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Re: Tropicamide 0.4% - long-term use for child's myopia?
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Re: Tropicamide 0.4% - long-term use for child's myopia?

by Dave-Carlson, Jan 01, 1995 12:00AM
Posted By Dave Carlson on June 30, 1999 at 20:27:02
I'm a Michigander, now living in Japan.
My 9-year old daughter was recently diagnosed as very mildly nearsighted, but not enough so to warrant corrective lenses.
Her eye doctor here in Japan described the condition as possibly temporary, and he said that through treatment and proper reading habits that my daughter's condition might be reversible.
Treatment consists of the daily use of tropicamide 0.4% solution (sold as "Midorin M" here in Japan, it contains only tropicamide and no other medicine).  
Following the doctor's instructions, we have been putting one drop in each eye at bedtime for the past 6 weeks.  At a recently follow-up visit, my daughter's eyesight was worse, not better. The doctor then prescribed more night-time tropicamide drops for the next 6 weeks.
I'd like to know more about this type of treatment.
Specifically, is there research evidence that long-term daily application of tropicamide can reverse nearsightedness?  
Also, is this considered orthodox treatment in the US?
Thanks!





Member Comments

by HFHS M.D.-NI, Jan 01, 1995 12:00AM
Posted By HFHS MD - NI on June 30, 1999 at 20:36:11
The concept is that the more the eye focuses on images up close, the eye will adjust to this working distance by becoming more nearsighted.  Tropicamide temporarily prevents the eye from focusing up close and so may reduce this cycle.
In reality, this theory is not well supported and is not usually considered an orthodox treatment in the US.  People with a predisposition for nearsightedness usually become more nearsighted as the eye grows longer.
Hopefully, there will be some treatment to prevent the nearsightedness from developing or progressing in high risk patients but currently we have no such treatment.
This information is provided for educational purposes only.











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Re: Tropicamide 0.4% - long-term use for child's myopia? HFHS MD - NI 7/01/1999
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by smithsgj, Oct 06, 2009 09:30AM
A related discussion, Slowing myopia onset was started.
Continue discussion
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