Evidence map›Paper›PMID 41254600›Full record

Trial reportBMC ophthalmology2025

Comparison of the influence of 1% and 0.01% atropine on the corneal topography in myopic children.

Li-Quan Zhao, Lu-Yao Ye, Jun Chen, Xiao-Feng Zhu, Han-Nan Xu, Tao Yu, Ya-Jun Peng, Jiang-Nan He, Jian-Feng Zhu

Registry-linked trialAbstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in BMC ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03949101 (Atropine for Children and Adolescent Myopia Progression Study), which is not on this map. Not yet cited in PubMed.

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

NCT03949101 phase4unknown statusnot on this map

Atropine for Children and Adolescent Myopia Progression Study (ACAMP)

TypeinterventionalSponsorShanghai Eye Disease Prevention and Treatment CenterRan2019 to 2021Enrolled222ConditionsMyopiaArmsAtropine Sulfate 1 % Ophthalmic Ointment and Atropine Sulfate 0.01% Eye Drop, atropine 0.01% eye drop
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Li-Quan ZhaoShanghai Eye Diseases Prevention & Treatment Center/Shanghai Eye Hospital, School of Medicine, Tongji University, Shanghai, 200040, China.
Lu-Yao YeShanghai Eye Diseases Prevention & Treatment Center/Shanghai Eye Hospital, School of Medicine, Tongji University, Shanghai, 200040, China.
Jun ChenShanghai Eye Diseases Prevention & Treatment Center/Shanghai Eye Hospital, School of Medicine, Tongji University, Shanghai, 200040, China.
Xiao-Feng ZhuShanghai Eye Diseases Prevention & Treatment Center/Shanghai Eye Hospital, School of Medicine, Tongji University, Shanghai, 200040, China.
Han-Nan XuShanghai Eye Diseases Prevention & Treatment Center/Shanghai Eye Hospital, School of Medicine, Tongji University, Shanghai, 200040, China.
Tao YuShanghai Eye Diseases Prevention & Treatment Center/Shanghai Eye Hospital, School of Medicine, Tongji University, Shanghai, 200040, China.
Ya-Jun PengShanghai Eye Diseases Prevention & Treatment Center/Shanghai Eye Hospital, School of Medicine, Tongji University, Shanghai, 200040, China.
Jiang-Nan HeShanghai Eye Diseases Prevention & Treatment Center/Shanghai Eye Hospital, School of Medicine, Tongji University, Shanghai, 200040, China.
Jian-Feng ZhuShanghai Eye Diseases Prevention & Treatment Center/Shanghai Eye Hospital, School of Medicine, Tongji University, Shanghai, 200040, China. jfzhu1974@hotmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the alterations in corneal topography with either 1% or 0.01% atropine treatment in myopic children.

methodsThis 6-month randomized controlled trial enrolled myopic children aged 6-12 years and randomly allocated them to group A (n = 92; 1% atropine once weekly) or group B (n = 85; 0.01% atropine once daily). Scheimpflug imaging was performed at baseline, 1 week, 3 months, and 6 months post-administration.

resultsIn group A, a significant hyperopic shift (0.29 D) and progression of cylinder refraction (-0.10 D) were occurred. This cylindrical change exhibited a positive correlation with posterior corneal astigmatism. In group B, myopia progression was observed (-0.25 D), but the cylinder refraction changes were not significant (-0.04 D). A significant reduction in anterior keratometry (-0.08 D) and a concomitant increase in posterior corneal astigmatism (0.04 D) were documented. Furthermore, cylindrical change exhibited inverse associations with younger age, spherical refraction, and posterior corneal astigmatism. Changes in posterior corneal asphericity (Q-value) were inversely correlated with spherical refraction. Moreover, both groups exhibited significant posterior Q-value flattening (-0.13 and - 0.15, respectively), and changes in posterior K1 and K2 were positively correlated with the Q-value change.

conclusionWe found that 1% or 0.01% atropine had a minor impact on the corneal topography. Longitudinal alterations in corneal geometry are predominantly ascribable to physiological ocular growth and myopic progression rather than to atropine exposure. TRIAL REGISTRATION NUMBER: Clinical Trials.gov PRS (Registration No. NCT03949101). Registration Date: 2019-05-11.

Indexed as

AtropineCorneaCorneal TopographyMydriaticsMyopiaChildFemaleHumansMaleOphthalmic SolutionsRefraction, OcularVisual AcuityAtropineMydriaticsOphthalmic SolutionsAtropineCorneal topographyMyopia

Identifiers

PMID41254600
PMCPMC12625200

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Registered trials

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.