| The problem of cycloplegia in the pediatric age group: a combination formula for refraction. | |
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MedLine Citation:
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PMID: 7391899 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Cycloplegic refraction and indirect ophthalmoscopy are essential to evaluation of the pediatric patient. Unfortunately, along with this practice occur the attendant risks of toxicity and the unpleasantness of instillation. The literature that documents the development of cycloplegic agents is often contradictory regarding efficacy and side effects. It is presented for perspective. We have found that efficacy and discomfort are inseparable; however, as with efficacy and toxicity they are directly related to the concentration used. The case is therefore made to use each agent in its minimal effective concentration and thereby minimize both discomfort and toxicity. Our combination of 1.3% cyclogyl, .167% mydriacil, and 1.6% phenylephrine accomplishes effective cycloplegia for refraction and indirect ophthalmoscopy, has a rapid onset and short duration, works reliably in dark irides, is accomplished in a single encounter with the patient, and exhibits none of the side effects of the individual agents in our series. |
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Authors:
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A R Caputo; R W Lingua |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of pediatric ophthalmology and strabismus Volume: 17 ISSN: 0191-3913 ISO Abbreviation: J Pediatr Ophthalmol Strabismus Publication Date: 1980 Mar-Apr |
Date Detail:
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Created Date: 1980-09-28 Completed Date: 1980-09-28 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7901143 Medline TA: J Pediatr Ophthalmol Strabismus Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 119-28 Citation Subset: IM |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Age Factors Child Cyclopentolate / therapeutic use Drug Combinations Humans Mydriatics / adverse effects, therapeutic use* Phenylephrine / therapeutic use Refractive Errors / diagnosis* Tropicamide / therapeutic use |
| Chemical | |
Reg. No./Substance:
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0/Drug Combinations; 0/Mydriatics; 1508-75-4/Tropicamide; 512-15-2/Cyclopentolate; 59-42-7/Phenylephrine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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