• Mydriasis induction:
    • 1-2 gtt in eye(s)
    • Repeat in 5 min and perform exam within 30 min of second instillation
  • Cycloplegic refraction:
    • 1-2 gtt in eyes 15-20 min before exam
    • May repeat every 30minutes PRN

Eye drops: 0.1% w/w

  • Heavily pigmented irises may require higher doses

Cycloplegic

It blocks acetylcholine resulting in relaxation of cholinergically innervated iris sphincter muscle. Adrenergic innervation to radial muscle is therefore unopposed and pupil becomes dilated.

  • Transient ocular stinging
  • Blurred vision
  • Photophobia
  • Superficial punctate keratitis
  • Increased IOP
  • Xerostomia
  • Tachycardia
  • Headache
  • Hypersensitivity reaction
  • Nausea
  • Vomiting
  • Pallor
  • Hypersensitivity to components
  • Known or suspected angle-closure glaucoma
  • Presence of a shallow anterior chamber unless gonioscopic observation of the chamber angle is possible

None restricted

                          Drug Status

Availability Prescription only
Pregnancy Category C; Weigh risk vs benefit
Breastfeeding Not recommended
Schedule Not controlled
BRAND NAME STRENGTH FORMULATION PACK SIZE MANUFACTURER DISTRIBUTOR
Mydriacyl 1% w/v Eye Drops 15mL Alcon Labs Pan Pharma