Evidence map›Paper›PMID 26079108›Full record

Trial reportCurrent eye research2016

Longitudinal Changes in Lens Thickness in Myopic Children Enrolled in the Correction of Myopia Evaluation Trial (COMET).

Jane Gwiazda, Thomas T Norton, Wei Hou, Leslie Hyman, Ruth Manny, COMET group

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Current eye research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
0.4field-weighted citation impact, top 33% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 3 syntheses or guidelines pooled it, 13 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. Article
  5. Gender and Refractive Error Stratified Ocular Biometry Percentile Curves in Indian School Children.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
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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

6 authors at 4 institutions in 1 country.

Jane Gwiazdaa New England College of Optometry , Boston , MA , USA .
Thomas T Nortonb UAB School of Optometry , Birmingham , AL , USA .
Wei Houc Department of Preventive Medicine , University Medical Center , Stony Brook , NY , USA , and.
Leslie Hymanc Department of Preventive Medicine , University Medical Center , Stony Brook , NY , USA , and.
Ruth Mannyd University of Houston College of Optometry , Houston , TX , USA.
COMET group
Stony Brook University Hospital · USNew England College of Optometry · USUniversity of Alabama at Birmingham Hospital · USUniversity of Houston · US

Funding

Research Programming ModuleP30EY007551 · NEI · UNIVERSITY OF HOUSTON · PI LAURA J. FRISHMAN · 1988 to 2026
$16.4M
EVALUATION TRIAL--COORDINATING CENTERU10EY011805 · NEI · STATE UNIVERSITY NEW YORK STONY BROOK · PI HYMAN, LESLIE G · 1996 to 2013
$9.4M
CORRECTION OF MYOPIA TRIAL--CLINICAL CENTERU10EY011740 · NEI · UNIVERSITY OF HOUSTON · PI MANNY, RUTH E · 1997 to 2013
$2.8M
CORRECTION OF MYOPIA EVALUATION TRIAL--CHAIR PHASE IIU10EY011756 · NEI · NEW ENGLAND COLLEGE OF OPTOMETRY · PI GWIAZDA, JANE E. · 1997 to 2013
$2.1M
NEI NIH HHS P30 EY007551NEI NIH HHS U10 EY011740NEI NIH HHS U10 EY011756NEI NIH HHS U10 EY011805
6 · The paper itself

Abstract

purposeTo describe longitudinal changes in lens thickness in myopic children in the Correction of Myopia Evaluation Trial (COMET) and to investigate the association between these changes and myopia progression.

methodsFour-hundred sixty-nine 6 to <12-year-old children with -1.25 to -4.50 D of myopia were enrolled in COMET, a clinical trial comparing single vision lenses (SVLs) versus progressive addition lenses (PALs) for slowing myopia. Children remained in their original lenses for 5 years and then could wear contact lenses, SVLs or PALs. Myopia by cycloplegic autorefraction (Nidek ARK 700A) and ocular components, including lens thickness, by A-scan ultrasound (Sonomed A2500) were measured annually over 11 years. Analyses of lens thickness were based on right eye data from 426 children with refractions fit with Gompertz functions. Longitudinal lens thickness measurements for each participant were fit with a third-degree polynomial function, and average polynomial functions were calculated for three groups of children previously identified based on Gompertz functions: 6-7 years at baseline (n = 40), ≥8 years with progressing myopia (n = 329), and ≥8 years with non-progressing myopia (n = 56). ANOVAs were used for comparing the lens curve-based parameters among the three groups. Associations between lens and Gompertz parameters were assessed using Pearson correlations.

resultsOverall, between 6 and 18 years the lenses thinned and then thickened, with the minimum value of 3.37 ± 0.15mm reached at 11.56 ± 2.04 years. The minimum lens thickness did not differ among the three myopia groups (p = 0.09), nor was it correlated with the amount of myopia at lens minimum or amount of final myopia (r's = -0.01 and -0.03, respectively, p's > 0.05).

conclusionAs a similar pattern of change in lens thickness with age was found in all children, whether their myopia progressed or not, these results suggest that the association of lens thinning and thickening with the course of myopia is coincidental rather than causal.

Indexed as

EyeglassesVisual AcuityAdolescentChildFemaleFollow-Up StudiesHumansLens, CrystallineMaleMyopia, DegenerativeRefraction, OcularRetrospective StudiesUltrasonographyChildren’s visionlensmyopia

Identifiers

PMID26079108
PMCPMC4788575
OpenAlexW1776718543

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.