Parent consultation
"During a physical examination last year, the child was diagnosed with 75 degrees of myopia. I originally wanted to use orthodontic tablets, but the people around me said it was not necessary, so we kept dragging it... It's already 150 degrees just checked. Do you want to see if we are fit to use that 'miracle medicine'?"
After taking the examination results of 10-year-old Huanhuan, Huanhuan's mother came to the deputy chief physician Yu Jie of Zhejiang Provincial People's Hospital-Eye Center for consultation.
This morning, many parents brought their children to the ophthalmology center of Zhejiang Provincial People's Hospital for consultation, and they all mentioned this "miracle drug". Deputy Chief Physician Yu Jie said: "Don't mythologize this medicine. It can properly control and delay the progression of myopia, it is not a treatment for myopia, and it will not be effective for every child. ”
The low-concentration atropine of "myopia eye drops" that has been widely spread in the parent circle has been listed in China by the batch number of "National Medicine Quasi-word". Recently, the first batch of launches in Zhejiang Provincial People's Hospital.
Deputy Chief Physician Yu Jie recalled a case he visited. 8-year-old Guoguo's myopia has exceeded 300 degrees, and she used to wear OK glasses to correct it, but the control effect is not ideal. Considering that Guoguo is about to enter puberty, there is a genetic history of high myopia in the family. On the basis of OK lens correction and low-concentration atropine, regular monitoring found that the progression of myopia in Guoguo was slowed down. "For Guoguo, OK mirror plus atropine has a 1+1>2 effect. However, some children wear OK glasses, and the effect is well controlled, so there is no need to use eye drops. ”
The "miracle drug" low-concentration atropine is spread on the Internet,
Can myopia be treated, and who is it suitable for?
Yu Jie, deputy chief physician of the Ophthalmology Center of Zhejiang Provincial People's Hospital, gave an authoritative answer.
What is low-concentration atropine?
0.01% atropine eye drops not only have a certain effect of delaying myopia, but also have less adverse reactions and a slight rebound effect after stopping the drug. So far, atropine eye drops are still the only drug that has been proven to be effective in delaying the progression of myopia.
Can low concentrations of atropine treat myopia?
No, it can only delay the progression of myopia. There are individual differences in efficacy, and some children still have rapid myopia progression after medication. For these children, we recommend using other myopia prevention and control methods, such as defocus glasses, OK lenses, etc.
Can low concentrations of atropine prevent myopia?
In children and adolescents who are not nearsighted, the use of this drug should be considered with caution. There is no family history of high myopia in the family, and the myopia of children has not grown fast in the past year, so it is not recommended to use it for prevention. Parents should keep in mind that after the child's growth and development are faster, the degree of myopia will be accelerated, and then consider using it.
How to choose low-concentration atropine, defocus frame lens, OK lens, etc.?
They are not a relationship of choice. For children who are already nearsighted, it is recommended to wear glasses for refractive correction first. If the defocus frame mirror and OK mirror are well controlled, there is no need for superposition. If the control is not good, consider whether to add low-concentration atropine.
Who is suitable for low-concentration atropine?
1) Age 4~16 years old (for children less than 6 years old, medication requires stricter monitoring and follow-up);
2) Children and adolescents with rapid myopia progression (power growth of more than 50 degrees/year; annual axial growth of more than 0.3mm), or other myopia prevention and control methods, and the power growth is still relatively fast.
It should be noted that ⚠️ the indications of different brands of low-concentration atropine are different, please refer to the drug label for details
How to use your eyes scientifically to prevent myopia?
A: Exercising outdoors for 2 hours a day can greatly reduce the incidence of myopia;
When writing homework, the desk lamp should be located on the opposite side of the writing hand to ensure that there will be no shadow in front of it. At the same time, the headlights of the room are turned on, and the lighting environment of dual light sources will be more comfortable.
When using electronic products, try to choose far, large, and clear, such as TVs and projectors, which are better than near, small, and unclear, and it is not recommended to use mobile phones and pads for children.
Correspondent: Shi Jun
Reporter: Wang Xin
Review: Editor-in-Chief Yu Yang