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Treatment of childhood myopia with atropine eyedrops and bifocal spectacles.

Binocul Vis Strabismus Q

September 2001

The Wilmer Ophthalmological Institute, The Johns Hopkins Hospital, Baltimore, Maryland 21287-9028, USA.

Background: Animal and human studies have suggested that muscarinic antagonists and bifocal spectacles may decrease the progression of myopia in children. The purpose of this study is to report the largest known series of patients treated simultaneously with bifocals and topical atropine.

Design: Retrospective, interventional, non-comparative case series.

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Purpose: To report our results of medical management of myopia, and add these to the prior literature supporting this practice.

Method: Retrospective review of the medical records of 35 patient-subjects offered this treatment with adequate followup over a five year period. Treatment consisted of prescription of photochromic gray extra lenses incorporating full myopic correction with a +3.

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