Evidence map›Paper›PMID 39548605›Full record

Trial reportActa ophthalmologica2025

Slowing myopia progression with cylindrical annular refractive elements (CARE) spectacle lenses-Year 1 results from a 2-year prospective, multi-centre trial.

Xiaoqin Chen, Min Wu, Cui Yu, Arne Ohlendorf, Katharina Rifai, Christina Boeck-Maier, Siegfried Wahl, Youhua Yang, Yi Zhu, Lihua Li and 1 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Acta ophthalmologica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

22 citing papers in PubMed.

  1. Trial
  2. Myopia control efficacy of individualised ocular refraction customisation spectacle lenses: A 2-year follow-up study.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2025
    Trial
  3. Clinical evaluation of MyoCare in Europe (CEME) for myopia management: One-year results.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2025
    Trial
  4. Spectacle lenses for control of myopia progression in children.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026
    Review
  5. Article
  6. Article
  7. Effect of Three Types of Specially-Designed Myopia Control Spectacle Lenses on Astigmatism: A Two-Year Result.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026
    Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Management of myopia: a mini-review.Medical hypothesis, discovery & innovation ophthalmology journal · 2026
    Review
  15. Review
  16. Review
  17. IMI-Interventions for Controlling Myopia Onset and Progression 2025.Investigative ophthalmology & visual science · 2025
    Review
  18. Optical influence of myopia control spectacles at the retinal level: Effect of local light modulation.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2025
    Article
  19. Article
  20. The Predictive and Explanatory Power of the Contrast Theory of Myopia.Translational vision science & technology · 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

11 authors.

Xiaoqin ChenTianjin Eye Hospital, Tianjin Key Lab of Ophthalmology and Visual Science, Tianjin, People's Republic of China.
Min WuBeijing Tongren Vision Care, Beijing Tongren Hospital, Capital Medical University, Beijing, People's Republic of China.
Cui YuHe Eye Specialist Hospital, Shenyang, Liaoning, People's Republic of China.
Arne OhlendorfZEISS Vision Care, Aalen, Germany, Carl Zeiss Vision International GmbH, Aalen, Germany.
Katharina RifaiZEISS Vision Care, Aalen, Germany, Carl Zeiss Vision International GmbH, Aalen, Germany.
Christina Boeck-MaierZEISS Vision Care, Aalen, Germany, Carl Zeiss Vision International GmbH, Aalen, Germany.
Siegfried WahlZEISS Vision Care, Aalen, Germany, Carl Zeiss Vision International GmbH, Aalen, Germany.
Youhua YangZEISS Vision Care, Carl Zeiss Vision (Guangzhou) Ltd., Guangzhou, People's Republic of China.
Yi ZhuZEISS Vision Care, Carl Zeiss Vision (Guangzhou) Ltd., Guangzhou, People's Republic of China.
Lihua LiTianjin Eye Hospital, Tianjin Key Lab of Ophthalmology and Visual Science, Tianjin, People's Republic of China.ORCID https://orcid.org/0000-0002-5781-9047
Padmaja SankaridurgZEISS Vision Care, Aalen, Germany, Carl Zeiss Vision International GmbH, Aalen, Germany.ORCID https://orcid.org/0000-0001-5537-6193

Funding

Carl Zeiss VisionTianjin Key Medical Discipline (Specialty) Construction Project TJYXZDXK-016A
6 · The paper itself

Abstract

purposeTo evaluate the effectiveness of 12 months of spectacle lens wear incorporating cylindrical annular refractive elements (CARE) in slowing myopia progression compared to single vision (SV) spectacle wear.

methodsIn an ongoing 2-year prospective, double-masked, multi-centre clinical trial, 240 Chinese children aged 6-13 years, spherical equivalent refractive error (SE) -0.75 D to -5.00 D were randomised to one of three groups of 80 participants each to wear: SV spectacle lens (N = 80), CARE spectacles (7 mm central clear zone surrounded by treatment zone incorporating CARE with mean surface power of +4.6 D) and CARE S (9 mm central clear zone surrounded by treatment zone comprising CARE with mean surface power of +3.8 D). Cycloplegic SE and axial length (AL) were measured at 6-month intervals.

resultsCompared to baseline, changes in SE and AL were significantly different between the groups at both 6 and 12 months (p < 0.001, linear mixed model). Adjusting for site, group, parental myopia and age, at 12 months, the estimated change in SE and AL with 95% CI with SV was -0.65 D (CI: -0.56 to -0.74 D)/0.32 mm (CI: 0.29-0.36 mm). In comparison, the estimated change in SE/AL at 12 months with CARE was -0.35 D (-0.26 to -0.44 D)/0.19 mm (0.15-0.22 mm) and with CARE S was -0.36 D (-0.27 to -0.46 D)/0.21 mm (0.18-0.25 mm) at 12 months. Progression was slower with CARE and CARE S compared to SV (p < 0.05) but did not differ from each other (p = 0.793 and 0.336 for SE and AL, respectively).

conclusionsIn children with myopia, after 12 months of lens wear, both CARE and CARE S spectacle lenses significantly slowed myopia progression compared to SV lenses.

Indexed as

EyeglassesMyopiaMyopia, DegenerativeRefraction, OcularVisual AcuityAdolescentChildDisease ProgressionDouble-Blind MethodEquipment DesignFemaleFollow-Up StudiesHumansMaleProspective StudiesTime Factorsaxial lengthmyopia controlspectacle lenses

Identifiers

PMID39548605
PMCPMC12604440

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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.