KMID : 0360220140550101520
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Journal of the Korean Ophthalmological Society 2014 Volume.55 No. 10 p.1520 ~ p.1524
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Side Effects after the Use of Cyclopentolate for Cycloplegic Refraction
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Kim Eun-Woo
Kim Young-Wook Lee Joo-Yeon
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Abstract
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Purpose: To investigate the frequency of side effects due to the use of cyclopentolate for cycloplegic refraction.
Methods: For 4 months, temperature change and adverse effects in 157 children who visited the pediatric ophthalmology clinic of a university hospital for cycloplegic refraction using cyclopentolate were observed. Topical 1% cyclopentolate was instilled 5 times at 5 minute intervals and temperature measured before and after administration using a tympanic thermometer. Side effects such as facial flushing, skin rash, and central nervous system disorders were recorded while cycloplegic refraction was performed.
Results: The mean temperature was increased 36.67 ¡¾ 0.10¡É to 36.90 ¡¾ 0.09¡É, but no fever exceeded 38¡É. Seventeen (10.83%) patients experienced side effects including facial flushes (n = 6), temperature change (n = 5), abnormal central nervous system symptoms (n = 4), and a visible skin rash (n = 2). No patient experienced more than 1 side effect and long term adverse effects were not observed.
Conclusions: The incidence of side effects due to cyclopentolate instillation for cycloplegic refraction was 10.83% in children. Although side effects due to cyclopentolate disappeared without any treatment, cafeful monitoring for their occurrence is necessary.
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KEYWORD
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Children, Cyclopentolate, Cycloplegic refraction, Side effects
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