Comparative Study on the Efficacy of Different Cycloplegic Agents in Myopic Adults.
10.3341/jkos.2011.52.2.141
- Author:
Kyu Min SHIN
1
;
Seung Ah CHUNG
;
Jong Bok LEE
Author Information
1. Department of Ophthalmology, Myongji Hospital, Kwandong University College of Medicine, Goyang, Korea. mingming8@naver.com
- Publication Type:Comparative Study ; Original Article
- Keywords:
Accommodation;
Cycloplegics;
Refractive errors;
Residual accommodation
- MeSH:
Adult;
Aged;
Cyclopentolate;
Dietary Sucrose;
Humans;
Mydriatics;
Myopia;
Phenylephrine;
Refractive Errors;
Relaxation;
Tropicamide
- From:Journal of the Korean Ophthalmological Society
2011;52(2):141-146
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the efficacy of 3 cycloplegic regimens in adults with myopia. METHODS: Refraction, accommodation amplitude, residual accommodation and biometric findings were assessed before and after instillation of regimen I (tropicamide 0.5% and phenylephrine 0.5%), regimen II (cyclopentolate 1.0%), and regimen III (combination of regimen I and II). RESULTS: In myopic adults aged 22 to 26 years, cycloplegic refraction revealed less myopia than manifested refraction. Although there was no difference in residual accommodation among the 3 regimens, regimen II and III were more effective in reducing myopia, accommodation, and axial length. The difference in cycloplegic refraction between regimen I and II was more prominent in patients who had larger amplitude of accommodation and residual accommodation with regimen I. CONCLUSIONS: Cycloplegic refraction should be used even in adult myopes. For patients with stronger accommodation and larger residual accommodation with tropicamide, cycloplegic refraction with cyclopentolate may be used to ensure relaxation.
