Patching Compliance with Full-Time vs. Part-Time Occlusion Therapy

Kane, Jessica L.; Biernacki, Ron; Fraine, Lisa; Fukuda, Neva; Haskins, Kelsie; Morrison, David G.

doi:10.3368/aoj.63.1.19

Cited by 3 publications

(3 citation statements)

References 10 publications

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“…Kane et al ., had compared treatment compliance of continuous occlusion and divided occlusion therapy and had shown the identical increase of visual acuity in both groups (p = 0.82). [ 9 ] This study has shown that increase of visual acuity was not significantly different between both treatments (0.35±0.26 logMar vs 0.38±0.22 logMar; p = 0.72). This is different with the study conducted by Bhoompally et al , whose result was the visual acuity in the group that had received continuous occlusion therapy was better than the group that had received divided occlusion therapy (0.51±0.26 logMar vs 0.59±0.04 logMar; p = 0.27).…”

Section: Discussionmentioning

confidence: 76%

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Visual Acuity Improvement in Continuous vs Divided Occlusion in Anisometropic Amblyopia

Irfani

Feriyanto

Oktarima

et al. 2018

TOOPHTJ

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Purpose:To compare visual acuity improvement between continuous and split part-time occlusion for the treatment of moderate and severe anisometropic amblyopia.Methods:Randomised clinical trials in 6 – 13 y.o children with moderate and severe anisometropic amblyopia. Each patient was consecutively selected with continuous or split part-time occlusion. Best corrected visual acuity’s improvement was followed up to six weeks and statistical data were analyzed using chi square and unpaired t-test.Results:Best corrected visual acuity’s improvement was comparable between continuous and split part-time occlusion (0.20±0.27 vs 0.21±0.25; p = 0.79).Conclusion:Split part-time occlusion may be considered as an alternative treatment for moderate and severe anisometropic amblyopia treatment.

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Section: Discussionmentioning

confidence: 76%

“…Evaluated from compliance aspect, Jessica Kane et al . found the compliance in continuous occlusion group to be better compared to divided occlusion group (p = 0.023) [ 9 ]. According to a study conducted by Bhoompally et al .…”

Section: Discussionmentioning

confidence: 99%

Visual Acuity Improvement in Continuous vs Divided Occlusion in Anisometropic Amblyopia

Irfani

Feriyanto

Oktarima

et al. 2018

TOOPHTJ

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“…In another study, the results were similar in FTO and PTO group, but compliance was seen better in children in FTO group. They also recommended FTO in children with PTO failure and poor compliance 14. FTO was also considered statistically comparable to PTO in few other studies too 15,16.…”

Section: Discussionmentioning

confidence: 99%

Full time occlusion VS part time occlusion in treatment of monocular amblyopia

Mehboob

Shoaib²,

Farooq

2019

Pak J Med Sci

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Objective:To compare improvement in Best Corrected Visual Acuity (BCVA) by Full Time Occlusion (FTO) or Part Time Occlusion (PTO) technique in children with monocular amblyopia.Methods:This randomized control trial was conducted at Combined Military Hospital, Gujranwala from April 2018 to June 2019. A total of 52 children, diagnosed with non-pathological ametropic amblyopia were randomly divided in two groups. Both underwent cycloplegic refraction and assessment of BCVA. Group A underwent FTO for eight weeks with patch removal only during sleep. Group B underwent PTO for 8 weeks with patching done for six hours a day, out of which 1-2 hours were utilized in near work. Final BCVA was checked at eight weeks, and compared between two groups.Results:Mean age of study population was 11.06±3.30 years. Mean BCVA before amblyopia treatment was 0.70±0.20 logMAR, and mean BCVA after eight weeks of amblyopia treatment in both groups was 0.29±0.18 logMAR. Difference in BCVA between both groups was statistically significant (p= 0.023). Mean improvement in lines on Snellen’s Visual acuity chart was 1.92±1.35 lines. In our study, 92% of children in FTO group and 66.6% of children in PTO group achieved BCVA of 6/12 or better.Conclusions:Full time occlusion in children with monocular amblyopia results in greater improvement in BCVA as compared to part time occlusion of six hours per day.

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Non-Interactive Amblyopia Treatment Modalities in Children: A Systematic Review and Meta-Analysis

Hussen

Adimassu

Belete

et al. 2020

Preprint

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Background: This review aimed to identify the most effective and safest amblyopia interventions in an integrative manner.Methods: Eligible studies were identified from Cochrane library (CENTRAL), Pubmed central, Google Scholar, ScienceDirect and Scopus database up to 09/2018. Data pooling was performed for trials with a little heterogeneity (P>0.05, I2 <50%) using the fixed-effect models. The mean difference (MD) and risk ratio (RR) at 95% confidence interval (CI) for visual acuity improvement, success of the treatment, reverse amblyopia and adherence rate were pooled.Results: Eight trials consisting of 1253 participants were included. Regardless of child’s age, cause and severity of amblyopia, six hours patching and full-time patching were equally effective (Pooled MD, 0.00; 95% CI, -0.54 to 0.55). Likewise, studies independently reported that two hours and six hours patching were equally effective for moderate amblyopia. The therapeutic outcome of patching was statistically comparable to atropine (pooled MD, 0.25 lines; 95% CI, 0.01 to 0.48). The weighted adherence rates for atropine was encouraging as compared to patching (pooled RR, 0.9; 95% CI, 0.84 to 0.96). However, significant reverse amblyopia and poor adherence was recognized in full-time patching and atropine. The risk of developing reverse amblyopia was lower by 19% for patching groups as compared to atropine (pooled RR, 0.19; 95% CI: 0.06 to 0.57). Conclusion: Overall, considering six hours patching or atropine penalization as a first line treatment is a fair decision from effectiveness perspective but it should be under proactive monitoring to optimize the noted adherence and adverse effects issues.

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Patching Compliance with Full-Time vs. Part-Time Occlusion Therapy

Abstract: This study confirms previous reports of similar visual outcomes between PTO and FTO. However, compliance rates for FTO seem to be higher and some children who have failed PTO may improve with FTO.

Cited by 3 publications

References 10 publications

Visual Acuity Improvement in Continuous vs Divided Occlusion in Anisometropic Amblyopia

Visual Acuity Improvement in Continuous vs Divided Occlusion in Anisometropic Amblyopia

Full time occlusion VS part time occlusion in treatment of monocular amblyopia

Non-Interactive Amblyopia Treatment Modalities in Children: A Systematic Review and Meta-Analysis

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