We know that ortho K lenses and low dose atropine (0.01%) both can slow down the rate of myopia progression by about 50%. People often wonder whether by combining the two, we can slow down the progression even further.
Here is an article looking at a combo of the two in 73 Chinese children who have very fast myopia progression. They discovered that additional atropine 0.01% did not result in significant difference compared with ortho K lens alone in terms of axial growth.
This is disappointing. However, this study looked at children with fast myopia progression despite using ortho K lenses. Also only a small number of children were evaluated. In addition, this is a retrospective study, meaning authors looked at the data later, rather than a randomized controlled study, so there could be factors stewing the results.
Anyway, we await more studies to see whether the two have synergistic effect.
Chen Z, Zhou J, Xue F, et al, Two-year add-on effect of using low concentration atropine in poor responders of orthokeratology in myopic children British Journal of Ophthalmology Published Online First: 11 March 2021. doi: 10.1136/bjophthalmol-2020-317980
3 thoughts on “Can you use ortho K lenses and atropine together to control myopia?”
It’s good to know that ortho-K lenses can slow the progression rate of myopia by around 50%. My niece started showing signs of nearsightedness about two weeks ago. I’ll share this info with her parents to help them decide if orthokeratology would be a good treatment option for her.
I am glad that helps you. New research comes out almost monthly on myopia control. I will keep posting new findings and new treatment in this blog