Side Effects after the Use of Cyclopentolate for Cycloplegic Refraction.

Kim, Eun Woo; Kim, Young Wook; Lee, Joo Yeon

doi:2014.55.10.1520

J Korean Ophthalmol Soc > Volume 55(10); 2014 > Article

Original Article

Journal of the Korean Ophthalmological Society 2014;55(10):1520-1524.
DOI: https://doi.org/10.3341/jkos.2014.55.10.1520 Published online October 16, 2014.

Side Effects after the Use of Cyclopentolate for Cycloplegic Refraction.

Eun Woo Kim, Young Wook Kim, Joo Yeon Lee

Department of Ophthalmology, Hallym University College of Medicine, Anyang, Korea. Ljy690725@hanmail.net

싸이클로펜톨레이트를 사용한 조절마비굴절검사 후 발생하는 부작용에 대한 연구

김은우⋅김영욱⋅이주연

Department of Ophthalmology, Hallym University College of Medicine, Anyang, Korea

Abstract

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 +/- 0.10degrees C to 36.90 +/- 0.09degrees C, but no fever exceeded 38degrees C. 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.

Key Words: Children;Cyclopentolate;Cycloplegic refraction;Side effects