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This was a prospective observation cohort study to evaluate the effect of atropine on axial length (AL), choroidal thickness and choroidal stromal volume (CSV) using swept-source OCT angiography (OCTA). The study included 26 subjects of which 25 had sufficient quality scans for analysis. Mean choroidal thickness, CSV and AL pre-atropine were 288.77 ±65.63um, 10.64 ±1.31mm3 and 25.34 ±1.23mm respectively. All had significant changes. Limitations of this study were not being controlled for influence of lifestyle changes, short-term effects only and lack of compliance information. The authors conclude 1 month of daily 0.1% atropine results in short-term reduction in axial length with concurrent increase in choroidal thickness and CSV suggesting direct relationship is plausible between these parameters. Long-term implications remain to be evaluated.

The short-term effect of atropine 0.1% on the axial length and choroid of children treated for myopia progression prevention, measured by optical coherence tomography angiography. 
Koulakis JA, Nelis P, Cools W, et al.
JOURNAL OF PEDIATRIC OPHTHALMOLOGY AND STRABISMUS
2025;62(4):265–70.
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Fiona Rowe (Prof)

Institute of Population Health, University of Liverpool, UK.

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