Regarding vision examination?
Hello, Doctor: I would like to ask if it is better to use a dilating agent during an eye exam.
My prescription for both eyes is -2.50 to -2.75 with astigmatism of -1.25 and -1.00.
If my prescription decreases after using the dilating agent, can I request the doctor to prescribe dilating eye drops for the treatment of pseudomyopia? Thank you for your response.
Xiao Tai, 30~39 year old female. Ask Date: 2010/11/05
Dr. Wang Zhishun reply Ophthalmology
Hello, basically, mydriatic agents for myopia are used before the age of 20, and the treatment for pseudomyopia is also applicable before the age of 18 to 20.
After that, the eyeball has fully developed, and there should be no need for mydriatic agents.
Thank you!
Reply Date: 2010/11/05
More Info
When it comes to vision testing, the use of dilating drops, also known as cycloplegic agents, can be quite beneficial in certain situations. These drops temporarily paralyze the ciliary muscle of the eye, which is responsible for adjusting the lens for focusing on near objects. By doing so, they help to provide a more accurate measurement of refractive errors, particularly in individuals who may have a high degree of accommodation, such as children or those with pseudomyopia (false nearsightedness).
In your case, with your current prescription of -2.50 to -2.75 diopters with astigmatism, using dilating drops during an eye exam can help eliminate the influence of your eye's focusing ability on the test results. This is particularly important if you suspect that your vision may be affected by excessive accommodation, which can lead to a temporary increase in myopia. By relaxing the ciliary muscle, the drops allow the eye care professional to measure the true refractive error without the interference of accommodation.
However, it is essential to understand that dilating drops are not a treatment for pseudomyopia or any other refractive error; they are merely a tool to obtain a clearer picture of your vision needs. If your vision improves significantly after using the drops, it may indicate that your myopia is indeed influenced by excessive accommodation. In such cases, your eye doctor may recommend a treatment plan that could include corrective lenses, vision therapy, or other interventions to help manage your symptoms.
Regarding your question about whether you can request dilating drops for treatment, it is crucial to have a thorough discussion with your eye care provider. They will evaluate your specific situation, including your symptoms and any changes in your vision, to determine the best course of action. If they believe that your condition warrants the use of dilating drops for testing, they will provide them during your examination.
In terms of frequency, dilating drops are typically used during comprehensive eye exams, especially if there are concerns about refractive errors or other eye conditions. However, they are not used at every visit, as they can cause temporary side effects, such as light sensitivity and blurred vision, which can last for several hours.
In summary, using dilating drops during vision tests can provide more accurate results, especially if there is a concern about accommodation affecting your vision. If you believe that your symptoms may be related to pseudomyopia, discussing this with your eye care provider is essential. They can guide you on the appropriate use of dilating drops and any necessary treatment options to help manage your vision effectively. Always remember that your eye health is paramount, and regular check-ups with your eye care professional are crucial for maintaining optimal vision.
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