ClinicalTrials.gg
CompletedNCT05689567Updated Oct 15, 2026

Focus-out Glasses on Emmetropization in Chinese Children

An interventional study of DEFOG glasses(peripheral focus-out glasses) in Emmetropization, Myopia and Hyperopia, sponsored by Children's Hospital of Fudan University. Completed at 1 site in China. Open to participants aged 6 Years to 8 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-10-15.

Sponsored by Children's Hospital of Fudan University · Not applicable, Interventional, and Prevention

Updated Oct 15, 2026Now CompletedStudy documents posted+2 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
160
Allocation
Randomized
Ages
6 Years to 8 Years
Sex
All
01

Study summary

The purpose of this study is to characterize the effects of peripheral focous-out glasses on emmetropization in non-myopic Chinese Children Aged 6-8 Years.This is a prospective, parallel-controlled randomized trial.

Read the detailed description

Myopia is one of the most common eye diseases that cause visual impairment and blindness, and the high rate of myopia in young people is a major public health issue. Based on the clinical studies of optical defocusing to regulate eye growth and refractive changes through visual signal feedback, we hypothesize that early wearing of peripheral defocus glasses in children can slow down the process of emmetropization and even prevent the onset of myopia by producing more myopic defocusing. The aim of this study is to investigate whether wearing peripheral defocus glasses can effectively delay emmetropization in non-myopic children aged 6-8 years , and to further explore its effect on preventing the onset of myopia.

The study adopts a 2-year,single-centre, randomized, parallel-controlled trial with a non-blinded design. Subjects who pass the screening period will have their baseline data collected and will be assigned to the experimental or control groups according to the randomization principle. The experimental group will be fitted with Direct Emmetropia with Focus-out Glasses (hereafter referred to as DEFOG) to guide the emmetropization process. The control group will be given no treatment and will be a blank control. Baseline data including visual acuity, cycloplegic objective refraction, axis length, accommodation amplitude, strabismus examination, pupil size, choroidal thickness and peripheral retinal refraction will be measured when enrolled in the group and follow-up data will be measured at month 6, 12, 18 and 24. The primary interest of this study will be studied by comparing the difference in cycloplegic objective refraction changes between month 24 and baseline in the two groups of subjects.

02

Conditions studied

  • Emmetropization
  • Myopia
  • Hyperopia

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03

In context

Myopia

1,159 studies on the registry are indexed under Myopia; 225 are open to participants now.

This study's enrollment of 160 is above the median of 78 across 923 interventional studies indexed under Myopia.

Browse Myopia studies →

Lead sponsor

Children's Hospital of Fudan University is the lead sponsor of 268 studies on the registry; 95 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
6 Years to 8 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Age: ≥6 and ≤8 years at enrollment.
  2. At least one parent' s Spherical equivalent refraction≤-3.00D.
  3. Spherical equivalent refractions (SERs) under cycloplegia: +0.50 to +1.50 diopters (D)
  4. Astigmatism ≤1.00 D .
  5. Anisometropia ≤1.00 D.
  6. Best Corrected Visual Acuity (BCVA) : 1.0 or better
  7. Provision of consent written by subject's legal guardian
  8. Willing and able to participate in all required activities of the study

Exclusion criteria

Exclusion Criteria:

  1. Any of the following abnormalities on the ocular surface, such as trachoma, pemphigoid, chemical injury, heat burn, radiation injury, etc.
  2. Eyelid abnormalities (e.g. entropion, ectropion, tumor, edema, blepharospasm, incomplete eyelid closure, severe trichiasis, severe ptosis) ,which affect eyelid function in either eye
  3. Eye diseases such as strabismus, amblyopia, anisometropia, fundus diseases, and accommodation abnormality,etc.
  4. Prior treatment of myopia control in either eye, including but not limited to drugs, orthokeratology, low-level red-light therapy, etc.
  5. Noncompliance with measurement at enrollment.
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
160 participants (actual)

Study arms

  • Experimental
    DEFOG group

    Subjescts will wear DEFOG glasses(peripheral focus-out glasses).

    Device: DEFOG glasses(peripheral focus-out glasses)

  • No intervention
    Control group

    Subjects in the control group will just be observed.

Interventions

  • DeviceDEFOG glasses(peripheral focus-out glasses)

    Subjects in the intervention group will wear peripheral focus-out glasses ≧8 hours a day and ≧5 days a week.

06

What researchers measure

Primary outcomes

  1. Overall Changes of Cycloplegic Objective Refraction(spherical equivalent refraction, SER)(D)

    Changes of cycloplegic objective refraction(i.e reflected by SER) from baseline till the 24th month (only the right-eye data included). Objective refraction data will be examined by AUTO REF/KERATOMETER. Ciliary muscle paralysis will be performed by using 1% cyclopentanone eye drops, 2 doses in each eye, 2 doses 5 minutes apart. The optometry will be performed after 20 minutes of complete ciliary muscle paralysis (disappearance of pupil response to light or pupil diameter at least greater than 6 mm). SER is calculated by adding the sum of the sphere power with half of the cylinder power. Baseline data will be measured at the time of enrollment. Follow-up data will be measured on the 24th month from baseline. The 24th month data will be subtracted from the baseline data to obtain changes.

    Time frame: From baseline till the 24th month

Secondary outcomes

  1. Changes of Cycloplegic Objective Refraction(SER) (D)

    Changes of cycloplegic objective refraction (i.e reflected by SER) different follow-up time and the baseline time (only the right-eye data included). Objective refraction data will be examined by AUTO REF/KERATOMETER.

    Time frame: The 6th month, the 12th month and the 18th month from baseline

  2. Myopia

    Cycloplegic SER≦-0.50D at any follow-up time. Objective refraction data will be examined by AUTO REF/KERATOMETER.

    Time frame: The 6th month, the 12th month, the 18th month and the 24th month from baseline

  3. Changes of Axial Length(AL)(mm)

    Changes of Axial Length (AL) between different follow-up time and the baseline time (only the right-eye data included).AL will be examined by IOL Master.

    Time frame: The 6th month, the 12th month, the 18th month and the 24th month from baseline

  4. Amplitude of Accommodation (AMP)(D)

    Amplitude of Accommodation (AMP) at any follow-up time (only the right-eye data included). AMP will be examined by lens test.

    Time frame: The 6th month, the 12th month, the 18th month and the 24th month from baseline

  5. Uncorrected Visual Acuity

    The Logarithmic Visual Acuity at any follow-up time (only the right-eye data included).

    Time frame: The 6th month, the 12th month, the 18th month and the 24th month from baseline

  6. Strabismus Examination(△)

    Strabismus examination at any follow-up time by SYNOPTOPHORE.

    Time frame: The 6th month, the 12th month, the 18th month and the 24th month from baseline

  7. Changes of Choroidal Thickness (ChT) (um)

    Changes of Choroidal Thickness (ChT)between different follow-up time and the baseline time (only the right-eye data included). ChT will be examined by OPTICALCOHERENCETOMOGRAPHY.

    Time frame: The 6th month, the 12th month, the 18th month and the 24th month from baseline

  8. Pupil size(mm)

    Pupil size at any follow-up time (only the right-eye data included).

    Time frame: The 6th month, the 12th month, the 18th month and the 24th month from baseline

  9. Peripheral Retinal Refraction(D)

    Peripheral Retinal Refraction at any follow-up time (only the right-eye data included). Peripheral Retinal Refraction will be examined by AUTO FUNDUS CAMERA.

    Time frame: The 6th month, the 12th month, the 18th month and the 24th month from baseline

  10. The percentage of participants with fast myopic shift

    The percentage of participants with fast myopic shift over 2 years(only the right-eye data included). The fast myopic shift is defined as cycloplegic objective refraction (i.e reflected by SER) myopic shift of at least 1.00 D. Objective refraction data will be examined by AUTO REF/KERATOMETER.

    Time frame: From baseline till the 24th month

  11. Corneal curvature(D) or radius of curvature(mm)

    Corneal curvature or radius of curvature(only the right-eye included). They can be interconverted. Data will be examined by AUTO REF/KERATOMETER.

    Time frame: The 6th month, the 12th month, the 18th month and the 24th month from baseline

  12. Astigmatism (D)

    The adtigmatism at any follow-up time (only the right-eye data included).

    Time frame: The 6th month, the 12th month, the 18th month and the 24th month from baseline

07

Study locations

1 site
  • Children's Hospital of Fudan University
    Shanghai, Shanghai Municipality 201110, China
08

References and documents

Publications

  • Shen L, He W, Yang W, Yan W, Yang C. Effect of wearing peripheral focus-out glasses on emmetropization in Chinese children aged 6-8 years: study protocol for a 2-year randomized controlled intervention trial. Trials. 2023 Nov 22;24(1):746. doi: 10.1186/s13063-023-07799-8. PubMed 37993963 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Mar 2023 to primary completion in Apr 2026, 36 months.

Of 200 non-industry interventional studies with no phase under Myopia, half reached primary completion within 25 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 44. This study's 36 months is above that.

Counting every sponsor, half of 434 studies reached it within 14 months; a quarter within 3 and three quarters within 34.

Since we started tracking on Sep 25, 2026, the dates moved once, on Oct 15, 2026: primary completion Mar 2026 → Apr 2026 and completion Mar 2026 → Apr 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

How these figures are worked out, and which studies are left out of them.

Registered
Jan 10, 2023
First posted
Jan 19, 2023
StartActual
Mar 23, 2023
Primary completionActual
Apr 2, 2026was Mar 2026
CompletionActual
Apr 2, 2026was Mar 2026
Last update
Oct 15, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Status
Active, not recruiting→Completed
changed Oct 15, 2026
Primary completion
Mar 31, 2026→Apr 2, 2026 (actual)
Oct 15, 2026
Study completion
Mar 31, 2026→Apr 2, 2026 (actual)
Oct 15, 2026
Documents
Oct 15, 2026
Show all 1 update
  1. Oct 15, 2026
    Active, not recruiting→Completed
    Primary completion Mar 31, 2026→Apr 2, 2026 (now actual)
    Study completion Mar 31, 2026→Apr 2, 2026 (now actual)
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT05689567
Responsible party
Sponsor
First posted
Jan 19, 2023
Start date
Mar 23, 2023
Primary completion
Apr 2, 2026
Completion
Apr 2, 2026
Last update
Oct 15, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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