Brazilian guideline for pediatric cycloplegia and mydriasis.

Abstract

Cycloplegia is crucial for reliable pediatric ophthalmology examinations. This document provides a re-commendation for pediatric cycloplegia and mydriasis for Brazilian ophthalmologists. This article was developed based on literature reviews; the clinical experience of Brazilian specialists, as obtained through questionnaires; and the consensus of the Expert Committee of the Brazilian Pediatric Ophthalmology Society. According to the best evidence and formulations available in Brazil, this committee recommends the use of one drop of 1% cyclopentolate plus one drop of 1% tropicamide in children older than 6 months and two drops of 1% tropicamide 0-5 minutes apart for those younger than 6 months. Mydriasis may be increased by a single drop of 2.5% phenylephrine. For retinopathy of prematurity screening, the recommendation is 0.5% or 1% tropicamide, administered two or three times, 5 minutes apart, and 2.5% phenylephrine, used preferably once. In all scenarios, we recommend the use of a prior drop of 0.5% proxymetacaine.

• Authors: Ian Curi, Simone Akiko Nakayama, Érika Mota Pereira, Luisa Moreira Hopker, Fábio Ejzenbaum, Ronaldo Boaventura Barcellos, Rosane da Cruz Ferreira, Monica Fialho Cronemberger, Craig A Mckeown, Júlia Dutra Rossetto
• Journal: Arquivos brasileiros de oftalmologia (Arq Bras Oftalmol) 2023 Jul-Aug Vol. 86 Issue 4 Pg. 388-396 ISSN: 1678-2925 [Electronic] Brazil
• PMID: 35319660 (Publication Type: Journal Article)