RLRL is a controlled, repeated exposure to red light with parameters specified in the protocol and device documentation. It is not the name of every red lamp. The database includes RCTs, real-world observations, retinal imaging and safety signals.
Hypotheses investigated include photobiomodulation, choroidal response, and pathways regulating eye growth. Changes in choroidal thickness or short-term axis shortening alone do not explain lasting benefit or safety.
The pivotal multicenter RCT of Jiang et al. appeared in the 2022 volume. Subsequently, comparative studies, post-treatment follow-up, a safety review, and studies from outside China were published. In 2026, a record of multi-center real-world work for up to five years is also available.
Effect of Repeated Low-Level Red Light Versus 0.01% Topical Atropine on Myopia
Progression: A Randomized Crossover-Controlled Trial
The study compares RLRL with atropine 0,01% in a crossover design.
It does not examine the simultaneous use of both methods. The choroidal parameters publication from DOI 10.1007 /s40123- 025-01169-0 describes the initial phase of the same study; We don't double the attempt.
Interventions for myopia control in children: a living systematic review and network
meta-analysis
Cochrane 2025 indicates that pharmacological and optical interventions may reduce progression, but the certainty of results and long-term data are mixed.
Last query 19.02.2024 . Does not include all tests with 2025–2026 ; poorly connected networks do not justify simple product ranking.
IMI-Interventions for Controlling Myopia Onset and Progression 2025
IMI 2025 organizes optical, pharmacological, environmental and lighting strategies and the state of research on their effects.
Mature technologies and emerging methods have a different evidence base. The inspection is not an individual clinical eligibility assessment of the child.
The three-year real-world study groups by length of treatment, with a median 3,65 year in the longest group. The five-year publication has confirmed metadata; We do not publish its detailed effect estimate without a full assessment of the text. Follow-up after RCT indicates rebound after interruption; does not establish a validated tapering regimen.
OCT, ERG and AOSLO imaging expands knowledge but does not exclude rare events. The corpus remains a description of visual impairment and changes in the outer layers of the retina after Eyerising, with improvement after discontinuation. We separate this signal from the number and duration of follow-up in studies without severe events.
The key RCT of Jiang et al. concerns the Eyerising device and a specific protocol. The AOSLO study describes the laser parameters, but without checking the full-text model we do not assign it to the Eyerising product.
Documentation of contraindications, including concomitant use of atropine, should be checked in the current device manual. The comparison of RLRL versus atropine is not a study of this combination.
Most of the research comes from Asia. The Australian RCT includes 34 children; Spanish 26 and concerns the addition of RLRL for orthokeratology. Safety depends on device, power, optics, exposure and clinical eligibility assessment criteria. The RLRL versus atropine study does not investigate concomitant use.
What is the risk of rare events in long-term exposure?
Which results are replicated in large European trials?
How to stop therapy with the least rebound?
Which imaging changes are transient and which are clinically significant?
When is it considered?
It can only be considered within the framework of clinical eligibility assessment according to the local availability and documentation of the specific device. Test results are not a substitute for IFU or eye evaluation; they are not instructions for self-exposure to light.
Retinal Damage After Repeated Low-level Red-Light Laser Exposure
Bilateral visual impairment and retinal changes have been reported following the use of RLRL; improvement was observed after exposure was discontinued.
The case report is a safety signal, not an indicator of incidence or evidence that all devices have the same risk profile.
Five-year efficacy and safety of repeated low-level red light therapy for myopia
control in children: a multicenter, real-world study
The 2026 publication by Zhang et al. describes multicenter real-world data with follow-up dating back to 5 years.
DOI, authors and publication type were verified. Follow-up for 5 years does not mean that each participant was followed for 5 years; this is not a five-year RCT.
Safety analysis of repeated low-level red light therapy on cone mosaic and
microvasculature by adaptive optics scanning laser ophthalmoscopy
The AOSLO study showed no significant loss of cone density or differences in microcirculatory parameters tested after at least 8 months of RLRL.
66 eyes, of which 20 in the RLRL group; the unit is the eye, not the number of patients. Cross-sectional examination does not exclude rare or distant lesions.