The adjustment status of the human eye directly affects the detection of refractive status, and because children’s eyes are highly adjustable, they need to be dilated with ciliary muscle paralyzing drugs for optometry. Many parents find it troublesome, and they think it takes too long and come to the hospital too many times, hoping that they can get glasses on the same day they come to the hospital. This is a misconception among parents about strabismic amblyopia treatment or optometry. Children under 12 years old have very strong eye regulation, especially for hyperopic eyes, hyperopic children with internal strabismus, children having their first refractive examination, and hyperopic adults with visual fatigue symptoms, if they do not use a strong ciliary muscle paralyzing agent to dilate the pupil, the error in the prescription will be large. In contrast, children with adjustable internal strabismus need glasses with full-degree correction of hyperopia, and if the optometry results are not accurate, they will wear glasses with insufficient degrees. Therefore, the common clinical practice is 1%
Atropine gel or ophthalmic ointment, 3 times a day, 1 drop each time, for 3 days, and then come to the hospital on the 4th day for optometry; children with internal strabismus can be fitted with full-degree corrected farsighted glasses on the same day; those with exotropia or orthophoria need to come back to the hospital after 3 weeks when the pupil has returned to normal size to be fitted with a suitable pair of glasses. In order to reduce the flow of atropine into the nasal cavity and to absorb excessive poisoning, it is necessary to press the tear sac (inner corner of the eye) accurately for 5 to 10 minutes after each eye dose. If a child is too young to have a red face, dry mouth, or fever-like symptoms after the medication is ordered, parents should not panic, but stop the medication immediately and give the child plenty of water, which will quickly relieve the symptoms. If the child has an exotropia, and it is not the first dilated eye examination, and the refractive state is known to be myopic, you can consider using compound tropicamide drops for rapid dilated eye examination as appropriate, so that the child can come to the hospital the next day for reopening and prescription.