Children wearing large prescription glasses, if it is a child with high myopia, wear appropriate prescription glasses but large prescription, most often considered to be true myopia, atropine drops are not recommended. In the case of wearing glasses that are larger than the child’s myopia, it is not recommended and the appropriate prescription should be worn.
Some studies have shown that 0.5% atropine is more effective in treating myopia in children, but 0.5% atropine is not recommended for children’s myopia as it has high side effects and dependence and is not suitable for routine use.
If controlled with atropine, low concentration atropine eye drops do effectively delay the progressive deepening of myopia in adolescents. However, it is necessary to be aware of the complications associated with its use. Atropine has a dilating effect on the pupil. Patients may have symptoms such as pupil dilation, photophobia, decreased adjustment, poor distance observation, and yellowing of the face.
For children with true myopia, the use of atropine is less recommended, and the symptoms of myopia can be improved by wearing frames or using keratoplasty glasses, but it is recommended that the child wears glasses of the appropriate prescription, not glasses that are larger than the myopic prescription.