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The Ophthalmologist / Issues / 2026 / June / Does Iris Color Affect Atropine?
Refractive Pediatric News

Does Iris Color Affect Atropine?

Meta-analysis examines whether iris color influences atropine 0.01% and 0.05% efficacy in myopia

6/2/2026 2 min read

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Clinical Scorecard: Does Iris Color Affect Atropine?

At a Glance

CategoryDetail
ConditionMyopia management
Key MechanismsAtropine binding to melanin in the iris may influence therapeutic concentrations.
Target PopulationChildren aged 5–16 years with myopia
Care SettingOphthalmology clinics

Key Highlights

  • Low-dose atropine (0.01%) shows differing efficacy based on iris color.
  • Children with non-brown irides experienced less myopia progression compared to placebo.
  • No significant treatment effect observed in children with brown irides at 0.01% concentration.
  • Atropine 0.05% showed no iris color-related differences in efficacy.

Guideline-Based Recommendations

Diagnosis

  • Assess myopia progression in children aged 5–16 years.

Management

  • Consider low-dose atropine for myopia management.

Monitoring & Follow-up

  • Monitor myopia progression and treatment response.

Risks

  • Potential for reduced efficacy of low-dose atropine in patients with darker irides.

Patient & Prescribing Data

Children with myopia, particularly those with varying iris colors.

Atropine 0.01% may be less effective in patients with brown irides; consider higher concentrations if response is limited.

Clinical Best Practices

  • Evaluate iris color when prescribing atropine for myopia management.

Related Resources & Content

  • Eye Journal

This content is an AI-generated, fully rewritten summary based on a published scholarly article. It does not reproduce the original text and is not a substitute for the original publication. Readers are encouraged to consult the source for full context, data, and methodology.

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