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Atropine for Myopia Control

A Topical Solution for Slowing Myopia Progression

Atropine is a prescription eye drop that has shown promising results in slowing the progression of myopia (nearsightedness) in children. It works by temporarily relaxing the eye’s focusing muscle, reducing the strain on the eyes during close-up work.

How Atropine Works

Atropine is an antimuscarinic agent that blocks the action of the neurotransmitter acetylcholine, which is responsible for contracting the ciliary muscle during accommodation (the process of focusing the eyes for near vision). By relaxing this muscle, atropine reduces the eye’s focusing effort, which is believed to be a contributing factor in myopia progression.

Efficacy and Dosage

Several studies have demonstrated the efficacy of low-dose atropine (0.01%) in slowing myopia progression in children. The higher the concentration, the greater the effect, but higher doses (e.g., 0.5% or 1%) are associated with more side effects, such as light sensitivity and reading difficulties. The recommended dosage for myopia control is typically one drop of 0.01% atropine in each eye, administered once daily before bedtime.

Advantages and Considerations:

  • Atropine is a well-tolerated and effective option for myopia control, especially in younger children.
  • It is a topical treatment, eliminating the need for contact lens wear or other invasive procedures.
  • Side effects are generally mild at the 0.01% concentration, but may include temporary pupil dilation, light sensitivity, and mild reading difficulties.
  • Treatment must be continued to maintain the myopia control effect, as the progression may rebound after discontinuation.

At Harbor Eyecare Center, our optometrists can evaluate your child's myopia and determine if atropine eye drops are a suitable treatment option. Regular monitoring and follow-up appointments are essential to ensure the treatment's effectiveness and safety.

Schedule an appointment at Harbor Eyecare Center to learn whether your child has myopia and what our doctors recommend for management.