Should You Use Dilating Drops for Your Child's Vision Check?

Q: Should You Use Dilating Drops for Your Child's Vision Check?

Hello Ms. <br>Li： The purpose of using mydriatic agents in myopic patients is to prevent the progression of myopia or to slow down the rate of its increase. <br>The opinion of an optometry doctoral candidate in the United States against the use of mydriatic agents may be based on

What is the efficacy of mydriatic agents?

The child is 9 years old and has not had a vision check for about two years.
It was noticed that there are abnormalities in his vision, and upon examination at the hospital, he was found to be nearsighted with a prescription of -4.50 diopters.
The doctor prescribed a cycloplegic agent, but a vision science PhD who studied in the United States advised against using cycloplegics.
This has caused confusion about whether to use the cycloplegic agent or not.
Additionally, there are vision rehabilitation institutions available, but it is unclear how effective they are.
Is it advisable to try them?

Ms. Li, 30~39 year old female. Ask Date: 2000/11/16

Dr. Zhang Yuanze reply Ophthalmology

Hello Ms.
Li: The purpose of using mydriatic agents in myopic patients is to prevent the progression of myopia or to slow down the rate of its increase.
The opinion of an optometry doctoral candidate in the United States against the use of mydriatic agents may be based on concerns regarding the side effects of these agents themselves.
As for the vision rehabilitation centers available, I personally believe their effectiveness is limited, as myopia is a pathological change in the structure of the eyeball, and current medical practices still cannot provide the most comprehensive treatment.

Reply Date: 2000/11/16

More Info

When it comes to using dilating drops for your child's vision check, there are several important factors to consider. Dilating drops, such as tropicamide, are commonly used in pediatric eye examinations to widen the pupils. This allows the eye doctor to get a better view of the retina and other internal structures of the eye. Here’s a comprehensive overview of the benefits and considerations regarding the use of dilating drops, especially in children.

Benefits of Using Dilating Drops
1. Comprehensive Examination: Dilating the pupils enables the eye doctor to thoroughly examine the retina, optic nerve, and other internal structures. This is crucial for detecting any underlying issues such as retinal detachment, macular degeneration, or other ocular diseases that may not be visible without dilation.

2. Accurate Refraction: Dilation can help in obtaining a more accurate measurement of refractive errors, such as myopia (nearsightedness) or hyperopia (farsightedness). This is particularly important in children, as their eyes are still developing, and accurate prescriptions are essential for proper vision correction.

3. Early Detection of Problems: Regular eye exams with dilation can help in the early detection of conditions that may lead to vision loss if left untreated. This is especially important for children, as they may not always be able to articulate vision problems.

Considerations Against Using Dilating Drops
1. Potential Side Effects: Some children may experience temporary side effects from dilating drops, such as light sensitivity, blurred vision, and difficulty focusing. These effects usually wear off within a few hours but can be uncomfortable for the child during that time.

2. Previous Recommendations: If a healthcare professional, such as an optometrist or ophthalmologist, has advised against the use of dilating drops, it’s essential to consider their reasoning. They may have specific concerns based on your child's medical history or current eye condition.

3. Parental Concerns: As a parent, it’s natural to feel apprehensive about any medical procedure involving your child. Open communication with your eye care provider can help alleviate concerns and provide clarity on the necessity and safety of using dilating drops.

Vision Rehabilitation Programs
Regarding vision rehabilitation programs, these can vary widely in their approach and effectiveness. Some programs focus on exercises and activities designed to improve visual skills, while others may incorporate technology or specialized lenses. Here are a few points to consider:
1. Evidence-Based Practices: Before enrolling your child in a vision rehabilitation program, it’s crucial to research the program's methodology and effectiveness. Look for programs that are evidence-based and have positive reviews from other parents and professionals.

2. Consult with an Eye Care Professional: Discuss any vision rehabilitation program with your child's eye doctor. They can provide insights into whether such a program is appropriate for your child's specific needs and vision issues.

3. Realistic Expectations: While some children may benefit from vision therapy, it’s essential to have realistic expectations. Not all vision problems can be corrected through rehabilitation, and some may require corrective lenses or other interventions.

Conclusion
In summary, the decision to use dilating drops for your child's vision check should be made in consultation with a qualified eye care professional. They can assess the specific needs of your child and determine whether dilation is necessary for a comprehensive examination. Additionally, if you are considering vision rehabilitation programs, ensure that they are reputable and discuss them with your child's eye doctor to determine the best course of action. Ultimately, prioritizing your child's eye health through regular check-ups and appropriate interventions will help ensure their vision develops optimally.

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Is Dilating Eye Drops Necessary for Accurate Vision Testing?

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Dr. Wang Zhangji reply Ophthalmology
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Dr. Ke Meilan reply Ophthalmology
Hello! First question: Yes, it is still necessary. Second question: About six years old. Third question: It will not hinder. Fourth question: It is possible. Wishing you a speedy recovery!

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The 5-year-and-8-month-old girl has a vision test result of 0.7 in the left eye and 0.5 in the right eye. How should this be managed? Is the use of dilating drops effective? Which type of dilating drops is more effective? Does this indicate amblyopia or myopia? Thanks!

Dr. Huang Bozhen reply Ophthalmology
Generally, a visual acuity of 0.7 is considered normal for a five-year-old child. To determine if your child is nearsighted, an eye examination is necessary. If myopia is diagnosed, the most effective treatment is the use of atropine as a cycloplegic agent, which requires a docto...