Can Dilating Eye Drops Be Used for High Prescription Lenses? - Ophthalmology

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Can I get a dilating agent?


Doctor, I would like to ask: with a left eye prescription of -9.75 diopters and a right eye prescription of -8.50 diopters, can the use of atropine eye drops still be effective in controlling myopia? I've read online that many people say that after using atropine, 1.
stopping the medication can actually lead to an increase in prescription strength, and 2.
using atropine can cause the eyes to absorb excessive light, potentially leading to eye damage.
Is this true?

A Wang, 10~19 year old female. Ask Date: 2016/09/02

Dr. Cai Wenyuan reply Ophthalmology


Cycloplegic agents are only helpful in controlling myopia; it is also important to avoid excessive eye strain in daily life.
The increase in refractive error is not related to discontinuation of medication; without the drops, there is naturally less control over myopia.
When used appropriately, cycloplegic agents remain a very safe option.

Reply Date: 2016/09/02

More Info


When it comes to the use of dilating eye drops, especially for individuals with high prescription lenses, there are several important factors to consider. Your prescription of -9.75 diopters in the left eye and -8.50 diopters in the right eye indicates a significant level of myopia (nearsightedness). Dilating eye drops, typically used during comprehensive eye examinations, serve to widen the pupil, allowing the eye care professional to better view the internal structures of the eye, including the retina and optic nerve.


Effects of Dilating Eye Drops on High Prescription Lenses
1. Control of Prescription: The concern that dilating drops might lead to an increase in prescription strength is not entirely unfounded, but it is not a direct consequence of the drops themselves. Dilating drops temporarily paralyze the ciliary muscle, which controls the eye's ability to focus. This can lead to a temporary change in vision, particularly for those who are already highly myopic. However, this effect is usually transient, and once the drops wear off, the eye's focusing ability returns to normal. Regular use of dilating drops does not inherently cause a permanent increase in prescription strength.

2. Light Sensitivity: After the application of dilating drops, the pupils remain enlarged for several hours, which can lead to increased sensitivity to light. This is particularly relevant for individuals with high prescriptions, as their eyes may already be more sensitive due to the nature of their refractive error. It is advisable to wear sunglasses after dilation to protect your eyes from bright light and glare.

3. Potential Risks: While there is a general concern about the potential for light exposure to cause harm to the eyes, the use of dilating drops in a controlled clinical setting is considered safe. The drops are administered by a trained professional, and the benefits of a thorough eye examination typically outweigh the risks. However, if you have specific concerns about light sensitivity or other eye conditions, it is essential to discuss these with your eye care provider.


Recommendations
- Consult Your Eye Care Professional: Given your high prescription, it is crucial to communicate openly with your eye doctor about your concerns regarding dilating drops. They can provide personalized advice based on your eye health history and current condition.

- Follow-Up Care: If you experience any unusual symptoms after dilation, such as prolonged discomfort, significant changes in vision, or persistent light sensitivity, it is important to seek follow-up care promptly.

- Regular Eye Exams: Maintaining regular eye examinations is essential, especially for individuals with high prescriptions. These exams allow for monitoring of eye health and timely intervention if any issues arise.

In conclusion, while there are valid concerns regarding the use of dilating eye drops in individuals with high prescriptions, the procedure is generally safe when performed by a qualified professional. The temporary effects of dilation should not lead to permanent changes in prescription strength, and protective measures, such as wearing sunglasses, can mitigate light sensitivity. Always prioritize communication with your eye care provider to ensure the best outcomes for your eye health.

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