ABSTRACT
For those who manage strabismus in adults, the patient with diplopia following retinal surgery presents a challenge. Mechanical and sensory factors may combine to preclude single binocular vision, and neutralizing the patient's strabismus may not be sufficient to permit resolution of their diplopia. This paper reviews the issues involved and discusses some potential solutions.
Subject(s)
Diplopia , Eyeglasses , Ophthalmologic Surgical Procedures/adverse effects , Retinal Diseases/surgery , Sensory Deprivation , Vision, Binocular , Diplopia/etiology , Diplopia/physiopathology , Diplopia/therapy , HumansABSTRACT
INTRODUCTION: We have used a mixture of tropicamide 1% and cyclopentolate 2% for routine cycloplegia in children. Because our hospital pharmacy expressed reluctance to prepare this mixture, we were interested in the current standard of care among pediatric ophthalmologists. METHODS: A survey was mailed to all members and associate members of the American Association for Pediatric Ophthalmology and Strabismus. Responses were tabulated from 522 respondents (62%). RESULTS: Mixtures were used by 22% of respondents for neonates and by 40% for older children. The most popular mixtures were cyclopentolate and phenylephrine for neonates and cyclopentolate, phenylephrine, and tropicamide for older children. CONCLUSION: Although a commercially available mixture (Cyclomydril; Alcon, Ft. Worth, TX) has found wide acceptance for treatment of neonates, ophthalmologists seeking stronger concentrations for older children must rely on alternate sources. There would appear to be a market for such a product.
