Recently, Shenyang Xingqi Eye Hospital announced that its Internet hospital has suspended the sale of 0.01% atropine sulfate eye drops. At the same time, another company also said that the Internet diagnosis and treatment of atropine eye drops has been suspended, and it is necessary to go to the hospital for treatment and obtain the medicine with a prescription. The so-called “magic medicine for myopia” atropine eye drops was temporarily hit the hot search list after the suspension of Internet hospital sales.
What does atropine do? Is it really a “myopia medicine”? What signal did this online sales stop event release?
Source: Vision China
Atropine has clear indications and can delay the development of myopia p>
Atropine eye drops is a competitive muscarinic receptor (M receptor) antagonist, the main component of which is atropine. According to the concentration of atropine, atropine eye drops can be divided into 0.01%, 0.02%, 0.1% and other different types. Generally speaking, after comprehensively considering the effectiveness of atropine, side effects, the probability of rebound after drug withdrawal and other factors in clinical practice, most of the current clinical use of low concentration (ie 0.01%) atropine eye drops.
Existing experimental data show that atropine eye drops may act on multiple targets and delay the progression of myopia through multiple pathways. An ophthalmologist in a tertiary hospital in Beijing, who did not want to be named, told reporters, “It has two main functions: One is to control the growth of the eye axis. The growth of the eye axis is very important for myopia. Therefore, controlling the rapid growth of the eye axis is an important part of preventing and controlling myopia. Atropine eye drops can relieve scleral hypoxia and increase choroidal blood perfusion pressure, thereby inhibiting the growth of the eye axis.< strong>The second is to relax the eye muscles.Atropine eye drops can block the innervation of cholinergic nerves to ciliary muscle and pupillary sphincter, effectively relieve spasm and fatigue, relax eyes, and control myopia. “
In recent years, studies have indeed found that low-concentration atropine eye drops can delay the development of myopia in children. However, atropine eye drops have specific clinical indications and are not suitable for all myopic patients.
Introduced by the above experts:
In terms of age, it is recommended to use this drug for people with myopia from 4 years old to adolescence, but children under 6 years old need to be more closely monitoring and follow-up.
From the point of view of degree, atropine eye drops are suitable for people whose spherical equivalent power increases by more than 50 degrees every year.
The drug can also be used in people with rapidly progressive risk factors such as a genetic history of high myopia.
The expert emphasized that patients should have scientific cognition, and the selection of drugs should comprehensively consider their effectiveness, side effects, indications, contraindications, etc., and dialectical treatment is required.
Atropine cannot reverse myopia, and it has certain side effects
In China, atropine was once regarded as “myopia medicine”, but it is really so God?
At a press conference held by the National Health and Health Commission in May 2020, Wei Wenbin, vice president of Beijing Tongren Hospital and director of the Department of Ophthalmology, said that low-concentration atropine eye drops are not magic drugs, and some After taking low-concentration atropine, children will suffer from photophobia, blurred vision at close range, allergic reaction to atropine, etc. Some children have taken 0.01% atropine eye drops, which cannot effectively control myopia. progress.
Once true myopia appears, it is difficult to reverse, and only control the degree of myopia not to increase too fast. Atropine eye drops is a method to control the increase of myopia. Atropine eye drops have a long history of use and have achieved international consensus, so they have been widely recognized.
Experts do not recommend self-administering atropine eye drops. The above-mentioned doctor, who did not want to be named, said that If you plan to use atropine eye drops, you must first go to a professional medical institution to let the doctor understand the condition and give professional advice before using it. Parents should fully understand the benefits and risks of such drugs and should not use atropine eye drops for their children without the guidance of a doctor.
This doctor believes that the suspension of online sales of atropine eye drops is good news, which will help regulate the use of atropine eye drops. Suspending online sales and purchasing atropine eye drops with a prescription is equivalent to strengthening the doctor’s role as a gatekeeper, which is conducive to monitoring the effect of medication, standardizing the management of young people’s myopia diagnosis and treatment process, and meeting the requirements of the whole course of disease management.
Source: Science and Technology Daily
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