Evidence map›Paper›PMID 40266603›Full record

Trial reportTranslational vision science & technology2025

Effect of Repeated Low-Level Red Light Versus 0.01% Topical Atropine on Myopia Progression: A Randomized Crossover-Controlled Trial.

Xuena Pang, Xuemin Jin, Aicun Fu, Weiqun Wang, Bingxin Zhao, Lili Shang, Minghang Chang, Nana Ma, Guangying Zheng

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Translational vision science & technology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. 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

9 authors.

Xuena PangDepartment of Ophthalmology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.
Xuemin JinDepartment of Ophthalmology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.
Aicun FuDepartment of Ophthalmology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.
Weiqun WangDepartment of Ophthalmology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.
Bingxin ZhaoDepartment of Ophthalmology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.
Lili ShangDepartment of Ophthalmology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.
Minghang ChangDepartment of Ophthalmology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.
Nana MaDepartment of Ophthalmology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.
Guangying ZhengDepartment of Ophthalmology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: The purpose of this study was to compare the efficacy of repeated low-level red light (RLRL) and 0.01% atropine in controlling the progression of myopia children. Methods: This randomized, single-blind, crossover-controlled trial recruited 91 myopic children aged 6 to 12 years. Participants were randomly allocated to the RLRL-atropine group (n = 46) and the atropine-RLRL group (n = 45), with intermediate washout for 1 month. Primary outcomes included changes in spherical equivalent refraction (SER) and axial length (AL), whereas the secondary outcomes included changes in subfoveal choroidal thickness (SFCT) and subfoveal choroidal vessel volume (SFCVV). Results: The 13-month data analysis involved 45 (97.8%) and 42 (93.3%) children in the RLRL-atropine and the atropine-RLRL groups, respectively. RLRL was more effective than 0.01% atropine, with a mean difference in SER of 0.54 diopter (D; 0.24 ± 0.30 D vs. -0.29 ± 0.38 D, P < 0.001) and a mean difference in AL of 0.24 mm (-0.09 ± 0.14 mm vs. 0.15 ± 0.16 mm, P < 0.001) in period 1, whereas the mean differences in SER and AL were 0.55 D (0.22 ± 0.27 D vs. -0.33 ± 0.27 D, P < 0.001) and 0.22 mm (-0.06 ± 0.13 mm vs. 0.16 ± 0.11 mm, P < 0.001) in period 2, respectively. RLRL showed increased SFCT and SFCVV than 0.01% atropine (all P < 0.001). The change in SFCT from baseline to 3 months was the crucial predictor for the growth in AL at 6 months (P < 0.05). Conclusions: Compared to 0.01% atropine, RLRL demonstrated superior effectiveness in slowing myopic progression and axial elongation in myopia children. Changes in SFCT may predict the retarding effects of RLRL on axial elongation. Translational Relevance: RLRL is an effective alternative treatment for controlling myopia in schoolchildren.

Indexed as

AtropineLow-Level Light TherapyMyopiaChildCross-Over StudiesDisease ProgressionFemaleHumansMaleRed LightRefraction, OcularSingle-Blind MethodAtropine

Identifiers

PMID40266603
PMCPMC12025336

What OpenQuestion holds

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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.