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April 23, 2026Journal of Ophthalmology0 citationsOpen Access

Navigating the Core Challenges of Atropine Therapy in Myopia: A Mechanistic and Clinical Analysis of Dose, Response, and Durability

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QJQinling JiangJYJing YangXCXingwei Cao

Key Points

  • The aim is to investigate atropine's mechanisms, optimize its dosage, and assess its long-term effectiveness for myopia management.
  • Review of recent clinical studies on atropine therapy for myopia
  • Assessment of dosage optimization and customization strategies
  • Evaluation of long-term effectiveness and associated ocular side effects
  • Atropine effectively reduces myopia progression based on clinical evidence.
  • Gaps exist in understanding its mechanisms of action and treatment personalization.
  • Rebound effects and ocular side effects highlight the need for further research on long-term use.

Abstract

Myopia has emerged as a major global public health concern. Atropine, recognized as one of the foremost interventions for myopia control, has been validated for its efficacy and safety through a multitude of clinical studies. This article examines the most recent advancements in understanding atropine’s mechanisms of action, optimizing dosage, customizing treatment plans, and assessing its long‐term effectiveness in managing myopia. While atropine has shown impressive clinical results, there are still significant knowledge gaps surrounding its mechanisms of action, the personalization of treatments, rebound effects following cessation, and ocular side effects. Future investigations should prioritize clarifying the mechanisms of atropine, developing pertinent biomarkers for guiding individualized therapies, and investigating integrated control strategies that combine atropine with other treatments to enhance long‐lasting therapeutic benefits. As a crucial medication for the prevention and management of myopia, atropine holds significant promise for a holistic approach to myopia treatment, offering new insights and directions to tackle this public health challenge.

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Cite This Study

Jiang et al. (2026) studied this question.

synapsesocial.com/papers/69e9b7c585696592c86eb5dfhttps://doi.org/10.1155/joph/2644577
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