Evidence map›Paper›PMID 42446806›Full record

Trial reportOphthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists)2026

From Screening to Care: Delayed Clinical Follow-up After Childhood Myopia Identification and the Design of a Prospective Intervention Study.

Wei Pan, Xiaofan Xu, Peixuan Li, Xiyan Zhang, Jie Yang, Zhikuan Yang, Weizhong Lan

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Wei PanAier Academy of Ophthalmology, Central South University, Changsha, China.
Xiaofan XuGuangzhou Aier Eye Hospital, Jinan University, Guangzhou, China.
Peixuan LiDepartment of Child and Adolescent Health Promotion, Jiangsu Provincial Centre for Disease Control and Prevention, Nanjing, China.
Xiyan ZhangDepartment of Child and Adolescent Health Promotion, Jiangsu Provincial Centre for Disease Control and Prevention, Nanjing, China.
Jie YangDepartment of Child and Adolescent Health Promotion, Jiangsu Provincial Centre for Disease Control and Prevention, Nanjing, China.
Zhikuan YangAier Academy of Ophthalmology, Central South University, Changsha, China.
Weizhong LanAier Academy of Ophthalmology, Central South University, Changsha, China. lanweizhong@aierchina.com.

Funding

This study was funded by the Science and Technology Innovation Program of Hunan Province, China 2023RC1079, 2024RC5002
6 · The paper itself

Abstract

backgroundThis study was a pilot investigation on delays in seeking clinical care after myopia screening and describes the design of a prospective cohort study to test whether additional intervention can shorten the delay in seeking eye care.

methodsIn the pilot study, parents who brought their children to the myopia clinic were surveyed regarding their knowledge, attitudes and behaviours toward myopia. Comparisons between first-time myopia visits (FTMV) and non-first-time myopia visits (NFTMV) were made using the Chi-squared test. The prospective study will involve Grades 1-3 students from four primary schools. Each will be randomly assigned to one of four groups: (1) self-examination visual acuity app; (2) myopia-education videos; (3) both interventions or (4) control. Visual acuity, non-cycloplegic auto-refraction and questionnaires will be collected at baseline and 6-month visit.

resultsIn the pilot study, 496 valid questionnaires were included (173 FTMV; 323 NFTMV). In both groups, 74.6% recognised that myopia can lead to blindness (p = 0.99). In the FTMV and NFTMV groups, 95.4% and 97.8% believed that myopia can be prevented and controlled (p = 0.13), 92.5% and 94.1% identified short reading distance as a risk factor (p = 0.48) and 97.7% and 98.8% recognised poor indoor lighting as a risk factor (p = 0.37), respectively. Among FTMV parents, 41.0% reported waiting >12 months before seeking clinical care. In the prospective study, a total of 2400 subjects are anticipated. The primary outcome is the time to myopia-related clinical visit after screening, using survival analysis. Parents' knowledge, attitudes and behaviours toward myopia at the beginning and the end of the study will also be assessed.

conclusionDelays in children's first myopia-related clinic visit appear to be common among parents in China, based on preliminary findings from hospital-based survey samples. Further systematic evaluation of large-scale myopia screening and health education initiatives is warranted to enhance their real-world effectiveness.

Indexed as

Health Knowledge, Attitudes, PracticeMyopiaPatient Acceptance of Health CareRefraction, OcularVision ScreeningChildFemaleFollow-Up StudiesHumansMalePilot ProjectsProspective StudiesSurveys and QuestionnairesVisual AcuityDelayDesignHealth educationMyopiaScreening

Identifiers

What Socratic holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.