Effect of Atropine Eye Drops on Choroidal Thinning Induced by Hyperopic Retinal Defocus

Purpose. To investigate the effects of atropine on choroidal thinning induced by hyperopic retinal defocus. Methods. Ten young adults with myopia (−1.00 D to −5.00 D) viewed a video at 6 metres for 60 minutes on successive days. On day 1, one eye (control) was distance corrected with a contact lens;...

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Main Authors: Samuel T.-H. Chiang, John R. Phillips
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2018/8528315
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author Samuel T.-H. Chiang
John R. Phillips
author_facet Samuel T.-H. Chiang
John R. Phillips
author_sort Samuel T.-H. Chiang
collection DOAJ
description Purpose. To investigate the effects of atropine on choroidal thinning induced by hyperopic retinal defocus. Methods. Ten young adults with myopia (−1.00 D to −5.00 D) viewed a video at 6 metres for 60 minutes on successive days. On day 1, one eye (control) was distance corrected with a contact lens; the other (experimental) eye wore a contact lens imposing 2.00 D of hyperopic retinal defocus. Sub- and perifoveal choroidal thickness (SFCT, PFCT) were monitored with optical coherence tomography. On day 2, the procedure was repeated but the experimental eye had received one drop of 0.5% atropine 22 hours earlier. Results. On day 1, eyes exposed to hyperopic defocus developed progressively thinner choroids (SFCT (baseline) = 253 ± 32 μm versus SFCT (40 mins) = 244 ± 31 μm, p=0.004), whereas SFCT and PFCT in control eyes did not change (p>0.17). On day 2 (22 hours after instilling atropine), baseline SFCT and PFCT were not different to day 1 (p>0.05) and hyperopic defocus failed to thin the choroid (max change in SFCT = +2 ± 2 μm, p=0.36). Conclusions. Atropine abolished choroidal thinning induced by hyperopic defocus without changing baseline choroidal thickness. The results suggest that atropine inhibits signals associated with hyperopic defocus, for example, from lag of accommodation during near work. This trial is registered with ACTRN12617001519347.
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spelling doaj-art-757bdb18370941edb5ba7281a65787ca2025-02-03T05:43:44ZengWileyJournal of Ophthalmology2090-004X2090-00582018-01-01201810.1155/2018/85283158528315Effect of Atropine Eye Drops on Choroidal Thinning Induced by Hyperopic Retinal DefocusSamuel T.-H. Chiang0John R. Phillips1School of Optometry and Vision Science, The University of Auckland, Auckland, New ZealandSchool of Optometry and Vision Science, The University of Auckland, Auckland, New ZealandPurpose. To investigate the effects of atropine on choroidal thinning induced by hyperopic retinal defocus. Methods. Ten young adults with myopia (−1.00 D to −5.00 D) viewed a video at 6 metres for 60 minutes on successive days. On day 1, one eye (control) was distance corrected with a contact lens; the other (experimental) eye wore a contact lens imposing 2.00 D of hyperopic retinal defocus. Sub- and perifoveal choroidal thickness (SFCT, PFCT) were monitored with optical coherence tomography. On day 2, the procedure was repeated but the experimental eye had received one drop of 0.5% atropine 22 hours earlier. Results. On day 1, eyes exposed to hyperopic defocus developed progressively thinner choroids (SFCT (baseline) = 253 ± 32 μm versus SFCT (40 mins) = 244 ± 31 μm, p=0.004), whereas SFCT and PFCT in control eyes did not change (p>0.17). On day 2 (22 hours after instilling atropine), baseline SFCT and PFCT were not different to day 1 (p>0.05) and hyperopic defocus failed to thin the choroid (max change in SFCT = +2 ± 2 μm, p=0.36). Conclusions. Atropine abolished choroidal thinning induced by hyperopic defocus without changing baseline choroidal thickness. The results suggest that atropine inhibits signals associated with hyperopic defocus, for example, from lag of accommodation during near work. This trial is registered with ACTRN12617001519347.http://dx.doi.org/10.1155/2018/8528315
spellingShingle Samuel T.-H. Chiang
John R. Phillips
Effect of Atropine Eye Drops on Choroidal Thinning Induced by Hyperopic Retinal Defocus
Journal of Ophthalmology
title Effect of Atropine Eye Drops on Choroidal Thinning Induced by Hyperopic Retinal Defocus
title_full Effect of Atropine Eye Drops on Choroidal Thinning Induced by Hyperopic Retinal Defocus
title_fullStr Effect of Atropine Eye Drops on Choroidal Thinning Induced by Hyperopic Retinal Defocus
title_full_unstemmed Effect of Atropine Eye Drops on Choroidal Thinning Induced by Hyperopic Retinal Defocus
title_short Effect of Atropine Eye Drops on Choroidal Thinning Induced by Hyperopic Retinal Defocus
title_sort effect of atropine eye drops on choroidal thinning induced by hyperopic retinal defocus
url http://dx.doi.org/10.1155/2018/8528315
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