Assessing the rebound phenomenon in different myopia control treatments: A systematic review.
Ophthalmic Physiol Opt
; 44(2): 270-279, 2024 Mar.
Article
in En
| MEDLINE
| ID: mdl-38193312
ABSTRACT
PURPOSE:
To review the rebound effect after cessation of different myopia control treatments.METHODS:
A systematic review that included full-length randomised controlled studies (RCTs), as well as post-hoc analyses of RCTs reporting new findings on myopia control treatments rebound effect in two databases, PubMed and Web of Science, was performed according to the PRISMA statement. The search period was between 15 June 2023 and 30 June 2023. The Cochrane risk of bias tool was used to analyse the quality of the selected studies.RESULTS:
A total of 11 studies were included in this systematic review. Unifying the rebound effects of all myopia control treatments, the mean rebound effect for axial length (AL) and spherical equivalent refraction (SER) were 0.10 ± 0.07 mm [-0.02 to 0.22] and -0.27 ± 0.2 D [-0.71 to -0.03] after 10.2 ± 7.4 months of washout, respectively. In addition, spectacles with highly aspherical lenslets or defocus incorporated multiple segments technology, soft multifocal contact lenses and orthokeratology showed lower rebound effects compared with atropine and low-level light therapy, with a mean rebound effect for AL and SER of 0.04 ± 0.04 mm [0 to 0.08] and -0.13 ± 0.07 D [-0.05 to -0.2], respectively.CONCLUSIONS:
It appears that the different treatments for myopia control produce a rebound effect after their cessation. Specifically, optical treatments seem to produce less rebound effect than pharmacological or light therapies. However, more studies are required to confirm these results.Key words
Full text:
1
Database:
MEDLINE
Main subject:
Refraction, Ocular
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Eyeglasses
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Orthokeratologic Procedures
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Myopia
Type of study:
Clinical_trials
/
Systematic_reviews
Limits:
Humans
Language:
En
Journal:
Ophthalmic Physiol Opt
Year:
2024
Type:
Article
Affiliation country:
Spain