What is a cycloplegic that is ideal for office use due to its relatively weak effects?

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Tropicamide is considered ideal for office use because it has relatively weak cycloplegic (pupil-dilating) effects compared to other options like atropine. It is commonly used to facilitate eye examinations, such as refraction, because it achieves adequate dilation of the pupil without causing prolonged paralysis of accommodation, which is the ability of the eye to focus on near objects.

This makes tropicamide particularly convenient for ophthalmologists and optometrists, as patients can recover quickly from its effects, allowing them to return to normal activities shortly after the examination. In contrast, atropine, while a potent cycloplegic, has much stronger and longer-lasting effects, which can hinder a patient's ability to see clearly for a prolonged period. Phenylephrine is primarily a mydriatic agent (dilating the pupil) rather than a cycloplegic, and scopolamine is less commonly used in an office setting for this purpose. Thus, tropicamide is the preferred choice for quick procedures in an office environment.

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