Evidence map›Paper›PMID 37548816›Full record

Trial reportJapanese journal of ophthalmology2023

Assessment of myopic rebound effect after discontinuation of treatment with 0.01% atropine eye drops in Japanese school-age children.

Osamu Hieda, Takahiro Hiraoka, Takashi Fujikado, Satoshi Ishiko, Satoshi Hasebe, Hidemasa Torii, Hiroshi Takahashi, Shiro Tanaka, Shigeru Kinoshita, ATOM-J Study Group

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Japanese journal of ophthalmology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 11% 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, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Negligible Rebound in Myopia Progression Following Cessation of Treatment with 0.01% Atropine for 3 years: Year-4 Results from the CHAMP Phase 3 Clinical Trial.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026
    Trial
  4. Trial
  5. Trial
  6. Review
  7. Efficacy and safety of different atropine regimens: MOSAIC2.Annals of translational medicine · 2026
    Article
  8. Review
  9. Management of myopia: a mini-review.Medical hypothesis, discovery & innovation ophthalmology journal · 2026
    Review
  10. Article
  11. Childhood Myopia Part I: Contemporary Treatment Options.Investigative ophthalmology & visual science · 2025
    Review
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

10 authors at 8 institutions in 1 country.

Osamu HiedaDepartment of Ophthalmology, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto, Kyoto, 602-8566, Japan. ohieda@koto.kpu-m.ac.jp.
Takahiro HiraokaDepartment of Ophthalmology, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.
Takashi FujikadoGraduate School of Frontier Biosciences, Osaka University, Suita, Osaka, Japan.
Satoshi IshikoDepartment of Ophthalmology, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
Satoshi HasebeDepartment of Ophthalmology 2, Kawasaki Medical School, Kurashiki, Okayama, Japan.
Hidemasa ToriiDepartment of Ophthalmology, Keio University School of Medicine, Shinjuku-ku, Tokyo, Japan.
Hiroshi TakahashiDepartment of Ophthalmology, Nippon Medical School, Bunkyo-ku, Tokyo, Japan.
Shiro TanakaClinical Biostatistics Course, School of Public Health, Graduate School of Medicine, Kyoto University, Kyoto, Kyoto, Japan.
Shigeru KinoshitaDepartment of Frontier Medical Science and Technology for Ophthalmology, Kyoto Prefectural University of Medicine, Kyoto, Kyoto, Japan.
ATOM-J Study Group
Kyoto Prefectural University of Medicine · JPKyoto University · JPAsahikawa Medical University · JPKawasaki Medical School · JPKeio University · JPNippon Medical School · JPThe University of Osaka · JPUniversity of Tsukuba · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeHaving previously demonstrated the efficacy of 0.01% atropine eye drops for inhibiting progression of childhood myopia, we conducted additional analyses to assess post-treatment changes in myopia progression. STUDY

designAnalysis of follow-up data from a previously reported randomized controlled trial

methodsA mixed-effects model was used to compare intergroup changes in spherical equivalent (SE) and axial length (AL) at 1 month and 12 months after discontinuation of 2-year treatment with atropine or placebo in 167 school-age children.

resultsFollow-up measurements were available for 149 participants at 1 month after discontinuation of treatment and for 51 participants at 12 months after discontinuation. At 1 month post-treatment, differences between the atropine and placebo groups in least squares (LS) mean changes in SE and AL, respectively, from 24 months were -0.06 diopters (D) (95% CI: -0.21, 0.08; P = .39) and 0.02 mm (95% CI: -0.05, 0.08; P = .60). At 12 months post-treatment, intergroup differences (atropine vs placebo) in LS mean changes in SE and AL, respectively, were -0.13 D (95% CI: -0.35, 0.10; P = .26) and -0.02 mm (95% CI: -0.12, 0.09; P = .75). LS mean changes in SE and AL from treatment discontinuation did not differ between the groups at 1 or 12 months post-treatment.

conclusionAxial elongation was significantly less in the atropine group than in the placebo group. The suppression effect obtained at 2 years was maintained after 12 months. The absence of intergroup differences in myopia progression since treatment cessation suggests that myopic rebound did not occur.

Indexed as

AtropineMyopiaAxial Length, EyeChildDisease ProgressionEast Asian PeopleHumansOphthalmic SolutionsRefraction, OcularAtropineOphthalmic SolutionsAxial elongationMyopia controlRebound effectSchoolchildren

Identifiers

PMID37548816
OpenAlexW4385620744

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.