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- Title
Efficacy and safety of 0.01% atropine for prevention of childhood myopia in a 2-year randomized placebo-controlled study.
- Authors
Hieda, Osamu; Hiraoka, Takahiro; Fujikado, Takashi; Ishiko, Satoshi; Hasebe, Satoshi; Torii, Hidemasa; Takahashi, Hiroshi; Nakamura, Yo; Sotozono, Chie; Oshika, Tetsuro; Morimoto, Takeshi; Nishida, Kohji; Nishikawa, Noriko; Song, Young-Seok; Tokutake, Tomoki; Nishi, Yasuyo; Shigeno, Yuta; Kurihara, Toshihide; Negishi, Kazuno; Tsubota, Kazuo
- Abstract
Purpose: Atropine eye drops prevent the progression of myopia, but their use has not been tested in the Japanese schoolchildren population. Here, we evaluate the efficacy and safety of 0.01% atropine eye drops for myopia control in Japanese children. Study design: Multicenter (7 university hospitals), randomized, double-masked, placebo-controlled trial. Methods: Participants were 171 Japanese schoolchildren aged 6 to 12 years, with progressive myopia, spherical equivalence (SE) of −1.00 to −6.00 diopters (D), and astigmatism of ≤1.5 D. They were randomized to receive either 0.01% atropine (n=85) or placebo (n=86) eye drops once nightly OU for 24 months. Primary and secondary efficacy endpoints were changes in SE and axial length (AL), respectively, from baseline to month 24. Results: Data from 168 subjects were analyzed. At month 24, compliance was similar in both groups (atropine: 83.3%; placebo: 85.7%). The least squares mean change in SE and AL from baseline were, respectively, −1.26 D (95% confidence interval [CI]: −1.35, −1.17) and 0.63 mm (0.59, 0.67) for atropine and −1.48 D (− 1.57, −1.39) and 0.77 mm (0.73, 0.81) for placebo. Inter-group differences were 0.22 D (95% CI: 0.09, 0.35; P < 0.001) for SE and − 0.14 mm (−0.20, −0.08; P < 0.001) for AL. Three patients experienced mild allergic conjunctivitis side effects, with no inter-group difference in incidence (atropine: 2.4%; 2/84 patients; placebo: 1.4%; 1/84 patients). Conclusion: With good compliance, 0.01% atropine is effective and safe for preventing the progression of childhood myopia.
- Subjects
ATROPINE; DRUG efficacy; MYOPIA; EYE drops; JAPANESE people; PHOTOREFRACTIVE keratectomy; LASIK
- Publication
Japanese Journal of Ophthalmology, 2021, Vol 65, Issue 3, p315
- ISSN
0021-5155
- Publication type
Article
- DOI
10.1007/s10384-021-00822-y