SỬ DỤNG THUỐC LIỆT ĐIỀU TIẾT Ở TRẺ EM

Abstract

Purpose: To determine factors related to select the ideal cycloplegic agents in prescribing glasses for children. Methods: A comprehensive literature review was conducted using PubMed, ScienceDirect, Elsevier, and Google Scholar databases using keywords such as “cyclopentolate”; “tropicamide”; “pediatric”; “cycloplegia”; “atropine”; and “cycloplegic” from inception to 2024. Results:  Atropine has the strongest cycloplegic effect and is recommended for cases of large accommodative esotropia. Because of the undesired side effects and risks from atropine, cyclopentolate has been found to offer a very effective cycloplegia even for moderate to high hyperopia and has become the standard of care for traditional pediatric cycloplegic exams. Tropicamide has also been shown to offer adequate cycloplegia with less toxicity and side effects. Conclusions: Accommodative power in children is at its maximum, and this interferes with reliable assessment of refraction. Therefore, the use of cycloplegic refraction is mandatory during childhood to obtain actual refraction, which is considered the cornerstone for eyeglass prescription. Selection the ideal cycloplegic agents depends on many factors especially including cycloplegic and side effects, needs to be individualized in each specific case.