Paediatric cycloplegia: A new approach

Shah, Payal; Jacks, A.; Adams, Gill

doi:10.1038/eye.1997.216

Cited by 18 publications

(14 citation statements)

References 3 publications

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“…As a result many children develop a negative association with the clinic, and become distressed and uncooperative before drop instillation and during subsequent examinations. To try to reduce this discomfort, previous instillation of the local anaesthetic proxymetacaine has been advocated in a single study,1 which reported significant benefit. However, this was a retrospective study, with the particular limitation of using parental recall of their child's distress a year previously, as the measure of the pain experienced with the use of cyclopentolate alone.…”

mentioning

confidence: 99%

Does instilling proxymetacaine before cyclopentolate significantly reduce stinging? The implications for paediatric cycloplegia

SUTHERLAND

2001

British Journal of Ophthalmology

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mentioning

confidence: 99%

Does instilling proxymetacaine before cyclopentolate significantly reduce stinging? The implications for paediatric cycloplegia

SUTHERLAND

2001

British Journal of Ophthalmology

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“…16 The most commonly used agent is 0.5 and 1% cyclopentolate, which is a muscarinic antagonist that paralyzes the actions of the ciliary muscle. Although the topical administration of cyclopentolate is quite frequently used in clinical practice to achieve an accurate refraction, the exact influence on HOAs has not been sufficiently investigated in children.…”

Section: Introductionmentioning

confidence: 99%

Influence of cycloplegia with topical cyclopentolate on higher-order aberrations in myopic children

Hiraoka

Nakamura

Ogata

et al. 2014

Eye

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Purpose To investigate the influence of cycloplegia with topical cyclopentolate on wavefront aberrations in myopic children. Design This is a prospective, comparative study. Methods Twenty-eight myopic children with a mean age of 7.25±2.55 were enrolled in this study. We evaluated refraction and wavefront aberrations before and after cycloplegia with 1% cyclopentolate hydrochloride. Ocular and corneal aberrations were simultaneously measured and compared with each other. Individual Zernike components were also analyzed up to the sixth order. All these parameters were compared before and after cycloplegia. Results Ocular higher-order aberrations (HOAs) significantly increased after cycloplegia (P ¼ 0.012 for spherical-like and P ¼ 0.015 for total HOAs). Corneal HOAs did not change after cycloplegia. When corneal and ocular HOAs were compared, the ocular HOAs were significantly smaller than the corneal HOAs in spherical-like aberrations (Po0.001) and total HOAs (P ¼ 0.006). As for individual Zernike components, ocular aberration generally showed smaller or equivalent values in comparison with corneal aberration. In addition, each Zernike component showed a large standard deviation. Conclusions Internal optics compensates for corneal HOAs in myopic children, and paralysis of tonic accommodation with cyclopentolate considerably affects ocular HOAs. However, inter-individual variation in each Zernike component is quite large in myopic children.

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“…A previous study demonstrated that instillation of proxymetacaine hydrochloride 0.5% prior to cyclopentolate resulted in less traumatic cycloplegia in children [1]. This was further supported by a second study, which showed a significant reduction in the total discomfort with cyclopentolate administered after premedication with proxymetacaine, compared with the use of cyclopentolate instilled after placebo [2].…”

Section: Introductionmentioning

confidence: 79%

The Causes of Distress in Paediatric Outpatients Receiving Dilating Drops

Hirji¹,

Jones²,

Thompson³

2012

OJOph

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Background/Aims: Paediatric outpatients are often dilated with cyclopentolate drops. These cause discomfort and distress, which may impede subsequent examination. We aimed to determine the distress caused by cyclopentolate drops, and other factors in the clinic environment. Methods: Over an 8 week period, questionnaires were issued to guardians of all paediatric outpatients aged under 10 years receiving cyclopentolate. The childrens'distress was graded on a scale of 1-10 (1 = no distress, 10 = severe distress). Waiting time and ease of examination were recorded. Data was analysed using Stata statistics, and significant differences were reported at the P < 0.05 level. Results: The 72 children were grouped as under 4 years (n = 43, Group A), aged 4-7 years (n = 19, Group B), and aged 7-10 years (n = 10, Group C). Median distress levels at home (baseline), on arrival, on dilation, and on examination were as follows:

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Paediatric cycloplegia: A new approach

Abstract: This study shows that use of proxymetacaine prior to cyclopentolate results in atraumatic cycloplegia in children. This can confer multiple benefits on the doctor-patient relationship.

Cited by 18 publications

References 3 publications

Does instilling proxymetacaine before cyclopentolate significantly reduce stinging? The implications for paediatric cycloplegia

Does instilling proxymetacaine before cyclopentolate significantly reduce stinging? The implications for paediatric cycloplegia

Influence of cycloplegia with topical cyclopentolate on higher-order aberrations in myopic children

The Causes of Distress in Paediatric Outpatients Receiving Dilating Drops

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