Short-term effect of 0.01% atropine sulphate eye gel on myopia progression in children

AIM: To investigate the effect of 0.01% atropine sulphate eye gel on myopia progression and axial elongation in a 6-month treatment in children. METHODS: Totally 185 children aged 6-12y with binocular myopia of 3.0 D or less in both eyes were enrolled in this prospective cohort study. The atropine g...

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Main Authors: Shi-Yin Pan, Yang-Zheng Wang, Jun Li, Xue-Hui Zhang, Jin Wang, Xiu-Ping Zhu, Xiang-Hua Xiao, Jun-Tian Liu
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2022-07-01
Series:International Journal of Ophthalmology
Subjects:
Online Access:http://ies.ijo.cn/en_publish/2022/7/20220712.pdf
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author Shi-Yin Pan
Yang-Zheng Wang
Jun Li
Xue-Hui Zhang
Jin Wang
Xiu-Ping Zhu
Xiang-Hua Xiao
Jun-Tian Liu
author_facet Shi-Yin Pan
Yang-Zheng Wang
Jun Li
Xue-Hui Zhang
Jin Wang
Xiu-Ping Zhu
Xiang-Hua Xiao
Jun-Tian Liu
author_sort Shi-Yin Pan
collection DOAJ
description AIM: To investigate the effect of 0.01% atropine sulphate eye gel on myopia progression and axial elongation in a 6-month treatment in children. METHODS: Totally 185 children aged 6-12y with binocular myopia of 3.0 D or less in both eyes were enrolled in this prospective cohort study. The atropine group (n=125) received one drop of 0.01% atropine sulphate eye gel in each eye before bedtime daily. The control group included 60 matched children without drug intervention during the same period. The spherical equivalent and axial length was recorded at baseline and the sixth month of treatment. The efficacy was evaluated by the change of the spherical equivalent and axial length. Adverse events were also recorded. RESULTS: The average spherical equivalent and axial length at baseline were not statistically significant between the atropine group (-1.64±0.80 D, 24.13±0.76 mm) and the control group (-1.59±0.94 D, 24.06±0.77 mm, P>0.05). After 6mo, there was significantly difference in the spherical equivalent progression between the atropine and the control group (-0.27±0.33 vs -0.60±0.35 D, P<0.001), with a relative reduction of 55.0% in myopia progression. The increase in axial elongation in the atropine group was significantly less than control group (0.19±0.14 vs 0.26±0.14 mm, P<0.001), with a relative reduction of 26.9% in axial length. The 84.4% and 38.4% of the eyes progressed by less than 0.50 D and remained stable in the atropine group, compared with 51.7% and 4.2% in the control group. No adverse events were observed. CONCLUSION: Atropine sulphate eye gel 0.01% can slow down myopia progression and axial elongation in children with a 6-month treatment.
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spelling doaj.art-5fc32e6e7b1c49759c140dfdd0fd6f3b2022-12-22T00:33:24ZengPress of International Journal of Ophthalmology (IJO PRESS)International Journal of Ophthalmology2222-39592227-48982022-07-011571122112710.18240/ijo.2022.07.1220220712Short-term effect of 0.01% atropine sulphate eye gel on myopia progression in childrenShi-Yin Pan0Yang-Zheng Wang1Jun Li2Xue-Hui Zhang3Jin Wang4Xiu-Ping Zhu5Xiang-Hua Xiao6Jun-Tian Liu7Xiang-Hua Xiao. Research for Ophthalmology Diseases of Shaanxi Province, Xi'an First Hospital; Shaanxi Key Laboratory of Ophthalmology, Shaanxi institute of Ophthalmology, Xi'an 710002, Shaanxi Province, China. xianghuaxiao@yeah.net. Jun-Tian Liu. Department of Pharmacology, School of Basic Medical Sciences, Xi'an Jiaotong University Health Science Center, Xi'an 710061, Shaanxi Province, China. ljt@mail.xjtu.edu.cnShaanxi Provincial Clinical Research Center for Ophthalmology, Xi'an First Hospital, Xi'an 710002, Shaanxi Province, China; Shaanxi Key Laboratory of Ophthalmology, Shaanxi Institute of Ophthalmology, Xi'an 710002, Shaanxi Province, ChinaShaanxi Provincial Clinical Research Center for Ophthalmology, Xi'an First Hospital, Xi'an 710002, Shaanxi Province, China; Shaanxi Key Laboratory of Ophthalmology, Shaanxi Institute of Ophthalmology, Xi'an 710002, Shaanxi Province, ChinaShaanxi Provincial Clinical Research Center for Ophthalmology, Xi'an First Hospital, Xi'an 710002, Shaanxi Province, ChinaShaanxi Provincial Clinical Research Center for Ophthalmology, Xi'an First Hospital, Xi'an 710002, Shaanxi Province, ChinaShaanxi Provincial Clinical Research Center for Ophthalmology, Xi'an First Hospital, Xi'an 710002, Shaanxi Province, China; Shaanxi Key Laboratory of Ophthalmology, Shaanxi Institute of Ophthalmology, Xi'an 710002, Shaanxi Province, ChinaShaanxi Provincial Clinical Research Center for Ophthalmology, Xi'an First Hospital, Xi'an 710002, Shaanxi Province, China; Shaanxi Key Laboratory of Ophthalmology, Shaanxi Institute of Ophthalmology, Xi'an 710002, Shaanxi Province, ChinaDepartment of Pharmacology, School of Basic Medical Sciences, Xi'an Jiaotong University Health Science Center, Xi'an 710061, Shaanxi Pronvince, ChinaAIM: To investigate the effect of 0.01% atropine sulphate eye gel on myopia progression and axial elongation in a 6-month treatment in children. METHODS: Totally 185 children aged 6-12y with binocular myopia of 3.0 D or less in both eyes were enrolled in this prospective cohort study. The atropine group (n=125) received one drop of 0.01% atropine sulphate eye gel in each eye before bedtime daily. The control group included 60 matched children without drug intervention during the same period. The spherical equivalent and axial length was recorded at baseline and the sixth month of treatment. The efficacy was evaluated by the change of the spherical equivalent and axial length. Adverse events were also recorded. RESULTS: The average spherical equivalent and axial length at baseline were not statistically significant between the atropine group (-1.64±0.80 D, 24.13±0.76 mm) and the control group (-1.59±0.94 D, 24.06±0.77 mm, P>0.05). After 6mo, there was significantly difference in the spherical equivalent progression between the atropine and the control group (-0.27±0.33 vs -0.60±0.35 D, P<0.001), with a relative reduction of 55.0% in myopia progression. The increase in axial elongation in the atropine group was significantly less than control group (0.19±0.14 vs 0.26±0.14 mm, P<0.001), with a relative reduction of 26.9% in axial length. The 84.4% and 38.4% of the eyes progressed by less than 0.50 D and remained stable in the atropine group, compared with 51.7% and 4.2% in the control group. No adverse events were observed. CONCLUSION: Atropine sulphate eye gel 0.01% can slow down myopia progression and axial elongation in children with a 6-month treatment.http://ies.ijo.cn/en_publish/2022/7/20220712.pdfatropine sulphate eye gelmyopiaspherical equivalentaxial length
spellingShingle Shi-Yin Pan
Yang-Zheng Wang
Jun Li
Xue-Hui Zhang
Jin Wang
Xiu-Ping Zhu
Xiang-Hua Xiao
Jun-Tian Liu
Short-term effect of 0.01% atropine sulphate eye gel on myopia progression in children
International Journal of Ophthalmology
atropine sulphate eye gel
myopia
spherical equivalent
axial length
title Short-term effect of 0.01% atropine sulphate eye gel on myopia progression in children
title_full Short-term effect of 0.01% atropine sulphate eye gel on myopia progression in children
title_fullStr Short-term effect of 0.01% atropine sulphate eye gel on myopia progression in children
title_full_unstemmed Short-term effect of 0.01% atropine sulphate eye gel on myopia progression in children
title_short Short-term effect of 0.01% atropine sulphate eye gel on myopia progression in children
title_sort short term effect of 0 01 atropine sulphate eye gel on myopia progression in children
topic atropine sulphate eye gel
myopia
spherical equivalent
axial length
url http://ies.ijo.cn/en_publish/2022/7/20220712.pdf
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