Cochrane · systematic review · CD004916

Interventions to slow progression of myopia in children

Walline, JJ, Lindsley, KB, Vedula, SS, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library

Eyes and VisionAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
17
current version
GRADE rated
13
No studies
3
Included studies
NR
No studies 3 · 17.6%Ungraded 1 · 5.9%Very low 1 · 5.9%Low 6 · 35.3%Moderate 6 · 35.3%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Interventions to slow progression of myopia in children

Population: children with myopia (nearsightedness)
17 questions
OutcomeEffectEvidenceStatus / GRADE
Undercorrected vs fully corrected spectacles
no estimate extracted2 studies · 142 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Multifocal vs single vision lens spectacles
no estimate extracted9 studies · 1463 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Peripheral plus spectacles vs single vision lens spectacles
no estimate extracted3 studies · 597 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Bifocal vs single vision soft contact lenses
no estimate extracted4 studies · 300 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Rigid gas permeable contact lenses vs spectacles or soft contact lenses
no estimate extracted2 studies · 420 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Orthokeratology contact lenses vs single vision lenses
no estimate extractedNRNo studies
Spherical aberration soft contact lenses vs single vision soft contact lenses
no estimate extracted2 studies · 209 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Antimuscarinic agents vs placebo
no estimate extracted3 studies · 629 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Atropine vs tropicamide
no estimate extracted1 study · 196 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Systemic 7‐methylxanthine vs placebo
no estimate extracted1 study · 77 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Timolol drops vs no drops
no estimate extracted1 study · 95 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Atropine plus multifocal spectacles vs placebo plus SVLs
no estimate extracted2 studies · 191 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Atropine plus bifocal spectacles vs cyclopentolate plus SVLs
no estimate extracted1 study · 64 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Bifocal spectacles vs SVLs with timolol drops
no estimate extracted1 study · 97 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Tropicamide plus bifocal spectacles vs SVLs
no estimate extracted1 study · 50 participantsUngraded
Comparison (intervention vs comparator)
no estimate extractedNRNo studies
Adverse effects
no estimate extractedNRNo studies