Evidence map›Paper›PMID 41846466›Full record

SynthesisClinical & experimental ophthalmology2026

Duration-Dependent Efficacy and Clinical Safety of Repeated Low-Level Red-Light Therapy for Paediatric Myopia: A Systematic Review and Meta-Analysis.

Lee-Yuan Lin, Cheng-Hao Hsu, Hung Su, Jia-Wei Sun, Jie-Syuan Wu, Wei-Jung Jeng, Chen-Hsin Tsai, Fara Silvia Yuliani, Shyh-Hsiang Lin

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Clinical & experimental ophthalmology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Lee-Yuan LinSchool of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.ORCID https://orcid.org/0009-0007-7212-3535
Cheng-Hao HsuSchool of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.ORCID https://orcid.org/0009-0002-5205-5436
Hung SuSchool of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.ORCID https://orcid.org/0009-0005-0351-9988
Jia-Wei SunSchool of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.ORCID https://orcid.org/0009-0004-8018-8847
Jie-Syuan WuSchool of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.ORCID https://orcid.org/0009-0001-8164-3299
Wei-Jung JengSchool of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.ORCID https://orcid.org/0009-0006-2400-9626
Chen-Hsin TsaiDepartment of Ophthalmology, Taipei Medical University Hospital, Taipei, Taiwan.
Fara Silvia YulianiDepartment of Pharmacology and Therapy, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.ORCID https://orcid.org/0000-0002-2112-1130
Shyh-Hsiang LinSchool of Nutrition, College of Nutrition, Taipei Medical University, Taipei, Taiwan.ORCID https://orcid.org/0000-0002-3723-560X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRepeated low-level red-light (RLRL) therapy is a novel, non-invasive intervention for controlling paediatric myopia progression. Despite increasing clinical use, questions remain regarding the magnitude, durability, and safety of treatment effects. This study evaluated its efficacy and safety based on randomised controlled trial (RCT) evidence.

methodsPubMed, Embase, and the Cochrane Library were searched through August 2025 for RCTs comparing RLRL with control in children (< 18 years). The primary outcome was spherical equivalent refraction (SER); secondary outcomes included axial length (AL), choroidal thickness (ChT), anterior chamber depth (ACD), central corneal thickness (CCT), lens thickness (LT), and uncorrected visual acuity (UCVA). Evidence certainty was assessed using the GRADE framework.

resultsTwenty-eight RCTs (3573 participants) were included. RLRL therapy achieved duration-dependent myopia control (p < 0.05), with pooled improvements versus control at 12 months of +0.68 D in SER, -0.30 mm in AL, and +26.7 μm in ChT. Subgroup analysis showed greater efficacy in children with higher baseline myopia (p < 0.0001), with comparable effects between 5- and 7-day regimens. UCVA was higher with RLRL therapy. ACD, CCT, and LT were unchanged. Reported adverse events were mild and transient, with no consistent structural or functional abnormalities described.

conclusionsRLRL was associated with duration-dependent reductions in myopia progression up to 1 year. Reported structural parameters remained stable and adverse events were generally mild. Moderate-certainty evidence supports improvement in SER and ChT, whereas evidence for AL remains of lower certainty. Longer-term trials incorporating comprehensive retinal safety assessment are required.

trial registrationPROSPERO CRD420251112677.

Indexed as

Low-Level Light TherapyMyopiaRed LightRefraction, OcularAxial Length, EyeChildHumansRandomized Controlled Trials as TopicTreatment OutcomeVisual Acuityanterior chamber depthmeta‐analysismyopiapaediatric ophthalmologyrepeated low‐level red‐light therapy

Identifiers

PMID41846466
PMCPMC13340503

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.