Dr. JITENDRA NENUMAL JETHANI

Abstract

Low concentration atropine (LCA) (0.01%) eye drops once a day are known to slow down the myopia progression in children. Few children who have axial progression may not respond to these drops and may still progress 0.5 D per year and are labelled as nonresponders

We did a study to know the effect of increasing the frequency of LCA drops to twice a day and see its effect on non responders.

A total of 30 children known axial myopes nonresponders to once a day usage of LCA drops were included in the study. Thorough Ophthalmic and orthoptic checkup was done. They were asked to start using the drops twice a day. Follow up every 6 months for 2 years. Mean age & spectacle power was 6.4 +/- 3.6 years and -3.18 +/- 2.3 D.

Around 10 children (33.3%) responded and the progression reduced to -0.36 D per year from -0.67 D per year. No significant side effects were seen on twice a day usage.

We conclude that twice a day usage of LCA (0.01%) eye drops may be effective in managing non responders.

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