Evidence map›Paper›PMID 23838771›Full record

Trial reportInvestigative ophthalmology & visual science2013

Peripheral defocus and myopia progression in myopic children randomly assigned to wear single vision and progressive addition lenses.

David A Berntsen, Christopher D Barr, Donald O Mutti, Karla Zadnik

2 registry-linked trialsOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Investigative ophthalmology & visual science, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 67 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 3 pooled it
5.3field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00335049 nacompletednot on this map

Study of Theories About Myopia Progression (STAMP)

TypeinterventionalSponsorOhio State UniversityRan2006 to 2010Enrolled85ConditionsMyopiaArmsprogressive addition spectacle lens (bifocal), Single Vision Lenses (SVLs)
NCT03728218 nacompletednot on this mapstarted 2018, after this paper: background citation

Visual Outcomes for Toric Efficacy Study

TypeinterventionalSponsorUniversity of HoustonRan2018 to 2020Enrolled34ConditionsAstigmatism, MyopiaArmsContact lenses (Orthokeratology), Contact lenses (Soft Multifocal)
3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 3 syntheses or guidelines pooled it, 157 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Interventions to slow progression of myopia in children.The Cochrane database of systematic reviews · 2020
    Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Visual Acuity and Over-refraction in Myopic Children Fitted with Soft Multifocal Contact Lenses.Optometry and vision science : official publication of the American Academy of Optometry · 2018
    Trial
  10. Trial
  11. Trial
  12. Longitudinal Changes in Relative Peripheral Refraction During Childhood Myopia Onset: A 3-year Prospective Observation.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026
    Observational
  13. Article
  14. Article
  15. Article
  16. RLRL Therapeutic Feasibility and Potential Mechanism on Myopia.International journal of molecular sciences · 2025
    Review
  17. Article
  18. Article
  19. Review
  20. Article

7 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

David A BerntsenUniversity of Houston College of Optometry, Houston, Texas 77204-2020, USA. dberntsen@optometry.uh.edu
Christopher D Barr
Donald O Mutti
Karla Zadnik
University of Houston · USSUNY College of Optometry · USThe Ohio State University · US

Funding

Clinical Vision Scientist Training ProgramK12EY015447 · NEI · OHIO STATE UNIVERSITY · PI ZADNIK, KARLA · 2004 to 2011
$1.7M
NEI NIH HHS K12 EY015447NEI NIH HHS K12-EY015447
6 · The paper itself

Abstract

purposeTo determine the effect of progressive addition lenses (PALs) and single vision lenses (SVLs) on peripheral defocus in myopic children, and to compare the effect of myopic versus hyperopic peripheral defocus on foveal myopia progression.

methodsEighty-four myopic children aged 6 to 11 years with spherical equivalent (SE) cycloplegic autorefraction between -0.75 diopters (D) and -4.50 D were randomly assigned to wear SVLs or PALs. Aberrometry measurements of the eye and spectacles were made centrally, 30° nasally, temporally, and superiorly, and 20° inferiorly on the retina using a Complete Ophthalmic Analysis System for Vision Research (COAS-VR). The association between peripheral defocus and the 1-year change in central myopia was investigated.

resultsSVLs caused a hyperopic shift in peripheral defocus at all locations (all P ≤ 0.0003). PALs caused a myopic shift in peripheral defocus in three of four locations measured (all P ≤ 0.01) with the greatest shift superiorly due to the PAL addition (-1.04 ± 0.30 D). Superior retinal defocus when wearing either SVLs or PALs was associated with the 1-year change in central myopia. The adjusted 1-year change in central SE myopia was -0.38 D for children with absolute superior myopic defocus (n = 67) and -0.65 D for children with absolute superior hyperopic defocus (n = 17; difference = 0.27 D; P = 0.002).

conclusionsPALs caused a myopic shift in peripheral defocus. Superior myopic defocus was associated with less central myopia progression. These data support the continued investigation of optical designs that result in peripheral myopic defocus as a potential way to slow myopia progression. (ClinicalTrials.gov number, NCT00335049.).

Indexed as

EyeglassesChildDisease ProgressionFemaleHumansMaleMyopiaRefraction, OcularVisual Fieldschildrenmyopia progressionperipheral defocusprogressive addition lensessingle vision lenses

Identifiers

PMID23838771
PMCPMC3755539
OpenAlexW2032805099

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.