True myopia of 75 degrees cannot be restored well with atropine because myopia is irreversible, once myopia occurs, it cannot be reversed by means of treatment, but only by slowing down the progress. True myopia is mainly corrected by frame glasses, keratoplasty, and surgical treatment. These treatments can only change the symptoms of true myopia of blurring at a distance, and cannot solve the essence of myopia. Atropine ophthalmic gel or eye drops are effective in eliminating pseudomyopia mainly by relaxing the ciliary muscle of the eye and relaxing the eye’s adjustment function. However, it cannot eliminate or restore true myopia. The symptoms of true myopia and pseudomyopia are similar, characterized by blurred vision and decreased visual acuity. Pseudomyopia is a spasm of the ciliary muscle, and treatment with eye drops that relax the ciliary muscle, such as atropine eye drops, can bring relief by relaxing the ciliary muscle. True myopia, on the other hand, is caused by eye axis growth and refractive changes, and treatment can only improve the symptoms, not reverse myopia. If myopia occurs, it is recommended to visit an eye clinic in time and take appropriate treatment under a doctor’s guidance.