The comparison of cyclopentolate and atropine in patients with refractive accommodative esotropia by means of retinoscopy, autorefractometry and biometric lens thickness

Abstract

Purpose: In this study, we aimed to compare the cycloplegic effect of cyclopentolate HCI 1% and atropine sulphate 1% in patients with refractive accommodative esotropia by means of retinoscopy, autorefractometer and the measurement of lens thickness by biometry. Methods: Thirty-two patients with refractive accommodative esotropia aged from 5 to 10 (mean 6.8 ± 1.4), had a deviation under 10 prism diopters, and underwent retinoscopic, autorefractometric and biometric study in dry and wet conditions. Results: The retinoscopic, autorefractometric and biometric findings of the right eye were 5.10 ± 1.21 diopter (D), 5.03 ± 1.20 D, 3.43 ± 0.16 mm with cyclopentolate, and 5.2 ± 1.2 D, 5.2 ± 1.2 D, 3.4 ± 0.1 mm with atropine. In the left eye, the measurements were 5.2 ± 1.4 D, 5.1 ± 1.4 D, 3.5 ± 0.2 mm with cyclopentolate, and 5.3 ± 1.2 D, 5.20 ± 1.3 D, 3.4 ± 0.2 mm with atropine, respectively. When these obtained data were compared by the Student's t test no statistical significance was found (p > 0.05). Conclusions: We suggest that the cyclopentolate cycloplegia applied to the patients with refractive accommodative esotropia is sufficient to produce good cycloplegia, with an effect similar to atropine.