环喷托酯作为儿童睫状肌麻痹剂的现状：与阿托品和后马托品的比较。

Status of cyclopentolate as a cycloplegic in children: a comparison with atropine and homatropine.

作者信息

Khurana A K, Ahluwalia B K, Rajan C

机构信息

Department of Ophthalmology, Medical College, Rohtak, India.

出版信息

Acta Ophthalmol (Copenh). 1988 Dec;66(6):721-4. doi: 10.1111/j.1755-3768.1988.tb04069.x.

DOI:10.1111/j.1755-3768.1988.tb04069.x

PMID:3068951

Abstract

We compared the cycloplegic effects of cyclopentolate, homatropine and atropine by the retinoscopy findings and residual accommodation left following their use in the same individual. The mean residual accommodation measured after the use of cyclopentolate, homatropine and atropine was 1.48 +/- 0.33 D, 2.32 +/- 0.37 D and 1.10 D +/- 0.28 D, respectively, and the mean difference in retinoscopy readings between cyclopentolate and homatropine, homatropine and atropine, and atropine and cyclopentolate was 0.46 +/- 0.21, 0.71 +/- 0.23 and 0.26 +/- 0.14, respectively. We further observed that a tonus allowance of about +0.75 D would suffice for cyclopentolate. The merits for recommending cyclopentolate as a routine cycloplegic in children are discussed.

摘要

我们通过检影结果以及在同一个体中使用后残留的调节力，比较了环喷托酯、后马托品和阿托品的睫状肌麻痹效果。使用环喷托酯、后马托品和阿托品后测得的平均残留调节力分别为1.48±0.33D、2.32±0.37D和1.10D±0.28D，环喷托酯与后马托品、后马托品与阿托品、阿托品与环喷托酯之间检影读数的平均差值分别为0.46±0.21、0.71±0.23和0.26±0.14。我们进一步观察到，约+0.75D的张力余量对环喷托酯就足够了。文中讨论了推荐环喷托酯作为儿童常规睫状肌麻痹剂的优点。