• Search Research Projects
  • Search Researchers
  • How to Use
  1. Back to previous page

Treatment effect and safety of low dose atropine eye drop for reducing myopia progression in children

Research Project

Project/Area Number 26462655
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Ophthalmology
Research InstitutionKawasaki Medical School

Principal Investigator

Hasebe Satoshi  川崎医科大学, 医学部, 教授 (20263577)

Project Period (FY) 2014-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000)
Fiscal Year 2017: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2016: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
Fiscal Year 2015: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2014: ¥130,000 (Direct Cost: ¥100,000、Indirect Cost: ¥30,000)
Keywords近視 / 小児 / 予防治療 / 眼軸長 / 調節 / 点眼 / 屈折異常 / ランダム化比較対照試験 / 小児眼科 / 臨床比較対照試験 / 予防医療
Outline of Final Research Achievements

Atropine eye drop (At.) is known to reduce myopia progression. In this study, we studied the treatment effects and side effects produced by diluted (0.01%) At.in Japanese children with myopia. After applying of 0.01% At, subjective measurements of accommodative lag and pupillary diameter showed that accuracy of accommodation was well preserved but the pupils were slightly dilated, indicating the possibility of photophobia during outdoor activity. Mean myopia progression for 2 years was -1.43 and -1.52D for treated and control groups, respectively. Mean elongation of ocular axial length was 0.67 and 0.70mm for treated and control groups, respectively. The mean treatment effects (0.09D and 0.03mm) were not significant. These results suggested that 0.01% At. is ineffective or the effect is small as a clinical treatment and thus cannot to be recommended to children as a preventive treatment for myopia progression.

Academic Significance and Societal Importance of the Research Achievements

シンガポール国立眼研究所の報告(ATOM2)以来、国内でも多数の診療所で0.01%アトロピン点眼液(At.)が個人輸入され、学童期の近視進行予防治療と称して処方されるに至っている。ATOM2の対照データは過去の論文を借用したものであり、眼軸長伸展には抑制効果がなかったことから、結果を疑問視する研究者も少なくなかった。2018年に0.01%At.を用いた初のランダム化比較試験(LAMP study)が報告され、当初予測より効果はかなり小さいことが明らかになった。今回の結果はこの報告を裏付けるものであり、0.01%At.が近視進行予防治療として推奨できない事を示し、社会に警鐘を鳴らすことができた。

Report

(6 results)
  • 2018 Annual Research Report   Final Research Report ( PDF )
  • 2017 Research-status Report
  • 2016 Research-status Report
  • 2015 Research-status Report
  • 2014 Research-status Report
  • Research Products

    (15 results)

All 2019 2018 2017 2016 2015 Other

All Journal Article (9 results) (of which Peer Reviewed: 9 results,  Open Access: 2 results) Presentation (5 results) (of which Invited: 5 results) Remarks (1 results)

  • [Journal Article] 臨床報告 低濃度(0.01%)アトロピン点眼液が調節ラグに与える影響2019

    • Author(s)
      田中 瑛三,徳武 朋樹,森澤 伸,小橋 理栄,古瀬 尚,長谷部 聡
    • Journal Title

      臨床眼科

      Volume: 73 Issue: 3 Pages: 279-284

    • DOI

      10.11477/mf.1410213070

    • NAID

      40021819805

    • ISSN
      0370-5579, 1882-1308
    • Year and Date
      2019-03-15
    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 増刊号 7年前の常識は現在の非常識!-眼科診療の最新標準 1.屈折/調節の異常・白内障 1)検査 学童近視2018

    • Author(s)
      長谷部 聡
    • Journal Title

      臨床眼科

      Volume: 72 Issue: 11 Pages: 20-24

    • DOI

      10.11477/mf.1410212869

    • ISSN
      0370-5579, 1882-1308
    • Year and Date
      2018-10-30
    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 学童期の近視進行抑制 -眼鏡・点眼を用いた無作為化比較対照試験2018

    • Author(s)
      徳武 朋樹,長谷部 聡
    • Journal Title

      IOL&RS

      Volume: 32 Pages: 228-232

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 近視進行予防における屈折矯正2018

    • Author(s)
      長谷部 聡
    • Journal Title

      MB OCULISTA

      Volume: 64 Pages: 87-92

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 調節麻痺薬2017

    • Author(s)
      特集 近視の進行をコントロールする
    • Journal Title

      眼科

      Volume: 59 Pages: 891-895

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 遠視性不同視弱視眼における調節麻痺薬点眼前のオートレフラクトメーター測定値のばらつき2016

    • Author(s)
      長田 祐佳 他
    • Journal Title

      日本視能訓練士協会誌

      Volume: 45 Pages: 237-242

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] 学童近視・近視検査・屈折異常など 近視進行と周辺画像のボケや調節との関係について教えてください2016

    • Author(s)
      長谷部聡
    • Journal Title

      あたらしい眼科

      Volume: 33 Pages: 31-34

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] 近視進行予防の理論的背景2016

    • Author(s)
      長谷部聡
    • Journal Title

      あたらしい眼科

      Volume: 33 Pages: 1419-1426

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] 小児の近視矯正(近視進行抑制眼鏡も含む)2015

    • Author(s)
      長谷部聡
    • Journal Title

      あたらしい眼科

      Volume: 32 Pages: 43-46

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] 屈折矯正ダイバーシティ 4.メガネがベスト2018

    • Author(s)
      長谷部 聡
    • Organizer
      Refractive Surgery Update Seminar 2018
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] 学童の近視予防研究 -過去10年間を振り返って-2018

    • Author(s)
      長谷部 聡
    • Organizer
      滋賀県眼科医会総会
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] 学童期の近視進行抑制治療 - 0.01%アトロピン点眼 -2018

    • Author(s)
      長谷部 聡
    • Organizer
      高知県眼科集談会
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] 学童の近視予防研究 アップデート2018

    • Author(s)
      長谷部 聡
    • Organizer
      栃木県眼科医会研究会
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] 学童期の近視進行抑制-眼鏡・点眼を用いた無作為化比較対照試験2017

    • Author(s)
      長谷部聡
    • Organizer
      第32回JSCRS学術総会
    • Related Report
      2017 Research-status Report
    • Invited
  • [Remarks] 近視予防トライアルのご案内

    • URL

      https://g.kawasaki-m.ac.jp/data/1348/125/

    • Related Report
      2018 Annual Research Report

URL: 

Published: 2014-04-04   Modified: 2020-03-30  

Information User Guide FAQ News Terms of Use Attribution of KAKENHI

Powered by NII kakenhi