We report the results of a randomised prospective trial of post-operat
ive cyclopentolate in patients who had uncomplicated endocapsular cata
ract extraction. We found no significant difference in visual acuity,
intraocular lens centration or pupil area achieved after dilatation wi
th tropicamide. There was a marked increase in the incidence of poster
ior synechiae in the group receiving cyclopentolate (33% vs. 13%).