Evidence map›Paper›PMID 40750999›Full record

ReviewEye (London, England)2025

Current and emerging strategies for myopia control: a narrative review of optical, pharmacological, behavioural, and adjunctive therapies.

Furqan A Maulvi, Ditixa T Desai, Parthasarathi Kalaiselvan, Dinesh O Shah, Mark D P Willcox

Abstract readReview
In one paragraph

Review in Eye (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing 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

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

  1. Pooled it
  2. Trial
  3. Article
  4. Early Axial Length Response Predicts Long-Term Myopia Control in Children Undergoing Orthokeratology.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026
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  13. Observational
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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

5 authors.

Furqan A MaulviSchool of Optometry and Vision Science, University of New South Wales, Sydney, NSW, Australia. f.maulvi@unsw.edu.au.ORCID http://orcid.org/0000-0003-0374-2504
Ditixa T DesaiMaliba Pharmacy College, Uka Tarsadia University, Surat, India.
Parthasarathi KalaiselvanSchool of Optometry and Vision Science, University of New South Wales, Sydney, NSW, Australia.
Dinesh O ShahDepartment of Chemical Engineering and Department of Anesthesiology, University of Florida, Gainesville, FL, USA.
Mark D P WillcoxSchool of Optometry and Vision Science, University of New South Wales, Sydney, NSW, Australia.

Funding

Department of Health | National Health and Medical Research Council (NHMRC) APP1183597
6 · The paper itself

Abstract

Myopia has become a leading cause of visual impairment globally, with a rapidly increasing prevalence among children, particularly in urbanised areas of East and Southeast Asia. High and pathologic myopia can lead to irreversible complications, including retinal detachment, glaucoma, and myopic maculopathy. This narrative review synthesises current and emerging strategies for myopia control as of 2025, integrating evidence from optical, pharmacological, behavioural, and surgical domains. Multifocal contact lenses, orthokeratology, and defocus-incorporated spectacles are effective in modulating axial elongation. Low-dose atropine remains a cornerstone pharmacologic therapy with consistent efficacy. Behavioural interventions, such as increased outdoor time, provide preventive benefits and are endorsed in school-based programs. Repeated low-level red-light (RLRL) therapy represents a novel, non-invasive option with growing support. Surgical approaches, while corrective rather than preventive, are relevant in advanced cases. The review also compares intervention efficacy, discusses the rationale for combination therapies, and highlights the need for individualised, age-appropriate strategies. Key challenges include treatment variability, limited long-term data, and barriers to adherence and access. Future directions involve personalised risk prediction, global implementation frameworks, and public health engagement. A multimodal, patient-centred approach is essential to reduce the lifelong burden of myopia.

Indexed as

Behavior TherapyMyopiaOrthokeratologic ProceduresRefraction, OcularAtropineContact LensesEyeglassesHumansMydriaticsAtropineMydriatics

Identifiers

PMID40750999
PMCPMC12446493

What OpenQuestion holds

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LicenceCC BY
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.