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| Name | Class |
|---|---|
| Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine | OTHER |
| Shanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong University | OTHER |
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Investigators are going to conduct a multi-centered randomized clinical trial that myopic children are randomly allocated into three groups: 0.01% atropine, 0.04% atropine and orthokeratology in order to evaluate the efficacy and side effects of different intervention methods and establish a risk factor model to predict the efficacy of myopia intervention, and to provide precise intervention plans and clinical decisions for the control of myopia.
Investigators are going to conduct a multi-centered randomized clinical trial that myopic children are randomly allocated into three groups: 0.01% atropine, 0.04% atropine and orthokeratology in order to evaluate the efficacy and side effects of different intervention methods and establish a risk factor model to predict the efficacy of myopia intervention, and to provide precise intervention plans and clinical decisions for the control of myopia.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 0.01% atropine | Active Comparator | use atropine sulfate 0.01% eye drop every night before sleep for two years |
|
| 0.04% atropine | Experimental | use atropine sulfate 0.04% eye drop every night before sleep for two years |
|
| orthokeratology | Experimental | wear orthokeratology lens every night for two years |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Atropine Sulfate 0.01% Eye Drop | Drug | use one drop into subconjunctiva |
| |
| Measure | Description | Time Frame |
|---|---|---|
| spherical equivalent progression in over two years | equals sphere +1/2 cylinder | 2 years |
| axial length change over two years | measured by IOL-Master | 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| lens power change over two years | calculated by Bennett-Rabetts formula | 2 years |
| choroidal thickness change over two years | measured by SS-OCT |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jianfeng Zhu | Contact | 13501822932 | 18101853556 | jfzhu1974@Hotmail.com |
| Jiangnan He | Contact | 18101853556 | 18101853556 | hejiangnan85@126.com |
| Name | Affiliation | Role |
|---|---|---|
| Jianfeng Zhu | Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Jianfeng Zhu | Recruiting | Shanghai | Shanghai Municipality | 200040 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40705323 | Derived | Xu H, Chen M, Ye L, Shu Q, Peng Y, Liang X, Yu T, Ji Y, Li S, Shen Q, He J, Li L, Zhu J, Xu X. Orthokeratology, 0.04% Atropine, and 0.01% Atropine for Myopia Control: A Randomized Clinical Trial. JAMA Ophthalmol. 2025 Jul 24;143(9):731-8. doi: 10.1001/jamaophthalmol.2025.2321. Online ahead of print. |
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| ID | Term |
|---|---|
| D009216 | Myopia |
| ID | Term |
|---|---|
| D012030 | Refractive Errors |
| D005128 | Eye Diseases |
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| ID | Term |
|---|---|
| D001285 | Atropine |
| D009883 | Ophthalmic Solutions |
| ID | Term |
|---|---|
| D001286 | Atropine Derivatives |
| D014326 | Tropanes |
| D053961 | Azabicyclo Compounds |
| D001372 | Aza Compounds |
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Children are randomly allocated into three groups: 0.01% atropine, 0.04% atropine and orthokeratology, each group includes 62 children.
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| Orthokeratology |
| Device |
wear orthokeratology at night while sleeping |
|
| Atropine Sulfate 0.04% Eye Drop | Drug | use one drop into subconjunctiva |
|
| 2 years |
| choroidal blood flow density change over two years | measured by OCTA | 2 years |
| anterior chamber depth change over two years | measured by IOL-Master | 2 years |
| intraocular pressure change over two years | measured by a non-contact tonometer | 2 years |
| corneal topography change over two years | measured by Pentacam | 2 years |
| D009930 |
| Organic Chemicals |
| D001533 | Belladonna Alkaloids |
| D012991 | Solanaceous Alkaloids |
| D000470 | Alkaloids |
| D006571 | Heterocyclic Compounds |
| D019086 | Bridged Bicyclo Compounds, Heterocyclic |
| D006572 | Heterocyclic Compounds, Bridged-Ring |
| D019999 | Pharmaceutical Solutions |
| D012996 | Solutions |
| D004364 | Pharmaceutical Preparations |
| D045506 | Therapeutic Uses |
| D020228 | Pharmacologic Actions |
| D020164 | Chemical Actions and Uses |
| D020313 | Specialty Uses of Chemicals |