Evidence map›Paper›PMID 36944782›Full record

Trial reportEuropean journal of pediatrics2023

Prevention of myopia shift and myopia onset using 0.01% atropine in premyopic children - a prospective, randomized, double-masked, and crossover trial.

Weiqun Wang, Fengyan Zhang, Shiao Yu, Nana Ma, Congcong Huang, Ming Wang, Li Wei, Junjie Zhang, Aicun Fu

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in European journal of pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
7.7field-weighted citation impact, top 2% 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

29 citing papers in PubMed, 36 citations in OpenAlex.

  1. Effect of 0.01% Atropine on Choroidal Thickness and Ocular Growth in Pre-myopic Children.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026
    Trial
  2. Trial
  3. Trial
  4. Trial
  5. Association between pupil size and response to atropine therapy in the Atropine Treatment of Myopia study (ATOM2).Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
  6. Article
  7. Development and Validation of Multinomial Logistic Regression and Machine Learning Algorithms for Identifying Refractive Status in Chinese School Aged Children.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Identifying and Managing Pre-Myopia: A Narrative Review.Clinical ophthalmology (Auckland, N.Z.) · 2026
    Review
  12. Review
  13. Atropine Eye Drops in Childhood Myopia Control: A Review.International journal of medical sciences · 2026
    Review
  14. Article
  15. Factors predicting myopia incidence in China and Europe.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2025
    Article
  16. Article
  17. IMI-Interventions for Controlling Myopia Onset and Progression 2025.Investigative ophthalmology & visual science · 2025
    Review
  18. Article
  19. Review
  20. Cross-population validation of the PreMO risk indicator for predicting myopia onset in children.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2025
    Article
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

9 authors at 2 institutions in 1 country.

Weiqun Wang *The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450000, China.
Fengyan Zhang *The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450000, China.
Shiao YuThe First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450000, China.
Nana MaThe First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450000, China.
Congcong HuangThe First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450000, China.
Ming WangBeijing Aier Intech Eye Hospital, Beijing, 100021, China.
Li WeiThe First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450000, China.
Junjie ZhangHenan Eye Institute, Henan Provincial People's Hospital, Zhengzhou, 450000, China.
Aicun FuThe First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450000, China. fuaicun2019@qq.com.
First Affiliated Hospital of Zhengzhou University · CNHenan Provincial People's Hospital · CN

Funding

Key Scientific Research Project of Universities of Henan Education Department 22A320024
6 · The paper itself

Abstract

This study aims to evaluate the efficacy of 0.01% atropine eye drops in preventing myopia shift and myopia onset in premyopic children. A prospective, randomized, double-masked, placebo-controlled, and crossover trial was conducted over 13 months. Sixty premyopic children aged 6-12 years with cycloplegic spherical equivalent refraction (SER) >  - 0.75 D and ≤  + 0.50 D in both eyes were assigned in a 1:1 ratio to receive one drop of 0.01% atropine or placebo once nightly for 6 months (period 1), followed by a 1-month recovery period. Then, the 0.01% atropine group was crossed over to the placebo group, and the latter was crossed over to the 0.01% atropine group for another 6 months (period 2). The primary outcomes were changes in SER and axial length (AL), and the secondary outcomes were the proportion of myopia onset (SER ≤  - 0.75D) and fast myopic shift (change in SER ≤  - 0.25D) in the two periods. Generalized estimating equation (GEE) model performed a statistically significant treatment effect of 0.01% atropine compared with placebo (p

conclusionWithin the limits of only two consecutive 6-month observation period, 0.01% atropine eye drops effectively prevented myopic shift, axial elongation, and myopia onset in premyopic children.

trial registrationThis trial was registered in the Chinese Clinical Trial Registry (Registration number: ChiCTR2000034760). Registered 18 July 2020. WHAT IS KNOWN: • Minimal studies on interventions for pre-myopia, despite the International Myopia Institute stating that preventing myopia is an "even more valuable target" for science and practice than reducing progression after onset. WHAT IS NEW: • A total of 0.01% atropine eye drops may safely and effectively reduce the proportion of myopia onset and fast myopic shift in premyopic schoolchildren.

Indexed as

AtropineMyopiaChildCross-Over StudiesDisease ProgressionHumansOphthalmic SolutionsProspective StudiesAtropineOphthalmic Solutions0.01% atropineEfficacyMyopia onsetMyopia shiftPrevent

Identifiers

PMID36944782
OpenAlexW4353015280

What OpenQuestion holds

Textmetadata
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.