Question:medium
During retinoscopy of a 30 year old male, which cycloplegic is used routinely?
During retinoscopy of a 30 year old male, which cycloplegic is used routinely?
Show Hint
At 20 to 40 years the accommodative reserve is low, so routine cycloplegia is not needed.
Updated On: Jun 24, 2026
- Atropine 1% ointment
- Cyclopentolate 1% drop
- Homatropine 2% drop
- None of the above
Show Solution
The Correct Option is D
Solution and Explanation
Step 1: The question is essentially asking what is given to a healthy adult before retinoscopy. The key idea is matching the drug to the patient's age and accommodative power.
Step 2: A patient aged 30 falls in the 20 to 40 year bracket. By this age the lens has already begun to lose elasticity and accommodation is naturally reduced, so paralysing the ciliary muscle adds little value.
Step 3: Because routine cycloplegia is not required at this age, none of the specific agents listed (atropine ointment, cyclopentolate drop, homatropine drop) is the routine choice. Cycloplegics here are used only for selected indications such as suspected accommodative spasm or a discrepancy between objective and subjective findings.
Step 4: Thus, for routine retinoscopy in a 30 year old, no cycloplegic is needed.
\[\boxed{\text{None of the above}}\]
Step 2: A patient aged 30 falls in the 20 to 40 year bracket. By this age the lens has already begun to lose elasticity and accommodation is naturally reduced, so paralysing the ciliary muscle adds little value.
Step 3: Because routine cycloplegia is not required at this age, none of the specific agents listed (atropine ointment, cyclopentolate drop, homatropine drop) is the routine choice. Cycloplegics here are used only for selected indications such as suspected accommodative spasm or a discrepancy between objective and subjective findings.
Step 4: Thus, for routine retinoscopy in a 30 year old, no cycloplegic is needed.
\[\boxed{\text{None of the above}}\]
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