Evidence map›Paper›PMID 39085950›Full record

ArticleEye and vision (London, England)2024

Frequency-dependent effects of 0.05% atropine eyedrops on myopia progression and peripheral defocus: a prospective study.

Yuanfang Yang, Minsong Xue, Jiangdong Hao, Zhenghua Lin, Xiaoyun Xi, Haoran Wu, Longbo Wen, Qinglin Xu, Zhiwei Luo, Guangyao Ran and 4 more

Abstract read
In one paragraph

Article in Eye and vision (London, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

14 authors.

Yuanfang YangAier School of Ophthalmology, Central South University, Changsha, 410015, China.
Minsong XueAier School of Ophthalmology, Central South University, Changsha, 410015, China.
Jiangdong HaoAier School of Ophthalmology, Central South University, Changsha, 410015, China.
Zhenghua LinAier Institute of Optometry and Vision Science, Changsha, 410015, China.
Xiaoyun XiAier School of Ophthalmology, Central South University, Changsha, 410015, China.
Haoran WuAier Institute of Optometry and Vision Science, Changsha, 410015, China.
Longbo WenAier Institute of Optometry and Vision Science, Changsha, 410015, China.
Qinglin XuAier Institute of Optometry and Vision Science, Changsha, 410015, China.
Zhiwei LuoAier Institute of Optometry and Vision Science, Changsha, 410015, China.
Guangyao RanAier School of Ophthalmology, Central South University, Changsha, 410015, China.
Pablo ArtalAier School of Ophthalmology, Central South University, Changsha, 410015, China.
Weizhong LanAier School of Ophthalmology, Central South University, Changsha, 410015, China.
Xiaoning LiChangsha Aier Eye Hospital, Changsha, 410015, China. lixiaoning@aierchina.com.
Zhikuan YangAier School of Ophthalmology, Central South University, Changsha, 410015, China. yangzhikuan@aierchina.com.ORCID http://orcid.org/0000-0003-4921-6825

Funding

Hubei Key Research and Development Program 2020BCB013Natural Science Foundation of Hunan Province 2022JJ40002
6 · The paper itself

Abstract

backgroundAtropine, specifically 0.05% eyedrops, has proven effective in slowing myopia progression. This study aims to investigate peripheral refraction (PR) characteristics in myopic children treated with 0.05% atropine eyedrops at different frequencies.

methodsOne hundred thirty-eight myopic children completed this one-year prospective study, randomly assigned to once daily (7/7), twice per week (2/7), or once per week (1/7) groups. Spherical equivalent (SE) and axial length (AL) were measured. PR was assessed using a custom-made Hartmann-Shack wavefront peripheral sensor, covering a visual field of horizontal 60° and vertical 36°. Relative peripheral refraction (RPR) was calculated by subtracting central from peripheral measurements.

resultsAfter one year, SE increased more significantly in the 1/7 group compared to the 7/7 group (P < 0.001) and 2/7 group (P = 0.004); AL elongation was also greater in the 1/7 group compared to the 7/7 group (P < 0.001). In comparison with higher frequency groups, 1/7 group exhibited more myopic PR in the fovea and its vertical superior, inferior, and nasal retina; and less myopic RPR in the periphery retina after one-year (P < 0.05). Additionally, RPR in the 7/7 group demonstrated myopic shift across the entire retina, the 2/7 group in temporal and inferior retina, while the 1/7 group showed a hyperopic shift in the superior retina (P < 0.05). Moreover, myopic shift of RPR in the temporal retina is related to less myopia progression, notably in the 7/7 group (P < 0.05).

conclusionsAtropine inhibits myopia progression in a frequency-dependent manner. The once-daily group showed the slowest myopia progression but exhibited more myopic shifts in RPR. Additionally, RPR in the temporal retina was related to myopia progression in all groups.

trial registrationChinese Clinical Trial Registry, ChiCTR2100043506. Registered 21 February 2021, https://www.chictr.org.cn/showproj.html?proj=122214.

Indexed as

0.05% atropine eyedropsMedication complianceMyopia controlPeripheral defocus

Identifiers

PMID39085950
PMCPMC11293060

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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.