Cycloplegic Medications in Eye Care

Cycloplegic Medication Management

Cycloplegic medications play a vital role in optometric practice, serving multiple purposes including the diagnosis of refractive errors and the management of inflammatory conditions such as iritis and uveitis. By temporarily paralyzing the ciliary muscle, these agents prevent accommodation, allowing for more accurate measurements of refractive errors, particularly in children and individuals with suspected latent hyperopia. Additionally, cycloplegics provide symptomatic relief in inflammatory conditions by stabilizing the blood-aqueous barrier and reducing ciliary spasm, which can significantly alleviate ocular pain and photophobia.

Cycloplegic Medications

BrandGenericDosingAmountAgesPregnancyMechanism
Atropine
Generic
atropine sulfate
(varying %s)
qd-qid5/10/15mL>3 monthsCanticholinergic
Cyclogyl
Generic
cyclopentolate 0.5/1/2%qd-bid2/5/15mL>6 yearsCanticholinergic
Isopto Homatropine
Generic
homatropine 2/5%bid-qid5mL>3 monthsCanticholinergic
Mydriacyl
Generic
tropicamide 0.5/1%qd2/3/15mLCaution in childrenCparasympatholytic
Neo-Synephrine
Generic
phenylephrine 2.5/10%qd-tid2.5/5/10mL>1 yearCsympathomimetic
Paremyd
Generic
hydroxyamphetamine 1%
tropicamide 0.25%
qd15mLNACsympathomimetic
parasympatholytic