Excuse me, my vision decreases dramatically after I look at the fundus with dilated pupils

When I was examined at the optician due to vision loss, the waiter at the optician told me that it was astigmatism. On the afternoon of June 13th, I checked at Nanjing Yining Eye Center, first checked what mydriatic drops were taken after the intraocular pressure was normal, and then I looked at the fundus, and there was nothing abnormal (I was also asked to do fundus fluorescence contrast was rejected by me, and later I learned that this is a private ophthalmology) After dropping this eye drop, it hurts, especially the loss of vision in the past few days is dry and swollen eyes! Teachers, why is this happening?

Whether your vision loss is sudden or gradual, no matter what the nature of the optician, the optical store should not be the right place for you to see a doctor, as for the private hospital should be no problem, he can do imaging to explain that the equipment is relatively complete, it should still be a more powerful hospital, but in the case of what you said, you should receive an ophthalmological examination, whether you need fundus imaging, that is based on your medical history, vision examination, optometry and other comprehensive decisions.

But the choice of this type of hospital depends on your ophthalmology situation, but as far as you said, after dropping this eye drop, your vision has deteriorated badly in the past few days, especially dry and swollen eyes! In this case, you should go to the eye hospital to see, first of all; Drip dilated eye medicine "In the case of normal intraocular pressure, the anterior chamber is not shallow, it will not cause progressive aggravation of vision, and the second eye is swollen", although astigmatism can cause vision loss, but he has a certain regularity, in summary, it is recommended that you find a general hospital that you can trust, follow the doctor's advice, check the check, and then there are private hospitals and public benefit hospitals The purpose is the same, the same treatment and saving people, when appropriate, you should take off your colored glasses, don't look at people through glasses, prevention is okay, but discrimination is harmful to yourself, He who delays his illness is to suffer. Good luck with a speedy recovery.

Whether your vision loss is sudden or gradual, and the increase in power after the dilation of your pupils recovers, is a state of high eye fatigue. The application of drugs to relieve eye fatigue, such as tobicaan eye drops before bedtime, to relieve eye fatigue and reduce myopia, glasses should be based on the minimum power after pupil dilation, the principle of myopia eye glasses is the minimum power, the best vision.

Founded in 1988, Meiermu is the teaching base of Peking University Health Science Center, a member of the World Ophthalmology Association, a designated specialized hospital for medical insurance in Beijing, a key discipline in Haidian District, a designated hospital for NCMS in Haidian District, Beijing, a cooperative unit of the Beijing Red Cross Society, a designated hospital for the "Beijing Red Cross Bright Action", a public welfare partner of the Lions Club of China, and a designated hospital for cataract surgery of the Lions Club of China.

In the past 30 years, Meiermu has given full play to the advantages of private group hospitals, attracting a large number of well-known domestic experts from colleagues, Xiehe, 301, People's Hospital and so on.

Form an authoritative medical team. The annual outpatient volume exceeds 300,000 person-times, and more than 80,000 cases of various surgeries, and nearly 10,000 patients with incurable diseases transferred from Beijing, Guangdong, Sichuan, Tianjin and other places are accepted every year.

The child's vision does deteriorate after the pupil is dilated, because it relaxes the child's eyes to ensure that the refraction is more accurate later. The essence of dilated refraction is to relax the fatigue caused by excessive tension of the eye muscles for a long time, so as to obtain the true refractive state of the eye. Dilated refraction is performed when the ciliary muscle of the eye is completely paralyzed by drugs and loses its regulatory effect.

When adolescents have vision loss or unstable vision, and suspect whether there is pseudomyopia, they should dilate their pupils to refraction and rule them out.

12 45-year-old patients with refractive error, in principle, should dilate the pupil for the first time, and when the second lens is changed, if the refractive power does not change much and the astigmatism is not obvious, the small pupil can be added or subtracted according to the power of the original lens.

What happens when my child's vision decreases after dilated pupils? What causes vision loss after a child's pupils are dilated? Let me tell you the reasons for the loss of vision after the child's pupils are dilated!

Causes of vision loss after a child's pupils are dilated

Children optometry generally need to dilate the pupils, because children's ability to adjust is very strong, need to rely on dilated pupils to remove the ability to adjust to obtain real refraction results, after dilation due to the dilated pupils will cause blurred vision, this is a normal phenomenon, wearing a small hole glass can improve vision.

2.If you do not interfere with your activities, you can do without glasses.

3.Outdoor activities are a protective factor for the development of myopia, and participating in more outdoor activities and reducing near eye use can delay the development of myopia.

People who must have dilated pupils

1) Children under the age of 15, because their eye accommodation is very strong, and the younger the age, the stronger the adjustment, if the accommodation is not paralyzed, the refraction result error is very large, so the pupils must be dilated.

2) For more complex refractive errors, such as myopic astigmatism with relatively high degree, mixed astigmatism, high myopia, high astigmatism, etc., dilated refraction is more accurate, such as non-dilated pupil error.

3) In some diagnostic optometry, the fundus and refraction are normal, but the visual acuity is poor, and it is necessary to use refraction means to rule out refractive error, and dilated pupil refraction is required.

4) After refraction of small pupils, if the vision correction is not good or there is refractive interstitial opacity, dilated pupil refraction should be performed.

5) Adolescents with vision loss or unstable vision (vision will be good and bad for a while), and should dilate the pupil for refraction.

As far as I know, mydriasis in children is a more routine examination and method of ophthalmology, usually using cycloplegic agents to dilate the pupils, so after dilating the pupils, there will be photophobia, decreased vision, blurring and other conditions. There are two types of cycloplegic agents:

Clause. 1. Long-acting mydriatic agents, such as atropine sulfate ophthalmic gel, the duration of drug mydriatic is generally about 3 weeks. So the above symptoms will persist for 3 weeks. It is advisable to avoid going out as much as possible, and if you do need to go out, you can wear sunglasses.

Clause. 2. Short-acting mydriatic drugs, such as compound topiramide eye drops, the duration of the drug is generally short-lived, about 6h-8h, and the vision generally returns to normal after 8h.

If you want to ** the condition of vision loss after mydriasis in children, you can go to Meiermu Hospital for consultation, Beijing Meiermu Hospital has been rated as the "Teaching Base of Peking University Health Science Center", which further promotes the beneficial innovation and exploration of social capital to participate in medical clinical education. In the face of the academic reading meeting held by ophthalmologists across the country, the participating doctors brought cases to the stage to solve, and the ophthalmology reading experts answered questions, and this open academic form was unanimously praised by the doctors.

The increase and decrease in visual acuity after mydriasis are not necessarily. The purpose of mydriasis is to numb the adjustment ability of the ciliary muscles of the eye through the potion, so that the eye can return to an unadjusted state. Without the adjustment of the ciliary muscle, the vision of the eye is your real vision.

Pupil dilation is generally used in children and adolescents whose eyes are not yet mature, and does not have much significance for adult myopia, but it can be used in refraction of farsighted eyes.

Hello, don't worry about this, the child's vision will indeed be blurry and decreased after the pupil is dilated, because it relaxes the child's eyes to ensure that the refraction is more accurate later. A similar situation occurs in adults using this drug. However, the drugs are time-sensitive, which means that after a while, the child's vision will begin to normalize.

According to the description of your condition, it may be due to the child's lack of outdoor exercise, improper eye posture, overuse of the eye, etc. It is recommended that the use of rapid upper pupil dilation will have a great impact on myopia, and the interference to distance vision is generally not very large, but some children will also have some interference, which is normal. It takes about 6 to 10 hours to recover.

What should I do if my child's unaided vision decreases compared to the previous one after the pupils are dilated.

Dilated eye refraction, in fact, is called "cycloplegic refraction" in medical jargon. It refers to the infusion of cycloplegic eye drops to relax the patient's eye accommodations before refraction, followed by retinography or computerized refraction.

The purpose of dilated refraction is not to "dilate the pupils" (this phenomenon is only a manifestation of the process), but to fully paralyze the ciliary muscle in the eye through drugs, eliminate the adjustment caused by the contraction of the ciliary muscle, and eliminate the influence of excessive adjustment on the refraction results, so as to accurately determine the nature and degree of the true refractive state of the eye, and obtain correct and reliable results.

Epidemiological surveys have shown that the younger age is, the higher the incidence and severity of ocular functional accommodative spasms. This is why dilated refraction is done for children who have a refractive examination for the first time. Through dilated refraction, it will be found that the refractive state of the eyes of patients with low myopia who has not been dilated may become normal.

This part of myopia patients is actually pseudomyopia - a temporary and reversible myopia phenomenon.

Hello, for your question explained as follows:

1. Atropine is generally three times a day, but it also depends on the habits of the hospital.

2. From the last day of the sedan key medicine, it is not advisable to do close-up eye work within three weeks, one of which is to see clearly during the dilation of the pupils, and the other is that forced eye use may cause accommodative spasm.

3. The vision loss caused by myopia is generally related to poor eye habits and genetic factors, and the vision loss caused by farsightedness and astigmatism is related to congenital development.

Baoding Maternal and Child Health Hospital Zhao Po.

When dispensing glasses, the glasses will be smaller than the real prescription, which will protect the child's eyes and make the child's eye prescription slower, so the prescription written by the optometrist on the medical record is less than the value on the computer.

Analysis: Visual acuity will be temporarily reduced after pupil dilation.

Guidance: Because mydriatic drugs will cause numbness and paralysis of the ciliary muscle in the eye, it can not be well contractional and adjusted when looking at close objects, resulting in blurred vision symptoms when reading books and other near-silver such as distance eyes. However, it is only temporary, and if it is a rapid mydriatic drug, it will take about 6-8 hours for the vision to return to its original state.