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Updated: Oct 27, 2025

Inducement and Evaluation of a Murine Model of Experimental Myopia
Published on: January 22, 2019
Insights into the mechanism by which atropine inhibits myopia: evidence against cholinergic hyperactivity and
Kate Thomson1, Tamsin Kelly2, Cindy Karouta1
1Centre for Research in Therapeutic Solutions, Faculty of Science and Technology, University of Canberra, Canberra, Australian Capital Territory, Australia.
Background And Purpose:
The ability of the muscarinic cholinergic antagonist atropine to inhibit myopia development in humans and animal models would suggest that cholinergic hyperactivity may underlie myopic growth. To test this, we investigated whether cholinergic agonists accelerate ocular growth rates in chickens. Furthermore, we investigated whether atropine alters ocular growth by downstream modulation of dopamine levels, a mechanism postulated to underlie its antimyopic effects.
Experimental Approach:
Muscarinic (muscarine and pilocarpine), nicotinic (nicotine) and non-specific (oxotremorine and carbachol) cholinergic agonists were administered to chicks developing form-deprivation myopia (FDM) or chicks that were otherwise untreated. Vitreal levels of dopamine and its primary metabolite 3,4-dihydroxyphenylacetic acid (DOPAC) were examined using mass spectrometry MS in form-deprived chicks treated with atropine (360, 15 or 0.15 nmol). Further, we investigated whether dopamine antagonists block atropine's antimyopic effects.
Key Results:
Unexpectedly, administration of each cholinergic agonist inhibited FDM but did not affect normal ocular development. Atropine only affected dopamine and DOPAC levels at its highest dose. Dopamine antagonists did not alter the antimyopia effects of atropine.
Conclusion And Implications:
Muscarinic, nicotinic and non-specific cholinergic agonists inhibited FDM development. This indicates that cholinergic hyperactivity does not underlie myopic growth and questions whether atropine inhibits myopia via cholinergic antagonism. This study also demonstrates that changes in retinal dopamine release are not required for atropine's antimyopic effects. Finally, nicotinic agonists may represent a novel and more targeted approach for the cholinergic control of myopia as they are unlikely to cause the anterior segment side effects associated with muscarinic treatment.
Insights
Cholinergic agonists unexpectedly inhibited myopia development in chicks, challenging the idea that cholinergic hyperactivity causes myopia. Atropine
Area of Science:
- Ophthalmology
- Neuroscience
- Pharmacology
Background:
- Muscarinic antagonist atropine inhibits myopia in humans and animals.
- This suggests cholinergic hyperactivity may drive myopic growth.
Purpose of the Study:
- Investigate if cholinergic agonists accelerate ocular growth in chickens.
- Determine if atropine's antimyopic effects involve dopamine modulation.
Main Methods:
- Administered muscarinic, nicotinic, and non-specific cholinergic agonists to chicks with form-deprivation myopia (FDM).
- Measured vitreal dopamine and DOPAC levels in chicks treated with atropine.
- Assessed if dopamine antagonists block atropine's antimyopic effects.
Main Results:
- All tested cholinergic agonists inhibited FDM without affecting normal ocular development.
- Atropine only impacted dopamine and DOPAC levels at the highest dose.
- Dopamine antagonists did not alter atropine's antimyopic effects.
Conclusions:
- Cholinergic hyperactivity does not underlie myopic growth; agonists inhibit FDM.
- Atropine's antimyopic mechanism does not rely on dopamine pathway modulation.
- Nicotinic agonists show potential for targeted myopia control with fewer side effects.
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