Evidence map›Paper›PMID 42446481›Full record

Trial reportInvestigative ophthalmology & visual science2026

Differences in Posterior Ocular Morphology Following Red Light Therapy Versus 0.01% Atropine for Myopia Control: A Randomized Controlled Trial Analysis.

Ziwei Zhao, Yue Wu, Fan Song, Mingge Li, Yueye Wang, Ruoyu Chen, Yanjun Liu, Jinying Li, Mingguang He, Yanxian Chen

Erratum issuedAbstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in Investigative ophthalmology & visual science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. 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.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Ziwei ZhaoSchool of Optometry, The Hong Kong Polytechnic University, Hong Kong SAR, People's Republic of China.
Yue WuSchool of Optometry, The Hong Kong Polytechnic University, Hong Kong SAR, People's Republic of China.
Fan SongSchool of Optometry, The Hong Kong Polytechnic University, Hong Kong SAR, People's Republic of China.
Mingge LiDepartment of Ophthalmology, Shenzhen Nanshan People's Hospital, Shenzhen, People's Republic of China.
Yueye WangSchool of Optometry, The Hong Kong Polytechnic University, Hong Kong SAR, People's Republic of China.
Ruoyu ChenSchool of Optometry, The Hong Kong Polytechnic University, Hong Kong SAR, People's Republic of China.
Yanjun LiuSchool of Optometry, The Hong Kong Polytechnic University, Hong Kong SAR, People's Republic of China.
Jinying LiDepartment of Ophthalmology, Peking University Shenzhen Hospital, Shenzhen, People's Republic of China.
Mingguang HeSchool of Optometry, The Hong Kong Polytechnic University, Hong Kong SAR, People's Republic of China.
Yanxian ChenSchool of Optometry, The Hong Kong Polytechnic University, Hong Kong SAR, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: The purpose of this study was to compare longitudinal changes in three-dimensional (3D) macular morphology between repeated low-level red-light (RLRL) therapy and 0.01% low-dose atropine (LDA) treatment in myopic children. Methods: This secondary analysis of a randomized controlled trial (RCT) included 50 myopic children (aged 7-15 years) randomized to receive either RLRL therapy (650 ± 10 nm) or 0.01% atropine eye drops. Spectral-domain optical coherence tomography (OCT) was performed at baseline and 1, 3, 6, and 12 months. Custom software was used to perform distortion correction and quantify macular curvature (MC; mm-1), macular outward scleral height (MOSH; µm), and their respective asymmetry indices. Primary outcomes were 12-month changes in average regional macular curvature. Secondary outcomes included changes in MOSH, asymmetry indices, and retinal layer thicknesses. Linear mixed-effects models analyzed longitudinal changes. Results: At 12 months, RLRL showed greater macular flattening than 0.01% atropine across all regions (mean differences, × 10-3 mm-1): central (9.0, 95% confidence interval [CI] = 4.4-13.6, P < 0.01), temporal (9.7, 95% CI = 6.7-12.8, P < 0.001), inferior (8.4, 95% CI = 5.2-11.6, P < 0.001), superior (7.0, 95% CI = 4.0-9.9, P < 0.001), and nasal (3.7, 95% CI = 0.8-6.7, P < 0.05). The inter-group difference was most pronounced centrally and decreased with eccentricity. MOSH decreased superiorly and increased inferiorly in the RLRL group at 12 months, whereas the LDA group showed minimal change. Both nasal-temporal and superior-inferior macular curvature asymmetry indices increased significantly more in the RLRL group (P < 0.001 and P < 0.05, respectively). No inter-group differences in retinal layer thickness changes were observed. Conclusions: Over 12 months, RLRL showed broader macular flattening and more region-specific MOSH changes compared with 0.01% atropine in this cohort. However, the underlying mechanisms and the independent contribution of myopic progression to these morphological differences require further study.

Indexed as

AtropineMacula LuteaMydriaticsMyopiaRed LightAdolescentChildFemaleHumansMaleOphthalmic SolutionsTomography, Optical CoherenceAtropineMydriaticsOphthalmic Solutions

Identifiers

PMID42446481
PMCPMC13387244

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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.