The Impact of Clinical Atropine Use in Taiwanese Schoolchildren: Changes in Physiological Characteristics and Visual Functions

Taiwan is commonly noted for its high prevalence of myopia, as well as a long history of more than 20 years of using atropine to control myopia. However, the clinical implications are rarely discussed. This is a cross-sectional study investigating the influence of topical atropine instillation on oc...

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Autores principales:	Hui-Ying Kuo, Ching-Hsiu Ke, Shyan-Tarng Chen, Han-Yin Sun
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	myopia control atropine the amplitude of accommodation pupil size intraocular pressure visual complaint Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/5f0da449ecda45d0b76de39366e630e7
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id	oai:doaj.org-article:5f0da449ecda45d0b76de39366e630e7
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spelling	oai:doaj.org-article:5f0da449ecda45d0b76de39366e630e72021-11-25T17:14:54ZThe Impact of Clinical Atropine Use in Taiwanese Schoolchildren: Changes in Physiological Characteristics and Visual Functions10.3390/children81110542227-9067https://doaj.org/article/5f0da449ecda45d0b76de39366e630e72021-11-01T00:00:00Zhttps://www.mdpi.com/2227-9067/8/11/1054https://doaj.org/toc/2227-9067Taiwan is commonly noted for its high prevalence of myopia, as well as a long history of more than 20 years of using atropine to control myopia. However, the clinical implications are rarely discussed. This is a cross-sectional study investigating the influence of topical atropine instillation on ocular physiology, visual function, and visual discomfort in children. Aged 7 to 12 years, 212 schoolchildren were recruited and divided into the atropine group and the non-atropine group. Physiological characteristics such as pupil size and intraocular pressure were measured, and a variety of visual functions was also evaluated. A questionnaire was used to investigate the side effects and visual complaints caused by atropine treatment. There was a significant difference in pupil size (OD: 5.40 ± 0.90 vs. 6.60 ± 1.01 mm; OS: 5.42 ± 0.87 vs. 6.64 ± 1.00 mm, <i>p</i> < 0.001) between the two groups. Reductions in near visual acuity, accommodation, convergence ability, and stereopsis were observed in the atropine group. The horizontal pupil diameter enlarged, and visual functions were greatly affected after administration of topical atropine. The changes in visual function during atropine therapy need to be carefully monitored by clinicians, while patient compliance is usually the key to success.Hui-Ying KuoChing-Hsiu KeShyan-Tarng ChenHan-Yin SunMDPI AGarticlemyopia controlatropinethe amplitude of accommodationpupil sizeintraocular pressurevisual complaintPediatricsRJ1-570ENChildren, Vol 8, Iss 1054, p 1054 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	myopia control atropine the amplitude of accommodation pupil size intraocular pressure visual complaint Pediatrics RJ1-570
spellingShingle	myopia control atropine the amplitude of accommodation pupil size intraocular pressure visual complaint Pediatrics RJ1-570 Hui-Ying Kuo Ching-Hsiu Ke Shyan-Tarng Chen Han-Yin Sun The Impact of Clinical Atropine Use in Taiwanese Schoolchildren: Changes in Physiological Characteristics and Visual Functions
description	Taiwan is commonly noted for its high prevalence of myopia, as well as a long history of more than 20 years of using atropine to control myopia. However, the clinical implications are rarely discussed. This is a cross-sectional study investigating the influence of topical atropine instillation on ocular physiology, visual function, and visual discomfort in children. Aged 7 to 12 years, 212 schoolchildren were recruited and divided into the atropine group and the non-atropine group. Physiological characteristics such as pupil size and intraocular pressure were measured, and a variety of visual functions was also evaluated. A questionnaire was used to investigate the side effects and visual complaints caused by atropine treatment. There was a significant difference in pupil size (OD: 5.40 ± 0.90 vs. 6.60 ± 1.01 mm; OS: 5.42 ± 0.87 vs. 6.64 ± 1.00 mm, <i>p</i> < 0.001) between the two groups. Reductions in near visual acuity, accommodation, convergence ability, and stereopsis were observed in the atropine group. The horizontal pupil diameter enlarged, and visual functions were greatly affected after administration of topical atropine. The changes in visual function during atropine therapy need to be carefully monitored by clinicians, while patient compliance is usually the key to success.
format	article
author	Hui-Ying Kuo Ching-Hsiu Ke Shyan-Tarng Chen Han-Yin Sun
author_facet	Hui-Ying Kuo Ching-Hsiu Ke Shyan-Tarng Chen Han-Yin Sun
author_sort	Hui-Ying Kuo
title	The Impact of Clinical Atropine Use in Taiwanese Schoolchildren: Changes in Physiological Characteristics and Visual Functions
title_short	The Impact of Clinical Atropine Use in Taiwanese Schoolchildren: Changes in Physiological Characteristics and Visual Functions
title_full	The Impact of Clinical Atropine Use in Taiwanese Schoolchildren: Changes in Physiological Characteristics and Visual Functions
title_fullStr	The Impact of Clinical Atropine Use in Taiwanese Schoolchildren: Changes in Physiological Characteristics and Visual Functions
title_full_unstemmed	The Impact of Clinical Atropine Use in Taiwanese Schoolchildren: Changes in Physiological Characteristics and Visual Functions
title_sort	impact of clinical atropine use in taiwanese schoolchildren: changes in physiological characteristics and visual functions
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/5f0da449ecda45d0b76de39366e630e7
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The Impact of Clinical Atropine Use in Taiwanese Schoolchildren: Changes in Physiological Characteristics and Visual Functions

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