Review of Myopia Management

A network meta-analysis on myopia control found that use of atropine at different concentrations was significantly superior to other interventions (for example, progressive addition spectacle lenses, multifocal soft contact lenses, orthokeratology, more outdoor activities, etc.)1 Other reviews and meta-analysis similarly concluded that there was less myopic progression with atropine and that both the efficacy and adverse effects were dose-dependent.
As the prevalence of myopia grows throughout the world, the onset moves to younger ages, and higher levels are being seen in young adults, there is a developing consensus that treating myopia progression should have a goal of limiting the maximum level attained by an individual patient.

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