Sustained Effect of Red-light Therapy for Myopia Control: A 2-Year Post-Trial Follow-up Study
NCT ID: NCT06232161
Last Updated: 2024-02-14
Study Results
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Basic Information
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ACTIVE_NOT_RECRUITING
NA
50 participants
INTERVENTIONAL
2020-05-13
2026-12-31
Brief Summary
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The Chinese myopic children who originally completed the one-year randomised controlled trial in the previous study were enrolled. Children continued or started to daily usage of red-light therapy were defined as the RL group, while those who stopped using red-light therapy and switched to single-vision spectacles (SVS) as well as those who continued to keep single-vision spectacles in the second year were both regarded as the SVS group. Red-light therapy was provided by an at-home desktop light device emitting red-light of 650 nm and was administered for 3 min at a time, twice a day. Changes in axial length (AL) and cycloplegic spherical equivalence refraction (SER) are to be measured and compared as well as the adverse effects including the rebound effect.
Red-light therapy has emerged as a novel myopia control treatment modality recently. A 12-month randomised controlled trial (RCT) conducted by our research team was thought to be earlier to evaluate the treatment of myopic children using red-light therapy. The trial demonstrated that PBM therapy was effective on myopia control, reducing axial elongation and spherical equivalence refraction (SER) progression 103% and 127% compared with single vision spectacle (SVS) over a 12-month period, respectively. The promising efficacy of red-light therapy has been further confirmed in other studies. In addition, satisfactory user acceptability and no unrecovered functional and structural damages were observed.
Myopia generally progresses throughout childhood and hence a study duration of 1 year is not sufficient to widely adopt the red-light therapy as a treatment strategy for myopia control. The sustainability of treatment efficacy, rebound phenomenon upon cessation of treatment, and potential risks and adverse effects in myopic children with longer-term PBM therapy, remain to be fully elucidated.
Thus, the aims of this post-trial follow-up study were to invite the participants to come back for a 24-month visit and to investigate the long-term efficacy and safety of continued red-light therapy as well as the potential rebound effect following red-light treatment cessation.
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Detailed Description
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Conditions
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Study Design
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NON_RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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red-light therapy group
The red-light therapy group would be treated with red-light therapy twice daily including the single focus spectacles during the follow-up.
Red-light therapy device
Red-light therapy was performed with a low-intensity laser (LD-A, Jilin LD Optoelectronics Technology, Jilin, China) with an irradiance of 0.35 ± 0.02 mW/cm2, a wavelength of 650 nm ± 10 nm, and illumination of approximately 400 lux on average.
Spectacles
Single focus spectacles, that is to say, wearing glasseses with minus power lens
control group
The control group including both the stopping red-light therapy group from the first 12 months (who obtained red-light therapy but stopped during the second 12-month follow-up) and those never use red-light therapy.
Spectacles
Single focus spectacles, that is to say, wearing glasseses with minus power lens
Interventions
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Red-light therapy device
Red-light therapy was performed with a low-intensity laser (LD-A, Jilin LD Optoelectronics Technology, Jilin, China) with an irradiance of 0.35 ± 0.02 mW/cm2, a wavelength of 650 nm ± 10 nm, and illumination of approximately 400 lux on average.
Spectacles
Single focus spectacles, that is to say, wearing glasseses with minus power lens
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
2. Ages of 9\~13 years old;
3. Must be with best corrected visual acuity ≥20/25 (decimal record);
4. Must be the subject in the previous study of 12-month red-light therapy of myopia;
Exclusion Criteria
2. Clinical diagnosis of optic media lesions (e.g., central thick corneal scars, cataract);
3. Clinical diagnosis of optic nerve dysfunction;
4. Clinical diagnosis of amblyopia;
5. Must be eligible for follow-up.
9 Years
13 Years
ALL
Yes
Sponsors
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Ningbo Eye Hospital
OTHER
Beijing Airdoc Technology Co., Ltd.
INDUSTRY
Responsible Party
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Qiu Kaikai
Myopia control officer
Principal Investigators
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LEI ZHOU, M.D.
Role: STUDY_CHAIR
Ningbo Eye Hospital
Locations
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Ningbo Eye Hospital
Ningbo, Zhejiang, China
Countries
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References
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Zhou L, Tong L, Li Y, Williams BT, Qiu K. Photobiomodulation therapy retarded axial length growth in children with myopia: evidence from a 12-month randomized controlled trial evidence. Sci Rep. 2023 Feb 27;13(1):3321. doi: 10.1038/s41598-023-30500-7.
Related Links
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The first 12-month follow-up report of PBM therapy
Other Identifiers
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Ningbo EYE Hospital
Identifier Type: -
Identifier Source: org_study_id
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