A prospective study to assess the variation between cycloplegic acceptance and post mydriatic test in patients

  • Unique Paper ID: 193822
  • Volume: 12
  • Issue: 10
  • PageNo: 2047-2069
  • Abstract:
  • Introduction: The pediatric eye exam must include cycloplegic refraction. After cycloplegic refraction, older children have a post-mydriatic test (PMT) to subjectively refine the refraction. Aim: Accuracy of the subjective refraction performed soon after cycloplegic refraction, termed cyclo-acceptance, was compared with the PMT. Methodology: Prospective: Indira Gandhi Eye Hospital & Research Centre, Gurugram, India. Patients ages up to 40 years, with no binocular anomalies, retinal and corneal anomalies. Results: Four hundred and eighteen eyes of 209 subjects were analyzed. The average of sphere after cycloacceptance were compared with the average of sphere at PMT in different age groups. The difference was found to be statistically significant by Wilcoxon signed rank test and paired t-test in emmetropic and hyperopic patients. The difference in sphere was not significant only in myopia of all degrees. Discussion: The difference between hyperopes and myopes may be explained by variations in accommodative state. Conclusion: PMT may be considered in hyperopes since there was low agreement between cycloplegic acceptance PMT.

Copyright & License

Copyright © 2026 Authors retain the copyright of this article. This article is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

BibTeX

@article{193822,
        author = {Pramod Kumar and Aalia Abdullah and Ayush kumar and Dr.Mohd.Zeeshan},
        title = {A prospective study to assess the variation between cycloplegic acceptance and post mydriatic test in patients},
        journal = {International Journal of Innovative Research in Technology},
        year = {2026},
        volume = {12},
        number = {10},
        pages = {2047-2069},
        issn = {2349-6002},
        url = {https://ijirt.org/article?manuscript=193822},
        abstract = {Introduction: The pediatric eye exam must include cycloplegic refraction. After cycloplegic refraction, older children have a post-mydriatic test (PMT) to subjectively refine the refraction. Aim: Accuracy of the subjective refraction performed soon after cycloplegic refraction, termed cyclo-acceptance, was compared with the PMT. Methodology: Prospective: Indira Gandhi Eye Hospital & Research Centre, Gurugram, India. Patients ages up to 40 years, with no binocular anomalies, retinal and corneal anomalies. Results: Four hundred and eighteen eyes of 209 subjects were analyzed. The average of sphere after cycloacceptance were compared with the average of sphere at PMT in different age groups. The difference was found to be statistically significant by Wilcoxon signed rank test and paired t-test in emmetropic and hyperopic patients. The difference in sphere was not significant only in myopia of all degrees. 
Discussion: The difference between hyperopes and myopes may be explained by variations in accommodative state. 
Conclusion: PMT may be considered in hyperopes since there was low agreement between cycloplegic acceptance PMT.},
        keywords = {cycloplegic refraction, post-mydriatic test, myopic, hyperopic, emmetropic},
        month = {March},
        }

Cite This Article

Kumar, P., & Abdullah, A., & kumar, A., & Dr.Mohd.Zeeshan, (2026). A prospective study to assess the variation between cycloplegic acceptance and post mydriatic test in patients. International Journal of Innovative Research in Technology (IJIRT), 12(10), 2047–2069.

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