Diagnosis and Treatment of Accommodative Spasm with Cycloplegics
Nasir Yasin, Shahid Farooq, Muhammad Sharjeel, Muhammad Aamir Shahzad, Iqra Khalil, Muhammad Ahmed, Hashim Ali Khan
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ABSTRACT
Purpose: To evaluate the role of cycloplegic agents
in diagnosis and management of accommodative spasms.
Methods: Prospective cohort study included patients
with recent onset ocular strain. All patients underwent comprehensive eye
examination and objective refraction. Then patients were randomized to receive
either atropine or cyclopentolate for cycloplegia. And objective refraction was
recorded again. Patients were randomly assigned to one of the two treatments i.e.full
cycloplegic correction or 0.001% atropine and reviewed at 1-, 2- and 3-month
follow-ups.
Results: Total 52 patients, mean age16.1±4.7 were
evaluated. 33 patients (63.5%) received atropine and 19 (36.5%) received cyclopentolate.
There was significant difference between precycloplegic and post cycloplegic
refraction however, the difference between cyclopentolate and atropine was not
significant.
None of the patients, whether
treated with glasses or low dose atropine experienced any ocular strain till
the end of study.
Conclusion: Both cyclopentolate and atropine are equally
effective in achieving adequate cycloplegia in patients with accommodative
spasm. Plus corrective wear or low dose atropine are equally effective in
relieving the symptoms of patients.
Keywords: Cycloplegic agents, Post-cycloplegic
refraction, Accommodative spasm
ABSTRACT
Purpose: To evaluate the role of cycloplegic agents
in diagnosis and management of accommodative spasms.
Methods: Prospective cohort study included patients
with recent onset ocular strain. All patients underwent comprehensive eye
examination and objective refraction. Then patients were randomized to receive
either atropine or cyclopentolate for cycloplegia. And objective refraction was
recorded again. Patients were randomly assigned to one of the two treatments i.e.full
cycloplegic correction or 0.001% atropine and reviewed at 1-, 2- and 3-month
follow-ups.
Results: Total 52 patients, mean age16.1±4.7 were
evaluated. 33 patients (63.5%) received atropine and 19 (36.5%) received cyclopentolate.
There was significant difference between precycloplegic and post cycloplegic
refraction however, the difference between cyclopentolate and atropine was not
significant.
None of the patients, whether
treated with glasses or low dose atropine experienced any ocular strain till
the end of study.
Conclusion: Both cyclopentolate and atropine are equally
effective in achieving adequate cycloplegia in patients with accommodative
spasm. Plus corrective wear or low dose atropine are equally effective in
relieving the symptoms of patients.
Keywords: Cycloplegic agents, Post-cycloplegic
refraction, Accommodative spasm