Is the IQ tax behind the ＂magic medicine＂ to delay myopia or is it really miraculous？

Have you ever seen a "magic medicine" in your parents’ circle?

An eye drop that claims to "delay myopia"

Some people buy it and some people go to online hospital to buy it.

There are even people who make it themselves.

Low concentration of atropine (0.01% atropine sulfate)

Is it an IQ tax or does it work wonders?

1. What is atropine?

Atropine is a classic old medicine. As an anticholinergic drug, it has a variety of pharmacological effects, which can help detoxify and relieve gastrointestinal spasm when pesticide poisoning occurs. Its clinical application in ophthalmology mainly includesAt present, the mydriasis of paralytic ciliary muscles is mostly used in optometry for children and adolescents.Slow mydriatic agentUse.

The earliest research on the prevention of myopia by atropine was conducted in Singapore. The research confirmed that low concentration of atropine (0.01% atropine sulfate) can inhibit the axial growth caused by myopia and delay the rapid progress of myopia.　

2. How hot is atropine?

Strabismus and pediatric ophthalmology in Xiamen Eye CenterXie RenyiThe deputy director said that every time he went to the outpatient clinic, at least three or five parents came to consult about the low-concentration atropine eye drops. There were many children who had used them for two or three years, mostly aged 7 to 9. An ophthalmologist in Xiamen has been using low-concentration atropine for her daughter for four months, and many "little glasses" among her classmates are using the same eye drops. According to foreign media reports, many parents all over the country went to Shanghai specially to prepare a low-concentration atropine eye drop for their children.

3、Atropine is not officially listed.

It should be noted that low concentration atropine eye drops have not been officially listed in mainland China.In fact, it is not easy to buy low concentration atropine eye drops. Many parents buy hospital preparations from China, Taiwan Province and Singapore, and some parents buy hospital preparations from individual hospitals in China through friends. These are not drugs that have been approved by the state for listing.

Deputy Director Xie Renyi introduced,A drug can only be listed as a new drug after the clinical verification stage is over and the expert review is passed.Although the current clinical evidence shows that low concentration of atropine eye drops has a certain effect on myopia prevention and control, domestic ophthalmologists have not yet reached a complete consensus on the long-term side effects and potential complications.

4. Can I use atropine?

Deputy Director Xie Renyi stressed: "This kind of eye drops is a kind of medicine, not suitable for everyone. It is most important for children to cultivate scientific eye habits and increase outdoor activities.This eye drop is an unlisted drug, so abuse is not recommended. "

5, blind abuse is not desirable

Xie Renyi, deputy director, said that many parents will buy atropine, and even some will make it themselves. not to mentionThere are also risks such as improper drug concentration, unstable ingredients and contamination of pathogens, which affect the comfort of eyes and cause damage, and may bring unexpected side effects.

In addition,People who are allergic to atropine are not suitable for use!For example, after use, symptoms such as blurred vision and photophobia may occur. Moreover, low concentration of atropine is not effective for all myopia patients, and the literature reports that there is a non-response rate of 10%-15%, that is, it does not work. In addition, some children will have allergic symptoms such as local itching and low fever.

Deputy Director Xie Renyi said that the prevention and control of myopia should be treated according to the actual situation of patients. Effective control is that myopia progresses within 50 degrees a year, and if it is above 75 degrees, other intervention methods or joint intervention can be considered. "Children who are using low concentrations of atropine must come to the hospital every three months." He said that this follow-up is to check the intraocular pressure, pupil, eye surface and eye adjustment function to ensure the health of medication.

if it isBlind use of glaucoma or other hidden diseases will aggravate the condition.. According to media reports, a 7-year-old child in Hangzhou is 100 degrees short-sighted. His father dripped low-concentration atropine every night, but when he went to check again, he found that the child’s intraocular pressure increased. The doctor said that if the intraocular pressure remained at a high level for a long time, it would damage the optic nerve.

In addition, Deputy Director Xie Renyi also reminded that although the concentration is low, it is stillSome children may have a rebound in myopia after stopping using this eye drop.For example, during the medication period, the original annual increase is controlled within 25 degrees. After stopping the drug, the degree may suddenly increase too fast in one year. If it exceeds 75 degrees in one year, you should consult a doctor immediately.

Scientific prevention and control of myopia

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1. Pay attention to eye habits

1 Use less electronic products: Babies under 2 years old should not watch TV, computers, mobile phones, ipad and other electronic products. Babies over 2 years old should not use electronic products for more than 30 minutes every day.

② Follow the "20-20-20" eye protection rule when using eyes at close range.

Remember to keep "one punch, one foot and one inch" when writing and reading.

2. Do more outdoor sports.

Two hours of outdoor activities every day can effectively prevent myopia. Sunlight irradiation can stimulate the secretion of dopamine, which plays a positive role in preventing and controlling myopia.

3. Go to bed early and get enough sleep.

The results show that the later the time, the higher the incidence of myopia. It is best for children to go to bed at 8:30 in the evening and go to bed early to ensure adequate sleep time. Only after a good sleep can the muscles around the eyes (eyes) be completely relaxed, which is conducive to using the eyes the next day.
The American Academy of Sleep Medicine (AASM) gives the best sleep time for infants and adolescents:
4-12 months: 12-16 hours; 1-2 years old: 11-14 hours; 3-5 years old: 10-13 hours; 6-12 years old: 9-12 hours; 13-18: 8-10 hours.

4. Regular vision screening

6 months: A baby born normally should go to the hospital for refractive screening at about 6 months. About 3 years old: start teaching children to know the eye chart, and check their eyesight and diopter regularly every 6-12 months. 6-18 years old: It is recommended to check your eyesight every 6-12 months, and children with glasses should undergo mydriasis optometry every 12 months.

5. Orthokeratology mirror (OK mirror)

OK lens is a kind of hard and breathable contact lens with reverse geometric design. It only needs to be worn when sleeping at night to maintain clear vision during the day. Long-term wearing can delay the development of myopia.