The purpose of this study was to investigate whether cyclo spray is better tolerated than cyclo drops and to assess the adequacy of cycloplegia achieved by spray for objective refraction. Cyclo drops were given to 72 children and cyclo spray to 77 children. The mean age was 4.4 years in the drop group and 4.6 years in the spray group. There was no reduction in distress for children aged over seven years; 16.9% did not have adequate cycloplegia with the spray and this was mainly due to dark irides.

A prospective comparison between cyclopentolate spray and drops in paediatric out-patients.
Syrimi M, Jones SM, Thompson GM, et al.
JOURNAL OF PEDIATRIC OPHTHALMOLOGY AND STRABISMUS
2013;50:290-5.
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Fiona Rowe (Prof)

Institute of Population Health, University of Liverpool, UK.

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