Atropine has previously been found to suppress
visually induced myopia both in animals and humans. The
mechanism of its action is unclear. We have studied its
retinal effects in an in vitro preparation, using
the retina-pigment epithelium-choroid complex of the chick
eye. In vivo, deprivation myopia was induced by
translucent goggles. Atropine solution was injected into
the vitreous at two-day intervals. Dopamine release from
the retina following atropine injection in vivo
and from the in vitro retina preparation was quantified
by HPLC-EC. In vitro preparations of the isolated
chick retina–pigment epithelium–choroid were
superfused with atropine. Light-induced potentials (local
ERG), slow standing potentials from the retinal pigment
epithelium/neural retina, and extracellular potassium concentrations
were recorded. In line with previous findings, intravitreal
injections of atropine (25 μg, 250 μg) reduced
deprivation myopia in a dose-dependent manner. Atropine
increased the release of the neurotransmitter dopamine
into the superfusate in vitro at 100–500
μM and into the vitreous in vivo at 250 μg.
Before an increase was measured in the vitreous, the retinal
dopamine content was elevated. In concentrations equivalent
to the intravitreal concentration to suppress myopia in
vivo (200–800 μM), atropine induced spreading
depression (SD) in the in vitro preparation. In
contrast, muscarinic agonists, acetylcholine and pilocarpine,
did not induce SD. Atropine reduced the ERG b-
and d-wave, led to damped oscillations of RPE
potentials, and reversed the ERG c-wave. Atropine
suppressed myopia only at doses at which severe nonspecific
side effects were observed in the retina. Atropine seems
to intrude massively into the vital functions of the retina
as indicated by the occurrence of SD. We conclude that
atropine, by inducing SD, boosts neurotransmitter release
from cellular stores, which may cancel out a presumed retinal
signal that controls eye growth and through this, myopia.