Evidence map›Paper›PMID 39122352›Full record

ArticleThe British journal of ophthalmology2025

Efficacy of weekly dose of 1% atropine for myopia control in Chinese children.

Linlin Du, Li Ding, Jun Chen, Jingjing Wang, Jinliuxing Yang, Sichen Liu, Xun Xu, Xiangui He, Jiannan Huang, Mengjun Zhu

Abstract read
In one paragraph

Article in The British journal of ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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. Efficacy and safety of different atropine regimens: MOSAIC2.Annals of translational medicine · 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

10 authors.

Linlin DuShanghai Eye Diseases Prevention and Treatment Center, Shanghai Eye Hospital, Tongji University, Shanghai, China.
Li DingShanghai Eye Diseases Prevention and Treatment Center, Shanghai Eye Hospital, Tongji University, Shanghai, China.
Jun ChenShanghai Eye Diseases Prevention and Treatment Center, Shanghai Eye Hospital, Tongji University, Shanghai, China.
Jingjing WangShanghai Eye Diseases Prevention and Treatment Center, Shanghai Eye Hospital, Tongji University, Shanghai, China.ORCID http://orcid.org/0000-0003-2279-9514
Jinliuxing YangShanghai Eye Diseases Prevention and Treatment Center, Shanghai Eye Hospital, Tongji University, Shanghai, China.ORCID http://orcid.org/0000-0002-4031-7040
Sichen LiuShanghai Eye Diseases Prevention and Treatment Center, Shanghai Eye Hospital, Tongji University, Shanghai, China.
Xun XuShanghai Eye Diseases Prevention and Treatment Center, Shanghai Eye Hospital, Tongji University, Shanghai, China.
Xiangui HeShanghai Eye Diseases Prevention and Treatment Center, Shanghai Eye Hospital, Tongji University, Shanghai, China morning5012@163.com miller23@126.com xianhezi@163.com.ORCID http://orcid.org/0000-0002-8938-1879
Jiannan HuangShanghai Eye Diseases Prevention and Treatment Center, Shanghai Eye Hospital, Tongji University, Shanghai, China morning5012@163.com miller23@126.com xianhezi@163.com.
Mengjun ZhuShanghai Eye Diseases Prevention and Treatment Center, Shanghai Eye Hospital, Tongji University, Shanghai, China morning5012@163.com miller23@126.com xianhezi@163.com.ORCID http://orcid.org/0000-0002-7196-9340

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the effect of weekly 1% atropine use on children's myopia progression and whether the effect is sustainable.

methodsMedical records of myopic children aged 3-15 years receiving weekly 1% atropine for more than 1 year were retrospectively reviewed. Axial length (AL) and spherical equivalent refraction (SER) at every visit were collected. The changes in AL or SER over time were analysed using generalised estimating equation. The related factors of myopic progression were performed by multiple linear regression. The performance of short-term AL change to predict atropine-poor responders (AL change >0.2 mm/year) was assessed using receiver operating characteristic analysis.

resultsA total of 694 participants with a mean age of 8.83 years were included. The participants with follow-up time reached 1, 2, 3 and 4 years were 256 (36.9%), 250 (36.0%), 143 (20.6%) and 45 (6.5%) separately. The cumulative change in AL was 0.05 mm, 0.24 mm, 0.47 mm, 0.56 mm separately for 1-year, 2-year, 3-year and 4- year treatment. Approximate 0.20 mm elongation per year was observed since the second-year of the treatment. Older age and lower initial myopic refraction were independently associated with less myopic progression. A decrease in AL of more than 0.04 mm during the initial 2 months could serve as an indicator for identifying fast progressors (AL change >0.2 mm/year) over a 2-year period, with sensitivity and specificity rates of 0.78 and 0.73, respectively.

conclusionWeekly 1% atropine may be a potentially effective treatment with longer lasting effects for children with myopia control especially in those with older age and lower myopia.

Indexed as

AtropineMyopiaRefraction, OcularAdolescentAxial Length, EyeChildChild, PreschoolChinaDisease ProgressionEast Asian PeopleFemaleFollow-Up StudiesHumansMaleMydriaticsOphthalmic SolutionsAtropineMydriaticsOphthalmic SolutionsDrugs

Identifiers

PMID39122352
PMCPMC11866296

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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.