Which atropine dosage should I prescribe for myopia control?

The research information on using atropine for myopia control is evolving. Previous research indicated 0.01% atropine was best, but newer research says otherwise. In this clinical case, practitioners discuss treatment strategies, which are put in research context with clinical pearls for practice.

Atropine eye drops and ocular allergy – what’s the cause?

A child has an allergic reaction to low dose atropine – or does he? Here practitioners consider the possible causes, with advice for management. We then frame this discussion in view of the evidence-base with take home clinical messages.

Complex Atropine Cases

Read these three clinical complex atropine cases where general health conditions required careful consideration of atropine prescribing for myopia control.

Should I fit orthokeratology to a potential keratoconic?

MCS was hesitating fitting OrthoK to a patient who showed inferior corneal steepening. Her main concern was that OrthoK may induce corneal ecstasia/keratoconus in the future and whether there is a link between OrthoK and keratoconus.

Does pregnancy influence myopia?

HWN presented this case involving a 32-year-old woman whose myopia onset after having her first child and had progressed since.

Thinking beyond myopia – managing the very high childhood myope

Children with more than 5-6D of myopia can require special consideration to ensure safe management of their ocular and systemic health. This clinical case details important aspects of care for the very high childhood myope: ophthalmology co-management, best optical corrections, parental education and eye health monitoring.

Managing a myopic anisometropic amblyopic child

This case is not your typical astigmatic myope. There are several features to this patient that require careful consideration, including high myopia, amblyopia, myopia correction and control, and eye health management.

Selecting a contact lens for astigmatic myopia

A clinical case of high astigmatism with myopia was discussed, where the author STW faced a myopia managing dilemma for a patient whose myopia and astigmatism exceeded the parameters of the more common forms of myopia control with contact lenses.