Effects of Cyclopentolate Hydrochloride Dosage on Anterior Segment Parameters in Young Adults (Measured with Pentacam)

Waleed M Alghamdi, Saif H Alrasheed, Vishakh Nair, Muhammed S Alluwimi Department of Optometry, College of Applied Medical Sciences, Qassim University, Buraydah, Saudi ArabiaCorrespondence: Saif H AlrasheedQassim Unversity, P.O. Box 1162, Buraydah, Saudi ArabiaTel +966505201475Fax +966-16-3800050Ema...

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Main Authors: Alghamdi WM, Alrasheed SH, Nair V, Alluwimi MS
Format: Article
Language:English
Published: Dove Medical Press 2021-03-01
Series:Clinical Ophthalmology
Subjects:
Online Access:https://www.dovepress.com/effects-of-cyclopentolate-hydrochloride-dosage-on-anterior-segment-par-peer-reviewed-article-OPTH
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author Alghamdi WM
Alrasheed SH
Nair V
Alluwimi MS
author_facet Alghamdi WM
Alrasheed SH
Nair V
Alluwimi MS
author_sort Alghamdi WM
collection DOAJ
description Waleed M Alghamdi, Saif H Alrasheed, Vishakh Nair, Muhammed S Alluwimi Department of Optometry, College of Applied Medical Sciences, Qassim University, Buraydah, Saudi ArabiaCorrespondence: Saif H AlrasheedQassim Unversity, P.O. Box 1162, Buraydah, Saudi ArabiaTel +966505201475Fax +966-16-3800050Email s.rasheed@qu.edu.saPurpose: To assess the effects of 0.5% and 1% cyclopentolate on the main parameters of the anterior segment (central corneal thickness (CCT), anterior chamber angle (ACA), depth (ACD) and volume (ACV)) in low/moderate myopia and hyperopia along with the effect on IOP.Patients and Methods: Both eyes of 30 subjects (15 myopic and 15 hyperopic) with mean age±standard deviation of 21.4± 3.6 years were enrolled. Each participant was administered two drops of cyclopentolate 1% in the right eye and two drops of cyclopentolate 0.5% in the left eye, 15 minutes apart. All participants underwent intraocular pressure (IOP) measurement using noncontact tonometry, and anterior chamber parameter measurement using Pentacam.Results: Following the use of 0.5% and 1% cyclopentolate among the hyperopic group, there was a statistically significant increase in ACD for 1% (pre 2.762± 0.28 mm and post 2.89± 0.25 mm) and 0.5% (pre 2.71± 0.28 and post 2.86± 0.27 mm) and ACV for 1% (pre 141.40± 20.59 mm3 and post 154.35± 19.69 mm3) and 0.5% (pre 137.40± 20.48 mm3 and post 152.93± 20.50 mm3). In contrast, ACA decreased with both doses 1% and 0.5%, but was not statistically significant (p for both > 0.05%). With 0.5% and 1% cyclopentolate among the myopia group, there was a significant increase in ACD following cyclopentolate 1% (pre 3.18± 0.22 mm and post 3.25± 0.21 mm) and 0.5% (pre 3.200± 0.22 mm and post 3.26± 0.05 mm), p˂0.05. The ACV was significantly increased following 1% cyclopentolate, p˂0.001. The ACA showed a statistically significant decrease following cyclopentolate 1%, P=0.01, but not a significant decrease after cyclopentolate 0.5%, P=0.170. There was a significant increase in the IOP after 1%, p˂0.001, while a decrease with 0.5%, p=0.008.Conclusion: A topical dosage of cyclopentolate 1% showed significant changes in ACA and ACV among the hyperopia and myopic groups compared to 0.5%. Therefore, it is important to consider the use of a 0.5% cyclopentolate dosage to minimize changes to anterior chamber parameters.Keywords: cycloplegic, anterior chamber angle, anterior chamber volume depth, central corneal thickness
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spelling doaj.art-740518946c14467bb0cebaa14775b2202022-12-21T20:31:06ZengDove Medical PressClinical Ophthalmology1177-54832021-03-01Volume 1589189862628Effects of Cyclopentolate Hydrochloride Dosage on Anterior Segment Parameters in Young Adults (Measured with Pentacam)Alghamdi WMAlrasheed SHNair VAlluwimi MSWaleed M Alghamdi, Saif H Alrasheed, Vishakh Nair, Muhammed S Alluwimi Department of Optometry, College of Applied Medical Sciences, Qassim University, Buraydah, Saudi ArabiaCorrespondence: Saif H AlrasheedQassim Unversity, P.O. Box 1162, Buraydah, Saudi ArabiaTel +966505201475Fax +966-16-3800050Email s.rasheed@qu.edu.saPurpose: To assess the effects of 0.5% and 1% cyclopentolate on the main parameters of the anterior segment (central corneal thickness (CCT), anterior chamber angle (ACA), depth (ACD) and volume (ACV)) in low/moderate myopia and hyperopia along with the effect on IOP.Patients and Methods: Both eyes of 30 subjects (15 myopic and 15 hyperopic) with mean age±standard deviation of 21.4± 3.6 years were enrolled. Each participant was administered two drops of cyclopentolate 1% in the right eye and two drops of cyclopentolate 0.5% in the left eye, 15 minutes apart. All participants underwent intraocular pressure (IOP) measurement using noncontact tonometry, and anterior chamber parameter measurement using Pentacam.Results: Following the use of 0.5% and 1% cyclopentolate among the hyperopic group, there was a statistically significant increase in ACD for 1% (pre 2.762± 0.28 mm and post 2.89± 0.25 mm) and 0.5% (pre 2.71± 0.28 and post 2.86± 0.27 mm) and ACV for 1% (pre 141.40± 20.59 mm3 and post 154.35± 19.69 mm3) and 0.5% (pre 137.40± 20.48 mm3 and post 152.93± 20.50 mm3). In contrast, ACA decreased with both doses 1% and 0.5%, but was not statistically significant (p for both > 0.05%). With 0.5% and 1% cyclopentolate among the myopia group, there was a significant increase in ACD following cyclopentolate 1% (pre 3.18± 0.22 mm and post 3.25± 0.21 mm) and 0.5% (pre 3.200± 0.22 mm and post 3.26± 0.05 mm), p˂0.05. The ACV was significantly increased following 1% cyclopentolate, p˂0.001. The ACA showed a statistically significant decrease following cyclopentolate 1%, P=0.01, but not a significant decrease after cyclopentolate 0.5%, P=0.170. There was a significant increase in the IOP after 1%, p˂0.001, while a decrease with 0.5%, p=0.008.Conclusion: A topical dosage of cyclopentolate 1% showed significant changes in ACA and ACV among the hyperopia and myopic groups compared to 0.5%. Therefore, it is important to consider the use of a 0.5% cyclopentolate dosage to minimize changes to anterior chamber parameters.Keywords: cycloplegic, anterior chamber angle, anterior chamber volume depth, central corneal thicknesshttps://www.dovepress.com/effects-of-cyclopentolate-hydrochloride-dosage-on-anterior-segment-par-peer-reviewed-article-OPTHcycloplegicanterior chamber angleanterior chamber volume depthcentral corneal thickness
spellingShingle Alghamdi WM
Alrasheed SH
Nair V
Alluwimi MS
Effects of Cyclopentolate Hydrochloride Dosage on Anterior Segment Parameters in Young Adults (Measured with Pentacam)
Clinical Ophthalmology
cycloplegic
anterior chamber angle
anterior chamber volume depth
central corneal thickness
title Effects of Cyclopentolate Hydrochloride Dosage on Anterior Segment Parameters in Young Adults (Measured with Pentacam)
title_full Effects of Cyclopentolate Hydrochloride Dosage on Anterior Segment Parameters in Young Adults (Measured with Pentacam)
title_fullStr Effects of Cyclopentolate Hydrochloride Dosage on Anterior Segment Parameters in Young Adults (Measured with Pentacam)
title_full_unstemmed Effects of Cyclopentolate Hydrochloride Dosage on Anterior Segment Parameters in Young Adults (Measured with Pentacam)
title_short Effects of Cyclopentolate Hydrochloride Dosage on Anterior Segment Parameters in Young Adults (Measured with Pentacam)
title_sort effects of cyclopentolate hydrochloride dosage on anterior segment parameters in young adults measured with pentacam
topic cycloplegic
anterior chamber angle
anterior chamber volume depth
central corneal thickness
url https://www.dovepress.com/effects-of-cyclopentolate-hydrochloride-dosage-on-anterior-segment-par-peer-reviewed-article-OPTH
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