Cyclopegics

Question 1

when would u use a cyclopegic

Answer 1

when u feel a px cannot relax their accommodation

or u suspect an oculomotor anomoly- if can’t prove accommodative u need to refer this px

Question 2

factors when choosing cyclopegic

Answer 2

age and skin/hair/iris pigmentation.

Question 3

what group of drugs does cyclopegics belong to

Answer 3

ANTIMUSCARINIC- cyclopegeic and mydriasis

Question 4

what are the sign for a cyclopegic

Answer 4

high hypermetropia- strabismus?
FH of strabismus
Significant/unstable phoria
malingering
can't fixate
when ret is far more +ve
treu, full rx before surgery 
low amps of accomm
low ac/a ratio

Question 5

what sx suggest to use a cylopegic

Answer 5

sx to suggest rx
sx of transient blurred vision
sx of accommodative asthenia
signs of emotional/phycological changes

Question 6

wot are the advantages of clyclopegics

Answer 6

mydriasis
full true rx
shows any latent errors

Question 7

disadvantages of cyclopegics- 5

Answer 7

toxiticity
take into account ton us
disability glare
not natural state
optical aberrations- care on ret!

Question 8

wot alternatives can u do besides using a cylopeigc

Answer 8

mohindra techniwuq
fogging
autoefraction

Question 9

how would u go about giving a cylopegic:

Answer 9

Permission
Dosage (proxymetacaine?)
 Progression
 Retinoscopy
Pre- & post-cyclo tests?
 Prescribing
 Heterophorias
Visual acuities
Adverse effects (e.g. allergy) Ophthalmological use