Slowing Nearsightedness in Children

Date: 16 October 2019 - 22:17

News ID: ۷۱۷۹۸

TOKYO (Dispatches) -- Combining 2 different treatment methods to slow the progression of myopia may deliver better results than either can achieve on their own.
Myopia can't be stopped, but it can be slowed. There are two methods for slowing progression. One method uses 0.01% atropine eye drops, instilled in the eye every day. Atropine is a medication commonly used to dilate or widen the eye before an exam. How it slows progression is unclear (some evidence suggests atropine blocks muscarinic receptors in the retina). But research shows it is effective and safe.
Another method is orthokeratology, which involves using rigid gas permeable contact lenses every night to reshape the cornea, the clear, front part of the eye. It's also unclear how contact lenses slow progression, but it is thought that reshaping the cornea changes the peripheral focus of the eye to reduce myopia progression. There are risks with overnight contact lens wear, such as corneal abrasions, ulcers or infections, and scaring that can lead to vision loss. Myopia progression can rebound with both methods, though less so with 0.01% atropine.
Nozomi Kinoshita, M.D., Ph.D., and colleagues at Jichi Medical University in Japan, randomized 80 children into two groups: one received both orthokeratology and atropine, while the second group received only orthokeratology. The children, aged 8 to 12 years old, exhibited a range of myopia, from low to high (from -1D to -6 D). They were treated for three months and then followed for two years. In children with higher myopia, combination treatment was 28 percent more effective compared with contact lenses alone. In children with lower myopia, combination treatment was 38 percent more effective.