[Cycloplegia and residual accommodation (author's transl)]. 1975

M Klíma, and J Juran, and A Klimová

The cycloplegic effect of 1% Atropine Sulphate, 2% Homatropine Hydrobromide and 1% Cyclopentholate (Cyclolat) were compared on 8 to 10 year-old children with hyperopic accommodation and partial accommodation squint. The objective refraction was measured by skiascopy and with Hartinger's refractometer, and these two values were compared. The distant-vision correction, and also the near-vision correction needed so that Table 2 of Pursch's Tables could be read, were measured. Atropine showed itself to be the most effective cycloplegic agent. With atropine cycloplegia was attained in 46.77% - shown by a necessary near-correction of +2 dioptres, or less. In 27.42% the correction was +1.5 dioptres. With homatropine a correction of +2 dioptres or less occurred in 82.14%, after Cyclogyl in 72.34%. Better cycloplegia could be reached, if before the test correcting spectacles are worn. Only with repeated refraction-tests to overcome accommodation spasm could one succeed in finding the complete hypermetropic state -- even with the help of a not very demanding cycloplegic agent like atropine. Cyclogyl was found to be the most suitable agent here.

UI MeSH Term Description Entries
D009184 Mydriatics Agents that dilate the pupil. They may be either sympathomimetics or parasympatholytics. Cycloplegic,Cycloplegics,Mydriatic,Mydriatic Effect,Mydriatic Effects,Effect, Mydriatic,Effects, Mydriatic
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D003519 Cyclopentolate A parasympatholytic anticholinergic used solely to obtain mydriasis or cycloplegia. Cyclogyl
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000065 Accommodation, Ocular The dioptric adjustment of the EYE (to attain maximal sharpness of retinal imagery for an object of regard) referring to the ability, to the mechanism, or to the process. Ocular accommodation is the effecting of refractive changes by changes in the shape of the CRYSTALLINE LENS. Loosely, it refers to ocular adjustments for VISION, OCULAR at various distances. (Cline et al., Dictionary of Visual Science, 4th ed) Accommodation, Lens,Ocular Accommodation,Ocular Distance Accommodation,Accommodation, Ocular Distance,Distance Accommodation, Ocular,Lens Accommodation,Ocular Distance Accommodations
D001285 Atropine An alkaloid, originally from Atropa belladonna, but found in other plants, mainly SOLANACEAE. Hyoscyamine is the 3(S)-endo isomer of atropine. AtroPen,Atropin Augenöl,Atropine Sulfate,Atropine Sulfate Anhydrous,Atropinol,Anhydrous, Atropine Sulfate,Augenöl, Atropin,Sulfate Anhydrous, Atropine,Sulfate, Atropine
D014326 Tropanes N-methyl-8-azabicyclo[3.2.1]octanes best known for the ones found in PLANTS. Azabicyclo(3.2.1)Octanes

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