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The Efficacy of a Polarized Folded Optical Path-based Reading-writing Desk for Myopia Prevention and Control in Pre-myopic Children

29. oktober 2026 oppdatert av: Beijing Tongren Hospital

A Randomized Controlled Trial on the Efficacy of a Polarized Folded Optical Path-based Reading-writing Desk for Myopia Prevention and Control in Pre-myopic Children

The goal of this clinical trial is to evaluate the efficacy and safety of the polarized folded optical path reading and writing device in myopia prevention onset in 5-10 year old children with pre myopia. It will also integrate AI based fundus photography risk stratification, wearable environmental exposure monitoring, and far display screen behavioral recognition data to construct predictive models for myopia onset risk and intervention response, thereby establishing a precision prevention and control paradigm for this population. The main questions it aims to answer are:

  • How can early risk identification, scenario based precision intervention, and objective efficacy prediction be achieved in pre myopic children?
  • What is the mechanism of action of the device on the accommodation-choroid-axial length axis?
  • What is the dose-response relationship among multispectral input, real world visual behaviors, and prophylactic efficacy?
  • How does the multimodal collaborative regulatory mechanism integrating risk stratification, environmental monitoring, and behavioral recognition operate? Researchers will compare participants using the polarized folded optical path reading and writing device against those not equipped with equivalent viewing distance extending optical devices (Intervention Group: using the polarized folded optical path reading and writing device; control group: not equipped with equivalent viewing distance extending optical devices) to determine the relative efficacy of the device in controlling myopia progression.

Participants will:

  • If assigned to the intervention group, use the polarized folded optical path reading and writing device as their daily reading and writing tool for 12 months, with a target usage of ≥2 hours/day and ≥5 compliant days/week; if assigned to the control group, use myopia prevention desk lamps and posture correctors while maintaining their habitual visual behaviors.
  • Attend clinic visits at baseline and at 3, 6, 9, and 12 months for comprehensive eye examinations.
  • Maintain diaries documenting wearable environmental exposure data, real world far display screen usage behaviors, and any adverse events; additionally, undergo collection of color fundus photographs and AI derived fundus risk scores at the scheduled visits.

Studieoversikt

Studietype

Intervensjonell

Registrering (Antatt)

200

Fase

  • Ikke aktuelt

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

      • Beijing, Kina
        • Beijing Tongren Hospital
        • Ta kontakt med:

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

5 år til 10 år (Barn)

Tar imot friske frivillige

Ja

Kjønn som er kvalifisert for studier

Alle

Beskrivelse

Inclusion Criteria:

  • Age 5 to 10 years (inclusive) on the date of signing informed consent.
  • Pre myopia status, defined as a spherical equivalent refraction (SER) measured by cycloplegic refraction in both eyes, with values satisfying -0.50 D < SER ≤ +0.75 D.
  • Astigmatism (cylinder power) ≤1.50 D and anisometropia ≤1.50 D in both eyes.
  • A daily need for reading and writing, and a home environment that allows the use of the reading and writing device / eye protection desk lamp and posture corrector.
  • Signed informed consent obtained from the parent(s) or legal guardian(s); for children aged 7 years and older, an additional child assent form must also be signed.
  • Willingness to comply with the scheduled follow up visits throughout the 24 month study period, with no plan for long term relocation to a different area.

Exclusion Criteria:

  • Any ocular disease that may affect refractive development, including amblyopia, strabismus, congenital cataract, glaucoma, keratoconus, ptosis, significant ocular surface disease, or other relevant conditions.
  • Use of any of the following myopia control interventions within 6 months prior to enrollment: orthokeratology (OK) lenses, low concentration atropine, repeated low level red light therapy, defocus incorporated soft contact lenses, peripheral defocus spectacle lenses, pirenzepine, or any other medication/device known to have a myopia control effect.
  • Presence of systemic diseases (e.g., neurodevelopmental disorders, connective tissue diseases, or ongoing systemic glucocorticoid therapy or other medications affecting ocular development) that may influence visual development or study compliance.
  • Known allergy to cycloplegic agents in the child or parent/guardian.
  • Explicit statement by the parent/guardian of intention to use additional myopia interventions during the study period.
  • Any other condition deemed by the principal investigator (PI) to render the participant unsuitable for enrollment.

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Forebygging
  • Tildeling: Randomisert
  • Intervensjonsmodell: Crossover-oppdrag
  • Masking: Enkelt

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Aktiv komparator: Kontrollgruppe

Participants in the control group will use an eye-care desk lamp and a desk posture corrector (with a reading and writing distance of 33 cm).

Eksperimentell: polarized folded optical path reading and writing device

Polarized folded optical path reading and writing device. Through polarized folded optical path, it transforms near-work visual input into a distant virtual image.

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Incidence of myopia
Tidsramme: from baseline to 24±1 months

The proportion of participants who develop myopia during the follow-up period among those who were non-myopic at baseline.

from baseline to 24±1 months

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Change in Axial Length (AL)
Tidsramme: baseline and 3, 6, 9, 12, 15, 18, 21, 24 months.
baseline and 3, 6, 9, 12, 15, 18, 21, 24 months.
Change in accommodative lag
Tidsramme: from baseline to 24±1 months
from baseline to 24±1 months
Change in Spherical Equivalent Refraction (SER)
Tidsramme: baseline and 3, 6, 9, 12, 15, 18, 21, 24 months.
baseline and 3, 6, 9, 12, 15, 18, 21, 24 months.
Change in NITM amplitude
Tidsramme: from baseline to 24±1 months
from baseline to 24±1 months
Choroidal thickness
Tidsramme: from baseline to 24±1 months
from baseline to 24±1 months
Incidence of myopic fundus changes
Tidsramme: from baseline to 24±1 months

The proportion of participants who develop any of the following myopic fundus changes on color fundus photography during the follow-up period, among those without these changes at baseline:

  1. tessellated fundus (visible choroidal vessels in the posterior pole),
  2. optic disc tilt (tilt ratio ≤ 0.75),
  3. peripapillary atrophy,
  4. posterior staphyloma,
  5. myopic maculopathy (META-PM Category ≥ 2). Participants with any one of these findings at any follow-up visit are counted as incident cases.
from baseline to 24±1 months

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Antatt)

13. oktober 2026

Primær fullføring (Antatt)

30. juni 2028

Studiet fullført (Antatt)

30. juni 2028

Datoer for studieregistrering

Først innsendt

14. september 2026

Først innsendt som oppfylte QC-kriteriene

29. oktober 2026

Først lagt ut (Faktiske)

3. november 2026

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

3. november 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

29. oktober 2026

Sist bekreftet

1. oktober 2026

Mer informasjon

Begreper knyttet til denne studien

Nøkkelord

Andre studie-ID-numre

  • L2609037
  • L2609037 (Annet stipend/finansieringsnummer: Supported by Beijing Natural Science Foundation(L2609037))

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

NEI

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

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