Evidence map›Paper›PMID 37261103›Full record

ArticleJournal of ophthalmology2023

The Influence of Accommodation on Retinal Peripheral Refraction Changes in Different Measurement Areas.

Weicong Lu, Zisu Peng, Wenzhi Ding, Rongyuan Ji, Yuyin Tian, Chenpei Zhao, Lin Leng

Open access · goldAbstract read
In one paragraph

Article in Journal of ophthalmology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

7 citing papers in PubMed, 13 citations in OpenAlex.

  1. Comparison of Orthokeratology and Peripheral Defocus Spectacle Lenses in Myopia Control Using Multispectral Refractive Topography.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026
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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

7 authors at 2 institutions in 1 country.

Weicong LuQingdao Eye Hospital of Shandong First Medical University, Qingdao, China.ORCID https://orcid.org/0000-0003-3925-2857
Zisu PengDepartment of Ophthalmology & Clinical Center of Optometry, Peking University People's Hospital, Beijing 100044, China.ORCID https://orcid.org/0009-0000-8052-7838
Wenzhi DingQingdao Eye Hospital of Shandong First Medical University, Qingdao, China.ORCID https://orcid.org/0000-0001-9365-7893
Rongyuan JiQingdao Eye Hospital of Shandong First Medical University, Qingdao, China.ORCID https://orcid.org/0009-0000-3333-4443
Yuyin TianQingdao Eye Hospital of Shandong First Medical University, Qingdao, China.ORCID https://orcid.org/0009-0009-2770-5514
Chenpei ZhaoQingdao Eye Hospital of Shandong First Medical University, Qingdao, China.ORCID https://orcid.org/0009-0006-9286-937X
Lin LengQingdao Eye Hospital of Shandong First Medical University, Qingdao, China.ORCID https://orcid.org/0000-0001-9947-1352
Shandong Eye Hospital · CNPeking University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The change in refraction caused by accommodation inevitably affects the peripheral defocus state and thus may influence the effect of retinal peripheral myopic defocus measures in myopia control. This study investigated accommodation changes in different peripheral retinas under cycloplegia to help improve myopia control. Methods: Fifty-six eyes of fifty-six myopic subjects were recruited for this prospective study. The center and peripheral retina refractions were measured using multispectral refractive topography. The subjects were divided into low-to-moderate myopia group (range: -1.25 D to -6.00 D) and high myopia group (range: -6.25 D to -9.75 D) according to spherical equivalent (SE). The compound tropicamide (0.5% tropicamide and 0.5% phenylephrine) was used to relax the accommodation. The difference between cycloplegia and non-cycloplegia peripheral retinal refraction was analyzed using the Results: The manifest refraction of the retina significantly decreased with an increase in eccentricity after cycloplegia. The annular refraction difference value at 50°-53° (ARDV 50-53) showed the largest refraction decrease of 1.31 D compared with the central retinal refraction decrease of 0.84 D. The inferior quadrantal refraction difference value had the least change compared to the other quadrants. The relative peripheral refraction (RPR) changes in refraction difference value (RDV) at 15° (RDV-15), RDV-30, and RDV-45 were less than 0.15 D. When the range of annulus narrowed to 5°, the narrower annulus showed faster change with eccentricity increase in ARDV 30-35, ARDV 35-40, ARDV 40-45, ARDV 45-50, and ARDV 50-53. The RPR was highly correlated with eccentricity ( Conclusions: Peripheral refraction showed a significant hyperopic shift after cycloplegia with an increase in eccentricity. The RPR became more hyperopic than the central refraction. The high myopia group showed more hyperopic shifts in the peripheral region. Accommodation should be taken into consideration in peripheral defocus treatment.

Identifiers

PMID37261103
PMCPMC10228221
OpenAlexW4377288542

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Registered trials

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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.