Characteristics of responders to atropine 0.01% as treatment in Asian myopic children

Abstract Recently, low-concentration atropine (0.01%) has gained increased attention in controlling myopia progression with satisfying effects and minimal side effects. However, studies concerning responders to 0.01% atropine are limited. This retrospective observational cohort study aimed to determ...

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Main Authors: Lung-Chi Lee, Meng-Wei Hsieh, Yi-Hao Chen, Po-Liang Chen, Ke-Hung Chien
Format: Article
Language:English
Published: Nature Portfolio 2022-05-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-10978-3
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author Lung-Chi Lee
Meng-Wei Hsieh
Yi-Hao Chen
Po-Liang Chen
Ke-Hung Chien
author_facet Lung-Chi Lee
Meng-Wei Hsieh
Yi-Hao Chen
Po-Liang Chen
Ke-Hung Chien
author_sort Lung-Chi Lee
collection DOAJ
description Abstract Recently, low-concentration atropine (0.01%) has gained increased attention in controlling myopia progression with satisfying effects and minimal side effects. However, studies concerning responders to 0.01% atropine are limited. This retrospective observational cohort study aimed to determine the responder characteristics of 0.01% atropine in Asian children. One hundred forty children (aged between 3 and 15 years) receiving 0.01% atropine were analyzed for the factors influencing annual spherical equivalent changes (SE). The mean age was 9.13 (2.6) years, the mean baseline SE was − 1.56 (1.52) diopters (D), and the mean annual SE change was − 0.52 (0.49) D. A 58.63% responder rate (146/249) of myopic control was achieved with 0.01% atropine in our entire cohort under the criteria of less than 0.5 D of myopic progression annually. The subjects were stratified into 4 subgroups based on a cut-off point of baseline SE of − 1.5 D and baseline age of 9 years. The responder rate differed significantly with the highest being the youngest with the lowest myopia subgroups. Our results demonstrated that children with myopia better than − 1.5 D and younger than 9 years had the highest potential to achieve successful myopic control under 0.01% atropine therapy.
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spelling doaj.art-d02f54400cc2492597883318865d25592022-12-22T00:19:29ZengNature PortfolioScientific Reports2045-23222022-05-011211710.1038/s41598-022-10978-3Characteristics of responders to atropine 0.01% as treatment in Asian myopic childrenLung-Chi Lee0Meng-Wei Hsieh1Yi-Hao Chen2Po-Liang Chen3Ke-Hung Chien4Department of Ophthalmology, Tri-Service General Hospital, National Defense Medical CenterDepartment of Ophthalmology, Taoyuan Armed Forces General HospitalDepartment of Ophthalmology, Tri-Service General Hospital, National Defense Medical CenterHau-Ming Eye Clinic CenterDepartment of Ophthalmology, Tri-Service General Hospital, National Defense Medical CenterAbstract Recently, low-concentration atropine (0.01%) has gained increased attention in controlling myopia progression with satisfying effects and minimal side effects. However, studies concerning responders to 0.01% atropine are limited. This retrospective observational cohort study aimed to determine the responder characteristics of 0.01% atropine in Asian children. One hundred forty children (aged between 3 and 15 years) receiving 0.01% atropine were analyzed for the factors influencing annual spherical equivalent changes (SE). The mean age was 9.13 (2.6) years, the mean baseline SE was − 1.56 (1.52) diopters (D), and the mean annual SE change was − 0.52 (0.49) D. A 58.63% responder rate (146/249) of myopic control was achieved with 0.01% atropine in our entire cohort under the criteria of less than 0.5 D of myopic progression annually. The subjects were stratified into 4 subgroups based on a cut-off point of baseline SE of − 1.5 D and baseline age of 9 years. The responder rate differed significantly with the highest being the youngest with the lowest myopia subgroups. Our results demonstrated that children with myopia better than − 1.5 D and younger than 9 years had the highest potential to achieve successful myopic control under 0.01% atropine therapy.https://doi.org/10.1038/s41598-022-10978-3
spellingShingle Lung-Chi Lee
Meng-Wei Hsieh
Yi-Hao Chen
Po-Liang Chen
Ke-Hung Chien
Characteristics of responders to atropine 0.01% as treatment in Asian myopic children
Scientific Reports
title Characteristics of responders to atropine 0.01% as treatment in Asian myopic children
title_full Characteristics of responders to atropine 0.01% as treatment in Asian myopic children
title_fullStr Characteristics of responders to atropine 0.01% as treatment in Asian myopic children
title_full_unstemmed Characteristics of responders to atropine 0.01% as treatment in Asian myopic children
title_short Characteristics of responders to atropine 0.01% as treatment in Asian myopic children
title_sort characteristics of responders to atropine 0 01 as treatment in asian myopic children
url https://doi.org/10.1038/s41598-022-10978-3
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