过时的治疗方法：阿托品滴眼液
Atropineisapharmacologicaltreatmentusedbyophthalmologistsandoptometristsinthosecountrieswheretheyarelicensedtousethesedrops.Thepupilofthegoodeyeiskeptdilatedandthefocusingmechanismisparalyzedwiththeatropinedropscausingablurredimageinthegoodeye.
在很多国家，医生将阿托品用于弱视治疗。阿托品可以麻痹眼肌，扩大瞳孔，使眼睛聚焦功能瘫痪，从而降低好眼视力。
Theeffectofatropineissimilartotheopaquelensorapatch.Theadvantageoverapatchisthatthechildcannotremoveit,andthechildlooksbettercosmetically.Whilesomestudiesindicatethatatropineworksaswellasfull-timeocclusion,formeitisevenworsethanapatch.
阿托品的作用类似于眼罩，或者半透明眼镜。遮盖时，孩子可以把眼罩摘掉，但阿托品就不存在这个问题，也不会影响美观。虽然有研究表明，阿托品和全天遮盖疗效相同，可对我来说，阿托品危害更大。
Thisisbecauseatropineistotalfull-timeocclusionthatcannotberemoved.Inaddition,parentsmustkeepinmindthatthechildmustcontinuetousethisdrugforanextendedperiodoftime,sometimesayearormore,andthenegativeeffectsonthefocusingmechanismoftheeyecanlastlongafterthedrugtreatmentisdiscontinued.
这是因为，阿托品相当于“无法摘掉的眼罩”，而且需要长期使用，甚至可能会超过一年，即使停药后，阿托品对眼睛聚焦功能的损伤，还会持续很久。
Likeanymedicationthataffectsthecentralnervoussystem,itsuseinvolvesrisksandthepossibilityofmanynegativesideeffectssuchasrednessorswellingoftheeyes,drymouth,anddifficultywithurinationandconstipation.
而且就像其它作用于中枢神经的药物一样，阿托品也有许多副作用，如眼睛红肿、口干、排尿困难和便秘等。
AccordingtoDr.Pressanimportantprincipletokeepinmindisthatwhenatropinedoeswork,itisbecauseittakesadvantageofthevisiontherapyprincipleofMFBF,orMonocularFixationinaBinocularField.Inotherwords,thebrainisforcedtousetheamblyopiceyeasthebettereye,whiletheregularlybettereyeartificiallyfunctionsliketheamblyopiceye.
根据普雷斯医生，阿托品之所以有效，是因为它利用了MFBF原理，即双眼视野下的单眼精细训练。换句话说，就是通过人为降低好眼视力，强迫大脑使用弱视眼。
AswillbediscussedatlengthinChapter18,therearemanylessinvasiveandmuchmoreeffectivetreatmentmethodsavailable,allwithoutthepotentialrisksandnegativesideeffectsinvolvedwithatropineandfull-timepatching.Theuseofatropineshouldn’tbethefirstand/ortheonlycourseoftreatment.
相对于阿托品和全天遮盖，这些方法没有风险，也没有副作用。阿托品不应该是首选、或者唯一的弱视治疗方法。
过时的治疗方法：屈光手术
Somepatients
