Comparison of posterior scleral reinforcement surgery and repeated low-level red-light therapy in controlling high and super high myopia in Chinese children
Ma SY, Yang MY, Fu AC, Meng J, Li XJ
International journal of ophthalmology · 0 citations
Review labels
Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.
How it was studied
- Design
- Controlled clinical trial (classified by our AI screen)
- Studied in
- People
- Main outcome
- Health markers and function
Who paid for it
- Funding
- Funding not disclosed
Publication
- Published
- 2026-06-16 · Int J Ophthalmol · vol. 19 · issue 7 · pp. 1357–1365
- Publisher
- Press of International Journal of Ophthalmology (IJO PRESS)
- Cited
- 0 citations · more than 54% of similar papers · 0.0× the field average
- References
- 0 works
- Access
- Open access (journal) · CC-BY-NC-ND
- Research areas
- Ophthalmology and Visual Impairment Studies · Corneal surgery and disorders · Ocular Surface and Contact Lens
- Keywords
- Reinforcement, Visual acuity, Subgroup analysis, Reduction (mathematics), Adverse effect
4 authors
From CN
- Si-Yu MaFirst Affiliated Hospital of Zhengzhou University
- Aicun FuFirst Affiliated Hospital of Zhengzhou University
- Jia MengFirst Affiliated Hospital of Zhengzhou University
- Xiu-Juan LiFirst Affiliated Hospital of Zhengzhou University
Abstract
Aim
To compare the efficacy of posterior scleral reinforcement (PSR) surgery versus repeated low-level red light therapy (RLRL) treatment in controlling high and super high myopia (HM and SHM) of Chinese children.
Methods
This retrospective case analysis enrolled Chinese children with HM (-6.00 to -10.00 D; 76 children, 120 eyes) or SHM (<-10.00 D; 82 children, 114 eyes) according to spherical equivalent (SE). Each group was further subdivided into PSR subgroup [single-vision spectacle lenses (SVS) combined with PSR surgery], RLRL subgroup (SVS combined with RLRL therapy), and control subgroup (SVS alone). All participants were followed up at baseline, 3mo, 1, and 2y after treatment. The best corrected visual acuity (BCVA), axial length (AL), SE, and adverse reactions were evaluated.
Results
A total of 158 children (234 eyes) aged 6-16y were enrolled consecutively. Baseline BCVA, AL and SE were comparable among subgroups in both HM and SHM groups (all P>0.05). In the PSR group, BCVA improved significantly at 1 and 2y in both myopia groups (all PPP>0.05). In the RLRL group, BCVA was significantly improved at 1 and 2y, while AL shortened and SE decreased obviously from 3mo to 2y after treatment (all PP<0.05).
Conclusion
PSR and RLRL effectively improve BCVA in children with HM and SHM. PSR slows AL and SE progression, whereas RLRL reduces AL and SE, with better BCVA and AL outcomes in SHM at 1 and 2y. Both interventions are safe without severe adverse events within 2y. As a non-surgical approach, RLRL has promising clinical value.
Abstract via Europe PMC. Copyright remains with the authors or publisher.
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