Prior topical anesthesia reduces time to full cycloplegia in Chinese

Jpn J Ophthalmol. 1999 Nov-Dec;43(6):466-71. doi: 10.1016/s0021-5155(99)00113-6.

Abstract

Purpose: To investigate the effect of prior anesthesia on the time to full cycloplegia in young Chinese subjects.

Methods: The amplitude of accommodation was monitored over a 50-minute interval after the application of 1% cyclopentolate hydrochloride with a pretreatment of 0.4% benoxinate (oxybuprocaine) or 0.9% saline solution (control). Using a nonlinear mathematical model, the rate of accommodative loss (k) and the time required for 95% of total cycloplegia (T95%) were determined.

Results: Statistical analysis revealed a significantly faster rate of accommodative loss (P < .0001) after prior anesthesia (0.129 +/- 0.05) compared with the controls (0.103 +/- 0.04). T95% was noted at 26.43 +/- 10.22 minutes after prior anesthesia, which was significantly shorter (P < .0001) than that after the saline treatment (35.28 +/- 16.51 minutes).

Conclusions: Prior application of topical anesthetic can shorten the time to full cycloplegia for people, such as the Chinese, with dark irides.

Publication types

  • Comparative Study

MeSH terms

  • Accommodation, Ocular / drug effects*
  • Accommodation, Ocular / genetics
  • Adult
  • Anesthesia, Local*
  • Anesthetics, Local / administration & dosage
  • Asian People
  • Cyclopentolate / administration & dosage*
  • Eye Color / genetics
  • Humans
  • Muscarinic Antagonists / administration & dosage*
  • Ophthalmic Solutions
  • Procaine / administration & dosage
  • Procaine / analogs & derivatives
  • Pupil / drug effects*
  • Time Factors

Substances

  • Anesthetics, Local
  • Muscarinic Antagonists
  • Ophthalmic Solutions
  • Procaine
  • benoxinate
  • Cyclopentolate