Klinika Oczna

Abstract

4/2012 vol. 114
Original paper

Change in ocular refraction after tropicamide cycloplegia in preschool children

  1. Laboratory of Vision Science and Optometry, Faculty of Physics, Adam Mickiewicz University in Poznań, Poland
  2. Department of Optometry and Biology of Visual System, Poznań University of Medical Sciences, Poland
  3. Department of Cognitive Psychology, Faculty of Psychology, University of Finance and Management in Warsaw, Poland
Online publish date: 2012/12/12
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Purpose: The aim of the study was to evaluate changes in ocular refraction after 1% tropicamide and its efficacy in diagnosing

refractive errors in preschool children.

Material and methods: 116 children (232 eyes) at the age of 5 to 6 years participated in the study. An objective examination

of refraction using autorefractor before and after 1% tropicamide cycloplegia (2 x 1 drop of the agent instilled 5 min apart) was

performed in the study.

Results: After the instillation of tropicamide, the spherical component of the refractive error significantly increased by +0.78 D,

while the cylindrical component (i.e. its power and axis) remained unaltered. In examining the refractive error, the mean value

of the spherical component in children at the age of 5 to 6 years amounted to +1.55 D, in the cylindrical component mean value was -0.51 D, and the axis was 102°.

Conclusions: 1% Tropicamide appears an effective cycloplegic agent in preschool children, excluding children with high hyperopia, anisometropia, or strabismus.
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