Which medications in the drug class Cycloplegics/mydriatics are used in the treatment of Peripheral Anterior Synechia?

Updated: Mar 19, 2021
  • Author: Maria Hannah Pia U de Guzman, MD, DPBO, FPAO; Chief Editor: Hampton Roy, Sr, MD  more...
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Answer

Cycloplegics/mydriatics

Causes pupil dilation which may help break or prevent posterior synechiae formation. Causes relaxation of the ciliary muscle which can deepen the anterior chamber.

Atropine IV/IM (Atropisol, Atropair, Isopto)

Acts at parasympathetic sites in smooth muscle to block response of sphincter muscle of iris and muscle of ciliary body to acetylcholine, causing mydriasis and cycloplegia. Phenylephrine (2.5% or 10% solution) concurrently with atropine may prevent formation of synechiae by producing wide dilation of pupil.


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