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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 uppdaterad 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.

Studieöversikt

Status

Har inte rekryterat ännu

Betingelser

Intervention / Behandling

Studietyp

Interventionell

Inskrivning (Beräknad)

200

Fas

  • Inte tillämpbar

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

  • Kina
      • Beijing, Kina
        • Beijing Tongren Hospital
        • Kontakt:

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

5 år till 10 år (Barn)

Tar emot friska volontärer

Ja

Kön som är behöriga för studier

Allt

Beskrivning

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

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Förebyggande
  • Tilldelning: Randomiserad
  • Interventionsmodell: Crossover tilldelning
  • Maskning: Enda

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Aktiv komparator: Kontrollgrupp
Enhet: Eye-care desk lamp and desk posture corrector

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).
Experimentell: polarized folded optical path reading and writing device
Enhet: 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.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Incidence of myopia
Tidsram: 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

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Change in Axial Length (AL)
Tidsram: 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
Tidsram: from baseline to 24±1 months
from baseline to 24±1 months
Change in Spherical Equivalent Refraction (SER)
Tidsram: 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
Tidsram: from baseline to 24±1 months
from baseline to 24±1 months
Choroidal thickness
Tidsram: from baseline to 24±1 months
from baseline to 24±1 months
Incidence of myopic fundus changes
Tidsram: 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

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Sponsor

Beijing Tongren Hospital

Samarbetspartners

BOE Technology Group Co., Ltd.

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Beräknad)

13 oktober 2026

Primärt slutförande (Beräknad)

30 juni 2028

Avslutad studie (Beräknad)

30 juni 2028

Studieregistreringsdatum

Först inskickad

14 september 2026

Först inskickad som uppfyllde QC-kriterierna

29 oktober 2026

Första postat (Faktisk)

3 november 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

3 november 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

29 oktober 2026

Senast verifierad

1 oktober 2026

Mer information

Termer relaterade till denna studie

Nyckelord

Andra studie-ID-nummer

  • L2609037
  • L2609037 (Annat bidrag/finansieringsnummer: Supported by Beijing Natural Science Foundation(L2609037))

Plan för individuella deltagardata (IPD)

Planerar du att dela individuella deltagardata (IPD)?

NEJ

Läkemedels- och apparatinformation, studiedokument

Studerar en amerikansk FDA-reglerad läkemedelsprodukt

Nej

Studerar en amerikansk FDA-reglerad produktprodukt

Nej

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