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Identify At- Risk or Diagnosed Patients, Treat, Monitor in 6 months or
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Treat
0.05% Atropine
Preferred for Patients
Astigmatism >0.75D
Unable to wear contact lenses
Cost conscious patient
Considerations
Possible side effects (mydriasis, near blur, light sensitivity, irritation)
Initial Follow Up Schedule
1 week, 1 month and 3 months
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Ortho-K/Refer
Advanced treatment (like ortho-K) is requested or indicated.
If you're not
comfortable managing a patient- that's ok- just be sure to make a referral
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Actively Monitor
At follow ups, consider:
History/Symptoms, VA,
Refraction, Cornea Eval
(not all inclusive)
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Consider additional risk factors (family history, near work, outside time, ethnicity & accommodative status
* based on cycloplegic refractive error
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