Evaluation of axial length to identify the effects of monocular 0.125% atropine treatment for pediatric anisometropia

Abstract The aim of the study is to determine the effects of monocular 0.125% atropine daily treatment on the longer axial length (AL) eyes in children with pediatric anisometropia. This was a retrospective cohort study. The charts of children with anisometropia (aged 6–15 years) who had a > 0.2-...

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Autores principales: Po-Hsiang Kao, Lan-Hsin Chuang, Chi-Chun Lai, Shin-Yi Chen, Ken-Kuo Lin, Jiahn-Shing Lee, Chiun-Ho Hou, Chueh-Tan Chen, Yu-Kai Kuo, Chi-Chin Sun, Chun-Fu Liu
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:011dab51d8e94e77b39de3144c3718462021-11-08T10:51:51ZEvaluation of axial length to identify the effects of monocular 0.125% atropine treatment for pediatric anisometropia10.1038/s41598-021-96414-42045-2322https://doaj.org/article/011dab51d8e94e77b39de3144c3718462021-11-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-96414-4https://doaj.org/toc/2045-2322Abstract The aim of the study is to determine the effects of monocular 0.125% atropine daily treatment on the longer axial length (AL) eyes in children with pediatric anisometropia. This was a retrospective cohort study. The charts of children with anisometropia (aged 6–15 years) who had a > 0.2-mm difference in AL between the two eyes were reviewed. Children who received monocular treatment of 0.125% atropine in the eye with longer AL were included for final analysis. The main outcome measure was the difference in AL between the two eyes after treatment. Regression analysis was used to model the changes in AL according to the time of treatment in both eyes. Finally, forty eyes in 20 patients (mean age 10.2 years) were included in the analyses. During the treatment period, AL was controlled in the treated eyes (p = 0.389) but elongated significantly in the untreated eyes (p < 0.001). The difference in AL between the treated and untreated eyes decreased from 0.57 to 0.22 mm (p < 0.001) after the 1-year treatment period. In the regression model, the best fit for the relationship between changes in AL and time during the treatment period in the treated eyes was the quadratic regression model with a concave function. In conclusion, these data suggest that 0.125% atropine daily is an effective treatment to reduce the interocular difference of AL in eyes with axial anisometropia. This pilot study provides useful information for future prospective and larger studies of atropine for the treatment of pediatric axial anisometropia.Po-Hsiang KaoLan-Hsin ChuangChi-Chun LaiShin-Yi ChenKen-Kuo LinJiahn-Shing LeeChiun-Ho HouChueh-Tan ChenYu-Kai KuoChi-Chin SunChun-Fu LiuNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Po-Hsiang Kao
Lan-Hsin Chuang
Chi-Chun Lai
Shin-Yi Chen
Ken-Kuo Lin
Jiahn-Shing Lee
Chiun-Ho Hou
Chueh-Tan Chen
Yu-Kai Kuo
Chi-Chin Sun
Chun-Fu Liu
Evaluation of axial length to identify the effects of monocular 0.125% atropine treatment for pediatric anisometropia
description Abstract The aim of the study is to determine the effects of monocular 0.125% atropine daily treatment on the longer axial length (AL) eyes in children with pediatric anisometropia. This was a retrospective cohort study. The charts of children with anisometropia (aged 6–15 years) who had a > 0.2-mm difference in AL between the two eyes were reviewed. Children who received monocular treatment of 0.125% atropine in the eye with longer AL were included for final analysis. The main outcome measure was the difference in AL between the two eyes after treatment. Regression analysis was used to model the changes in AL according to the time of treatment in both eyes. Finally, forty eyes in 20 patients (mean age 10.2 years) were included in the analyses. During the treatment period, AL was controlled in the treated eyes (p = 0.389) but elongated significantly in the untreated eyes (p < 0.001). The difference in AL between the treated and untreated eyes decreased from 0.57 to 0.22 mm (p < 0.001) after the 1-year treatment period. In the regression model, the best fit for the relationship between changes in AL and time during the treatment period in the treated eyes was the quadratic regression model with a concave function. In conclusion, these data suggest that 0.125% atropine daily is an effective treatment to reduce the interocular difference of AL in eyes with axial anisometropia. This pilot study provides useful information for future prospective and larger studies of atropine for the treatment of pediatric axial anisometropia.
format article
author Po-Hsiang Kao
Lan-Hsin Chuang
Chi-Chun Lai
Shin-Yi Chen
Ken-Kuo Lin
Jiahn-Shing Lee
Chiun-Ho Hou
Chueh-Tan Chen
Yu-Kai Kuo
Chi-Chin Sun
Chun-Fu Liu
author_facet Po-Hsiang Kao
Lan-Hsin Chuang
Chi-Chun Lai
Shin-Yi Chen
Ken-Kuo Lin
Jiahn-Shing Lee
Chiun-Ho Hou
Chueh-Tan Chen
Yu-Kai Kuo
Chi-Chin Sun
Chun-Fu Liu
author_sort Po-Hsiang Kao
title Evaluation of axial length to identify the effects of monocular 0.125% atropine treatment for pediatric anisometropia
title_short Evaluation of axial length to identify the effects of monocular 0.125% atropine treatment for pediatric anisometropia
title_full Evaluation of axial length to identify the effects of monocular 0.125% atropine treatment for pediatric anisometropia
title_fullStr Evaluation of axial length to identify the effects of monocular 0.125% atropine treatment for pediatric anisometropia
title_full_unstemmed Evaluation of axial length to identify the effects of monocular 0.125% atropine treatment for pediatric anisometropia
title_sort evaluation of axial length to identify the effects of monocular 0.125% atropine treatment for pediatric anisometropia
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/011dab51d8e94e77b39de3144c371846
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