Home Therapy for Amblyopia

Gk, von Noorden; Springer, F; Romano, Paul E; Parks, Marshall M.

doi:10.1080/0065955x.1970.11982261

Cited by 14 publications

(6 citation statements)

References 2 publications

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“…In their simplest form, active vision therapies for amblyopia involve paper‐based near activities such as reading, writing and word puzzles. For example, von Noorden and associates 45 reported clinical findings in a group of 25 children aged seven to 16 years (mean age nine years), who were prescribed near activities in addition to occlusion. Each child was issued with an exercise book containing rows of repeating patterns of constant visual angle along each row and decreasing visual angle on consecutive rows.…”

Section: Active Treatment Of Amblyopiamentioning

confidence: 99%

Active treatments for amblyopia: a review of the methods and evidence base

Suttle

2010

Clinical and Experimental Optometry

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Treatment for amblyopia commonly involves passive methods such as occlusion of the non-amblyopic eye. An evidence base for these methods is provided by animal models of visual deprivation and plasticity in early life and randomised controlled studies in humans with amblyopia. Other treatments of amblyopia, intended to be used instead of or in conjunction with passive methods, are known as 'active' because they require some activity on the part of the patient. Active methods are intended to enhance treatment of amblyopia in a number of ways, including increased compliance and attention during the treatment periods (due to activities that are interesting for the patient) and the use of stimuli designed to activate and to encourage connectivity between certain cortical cell types. Active methods of amblyopia treatment are widely available and are discussed to some extent in the literature, but in many cases the evidence base is unclear, and effectiveness has not been thoroughly tested. This review looks at the techniques and evidence base for a range of these methods and discusses the need for an evidence-based approach to the acceptance and use of active amblyopia treatments.

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Section: Active Treatment Of Amblyopiamentioning

confidence: 99%

Active treatments for amblyopia: a review of the methods and evidence base

Suttle

2010

Clinical and Experimental Optometry

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“…6,[14][15][16] We are planning a randomized trial to address this issue. We could identify no sources of bias or confounding to explain our findings.…”

Section: Adverse Effects Of Treatmentmentioning

confidence: 99%

“…are not aware of any published studies that have prospectively evaluated whether performing near visual activities while the sound eye is occluded is beneficial in the treatment of amblyopia, although benefits have been reported in retrospective studies and case series. 6,[14][15][16] We are planning a randomized trial to address this issue. We could identify no sources of bias or confounding to explain our findings.…”

Section: Commentmentioning

confidence: 99%

A Randomized Trial of Patching Regimens for Treatment of Moderate Amblyopia in Children

et al. 2003

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Objective: To compare 2 hours vs 6 hours of daily patching as treatments for moderate amblyopia in children younger than 7 years.Methods: In a randomized multicenter (35 sites) clinical trial, 189 children younger than 7 years with amblyopia in the range of 20/40 to 20/80 were assigned to receive either 2 hours or 6 hours of daily patching combined with at least 1 hour per day of near visual activities during patching.Main Outcome Measure: Visual acuity in the amblyopic eye after 4 months.Results: Visual acuity in the amblyopic eye improved a similar amount in both groups. The improvement in the visual acuity of the amblyopic eye from baseline to 4 months averaged 2.40 lines in each group (P =.98). The 4-month visual acuity was at least 20/32 and/or improved from baseline by 3 or more lines in 62% of patients in each group (PϾ.99). Conclusion:When combined with prescribing 1 hour of near visual activities, 2 hours of daily patching produces an improvement in visual acuity that is of similar magnitude to the improvement produced by 6 hours of daily patching in treating moderate amblyopia in children aged 3 to 7 years.

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“…Both full-time and part-time occlusion are probably more effective when combined with some form of exercises requiring sustained visual attention (37,5,29). Both full-time and part-time occlusion are probably more effective when combined with some form of exercises requiring sustained visual attention (37,5,29).…”

Section: Strabismic Amblyopiamentioning

confidence: 98%

Practical management of amblyopia

Noorden

1983

Int Ophthalmol

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Our knowledge on the mechanism of amblyopia has gained in recent years from concerted research efforts in basic science and clinical laboratories. Different clinical forms of amblyopia are reviewed and their diagnostic and therapeutic significance discussed. In spite of etiologic differences there are pathophysiological similarities. The value of the time proven constant occlusion treatment of the sound eye remains unchallenged even though minor modifications have become necessary to prevent occlusion amblyopia in infants and young children. Part-time occlusion and penalization are of ancillary value but cannot be considered equal in effectiveness to constant occlusion. Due to increasing public awareness there is a trend toward earlier diagnosis and thus successful treatment of amblyopia. However, more efforts must be directed toward including newborns in visual screening examinations.

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Home Therapy for Amblyopia

Cited by 14 publications

References 2 publications

Active treatments for amblyopia: a review of the methods and evidence base

Active treatments for amblyopia: a review of the methods and evidence base

A Randomized Trial of Patching Regimens for Treatment of Moderate Amblyopia in Children

Practical management of amblyopia

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