Abstract:

Objective    To compare cycloplegic retinoscopic refractions using cyclopentolate 1% and atropine 1% in Chinese hyperopic children of 3 to 7 years old. Methods    Cyclopentolate 1% was used for cycloplegic retinoscopy on 3 to 7 years old children from outpatient clinic, and 1 week later, atropine 1% was used for cycloplegic retinoscopy on children who had a cycloplegic refraction larger than +0.75D. 50 children (90 eyes) were enrolled in this study. Refraction was presented as spherical equivalent (SE), and paired sample t test and χ2 test were used to analyze the data. Results    （1）The SE of retinoscopy for cyclopentolate 1% and atropine 1% was +3.67±2.39D and +4.52±2.49D, respectively（P＜0.001）; （2）in esotropic children, the SE of retinoscopy for cyclopentolate 1% and atropine 1% was +3.95±2.30D and +4.91±2.51D, respectively（P＜0.001）; in children without esotropia, the SE of retinoscopy for cyclopentolate 1% and atropine 1% was +3.32±2.49D and +4.03±2.41D, respectively（P＜0.001）; the SE difference between cyclopentolate 1% and atropine 1% in esotropic and nonesotropic children was +0.97±0.75D and +0.70±0.40D, respectively（P＜0.001）;（3）in 55 eyes with SE difference ≤0.75D and 35 eyes with SE difference ＞0.75D, the number of eyes with cyclopentolate 1% SE ≥+3D and ＜+3D had no statistical difference (P=0.562). Conclusion    In 3 to 7 years old Chinese hyperopic children, especially esotropic children, atropine 1% is the choice of drug in cycloplegic retinoscopy.

Key words: Hyperopia; Esotropia; Retinoscopy; Cyclopentolate; Atropine