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Why is there a need to dilate my
child’s eyes to check for refractive errors? Won’t the cycloplegic drops have
harmful side effects?
Children have great accommodative amplitudes and they can change the measurement
of refraction. In a child who has no error of refraction (emmetropic), a
significant myopia, and sometimes astigmatism, may be picked up if he or she
accommodates. The only way to get an accurate measurement of error of
refraction in children is to inhibit accommodation with the use of cycloplegic
agents.
There
are several agents commonly used in practice and these include tropicamide,
cyclopentolate, and atropine. The first two agents have rapid onset of
accommodation, short duration and few side effects. The last one has a longer
onset, requiring three days of drug application, and longer duration, but
provides the greatest amount of cycloplegia. Most children may be refracted
using the first two. However, children with dark irides like Asians are not as
responsive as Caucasian children to the cycloplegic action of the first two
agents. Atropine refraction is therefore recommended for this set of children.
Minor
side effects of cycloplegic agents include transient stinging, blurring of
vision, and photophobia. The stinging sensation is diminished by the
application of a drop of anaesthetic prior to the application of the cycloplegic
agent. Photophobia may be addressed by wearing wrap-around sunglasses or hats.
The duration of photophobia and blurring of vision is related to the duration of
the drug’s mydriatic effect. The shorter-acting agents provide faster recovery
of accommodation and of resolution of symptoms. Atropine is associated with
relatively more adverse effects such as dry mouth, flushing of the face, fever,
allergic reaction, irritability, tachycardia, and hallucinations. Therefore,
the child’s weight and age are important considerations in the choice of
atropine concentration or dose for cycloplegic refraction. Punctal occlusion
during drug administration of atropine helps in decreasing the systemic
absorption of atropine and greatly diminishes the occurrence of severe adverse
drug reactions. Any child with severe adverse drug reaction should be brought
to the hospital for immediate treatment.
There are several ways of reaching the ophthalmologists of EYE REPUBLIC Ophthalmology Clinic:
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ONLINE ACCESS
WEBSITES.
http://www.EyeRepublic.com.ph - EYE REPUBLIC
Ophthalmology Clinic
http://www.OCP.com.ph - Ophthalmic
Consultants Philippines Co. -
http://www.LASIK.com.ph - Refractive
Surgery Resource
http://www.Cataract.com.ph - Cataract Surgery Resource
http://www.Eye.com.ph - Eye
Information Online
http://www.EyeDoc4Kids.com.ph - Eye Information for Kids
http://www.Retina.com.ph - Retina
Surgery Resource
http://www.Glaucoma.com.ph - Glaucoma
Online
http://www.Uveitis.com.ph - Uveitis Online
EMAIL. After writing down your comments,
suggestions, problems and/or questions, kindly tell us how
to get in touch with you by providing your name, email,
home/office numbers, and mobile phone.
General inquiries - help@EyeRepublic.com.ph
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Glaucoma Service - glaucoma@EyeRepublic.com.ph
Cataract Service - cataract@EyeRepublic.com.ph
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EYE REPUBLIC
Ophthalmology Atlas
CLINIC INFORMATION
Mobile E-Yellow Pages. Via
SMS, text LUK4 EYEREPUBLIC
(send to 2851 for Globe and Sun Cellular, and 2951 for Smart). |
EYE REPUBLIC Ophthalmology Clinic
Manila
3/F Don Santiago Building Units 309-310
1344 Taft Avenue, Ermita
Manila, 1000 Philippines
Direct and Fax: (632) 536-2398
Trunk Line: (632) 523-8271 to 79 local 30
Mobile: (63917) 899-2020
Map and directions
|
EYE REPUBLIC
Ophthalmology Clinic
Asian Hospital
and Medical Center
5/F Medical Office
Building (MOB) Suite 509
2205 Civic Drive,
Filinvest, Alabang
Muntinlupa City,
1781 Philippines
Direct:
(632) 771-9253
Direct and Fax:
(632) 771-9254
Mobile: (63917) 795-2020
Map and Directions
|
EYE REPUBLIC Ophthalmology Clinic
Medical City
6/F Medical Arts Tower Inc (MATI) Suite 602
MERALCO Compound, Ortigas Avenue
Pasig City, 1604, Philippines
Direct and Fax: (632) 632-7846
Mobile: (63917) 537-2020
Map and directions
|
EYE REPUBLIC
Ophthalmology Clinic
St. Luke's
Medical Center
6/F
Cathedral Heights Building Complex (CHBC)
North Tower Suite 614
279 E. Rodriguez
Sr. Boulevard
Quezon City, 1102
Philippines
Direct and Fax:
(632) 407-3883
Mobile: (63917) 855-2020
Map and directions
|
CLINIC HOURS
First-Come, First-Served
Monday to Saturday 9:00 AM to 6:00 PM
All clinics are closed on Sundays and Holidays
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CYCLOPLEGIC REFRACTION information compiled
by Dr. Barbara L.
Roque and initially uploaded on May 1, 2005.
Last updated on
September 13, 2007. |
