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Decreased effectiveness of 0.01% atropine treatment for myopia control during prolonged COVID-19 lockdowns
Contact Lens & Anterior Eye ( IF 3.2 ) Pub Date : 2021-07-03 , DOI: 10.1016/j.clae.2021.101475
Nir Erdinest 1 , Naomi London 2 , Nadav Levinger 3 , Itay Lavy 1 , Eran Pras 4 , Yair Morad 4
Affiliation  

The COVID-19 pandemic of 2020 and its' accompanied lockdowns impacted the entire globe in ways the world is only beginning to comprehend. In Israel, children age 9–15 had not been in a frontal classroom and been socially restricted from March 2020 till March 2021. Fourteen of these children that had been under myopia control treatment which had been effective prior to the pandemic were included in this retrospective study to learn if their myopia continued to stay under control, or if the unique environmental modifications affected their progression. The results showed that average increase in spherical equivalent refraction and axial length, measured with optical biometer OA-2000 (Tomey GmbH, Nagoya, Japan), during the year of lockdowns was −0.73 ± 0.46D/0.46 ± 0.31 mm respectively, while the average increase in the year prior was −0.33 ± 0.27D/0.24 ± 0.21 mm. Though several articles have indicated the pandemic environment has influenced myopia progression in children, this communication indicates a possible significant impact of the environment on myopia increase even in individuals under effective atropine treatment. These children's' progression suggests practitioners consider and address multiple aspects simultaneously when attempting myopia control.



中文翻译:

在长期 COVID-19 封锁期间,0.01% 阿托品治疗近视控制的有效性降低

2020 年的 COVID-19 大流行及其伴随的封锁以世界刚刚开始理解的方式影响了整个全球。在以色列,从 2020 年 3 月到 2021 年 3 月,9 至 15 岁的儿童没有进入正面教室并受到社会限制。在这些接受近视控制治疗且在大流行前有效的儿童中,有 14 名被纳入本回顾展研究以了解他们的近视是否继续受到控制,或者独特的环境改变是否影响了他们的进展。结果表明,在封锁期间,使用光学生物计 OA-2000(Tomey GmbH,日本名古屋)测量的球面等效折射和轴向长度的平均增加分别为 -0.73 ± 0.46D/0.46 ± 0.31 mm,而前一年的平均增幅为 -0.33 ± 0。27D/0.24 ± 0.21 毫米。尽管有几篇文章表明大流行环境影响了儿童近视的进展,但这种交流表明,即使在接受有效阿托品治疗的个体中,环境也可能对近视增加产生重大影响。这些儿童的进步表明从业者在尝试控制近视时同时考虑并解决多个方面。

更新日期:2021-07-03
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