Comparison of 1% atropine and compound tropicamide in children with hyperopia by means of retinoscopy

Objective To compare the diagnositic therapeutic effects of 1% atropine eye ointment and compound tropicamide in the treatment of children with hyperopia by means of retinoscopy, and to assess the scope of application for compound tropicamide in juvenile hyperopia. Methods A total of 166 children with hyperopia (300 eyes) were examined with retinoscopy after using compound tropicamide and atropine eye ointment. Statistical analysis was performed by self-paired t test and SPSS12.0 statistics software. Results Twelve to 15 years old children with mild hyperopia showed no statistical difference (P ＞0.05) between the two kind of mydriatic. Twelve to 15 years old with moderate and high hyperopia and 4 years old and up group, 8years old and up group showed statistical difference (P＜0.05) between the two kind ofmydriatic. Conclusions Compound tropicamide is an ideal drug for mydriatic optometry in 12 to 15 years old children with mild hypermetropia. Nevertheless atropine is an effective cycloplegic agent for 4 years old and up group, 8 years old and up group, and 12 to 15 years old with moderate and high hyperopia. Compound tropicamide can be used when atropine can't be used to dilate the pupil for of hypermetropia children. But atropine must be used in the following conditions that pre-school children hyperopia and hyperopia with esotropia. Key words: Hyperopia;  Tropicamide;  Atropine