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Could advanced low vision aids be the key to overcoming vision challenges in your daily life? Many people think low vision aids can only help with reading, but they actually support a wide range of activities, including driving and watching TV.

I’m Juliet Menakaya, the owner and Principal Optometrist at Junic Eye Care. Our practice is special because we have a dedicated low vision clinic in Canberra tailored to help those with vision impairments regain their independence and improve their quality of life. With years of experience and a compassionate approach, I am committed to providing personalized care and advanced eye care solutions to meet the unique needs of each patient.

With the right low vision aids, you can maintain your independence and continue to enjoy activities you love, despite vision impairments. But without proper low vision care, you may struggle with simple tasks, leading to frustration and a decreased quality of life.

Contact Junic Eye Care to book your appointment and experience the difference our advanced low vision services can make. Or if you’re still considering your options, continue reading to understand the full benefits of advanced low vision aids and professional low vision eye care.

Overview of Low Vision

What do you think it means to have low vision? It refers to a significant visual impairment that can’t be fully corrected with standard glasses, contact lenses, medication, or surgery. Low vision makes everyday tasks challenging. Common causes include age-related macular degeneration, glaucoma, diabetic retinopathy, and cataracts. These conditions deteriorate different parts of the eye, leading to reduced visual acuity.

It is estimated by Vision 20/20 Australia that there are over 575,000 people who are blind or vision impaired currently living in Australia, with more than 70 per cent over the age of 65 and over 66,000 people who are legally blind. This includes not only those with reduced central vision but also individuals with significant peripheral vision loss. Conditions such as retinitis pigmentosa, and stroke-related vision loss can lead to restricted peripheral vision, qualifying as low vision and requiring specialised aids and strategies to manage daily activities and maintain independence.

If you’d like to learn more about the types of low vision impairment and potential solutions, watch the following video from Dr Joseph Allen.

Types of Low Vision Glasses

How can specialised glasses help those with low vision? Let’s explore some options.

Bioptic telescopic glasses are designed with miniature telescopes mounted on the lenses, allowing users to switch between normal and magnified views. These glasses are particularly useful for activities like driving, watching TV, or recognising faces from a distance. They provide a clearer, magnified image, making distant objects more visible.

Prismatic eyeglasses incorporate special prisms to improve the field of vision. These glasses help with reading and everyday activities by bending light into the eyes, allowing better use of peripheral vision. They are particularly beneficial for those who struggle with binocular vision issues, offering an enhanced visual experience.

E-Scoop glasses are specifically designed for macular degeneration patients. They have unique optical characteristics, such as a yellow tint and special lenses, which improve contrast and reduce glare. This helps patients see more clearly and comfortably, enhancing their daily visual experience.

Low vision magnifying reading glasses are another great option. They enhance close-up vision, making it easier to read books, newspapers, or engage in hobbies like knitting. These glasses have high-powered lenses that magnify text and objects, reducing the strain on the eyes during close-up tasks.

Advanced Low Vision Aids

How can electronic magnifiers transform the daily lives of those with low vision? Let’s explore the various types and their unique benefits.

CCTV magnifiers, or closed-circuit television magnifiers, are stationary devices that use a camera to project magnified images onto a screen. They are particularly beneficial for real-time viewing, making it easier to read books, newspapers, and even perform hobbies that require detailed work. These devices often come with adjustable magnification levels, contrast settings, and colour options, allowing users to customise their viewing experience according to their specific needs. The ability to see a larger, clearer image in real-time can significantly enhance the quality of life for those with visual impairments.

Hand-held and desktop video magnifiers offer a more portable solution. Hand-held magnifiers are small, lightweight, and perfect for on-the-go use. They are ideal for quick tasks such as reading menus, labels, or small print while out and about. Desktop video magnifiers, on the other hand, provide a more stable and larger screen for tasks that require prolonged viewing, such as reading or writing. These magnifiers come with various strengths and magnification capabilities, making them versatile tools for everyday activities. Their portability and ease of use make them a favourite among users who need assistance both at home and when travelling.

Among the leading brands in electronic magnifiers, Humanware stands out with its innovative products like the explorē 5 and explorē 8.

The explorē 5 is a pocket-sized video magnifier, boasting the title of the smallest and lightest 5.0-inch portable digital video magnifier of its kind. Designed for spot reading, this compact device offers 18 different enhancement contrast modes, making it an excellent choice for anyone with vision loss. Its high-definition image and precise autofocus enable users to see things up to 22 times more clearly, providing a clear, sharp image that enhances independence. The explorē 5 is perfect for those who need a reliable, easy-to-use magnifier that fits comfortably in a pocket or bag.

The explorē 8 takes portability a step further with its 8.0-inch touchscreen and up to 30X magnification. This handheld video magnifier is ideal for anyone who needs an electronic reading aid that can magnify documents for better readability. Its larger screen and compact design make it easy to transport and use in various settings, whether at home or on the go. The touch screen interface adds to its user-friendly design, allowing users to easily adjust magnification and contrast settings to suit their needs.

Junic Eye Care is a Canberra based distributor for Humanware low vision devices.If you’d like to learn more, watch the following video:

Innovative Low Vision Aids

The future promises even more amazing leaps forward in technological solutions for low vision. Many new hardware devices and software which leverage the enormous potential of software innovation are coming to market now.

OrCam is a groundbreaking AI-powered device that has revolutionised the way individuals with low vision navigate their world. This small device attaches to the arm of your glasses and serves as an unobtrusive yet powerful personal assistant. Imagine having the ability to read text aloud, recognise faces, and identify products effortlessly. OrCam does just that. For instance, you can walk into a grocery store and have OrCam read labels to you, helping you choose the right products. It can also recognise faces, ensuring that you can greet friends and family confidently. By vocalising text and recognising objects, OrCam allows users to maintain their independence and interact more freely with their environment.

IrisVision, on the other hand, harnesses the power of assisted reality (AR) to offer an entirely different kind of visual aid. This device uses a AR headset to provide multiple viewing modes, allowing users to zoom in on distant objects or read fine print with remarkable clarity. It’s like putting a high-powered magnifying glass right in front of your eyes, but much more versatile. IrisVision is particularly beneficial for daily activities such as reading, writing, and even watching television. Its ability to switch between different modes means it can adapt to various visual challenges, offering a customised viewing experience.

Junic Eye Care’s Approach to Low Vision

How does the Junic Eye Care optometry practice cater to those with low vision?

Our process begins with a thorough evaluation and vision assessment. We utilise the MAIA Macular Microperimeter to assess the integrity of the macula and identify viable areas of the retina. This technology allows us to identify specific areas that can still provide useful vision, which is crucial for developing effective treatment plans.

Once we’ve assessed the vision, we set personalised goals tailored to each patient’s lifestyle and needs. Our training sessions focus on achieving these goals, whether it’s reading, navigating daily tasks, or enjoying hobbies. We introduce low vision devices and provide training on their use, ensuring that patients feel confident and capable in their daily lives.

Our approach is holistic, considering all aspects of our patients’ lives. By focusing on their unique visual requirements and personal goals, we aim to enhance their independence and quality of life.

CONCLUSION

Low vision glasses, such as bioptic telescopic and prismatic eyeglasses, provide essential solutions to enhance vision and support independence. These aids offer a range of benefits tailored to individual needs, significantly improving quality of life for those with visual impairments. Beyond glasses, various low vision aids, including magnifiers and electronic devices, play a crucial role in daily tasks, enabling greater autonomy.

The future holds exciting potential with AI and Assisted Reality-driven low vision aids. Innovations like OrCam and IrisVision demonstrate how advanced technology can transform the lives of individuals with low vision, offering personalised and adaptive visual assistance. As these technologies evolve, they promise even greater enhancements in accessibility and independence.

Taking proactive steps to address low vision is essential. Delaying action can lead to further deterioration and increased reliance on others. Don’t let procrastination hinder your quality of life. Schedule a consultation now to explore the best low vision technological solutions in Canberra.

To visit our optometry practice, click the “Book Online” button at the top of the page or call (02) 6152 8585 today.

You’ll find our clinic conveniently located in the Molonglo Health Hub, just a short 10 minute drive from central Canberra, with plenty of free parking when you get here.

Computer vision syndrome (CVS) is a common problem for those of us who use digital devices all day. CVS can especially be an issue when it aggravates the symptoms of dry eye disease. In this podcast interview I talk about the symptoms, causes and management of computer vision syndrome and also what you can do to reduce dry eye irritation. If you think you have either of these eye complaints, I encourage you to book a visit at Junic Eye Care.

To visit our optometry practice, click the “Book Online” button at the top of the page or call (02) 6152 8585 today.

You’ll find our clinic conveniently located in the Molonglo Health Hub, just a short 10 minute drive from central Canberra, with plenty of free parking when you get here.

Is your child struggling with depth perception or squinting one eye – it could be amblyopia (“lazy eye”). While early intervention is best, amblyopia treatment can still be effective in older children and, in some cases, adults.

Amblyopia affects up to 3% of children. It is a vision development disorder where one eye fails to achieve normal visual acuity, even with the aid of prescription glasses or contact lenses. This condition typically starts during infancy. If left untreated, lazy eye can lead to permanent vision loss and significant impairment in the affected eye, impacting overall visual development and quality of life.

I’m Juliet Menakaya, the owner and principal optometrist at Junic Eye Care in Canberra. My passion for paediatric optometry and binocular vision abnormalities drives our practice’s unique approach. With a background in orthoptic health care, I am committed to providing personalized eye care solutions that cater to the specific needs of each patient.

Book your consultation today or keep reading to learn more about amblyopia and how it can be managed.

Symptoms and Causes of Amblyopia (Lazy Eye)

How can you tell if your child might need amblyopia treatment? Identifying the early signs in children can be challenging but is essential for timely intervention. Common indicators include frequent squinting, tilting the head, or closing one eye to see better. Some children might struggle with depth perception, making them appear clumsier than their peers.

Why does amblyopia occur? Amblyopia often stems from prenatal, or perinatal factors and family history. Children born prematurely or with a low birth weight have a higher likelihood of developing the condition. If there’s a history of eye conditions in your family, your child may also be at higher risk. It’s essential to inform your optometrist about any family history of vision problems during your child’s eye examinations.

Refractive errors like nearsightedness, farsightedness, or astigmatism can be more severe in one eye. This disparity may cause the brain to rely on the stronger eye, effectively “turning off” the weaker one. Since both eyes together seem to work fine, this issue can be hard to detect, leading to improper vision development.

Children born with cataracts have cloudiness in the lens of one or both eyes. This cloudiness can obstruct the visual pathway, preventing proper vision development in the affected eye.

A droopy eyelid, or ptosis, can block vision in a child’s developing eye. This obstruction can lead to amblyopia, as the eye is deprived of clear visual input necessary for normal development.

Strabismus, or crossed eyes, is another common cause. When the eyes are misaligned, the brain receives two different images, which it cannot combine. To avoid double vision, the brain may start ignoring the image from the misaligned eye, leading to amblyopia. Parents should be vigilant for signs of crossed eyes (strabismus) or differences in the appearance of the eyes, such as one eye wandering inward or outward. These signs warrant an immediate visit to a paediatric optometrist, who can provide a comprehensive assessment.

Watch the following video from the American Academy of Ophthalmology to understand more about Amblyopia.

Diagnosing Lazy Eye

Paediatric optometrists play a vital role in early detection. They are trained to recognise the subtle signs of amblyopia that might be missed during a general health check-up. For instance, they use specific tests designed to identify differences in visual acuity between the eyes, such as covering one eye at a time while the child reads letters or looks at pictures. These tests help pinpoint if one eye is significantly weaker than the other.

The optometrist may also use more advanced diagnostic tools like photoscreeners or autorefractors. These devices can provide detailed information about the eye’s focus and alignment, offering a clearer picture of what might be causing the amblyopia. In some cases, they may dilate the pupils with drops to get a better view of the internal structures of the eye.

Regular eye exams are essential, particularly if there’s a family history of eye problems or if your child shows signs of strabismus or other vision issues. Early diagnosis allows for more effective treatment, increasing the likelihood of correcting the condition and preventing long-term vision problems. All children should have their vision checked by an eye care professional before starting school.

Traditional Amblyopia Treatments

Once diagnosed, several effective amblyopia treatments can help improve vision in the affected eye. The primary goal is to encourage the brain to use the weaker eye, which can involve various methods depending on the severity and cause of the condition.

• Corrective lenses are often the first step. Glasses or contact lenses can correct refractive errors, such as nearsightedness, farsightedness, or astigmatism, ensuring both eyes have similar visual input. This equalisation helps the brain to use both eyes together more effectively.
• Patching is another common and highly effective treatment. By covering the stronger eye with a patch, the brain is forced to rely on the weaker eye. This method can significantly improve vision over time. Proper application techniques are crucial for success, and it’s essential for parents to follow the optometrist’s instructions on how long the patch should be worn each day.
• Bangerter filters, which are special stickers placed on glasses, can blur the vision in the stronger eye, similar to patching but often more comfortable for children. This method encourages the use of the weaker eye without completely blocking vision in the stronger one.
• Pharmacological treatments, such as eye drops (typically atropine), can also be used to blur vision in the stronger eye. This method is often easier for parents and children to manage compared to patching, particularly for younger children who may resist wearing a patch.
• Dichoptic training is a type of vision therapy where blue-red glasses are used to present each eye with different visual information that the brain must combine. This method helps improve binocular vision and eye coordination by encouraging the brain to process input from both eyes simultaneously, thus strengthening the weaker eye and promoting better visual integration.
• Eye surgery, in some cases might be necessary, especially if strabismus (crossed eyes) is present. Surgery can align the eyes correctly, making it easier for the brain to use both eyes together.

Choosing the right amblyopia treatment involves a collaborative approach between the optometrist and the parents, ensuring that the chosen method fits the child’s needs and lifestyle. Regular follow-up appointments are essential to monitor progress and make any necessary adjustments to the treatment plan.

Innovative Amblyopia Treatment Options

What new treatments are available for amblyopia? Recent advances have introduced innovative approaches to treat this condition more effectively. Virtual reality (VR) therapy is one such promising method. By engaging children in interactive games and activities within a VR environment, both eyes are stimulated to work together, improving binocular vision and depth perception.

AmblyoPlay is a state-of-the-art vision therapy solution which we often recommend here at Junic Eye Care because it transforms the treatment process into an enjoyable experience for children

One of the standout features of AmblyoPlay is its personalised training program. The software continuously monitors and analyses the user’s performance, adapting the exercises in real-time to ensure they are neither too easy nor too challenging. This customised approach helps maintain a steady and gradual improvement in the child’s vision.

AmblyoPlay also includes AmblyoPlay Glasses, which are integral to the therapy. These glasses are designed to support the specific visual exercises provided by the program. The therapy supports multiple devices and platforms, including Android tablets, iPads, Windows, and Mac computers, making it versatile and convenient for any household.

Another significant advantage of the product is the progress reports it generates. These reports allow parents and optometrists to track the child’s improvement over time, ensuring that the therapy is effective. Additionally, the program is child-friendly, with a gamified approach that makes the exercises fun and engaging, encouraging regular use. This is particularly beneficial for children who might otherwise find traditional eye exercises tedious and challenging to maintain consistently.

With over 15,000 users worldwide, AmblyoPlay has proven to be a reliable and effective tool for treating amblyopia and other binocular vision issues such as strabismus and convergence insufficiency.

Watch the following video for a review of how AmblyoPlay works.

Frequently Asked Questions

Can you fix amblyopia with eye exercises?

Eye exercises alone are not typically sufficient to fix amblyopia. However, when combined with other treatments like patching or corrective lenses, they can be beneficial.

Can I prevent my child from developing amblyopia?

While you cannot entirely prevent amblyopia, early detection and intervention are key. Regular eye examinations, especially if there’s a family history of vision issues, can identify potential problems early on.

Does amblyopia get worse with age?

If left untreated, amblyopia can worsen over time, leading to permanent vision loss in the affected eye. Early treatment during childhood is crucial as the visual system is still developing and more responsive to treatment. Once a child reaches around 7-9 years old, the effectiveness of treatment decreases significantly, making early intervention essential.

Can my child grow out of amblyopia?

Amblyopia does not resolve on its own. Without appropriate treatment, the condition can persist and lead to permanent vision impairment. With proper intervention, such as patching, corrective lenses, or other therapies, many children can achieve significant improvements in vision.

Is this condition likely to recur after treatment?

Recurrence of amblyopia can happen, especially if the underlying cause, such as strabismus or significant refractive error, is not fully addressed. Regular follow-ups with your optometrist are essential to monitor your child’s vision and ensure that any signs of recurrence are promptly managed.

Is there anything I can do to help my child with amblyopia at home?

Yes, there are several ways to support your child’s treatment at home. Encourage activities that stimulate the weaker eye, such as reading, drawing, or playing visually engaging games. Maintaining a consistent routine with patching or using eye drops as prescribed is crucial. Positive reinforcement and rewards can motivate your child to adhere to their treatment plan.

Can people with amblyopia drive?

Whether a person with amblyopia can drive depends on the severity of the condition and the legal vision requirements in their area. Many individuals with amblyopia can drive safely if they have adequate vision in their stronger eye and meet the minimum visual standards for driving. It is essential to consult with an optometrist to assess driving fitness.

CONCLUSION

Amblyopia treatment options include corrective lenses, patching, eye drops, innovative vision therapy and sometimes surgery, each tailored to strengthen the weaker eye and improve overall vision. At Junic Eye Care we have experience in paediatric optometry and offer comprehensive, personalized eye care to address conditions like amblyopia effectively.

Ignoring early signs of lazy eye in children can severely impact their academic performance and social interactions. Give your child the best chance at a bright future with clear vision—schedule an eye examination with us right away.

To visit our optometry practice, click the “Book Online” button at the top of the page or call (02) 6152 8585 today.

You’ll find our clinic conveniently located in the Molonglo Health Hub, just a short 10 minute drive from central Canberra, with plenty of free parking when you get here.

Are your eyes sensitive to certain kinds of light? Have you considered how FL-41 lenses, Avulux and blue light glasses could reduce your susceptibility?

Choosing the right type of glasses can significantly improve your quality of life if your eyes react badly to certain light conditions. In this article I want to share with you the differences between three types of eyewear that you should know about.

I’m Juliet Menakaya, the owner and principal optometrist at Junic Eye Care in Canberra. At our clinic, we pride ourselves on our extensive experience in treating patients of all ages suffering from light induced discomfort. Our approach is tailored to each individual, ensuring that every visit addresses your specific eye health needs with understanding and professional care.

Light Sensitivity and Your Eyes

Why do some people find bright lights unbearably uncomfortable while others don’t seem to be bothered at all? Light sensitivity, or photophobia, can be a perplexing and often debilitating issue caused by various underlying conditions.

• Dry eyes can lead to light sensitivity because the lack of adequate moisture on the eye’s surface can make it more prone to irritation from light. This condition often results from prolonged screen time or environmental factors.
• Blepharitis, an inflammation of the eyelids, can also cause sensitivity to light. This condition leads to swollen, irritated eyelids, which can increase the eye’s overall sensitivity.
• Eye infections can increase sensitivity to light as they often involve inflammation and irritation of the eye tissues. Conditions like conjunctivitis can make your eyes more reactive until the infection is resolved.
• Corneal abrasions can cause significant light sensitivity due to the damage they inflict on the eye’s surface. These scratches make the eye more vulnerable to light, causing pain and discomfort.
• Photokeratitis, a condition similar to sunburn of the eye, can cause light sensitivity. This is often a result of excessive exposure to UV light, leading to inflammation and pain in the eyes.
• People with blue eyes have less pigment to protect against harsh lighting conditions. This makes them more susceptible to discomfort in brightly lit environments.
• Migraines are a common cause of light sensitivity, making bright lights intolerable during an episode. This symptom can significantly impact daily activities and quality of life.
• Blepharospasm, an involuntary eyelid twitch, can also lead to light sensitivity. The constant twitching can make the eyes more sensitive to harsh lighting and exacerbate discomfort.

Understanding the root causes of photophobia is essential for effective management. With proper eye care and protective measures you can significantly reduce the impact of light sensitivity on your daily life.

Watch the following video by Dr. Rupa Wong as she explains why light can impact on our level of eye comfort.

The Role of FL-41 Glasses in Managing Light Sensitivity

Developed in the early 1990s, rose-colored tint FL-41 glasses were initially designed to help patients with fluorescent light sensitivity. Over time, their effectiveness has been well documented.

FL-41 glasses work by filtering out specific wavelengths of light which are known to trigger migraines. This targeted approach helps reduce the intensity of bright lights, making it easier for patients to function in various lighting conditions without discomfort.

In tests of FL-41-filtered lenses against conventional gray sunglasses and standard rose-tinted spectacles, researchers found that the majority of patients preferred wearing FL-41-filtered spectacles.

For migraine sufferers, FL-41 glasses can provide substantial relief. Studies have shown that these glasses can decrease both the frequency and severity of migraines, offering a non-pharmacological treatment option. This is particularly beneficial for individuals seeking to avoid medication side effects or looking for additional support in managing their symptoms.

Understanding Avulux Glasses

How do Avulux glasses work to alleviate migraines? Similar to FL-41 lenses, Avulux glasses are specifically designed to filter out certain wavelengths of light. By selectively blocking blue, amber, and red light, these glasses create a more comfortable visual environment for sufferers of light sensitivity.

Unlike FL-41, Avulux has the appearance of a neutral, gray tint and does not distort colors. For individuals with photophobia (light sensitivity), Avulux glasses provide more extensive protection against bright outdoor light, which can be overwhelming and trigger migraines or discomfort. The enhanced filtering helps to reduce glare and light intensity more effectively than FL-41 lenses.

Preliminary research conducted at the University of Utah also indicates that Avulux may also help patients with visual snow syndrome, a disorder that causes you to see static. Some describe it as seeing things in a snow globe that’s been shaken up.

Blue Light Glasses Explained

Blue light glasses are designed to filter out the blue light emitted by digital screens, which is a significant contributor to eye strain and light discomfort. These glasses are increasingly popular among people who spend extended periods in front of computers, tablets, and smartphones.

Scientific studies have questioned the effectiveness of blue light glasses in reducing digital eye strain. While some may argue that the evidence is mixed, many users report noticeable improvements in their symptoms when using these glasses. It’s important to note, however, that blue light glasses are not a cure-all; they work best when combined with other eye care practices, such as taking regular breaks and adjusting screen settings.

Comparative Analysis: FL-41, Avulux, and Blue Light Glasses

How do Avulux, FL-41, and blue light glasses compare? Each type offers unique benefits tailored to specific needs. Avulux glasses are particularly effective for migraine sufferers, filtering out a broad spectrum of light wavelengths that trigger headaches. FL-41 glasses, with their focus on blue and green light, are highly specialised for reducing light sensitivity.

On the other hand, blue light glasses are designed primarily to alleviate digital eye strain, making them ideal for those who spend long hours in front of screens. While they provide some relief for headaches, their primary function is to enhance comfort during screen use.

Choosing the right pair depends on your specific symptoms and needs. At Junic Eye Care, we help you find the best solution to improve your daily comfort and eye health.

Source: https://avulux.com/pages/migraine-light-sensitivity-photophobia-glasses-comparison

Where to Get Tested and Fitted in Canberra

Where can you get the right eyewear to address your eye strain and migraines? At Junic Eye Care, we offer comprehensive eye exams and fittings tailored to your specific needs. Our experienced optometrists will assess your eye health, discuss your symptoms, and recommend the most suitable eyewear, whether it’s Avulux, FL-41, or blue light glasses.

Booking an appointment with us is straightforward. You can visit our website or call our clinic to schedule a consultation. During your visit, we’ll conduct a thorough examination and provide personalised advice to help you manage your eye health effectively.

CONCLUSION

This article compares Avulux, FL-41, and blue light glasses, focusing on their specific benefits in combating light sensitivity, migraines and digital eye strain in Canberra’s office-heavy workforce.

Without the right glasses, you may continue to suffer from headaches and irritation, impacting your work efficiency and overall quality of life.

Ignoring the need for specialized eyewear can lead to a reliance on temporary solutions, such as over-the-counter pain medication, which doesn’t address the root cause of your discomfort.

Don’t wait for your eye discomfort to worsen; be proactive and schedule a consultation to explore how specialized glasses can transform your daily life.

To visit our optometry practice, click the “Book Online” button at the top of the page or call (02) 6152 8585 today.

You’ll find our clinic conveniently located in the Molonglo Health Hub, just a short 10 minute drive from central Canberra, with plenty of free parking when you get here.

Did you know there’s a simple eye drop that could slow down your child’s worsening eyesight? Atropine eye drop treatment can be a simple, non-invasive and safe solution for addressing childhood myopia.

Myopia is a progressive condition. Not only does it lead to nearsightedness in the short term. But in advanced cases it can significantly raise the risk profile for serious eye disease later in life. Overlooking the importance of early intervention in myopia could result in costly and more invasive treatments later, as the condition worsens.

I’m Juliet Menakaya, the owner and principal paediatric optometrist at Junic Eye Care. Our practice caters to everyone, from the youngest infants to octogenarians. I ensure that every client receives thorough, individualized attention, whether it’s your first pair of glasses or advanced care for your age-related vision changes.

In Australia, therapeutically endorsed optometrists are qualified to prescribe atropine eye drops for myopia control. Professionals such as myself have undergone additional training to ensure we can safely manage and prescribe medications for eye health. If you’re considering atropine for your child, visiting an optometrist with this endorsement is essential.

So why delay? Book a time to come and talk with me about how atropine eye drops could be the missing solution to your son or daughters worsening eye condition. Keep reading to find out more.

Overview of Myopia in Children

Myopia is a common vision condition, often known as short-sightedness, and is increasing in prevalence both in Australia and around the globe. Myopia occurs when the eye grows too long, causing light to focus in front of the retina instead of directly on it. This results in distant objects appearing blurry while close objects remain clear.

What causes myopia in children? Studies have shown that lifestyle factors, such as prolonged near work and limited time outdoors, contribute significantly to this trend. Internationally, the numbers are even more concerning, with some countries in East and South East Asia reporting myopia rates exceeding 80% among young adults.

Early-stage myopia isn’t just a minor inconvenience. Children with myopia are at higher risk of developing conditions such as retinal detachment, glaucoma, and macular degeneration later in life. The progression of myopia typically accelerates during school years, making early detection and management crucial.

Recognising the signs of myopia in children, such as squinting, frequent headaches, and difficulty seeing the board at school, is the first step towards effective management.

Introduction to Atropine Eye Drops

So what are atropine eye drops, and how can they help with myopia? Atropine, derived from the deadly nightshade plant, has been used in eye care for more than a century. Initially, it was employed to dilate pupils during eye examinations and treat conditions like lazy eye (amblyopia) and eye inflammation. More recently, its role in managing myopia in children has gained attention.

Atropine eye drops work by temporarily relaxing the muscles in the eye, preventing the eye from focusing too tightly on close objects. This relaxation helps to slow down the elongation of the eye, which is a primary cause of myopia progression. The drops are typically administered once daily, usually at bedtime, to minimise any discomfort or side effects.

Atropine is often part of a broader myopia management strategy. Combining atropine with other treatments, such as myopia control lenses (like Stellest), can enhance effectiveness. Parents should discuss with their optometrist whether atropine eye drops alone or in combination with other treatments are best suited for their child’s specific needs.

If you’ like to learn more about the science behind atropine for treating myopia, watch the following video from Dr Natalie Chai.

Efficacy of Atropine Eye Drops in Controlling Myopia

Numerous clinical studies have shown that atropine eye drops can significantly slow progressive myopia. One of the landmark studies, the Atropine for the Treatment of Myopia (ATOM) study, demonstrated that children using atropine had a much slower rate of eyeball elongation compared to those who did not.

Concentration of atropine used is a critical factor. Higher concentrations like 1% atropine were initially used but were found to cause side effects such as light sensitivity and difficulty focusing on close objects. These side effects made the treatment less suitable for everyday use in children. More recent studies have explored lower concentrations, finding a balance between efficacy and minimal side effects (see sources below).

Research indicates that 0.02%, 0.025%, and 0.05% atropine are still quite effective. These lower doses are more tolerable, making them a better option for long-term use. Parents often worry about the safety of using these drops over an extended period, but clinical evidence supports their safety when used as directed.

The ages at which children can benefit from atropine treatment typically range from 6 to 14 years. Starting treatment early is beneficial as it can prevent significant progression of myopia, thereby reducing the risk of severe eye conditions in the future. It’s also worth noting that the treatment’s success varies among individuals.

Sources:
https://pubmed.ncbi.nlm.nih.gov/30514630/
https://pubmed.ncbi.nlm.nih.gov/32019700/
https://pubmed.ncbi.nlm.nih.gov/34627809/

Side Effects, Usage and Safety

Common side effects of low-dose atropine include mild photophobia (sensitivity to light) and occasional blurred near vision. These effects are typically mild and can be managed by administering the drops at bedtime, allowing most of the potential discomfort to occur during sleep. For many children, these minor inconveniences are a small price to pay for the long-term benefits of slowed myopia progression.

Administering atropine eye drops is straightforward, but it requires diligence. The drops are typically applied once daily, usually before bedtime. This timing helps minimise any mild side effects, such as light sensitivity, that might occur shortly after administration. It’s crucial to follow the prescribed dosage carefully and not to exceed it, as improper use can lead to adverse effects.

Safety is especially important when considering treatments for young children who may not yet be ready for other myopia control methods like contact lenses. For these younger patients, atropine eye drops offer a simple, non-invasive option that can be easily incorporated into their daily routine with minimal disruption.

Atropine liquid must NEVER be swallowed. Atropine eye drops are formulated specifically for ocular use, significantly diluting the active ingredient to safe levels. Despite this, there is the potential for toxic effects if taken orally. Parents should be diligent in following instructions and keeping the medication out of reach of children when not in use.

Making Atropine Part of Your Nightly Schedule

For parents, administering eye drops to children can sometimes be challenging. Here are a few tips to make the process smoother:

• Explain to your child why the drops are necessary and how they will help protect their vision.
• Establish a calm environment and perhaps incorporate the drops into a nightly routine to help your child become accustomed to the process.
• Use a reward system for cooperation can also be beneficial, making the experience more positive for both the child and the parent.

The recommended length of treatment with atropine eye drops varies, but it often spans several years, depending on the child’s age and the progression of their myopia. Regular follow-ups with the optometrist are critical to monitor the effectiveness of the treatment and make any necessary adjustments. These appointments provide an opportunity to assess whether the current concentration of atropine is effective or if changes are needed.

CONCLUSION

Atropine eye drops offer a scientifically backed method to slow the progression of myopia in children, with minimal side effects at low doses. Comparative studies indicate that atropine is as effective as other myopia control methods but with easier administration and management.

Failing to manage myopia early can increase the likelihood of needing more invasive treatments later, such as surgery or high-strength corrective lenses.

Join the many parents who have chosen proactive myopia management for their children; schedule your consultation with Junic Eye Care and see the difference it makes.

To visit our optometry practice, click the “Book Online” button at the top of the page or call (02) 6152 8585 today.