{"id":20189,"date":"2021-12-12T15:55:30","date_gmt":"2021-12-12T15:55:30","guid":{"rendered":"https:\/\/www.optometrists.org\/?page_id=20189"},"modified":"2021-12-12T15:55:30","modified_gmt":"2021-12-12T15:55:30","slug":"cycloplegic-refraction-top-5-qas","status":"publish","type":"page","link":"https:\/\/www.optometrists.org\/childrens-vision\/guide-to-childrens-eye-exams\/cycloplegic-refraction-top-5-qas\/","title":{"rendered":"Cycloplegic Refraction: Top 5 Q&#038;As"},"content":{"rendered":"<h2><b>Here are answers to the most frequently asked questions about this eye test.\u00a0<\/b><\/h2>\n<p>Comprehensive<a href=\"https:\/\/www.optometrists.org\/childrens-vision\/guide-to-childrens-eye-exams\/\"> eye exams<\/a> are key to ensuring that your child has the vision they need for success in school and in life.<\/p>\n<p><i>But how do eye doctors know that they\u2019re seeing the whole picture and giving your child what they need to succeed?<\/i><\/p>\n<p><b>In a 2015 report entitled <\/b><b><i>The Impact of Myopia and High Myopia, <\/i><\/b><b>the World Health Organization recommended that children receive a cycloplegic refraction to help eye doctors fully evaluate their vision, detect potential issues early, and ensure accuracy of glasses and contact lens prescriptions.<\/b><\/p>\n<p><em>Not sure what a cycloplegic refraction is?<\/em>\u00a0<em>Learn more with our top 5 most frequently asked questions.<\/em><\/p>\n<h2><b>Q1: What is refraction?<\/b><\/h2>\n<p><b>A refraction is the part of the eye exam that evaluates your eyes for refractive errors, such as <a href=\"https:\/\/www.optometrists.org\/childrens-vision\/guide-to-pediatric-eye-conditions\/what-is-myopia\/\">nearsightedness<\/a>, <a href=\"https:\/\/www.optometrists.org\/childrens-vision\/guide-to-pediatric-eye-conditions\/what-is-long-sightedness\/\">farsightedness<\/a>, and <a href=\"https:\/\/www.optometrists.org\/childrens-vision\/guide-to-pediatric-eye-conditions\/what-is-astigmatism\/\">astigmatism<\/a>, to determine the extent of those errors, if present<\/b>.<\/p>\n<p>Your eye doctor will begin the test by using either retinoscopy or an auto-refractor \u2014 shining a light into the eyes to observe how the light bends as it travels through the<a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-health\/how-does-the-eye-work\/ocular-anatomy-the-front-of-the-eye\/\"> cornea and lens<\/a> to your <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-health\/how-does-the-eye-work\/eye-anatomy-the-back-of-the-eye\/\">retina<\/a>, at the back of the eye.<\/p>\n<p>This will give them an initial sense of whether there is a refractive error, and a rough estimate of the extent of that error.<\/p>\n<p>Your eye doctor will also conduct a standard refraction, using a trial frame or phoropter head and multiple choices of lenses, to achieve an exact measurement of your optical prescription.<\/p>\n<p>These tests are meant to help your eye doctor evaluate whether you have a refractive error and what optical prescription will be best to correct it.<\/p>\n<h2><b>Q2: What is a cycloplegic refraction?<\/b><\/h2>\n<p><b>A <a href=\"https:\/\/www.optometrists.org\/childrens-vision\/guide-to-childrens-eye-exams\/why-does-my-child-need-a-cycloplegic-refraction\/\">cycloplegic refraction<\/a> is a procedure in which the eye doctor uses eye drops to relax the eye muscles in charge of focusing.<\/b><\/p>\n<p>Cycloplegic eye drops will cause your <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-exams\/eye-exams\/dilating-eyes-faqs\/\">pupils to dilate<\/a>, and prevent you from over-focusing during your eye exam.<\/p>\n<p>Your eye doctor will have a wider view of the inside of your eyes, making it easier to detect signs of eye disease, such as <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/glaucoma-guide\/\">glaucoma<\/a> and <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/macular-degeneration-guide\/\">macular degeneration<\/a>.<\/p>\n<p>Your eye doctor will also be able to more easily determine the full extent of your vision, without the concern that results may be skewed by inadvertent over-focusing.<\/p>\n<h2><b>Q3: Why is a cycloplegic refraction important during children\u2019s eye exams?<\/b><\/h2>\n<p><b>A cycloplegic refraction stops the child from subconsciously over-focusing, allowing the eye doctor to reveal the child\u2019s correct optical prescription and identify <\/b><b>early signs of serious eye conditions, such as <a href=\"https:\/\/www.optometrists.org\/vision-therapy\/vision-therapy-for-lazy-eye\/amblyopia-lazy-eye\/\">lazy eye<\/a> or <a href=\"https:\/\/www.optometrists.org\/childrens-vision\/a-guide-to-eye-turns\/strabismus-crossed-eyes\/\">strabismus<\/a>.<\/b><\/p>\n<p><a href=\"https:\/\/www.optometrists.org\/childrens-vision\/guide-to-childrens-eye-exams\/\">Children\u2019s eye exams<\/a> can also be more difficult than <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-exams\/\">adult eye exams<\/a> for a number of reasons:<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Children often don\u2019t notice when they are having vision issues, so they rarely self-report symptoms.<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Even when children do realize they\u2019re having trouble seeing, they may not necessarily have the verbal skills to communicate exactly what they are experiencing.<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">During refraction, children are often concerned with \u2018getting a good score\u2019 on the vision test, making them more likely to over-focus subconsciously. This can skew results and hide the full extent of their visual problems.<\/li>\n<\/ul>\n<p><b>SEE RELATED: <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-exams\/\"><\/a><\/b><a href=\"https:\/\/www.optometrists.org\/childrens-vision\/guide-to-childrens-eye-exams\/why-does-my-child-need-a-cycloplegic-refraction\/\">Why Does My Child Need a Cycloplegic Refraction?<\/a><\/p>\n<p><strong><a href=\"https:\/\/www.optometrists.org\/practice-search\/\">Schedule an appointment with an eye doctor<\/a> to see if your child can benefit from a cycloplegic refraction.<\/strong><\/p>\n\n\t<div class=\"practice-search-widget\">\n\t\t<h3>Find an eye doctor for children near you<\/h3>\n\t\t\n\t<form class=\"practice-search-form practice-search-form-widget\" action=\"https:\/\/www.optometrists.org\/practice-search\/results\/\" method=\"get\">\n\n\t\t<input type=\"hidden\" name=\"distance\" value=\"100\" class=\"practice-search-distance\">\n\t\t<input type=\"hidden\" name=\"page\" class=\"practice-search-page\">\n\t\t<input type=\"hidden\" name=\"address_latitude\"><input type=\"hidden\" name=\"address_longitude\">\n\n\t\t<input type=\"text\" name=\"address\" class=\"practice-search-address\" placeholder=\"City, Surburb or Address\" value=\"\">\n\n\t\t\n\t\t\t<input type=\"hidden\" name=\"distance\" value=\"100\" class=\"practice-search-distance\">\n\n\t\t\n\n\t\t<button type=\"submit\" class=\"practice-search-button\">\n\t\t\t\t\t\t\t\t\t<svg width=\"19\" height=\"19\" viewBox=\"0 0 19 19\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M10.6796 0.130005C9.15708 0.130059 7.66615 0.5646 6.38198 1.38258C5.09781 2.20057 4.07373 3.36803 3.43004 4.74783C2.78634 6.12763 2.54976 7.66246 2.74808 9.17205C2.9464 10.6816 3.57139 12.1033 4.54964 13.27L0.729639 17.08C0.6364 17.1732 0.562439 17.2839 0.511979 17.4058C0.461519 17.5276 0.435547 17.6581 0.435547 17.79C0.435547 17.9219 0.461519 18.0524 0.511979 18.1743C0.562439 18.2961 0.6364 18.4068 0.729639 18.5C0.917942 18.6883 1.17334 18.7941 1.43964 18.7941C1.5715 18.7941 1.70207 18.7681 1.82389 18.7177C1.94571 18.6672 2.0564 18.5932 2.14964 18.5L5.99964 14.62C7.35406 15.6038 8.98566 16.1324 10.6596 16.13C12.7814 16.13 14.8162 15.2871 16.3165 13.7869C17.8168 12.2866 18.6596 10.2517 18.6596 8.13C18.6596 6.00827 17.8168 3.97344 16.3165 2.47315C14.8162 0.97286 12.7814 0.130005 10.6596 0.130005H10.6796ZM10.6796 14.13C9.49295 14.13 8.33291 13.7781 7.34622 13.1188C6.35952 12.4595 5.59049 11.5225 5.13636 10.4261C4.68224 9.32975 4.56342 8.12335 4.79493 6.95946C5.02644 5.79558 5.59788 4.72648 6.437 3.88736C7.27611 3.04825 8.34521 2.4768 9.5091 2.24529C10.673 2.01378 11.8794 2.1326 12.9757 2.58673C14.0721 3.04085 15.0092 3.80989 15.6685 4.79658C16.3277 5.78328 16.6796 6.94332 16.6796 8.13C16.6796 9.7213 16.0475 11.2474 14.9223 12.3726C13.7971 13.4979 12.2709 14.13 10.6796 14.13Z\" fill=\"#fff\"\/><\/svg>\n\t\t\t\t\t<\/button>\n\n\t\t<button type=\"button\" class=\"practice-search-use-my-location\">\n\t\t\tSearch near me\n\t\t<\/button>\n\n\n\t<\/form>\n\n\n\n\t\t<\/div>\n\n\t\n<h2><b>Q4: What happens if the results of my child\u2019s eye exam are wrong?<\/b><\/h2>\n<p>During eye exams, children may subconsciously over-focus to be able to see better. This may cause the results of refractions and other tests during the eye exam to be inaccurate.<\/p>\n<p><strong>Without a cycloplegic refraction, an eye doctor may accidentally prescribe glasses or <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/optical\/guide-to-contact-lenses\/\">contact lenses<\/a> that do not fully correct the child&#8217;s visual problem.<\/strong><\/p>\n<p>This can cause frustration in all areas of a child\u2019s life, including in school and in extracurricular activities.<\/p>\n<p>In the long-term, inaccurate test results may prevent detection of serious eye problems, such as lazy eye (amblyopia) or eye turns (strabismus).<\/p>\n<p>If these problems remain undetected and untreated, it can ultimately lead to life-long vision issues, including partial or complete blindness in one eye.<\/p>\n<h2><b>Q5: Are there side effects from cycloplegic eye drops?<\/b><\/h2>\n<p>There are no long-term side effects from <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/dry-eye\/guide-to-eye-drops\/\">cycloplegic eye drops<\/a>. However, due to the fact that the eye drops cause the focusing muscles to relax, patients will experience blurry near-vision, such as when reading or using a digital device.<\/p>\n<p>The drops may also cause a stinging sensation for the first few minutes, and sensitivity to light until the drops wear off.<\/p>\n<p>Symptoms usually dissipate within 2 to 8 hours, though in some cases, may persist for up to 24 hours.<\/p>\n<p>Your eye doctor will discuss the importance of these drops, what to be aware of, and how to best manage in the hours afterwards.<\/p>\n<p><b>LEARN MORE: <a href=\"https:\/\/www.optometrists.org\/childrens-vision\/guide-to-childrens-eye-exams\/\">Guide to Children&#8217;s Eye Exams<\/a><\/b><\/p>\n<p><b>Your child might need a cycloplegic refraction to reveal the most accurate optical prescription and prevent a lazy eye, <a href=\"https:\/\/www.optometrists.org\/practice-search\/\">schedule an appointment with an eye doctor near you.<\/a><\/b><\/p>\n<p><i>Not sure why your child needs a cycloplegic refraction?\u00a0<\/i><\/p>\n<p><i>Learn more with these top 5 most frequently asked questions.<\/i><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Here are answers to the most frequently asked questions about this eye test.\u00a0 Comprehensive eye exams are key to ensuring that your child has the<\/p>\n","protected":false},"author":1206,"featured_media":20191,"parent":12318,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template-article.php","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-20189","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.9 - 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