3 year old with amblyopia - use of atropine drops

Discussion in 'Optometry Archives' started by Joey, Mar 2, 2004.

  1. Joey

    Joey Guest

    Our 3 year old daughter was recently diagnosed with
    amblyopia. her vision in her right eye is 20/160.

    she started with glasses to align her eye and that went very
    well, she likes to wear the glasses.

    we then were told that she needed to wear a patch and this
    did not go well. we tried different kinds of patches but no
    luck. our doctor agreed to try the atropine drops and he'll
    check her eyes in two months to see if there's progress.

    We're giving her the drops every night (one drop). It's been
    very easy to give her the drop and her eye looks dilated.

    our questions are:
    (1.) are any of you currently using drops
    for your kids, and if so what is their vision? Our daughter
    is 20/160.
    (2.) do you give the drops at night or morning?
    Our doctor said it doesn't matter but I'm wondering if they
    loose any of their effectivness. She is getting along
    extremely well with the drops, we cant help but wonder if
    they are really blurring her vision enough to make her use
    her weak eye.
    (3.) if you have used drops, how long did it
    take to notice any improvement?

    we're new to this so we appreciate any input.
    Joey, Mar 2, 2004
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  2. In general, atropine penalization doesn't work well with visios worse than
    about 20/70, probably because the blur at near with the atropine isn't
    enough to switch fixation to the amblyopic eye. This can be augmented by
    putting a minus lens over the atropined eye to blur it more, but I usually
    look the fixation switch in the office before I commit to a couple of months
    of treatment.

    That said, some people find some response even without these trick, in some

    David Robins, MD
    Board certified Ophthalmologist
    Pediatric and strabismus subspecialty
    Member of AAPOS
    (American Academy of Pediatric Ophthalmology and Strabismus)
    David Robins, MD, Mar 3, 2004
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  3. When using the drops, protect her eyes from sunlight with UV
    sunglasses. It can damage her eye permanently. not a doctor
    lasik advocate with flap melt, Mar 5, 2004
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