These days refraction which comprises a major part of ophthalmology has under gone a major change. In past when we did not have autorefractor, photo refractor and even a streak retinoscope, after assessment of vision routinely, mydriatic in the form of 2 percent homatropine was put in eyes. Refraction was done by plane mirror and then after 24 hours PMT (Post Mydriatic Test) was done and glasses are prescribed these days.
We hardly put mydriatic drops except if we have a child of 4 to 6 years with squint or refraction who needs Examination Under Anaesthesia (EUA) we put mydriatic for 3 days and the modality of refraction is after visual assessment. We put the patient on autorefractor get the readings of both eyes and then we prescribe the glasses on these readings this has eliminated the use of mydriatic and we save a lot of time only when we need to see the fundus in detail in some…
