Eye drops and staining

Question 1

Mydriatic and Cycloplegic Drops

What r three uses?

Answer 1

• *Cycloplegic** means paralysing the ciliary muscles.
• *Mydriatic** means dilating the pupils.

1. ​To dilate the pupil for visualisation of the retina
2. In the management of children with amblyopia
3. Use in refraction of children for the prescription of glasses

Question 2

Which cyclopegic/ mydriatic drop is CONTRAINDICATED in kids?

Answer 2

Phenylephirine

Question 3

Side effects of mydriatic and cyclopegic drops? (4)

Answer 3

1. Whitening of the eyelids due to vasoconstriction, this will resolve as the drops wear off
2. Atropine can cause redness of the face and a warm sensation to the touch, this is not dangerous but a lower dose should be considered
3. All mydriatics will sting the eyes for a few seconds after instillation.
4. Warn the patient that they cannot drive until the blurring effect of the drops has worn off - this is very important.

Question 4

When is atropine contraindicated? (2)

Answer 4

Hypertension

Untreated narrow angle glaucoma