How does Atropine for Myopia Control Work?

What is Myopia?

Myopia (near sightedness) occurs when the eyeball grows too long, causing light to focus in front of the retina instead of on it. This typically occurs during childhood and adolescence, and can cause risk for glaucoma, myopic maculopathy and/or glaucoma in the future, possibly reducing opportunities for your children as adults and causing concern for vision loss. 
 

Dosages Used for Myopia Control

Atropine is available in different concentrations, each with distinct effects and side effect profiles. Lower concentrations have become the preferred approach due to fewer side effects.

  1. Low-Dose Atropine (0.01% to 0.05%)

    • Most commonly used for myopia control

    • Effectively slows eye elongation with minimal side effects

    • Minimal impact on pupil dilation or near vision (accommodation)

    • Fewer side effects (like glare, photophobia, or difficulty reading)
       

  2. Higher-Dose Atropine (0.1% to 1%)

    • Used in earlier studies but is now less favored

    • More effective in reducing myopia progression but with more side effects

    • Side effects include pupil dilation (mydriasis), light sensitivity, and difficulty with near vision (due to loss of accommodation)
       

Benefits of Low-Dose Atropine

  • Reduced rate of myopia progression: Studies have shown a 30-70% reduction in myopia progression in children.

  • Good safety profile: Low-dose atropine (0.01% to 0.05%) has been found to be safe and well-tolerated.
     

Treatment Plan

  1. Initial Assessment: Here at Avant Eyes, the doctors will assess your child’s degree of myopia, eye health, and family history.

  2. Daily Application: Atropine is typically applied as one drop per eye at bedtime.

  3. Regular Monitoring: Children using atropine require follow-ups every 6-12 months to monitor myopia progression and adjust the dosage if needed.

  4. Duration of Use: Treatment often continues for several years, usually until myopia stabilizes (around the mid-teen years).
     

Does my insurance cover Myopia Control with Atropine?

No. You can apply FSA/HSA funds towards your child’s Myopia Control Program at Avant Eyes. Each program lasts one year and fees include the cost of all materials and follow up visits as directed by the doctor. 
 

Who Should Use Atropine for Myopia Control?

Atropine is most effective for children who have progressing myopia. It is often recommended for children with:

  • Family history of myopia (increases the child's risk)

  • Early onset of myopia (before age 8)

  • Progressing myopia (prescription increases)
     

Alternatives to Atropine for Myopia Control

Atropine is one of two methods offered at Avant Eyes. The other option is an FDA approved contact lens technology. 

Curious about Myopia Control for your child? 

Schedule a consultation with our doctors today: (818) 900-565

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