Evidence map›Paper›PMID 42761589›Full record

Trial reportFrontiers in public health2026

Short-term effects of distant-image screen and myopic defocus on choroidal thickness in children: a randomized pilot clinical trial.

Xingyi Guo, Chuanli Zhang, Yiyuan Wu, Zhanliang Ruan, Wenli Lu, Xiaoqin Chen, Lihua Li

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

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

7 authors.

Xingyi GuoTianjin Eye Hospital, Tianjin Key Lab of Ophthalmology and Visual Science, Tianjin, China.
Chuanli ZhangTianjin Eye Hospital, Tianjin Key Lab of Ophthalmology and Visual Science, Tianjin, China.
Yiyuan WuTianjin Eye Hospital, Tianjin Key Lab of Ophthalmology and Visual Science, Tianjin, China.
Zhanliang RuanDepartment of Epidemiology and Health Statistics, Tianjin Medical University, Tianjin, China.
Wenli LuDepartment of Epidemiology and Health Statistics, Tianjin Medical University, Tianjin, China.
Xiaoqin ChenTianjin Eye Hospital, Tianjin Key Lab of Ophthalmology and Visual Science, Tianjin, China.
Lihua LiTianjin Eye Hospital, Tianjin Key Lab of Ophthalmology and Visual Science, Tianjin, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: This study aimed to characterize the changes in choroidal thickness (ChT) in response to optical approaches using the distant-image screen (DIS) device and defocus-incorporated multiple segments (DIMS) lenses. Design: This is a prospective, randomized, controlled, crossover trial. Participants: A total of 40 children (8-13 years of age) with spherical equivalent refraction (SER) ranging from -0.50 to -6.00 diopters (D) were recruited and randomized into 4 groups: children who watched videos using either a DIS or a tablet computer (TC) and those wearing DIMS or single-vision lenses (SVL). Methods: In their assigned groups, children watched videos for 90 min in stage I, followed by a 3-7-day recovery period. After this recovery period, the children in the TC group were crossed over to the DIS group, and those in the DIS group were crossed over to the TC group for an additional 90 min in stage II. The SER was measured before and after watching videos using an open-field autorefractor. The ChT in the central (1 × 1 mm), superior, inferior, nasal, and temporal regions in 1-3 mm (S3, I3, N3, and T3) and 3-6 mm (S6, I6, N6, and T6) were measured before and after watching videos using full-range swept-source optical coherence tomography (SS-OCT). Main outcome measures: The main outcome measure was the changes in regional ChT. Results: After 90 min of video watching, the SER in the TC group significantly increased after viewing 90-min videos (-2.14 ± 1.15 D vs.-2.26 ± 1.16 D, Conclusion: Short-term long-distance working mode and myopic defocus may exert beneficial effects on choroidal variation in myopic children. Clinical Trial Registration Number: https://www.chictr.org.cn/showproj.html?proj=184978, Identifier ChiCTR2200065741.

Indexed as

ChoroidEyeglassesMyopiaAdolescentChildComputers, HandheldCross-Over StudiesFemaleHumansMalePilot ProjectsProspective StudiesTomography, Optical Coherencechoroid thicknessDIMSdistant-image screenmyopianear work

Identifiers

PMID42761589
PMCPMC13587909

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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.