Atropine for Myopia Management

Atropine for Myopia Management in Olympia

What is Atropine Treatment for Nearsightedness in Children?

In addition to other available options for treating childhood myopia, one increasingly popular way to slow the progression is the use of low concentration atropine drops. Slowing the progression of the condition is critical, since it can lead to more serious ocular conditions in adults such as retinal detachment, cataracts, and glaucoma. Taking into account the rising rates of world-wide myopia, this represents a promising intervention to prevent serious complications.

And unlike other interventions, this is a non-invasive intervention without the side effects or complications that may arise with more invasive procedures. It is important to note that this is not a cure, but rather an intervention to preserve vision and stop progression of the disease. It is not without its concerns. Some parents are hesitant to use these treatments without more research, as are some optometrists who are reluctant to use these drops without comprehensive research. 

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Treatment of Children With Nearsightedness

Atropine treatment is relatively simple. Low dose eye drops are administered daily. Parents will need to ensure that they adhere to the treatment, particularly if they are the ones applying these drops for younger children. The efficacy of these treatments has strong support from research, and it seems to be based on its apparent reduction of correcting refractive error rather than affecting axial length elongation.

Much of the current debate centers around the specifics of the concentrations that are ideal for these drops, and offer the best corrective function without compromising safety. The American Optometric Association currently recommends a concentration of 0.05% solution based on current research to achieve the full efficacy without additional side effects.

Side effects are relatively minor and rare, and the research has shown no significant changes in an increase of pupil size. In addition to low concentration atropine for myopia, many children will still require the corrective measures of prescription glasses or contact lenses to achieve optimal vision improvement.

Nightly Application

Nightly Application

The treatment is relatively easy.  Night-time drops need to be applied daily to slow down myopic progression. The side effects of low dose drops are considered minimal. In rare cases, an optometrist may cease the treatment, if there are signs of infection, allergy, or other side effects that suggest a bad reaction.

Nightly Application

Myopia Vision Simulation

Common Questions

There is no cure. Research shows that they are an effective way to slow down the progression of myopia in children.
Although the exact mechanism and process remains unknown, the efficacy of the treatment of childhood myopia is based upon its apparent reduction of axial length.
This can refer to any number of interventions to slow progression of nearsightedness. Additional options include contact lenses and medical procedures.
In many instances, they aren't sufficient by themselves since they are primarily designed to slow down the progression. Additional interventions may include multifocal lenses, contacts lenses, etc.
The side effects are minimal, although there are always rare instances where a treatment will have an effect on someone. In such circumstances a cessation of atropine may be required. Speak with your optometrist to discuss the risks and to determine if it is a viable option.
Myopia is when the cornea, the front curvature of the eye, is too strong or the eyeball is too long, resulting for a person to see blurry far away. There are both genetic and environmental causes for myopia. In regards to family history, if both parents have myopia, there is a 50% chance the child will develop myopia. If one parent has myopia, there is a 33% chance the child will develop myopia. But even if neither parent has myopia there is a 25% chance the child will develop myopia. There are also environmental factors that can cause/be risk factors of myopia. For example if a person does excessive near work, spends more than 2 hours per day on digital devices, or spends less than 90 minutes a day outside, these can all increase the risk of developing myopia.
There are various myopia management treatment options available to slow down the progression of your myopia. These include ortho-keratology speciality hard lenses, speciality multifocal contact lenses, and atropine eye drops. Consult your eye doctor today to determine which treatment option is best for you.
As you grow, your eyeball grows longer resulting in your myopia to increase. However there are certain factors that can exacerbate the rate of your myopia progressing, some that are in your control and others that are not. There can be genetic factors that can increase your risk of developing higher levels of myopia, for instance if both of your parents are myopic this increases your risk of myopia. However, there can also be environmental factors as well. For instance, if you spend a prolonged period of time on digital devices (more than 2 hours per day) or do excessive near work in dim lighting, or spend very little time outdoors (less than 2 hours per day) this can all increase the rate of myopia progression. As your myopia progresses this places you at a higher risk of developing various sight-threatening ocular diseases, so be sure to consult your eye doctor today on various myopia management treatment options to help slow down the rate of your myopia progressing.
Yes. High myopia significantly increases your risk of getting various sight threatening ocular diseases, such as myopic maculopathy, retinal detachments and glaucoma. If you have 6.00D or more of myopia the risk of you getting myopic maculopathy increases by 40x whereas if you have low levels of myopia, like -2.00D, the risk of you getting myopic maculopathy is only 2x. Consult with your eye doctor about various myopia management treatment options.
Dr. Zurcher cartoon

Is Atropine a Viable Treatment for Childhood Myopia

Atropine has been shown to effectively slow down progressive myopia. This is critical, since severe instances can lead to more serious ocular conditions in adults. This is a non-invasive intervention with minimal risk of side effects or complications that may arise with other invasive procedures. While some optometrists and parents are hesitant to use these treatments without more research, many optometrists are impressed with the research and satisfied with the overall safety of its usage. Speak with your eye doctor to see if this is a viable option for your child as part of an overall treatment strategy.


Such a nice optician. My grandson is only 4 and needs glasses. We were so sad, but he explained the issues, and we will follow up as he suggested.

Anna P.

I had such a good experience with the clinic. Very friendly staff and doctor, did not have to wait for long to be called, and was treated respectfully. Thanks, American Family.

June S.

Dr. Zurcher has gone above and beyond what any other eye doctor has ever done to figure out what is going on with my eyes. Very happy with American Family Vision.

Christine R.

Family Vision Clinic changed our lives! My daughter was frequently car sick, and she was getting headaches every day, often painful enough that they brought her to tears. We saw a string of doctors and therapists, but we made no progress. Finally, we found Dr. Levi Zurcher and his eye therapist Rain. After ten weeks of eye therapy my daughter no longer gets headaches, and she no longer gets car sick. Daily tears are a thing of the past. I really can’t say enough about this clinic. It was fascinating to watch Dr. Zurcher work. For the first time, someone who knew what they were doing was intently studying my daughter, really trying to figure out all of her eye issues, and his therapist Rain is one of the most patient and lovely people that I’ve ever had the good fortune to meet. We’re finished with eye therapy—yay!—and I have switched to American Family Vision Clinic for all of my family’s other eye health needs.

Lars Wulff

Very professional, yet kind and helpful. They do what they can to make the appointment comfortable. I was running a bit late, I made sure ti call. They were able to switch me with a patient who was already there, they treated me with respect, and helped my son have confidence by getting him the eye care he needed that day. Thank you so much! Would recommend to anyone. It's a blessing that they care enough to work with people who have all different types of insurance from work to state coverage.

Justin E.

The staff is friendly. The Doc is very knowledgeable. The office is family friendly and everyone is so patient with the little ones.

Amy Fagerness
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