Atropine Drops

Atropine works by relaxing the ciliary muscle, which controls how the eye focuses. This reduces strain and slows the eye's elongation. Studies show that children using low-dose atropine (typically 0.05%) experience 30–50% slower progression of myopia over time, significantly lowering their risk of developing high myopia and related eye conditions like glaucoma, retinal detachment, and cataracts. 

Low-dose atropine is ideal for...

• Children and teens with progressing myopia
• Parents seeking a non-invasive option—either as a standalone treatment or to complement Ortho-K or multi-focal contact lenses

We’ll assess your child’s vision and eye health to determine the best approach.

Yes! Low-dose atropine is well-tolerated and safe for long-term use. Although it is FDA-approved, the low-dose formulation is used off-label and must be ordered through a compounding pharmacy.

Possible side effects may include...

• Mild near vision blur (rare with low doses)
• Light sensitivity due to pupil dilation (usually temporary)
• Mild redness or irritation (in rare cases)

We monitor all patients closely and adjust treatment if needed to ensure comfort and effectiveness.

Year 1: Initial Management

• 4 visits/year, including:
  • Axial length measurements
  • Progress monitoring
  • Personalized myopia reports every 6 months
• Prescription filled by a compounding pharmacy, shipped directly to your home

Year 2 & Beyond: Maintenance

• 2 visits/year minimum
• Continued axial length monitoring
• Reports every 6 months

Low-dose atropine is applied as one drop per eye, nightly. Consistency is key to slowing progression effectively. We’ll guide you through administration and provide tips for building a smooth bedtime routine. 

While results take time, most patients show measurable slowing of myopia progression within a few months. Regular follow-ups help track effectiveness and make any necessary adjustments. 

 Yes! Atropine can be safely combined with:

• Orthokeratology (Ortho-K)
• Soft multi-focal contact lenses
• Myopia control glasses
   

A combination approach can enhance overall effectiveness, and we’ll help you build the best plan for your child.

If atropine use is stopped, the protective effects may wear off, and myopia may begin to progress again. We’ll work with you to decide when it’s appropriate to taper or discontinue use, and offer alternatives if needed.