Clinical Study of Light Therapy to Control Myopia Progression in Children
Clinical Study of Low Lever Red Light Therapy With 650nm to Control Myopia Progression in Children
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Jenny Qiu, M.D.
- Phone Number: +8618510386815
- Email: qiukaikai0620@airdoc.com
Study Contact Backup
- Name: Chao He, Ph.D.
- Email: hechao@airdoc.com
Study Locations
-
-
Shanghai
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Shanghai, Shanghai, China, 200031
- Recruiting
- Eye & ENT Hospital of Fudan University
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Sub-Investigator:
- Weiming Yang, MD. PhD
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Principal Investigator:
- Xiaoying Wang, MD. PhD.
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Principal Investigator:
- Xingtao Zhou, MD. PhD
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Contact:
- Meiyan Li, MD.Ph.D.
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Sub-Investigator:
- Weicun Chen, MD. PhD
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Grade 1 to grade 9 and age 6 to 16 years (including 6 and 16 years), Sex is not limited;
- Equivalent sphere (SER): -0.50D ~ -6.00D (including-0.50 and-6.00D);
- Best corrected vision in one eye under glasses correction: 0.1 log MAR;
- No strabismus: no more than 15 prism constant dominance strabismus after far and near cover tests;
- No myopia control measures within the previous 4 weeks: such as orthokeratology lens, gradient lens, double light lens, eye drops for myopia control (such as atropine), myopia defocus glasses, red light for myopia control, other specially designed myopia light treatment instruments or contact lenses for special design to control myopia (such as Misight);
Exclusion Criteria:
- Any ocular(including constant dominant strabismus with more than 15 prisms) and systemic diseases or abnormalities can significantly affect visual function or promote the progression of myopia;
- Other interventions for myopia control before 4 weeks before enrollment, For example, orthoplastic lens, gradient lens, dual-light lens, eye drops for myopia control (atropine), myopia defocus glasses, red light therapy devices for myopia control, other specially designed comprehensive treatment devices, myopia, amblyopia, or specially designed contact lenses (such as Misight), etc.
- Subject participated in other clinical trials within 4 weeks before the enrollment;
- The investigator for safety reasons or the interests of the patient, Other circumstances in which the patient should not participate in this trial, If suffering from serious heart, liver and kidney disease. -
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Placebo Comparator: Control
Single vision spectacles correction only.
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Provide the distance best corrected vision acuity of refractive error of myopia for all the groups
Other Names:
|
|
Experimental: PBM therapy 1
PBM therapy was performed with a low-intensity laser (Airdoc, MPC Co.,Ltd., Beijing, China) with an irradiance of 0.6±0.2
mW, a wavelength of 650 nm±10 nm, and illumination of approximately 400 lux on average.
The lighting spot for therapy is a dot.
Only one eye will be treated with PBM therapy.
|
low lever light therapy with laser semi-conductor at wavelength of 650nm
Other Names:
Provide the distance best corrected vision acuity of refractive error of myopia for all the groups
Other Names:
|
|
Experimental: PBM therapy 2
PBM therapy was performed with a low-intensity laser (Airdoc, MPC Co.,Ltd., Beijing, China) with an irradiance of 0.3±0.2
mW, a wavelength of 650 nm±10 nm, and illumination of approximately 400 lux on average.
Only one eye will be treated with PBM therapy.
|
low lever light therapy with laser semi-conductor at wavelength of 650nm
Other Names:
Provide the distance best corrected vision acuity of refractive error of myopia for all the groups
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Changes in axial length (mm)
Time Frame: at 1-month Follow-up
|
Changes of axial length at 1-Month follow-up from baseline with IOLmaster 500 Axial length measurement at baseline and at follow-up with IOLmaster(Carl Zeiss). Five measurements were taken and averaged. The changes will be calculated by the formula as below: Change in axial length ( mm ) = Axial length value at follow-up baseline |
at 1-month Follow-up
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Changes in cycloplegic autorefraction (diopters, D)
Time Frame: at 1-month Follow-up and at baseline
|
Objective refraction measured by using Autorefractor.
Five measurements are obtained for each eye and the average of spherical equivalence was used for statistical analysis.
The measurements will be both with cycloplegia at baseline and at follow-up.
The changes in cycloplegic autorefraction are calculated in the mean value of each group.
|
at 1-month Follow-up and at baseline
|
|
Changes of choroidal thickness under macular foveal (um)
Time Frame: at 1-month Follow-up and at baseline
|
Swept-source optical coherence tomography (OCT) and OCT angiography were used To measure choroidal fovea thickness at baseline and at follow-up.
To avoid the effects of circadian rhythm on the results, OCT scanning was performed twice by the same investigator between 8:00 A.M. and 2:00 P.M. at baseline and 1-month follow-up.
Two independent skilled professionals measured the sub-foveal choroidal thickness (SFChT) using a linear measurement program during the OCT scan.
To increase the visibility of the choroid, the enhanced depth imaging mode was used.
We defined the thinnest part of the macula in the image as the fovea.
The SFChT was measured from the outermost part of the retinal pigment epithelium to the inner layer of the the choroidoscleral interface.
|
at 1-month Follow-up and at baseline
|
|
Changes of cornea power
Time Frame: at 1-month Follow-up and at baseline
|
Changes in the central anterior cornea power by the value measured from auto-refraction.
The mean values will be recorded as well as the mean values at follow-up of 1 month
|
at 1-month Follow-up and at baseline
|
|
Change in retina fovea perfusion density (RFPD, %)
Time Frame: at 1-month Follow-up and at baseline
|
Swept-source optical coherence tomography (OCT) angiography is used to measure retina fovea perfusion density (RFPD).
The TowardPi OCTA allow for the in vivo visualization of three-dimensional (3-D) vascular networks in the retina and choroid.
The OCTA images were acquired by the TowardPi-3D spatial identification algorithm.
The retina vessels and choriocapillaris were identified by higher order moments decorrelation algorithm.
The medium- and large-sized choroid vessels from Sattler's layer and Haller's layer were visualized by 3D threshold segmentation algorithm.
In this study, the retinal and choroidal images were obtained with an area of 18*18 mm centered on the fovea.
In addition, for a comprehensive analysis of the macular zone, we adopted the Early Treatment Diabetic Retinopathy Study (ETDRS) grid using the instrument's software which was adjusted for each individual participant's ocular magnification.
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at 1-month Follow-up and at baseline
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Chair: Xingtao Zhou, M.D. PhD., Eye & ENT Hospital of Fudan University
- Study Director: Weicun Chen, MD, PhD, Eye & ENT Hospital of Fudan University
- Study Director: Meiyan Li, MD, PhD, Eye & ENT Hospital of Fudan University
Publications and helpful links
General Publications
- Yang W, Lin F, Li M, Wei R, Zhou J, Zhou X. Immediate effect in retina and choroid after 650 nm low-level red light therapy in children. Ophthalmic Res. 2022 Oct 31. doi: 10.1159/000527787. Online ahead of print.
- Liu G, Li B, Rong H, Du B, Wang B, Hu J, Zhang B, Wei R. Axial Length Shortening and Choroid Thickening in Myopic Adults Treated with Repeated Low-Level Red Light. J Clin Med. 2022 Dec 17;11(24):7498. doi: 10.3390/jcm11247498.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- BeijingAirdoc
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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