Objective To determine the cycloplegic effects of 1% cyclopentolate on myopic children, using residual accommodation as an objective measurement. Methods A total of 40 children with a mean age of 12.5±2.0 years were included in this case series study. Mean spherical equivalent of the right eyes was -2.52±1.05 D. One percent cyclopentolate was administered 3 times at 5 min intervals. After the third installation, far and near accommodative responses were measured at 25 min, 50 min, 75 min, 100 min, and 125 min using an open-field autorefractor (Grand-Seiko, WAM-5500). The difference in the accommodative response between these 6 m and 33 cm was considered to be residual accommodation. Repeated measurement was used to evaluate the differences at the different time points. Results The respective distance accommodative responses at the 6 time points were 0.27±0.79 D, 0.20±0.73 D, 0.14±0.61 D, 0.08±0.52 D, 0.11±0.40 D and 0.09±0.56 D and the differences were significant (F=6.18, P<0.05). The respective near accommodative responses were 1.15±0.98 D, 0.42±0.81 D, 0.34±0.80 D, 0.16±0.69 D, 0.31±0.61 D and 0.32±0.76 D and the differences were significant (F=5.25, P<0.05). The respective residual accommodations were 0.88±0.73 D, 0.22±0.55 D, 0.20±0.56 D, 0.08±0.61 D, 0.19±0.48 D and 0.24±0.45 D, and the differences were significant (F=7.28, P<0.05). Conclusion 1% cyclopentolate is effective in paralyzing the ciliary muscle of myopic children aged 8-15 years, and reaches the strongest effect at 75 min. It is relatively accurate to finish refractions between 25 min and 2 hours after the last installation of 1% cyclopentolate.
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