Evaluating the burden of amblyopia treatment from the parent and child’s perspective

Felius, Joost; Chandler, Danielle L.; Holmes, Jonathan M.; Chu, Raymond; Cole, Stephen R.; Hill, Michael G.; Huang, Kristine; Kulp, Marjean Taylor; Lazar, Elizabeth L.; Matta, Noelle S.; Melia, Michele; Wallace, David K.

doi:10.1016/j.jaapos.2010.07.009

Cited by 55 publications

(35 citation statements)

References 10 publications

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“…The MOTAS (Monitored Occlusion Treatment of Amblyopia Study) group reported that only 30% of their trial participants achieved 100% amblyopic-deficit correction (same visual acuity in both eyes), with 57% achieving a visual acuity in the amblyopic eye of <0.1 logMAR of the fellow eye and 69% reached <0.2 logMAR of the fellow eye 9. Consequently, optimisation of patching treatment, by finding the most effective regimes, is likely to yield considerable cost benefits to health services, as well as being less onerous to patients and families 10 11…”

Section: Introductionmentioning

confidence: 99%

An educational intervention to improve adherence to high-dosage patching regimen for amblyopia: a randomised controlled trial

et al. 2014

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Section: Introductionmentioning

confidence: 99%

An educational intervention to improve adherence to high-dosage patching regimen for amblyopia: a randomised controlled trial

et al. 2014

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“…It may be that Atropine occlusion, not being as obvious to the peer group, may have less psychological impact than patching therapy. Felius et al concluded that "Atropine treatment was found to have a less negative impact than patching" (Felius 2010). This finding is important in deciding how to offer and deliver occlusion treatment.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Childhood Eye Disorders on Social Relationships during School Years and Psychological Functioning as Young Adults

Buckley¹,

Whittle²,

Verity³

et al. 2018

British and Irish Orthoptic Journal

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Aims: To determine (1) whether having a visible eye condition and/or treatment with glasses and/or occlusion in childhood has any impact on psychological and/or social outcomes during childhood and young adulthood and (2) whether there is an effect of age at treatment. Methods: A cohort of 160 participants was asked to take part in an online study. The cohort had previously taken part in a research study at Royal Preston Hospital from 1999–2006 when they were 3–8 years old ( Buckley and Perkins 2010 ). Participants were divided into treatment and no-defect (control) groups and were invited to take part in the current study when they had reached age 18–21. Thirty-five (35) participants (22.5% of the total cohort) were recruited and completed a series of online questionnaires assessing recalled victimisation at school, current generalised anxiety, current depressive symptoms, current loneliness, current friendship quality, and adjustment to university/work. Questionnaire scores between treated patients and controls were compared. Results: Findings showed that young adults who received treatment during their pre-school years, compared to their peers who did not need treatment, reported higher current generalised anxiety and more victimisation when in school. Those who received treatment in reception class were no different on psycho-social functioning compared to their peers; with both groups reporting higher victimisation than average compared to previous studies, and mild rates of anxiety. Conclusions: It appears that having a visible eye condition or treatment with glasses and/or occlusion commencing at pre-school has long term psychological implications, with scores on victimisation and current anxiety levels being higher for the pre-school treatment group compared to the pre-school no defect (control) group. Treatment plans and advice to parents should consider psycho-social outcomes of proposed treatment.

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“…5 Randomized clinical trials have used a parent-completed questionnaire, the Amblyopia Treatment Index, 6,7 to assess the effect of the treatment on the child’s quality of life. 8,9 …”

mentioning

confidence: 99%

Behaviors of children with unilateral vision impairment in the Infant Aphakia Treatment Study

Celano

Cotsonis

Hartmann

et al. 2016

Journal of American Association for Pediatric Ophthalmology and

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Purpose To determine whether behavioral functioning of 4.5-year-olds differs between two treatments for unilateral cataract and whether behavioral functioning is predicted by visual acuity in the treated eye. Methods The Infant Aphakia Treatment Study is a multicenter clinical trial in which 114 infants with unilateral congenital cataracts were randomized to undergo cataract extraction with contact lens correction or implantation of an intraocular lens. Patching data were collected during the year preceding a visit at age 4.5 years, when both visual acuity and caregiver-reported behavioral functioning were assessed for 109 participants. Caregiver stress was assessed with the Parenting Stress Index at 4.25 years. Results There were no treatment group differences in behavioral functioning as measured by the Child Behavior Checklist. Poorer visual acuity was associated with more externalizing behavior problems (attention problems and aggressive behavior) and total behavior problems in regression models that did not include caregiver stress. With multiple imputation, both caregiver stress and dichotomized visual acuity significantly predicted externalizing problems. Conclusions Treatment assignment did not greatly affect caregiver-reported behavior. Poor visual acuity may confer risk for problems with attention and aggressive behavior in preschoolers treated for unilateral cataract.

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Evaluating the burden of amblyopia treatment from the parent and child’s perspective

Cited by 55 publications

References 10 publications

An educational intervention to improve adherence to high-dosage patching regimen for amblyopia: a randomised controlled trial

An educational intervention to improve adherence to high-dosage patching regimen for amblyopia: a randomised controlled trial

The Effect of Childhood Eye Disorders on Social Relationships during School Years and Psychological Functioning as Young Adults

Behaviors of children with unilateral vision impairment in the Infant Aphakia Treatment Study

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