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INFORMED CONSENT

 Are myopia treatments safe?

Contact Lenses

Children (ages 8-12) and teens are both commonly fit with contact lenses. They are at an equally low risk for developing contact lens-related problems or being noncompliant. Children and teens can wear their contact lenses for a similar amount of time each day. In addition, both groups feel that contact lenses improved their social acceptance, appearance, ability to play sports and overall satisfaction with their vision correction.

0.01% Atropine

Low dose atropine is safe for children. Low dose atropine has been shown to work without increasing pupil size or decreasing near vision dramatically, or side effects that are seen with full strength atropine (1%). In fact, only 8% of children complained of having problems with low concentration atropine, and glasses can reduce these symptoms if it is harder for the child to read or if the child is more sensitive to lights

Are myopia treatments FDA approved?

Every treatment option listed is FDA approved as safe to use in children, however none of these treatment options have been approved specifically for the treatment of myopia control.

Informed Consent

I understand the risks as indicated above, and I understand that while these treatments are approved by the FDA, they are not approved to slow the progression of myopia. I further understand that there is no guarantee or assurance of any treatment outcome from my child and that these treatments may not slow the progression of myopia. With that said, all three of these treatments have shown some promise in the research setting.

 

Parent’s Name (Print): _____________________

Patient’s Name (Print): ____________________

 

Parent’s Name (Sign):  ________________________    Date: ______________

 

Witness: _________________________________    Date: ______________