointment significantly uncovers more hypermetropia than cyclopentolate and tropicamide combinations for managing esodeviations. This finding holds true across various ages and refractive error sizes.

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Area of Science:

  • Ophthalmology
  • Pediatric Ophthalmology
  • Refractive Error Management

Background:

  • Accurate correction of hypermetropia is crucial for managing esodeviations.
  • The optimal cycloplegic agent for uncovering total refractive error remains debated.
  • Atropine is suggested to be more effective than other agents, but combinations are frequently used.

Purpose of the Study:

  • To compare the efficacy of atropine 1% versus a combination of cyclopentolate and tropicamide in determining total hypermetropic refractive error.
  • To analyze the influence of patient age, refractive error magnitude, and esodeviation size on cycloplegic refraction outcomes.

Main Methods:

  • Retrospective review of 74 patients' records.
  • Comparison of refractive error measurements obtained using atropine 1% and a combination of 1% cyclopentolate and 1% tropicamide.
  • Analysis of data stratified by age, refractive error, and esodeviation size.

Main Results:

  • Atropine 1% yielded a significantly higher amount of determined hypermetropia compared to the cyclopentolate-tropicamide combination.
  • This difference was statistically significant across different age groups, hypermetropia levels, and esodeviation sizes.
  • A notable percentage of eyes (11% right, 19% left) showed 1.25 D or more hypermetropia with atropine.

Conclusions:

  • 1% atropine ointment is superior in revealing the total hypermetropic refractive error compared to the combination of cyclopentolate and tropicamide.
  • The enhanced detection of hypermetropia with atropine is consistent irrespective of patient age, refractive error magnitude, or esotropia size.

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